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NRNP 6568 Week 8 Comprehensive Practice

NRNP 6568 Week 8 Comprehensive Practice

Begin: Quiz – Week 8 Comprehensive Practice

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Question 1

Lactation mastitis typically occurs in which time frame:

  

At 3 months after birth

  

At 6 months after birth

  

Within the first 2 months after birth

  

None of the above

Question 2

Danger signs of oral contraceptives include all the following except:

  

Chest pain

  

Severe headache

  

Weakness on both sides of the body

  

Visual changes in one eye

Question 3

Artie is a 21 y/o male who comes to the clinic with a chief complaint of paroxysmal coughing without an apparent cause. He states that this has been going on for about 15 days. He initially had a mild fever and a runny nose. His most likely diagnosis is:

  

Pertussis

  

Atypical pneumonia

  

CAP

  

Common cold

Question 4

Imaging, in relationship to UTIs, should be done in all the following except:

  

Poor response to antibiotics

  

H/O of calculi

  

On initial visit

  

Recurrent pyelonephritis

Question 5

Adam is a 10 y/o male who has Koplik’s spots inside the cheeks by the rear molars. The most likely diagnosis is:

  

Measles

  

Hand, foot, and mouth disease

  

Scarlet fever

  

Varicella

Question 6

Zina is a 34 y/o female who comes to the clinic with a chief complaint of 3 years of chronic heartburn. She states that she gets it after eating tacos and bacon. She has tried to self-medicate with OTC antacids with no improvement. In the exam, the NP notices a sour odor on Zina’s breath, thinning tooth enamel, and a chronic red throat. Some lifestyle changes to treat Zina’s condition would include which of the following?

  

Stop smoking

  

Avoid ASA

  

Avoid alcohol

  

Avoid caffeine

  

All of the above

  

A, C, and D only

Question 7

Zina is a 34 y/o female who comes to the clinic with a chief complaint of 3 years of chronic heartburn. She states that she gets it after eating tacos and bacon. She has tried to self-medicate with OTC antacids with no improvement. In the exam, the NP notices a sour odor on Zina’s breath, thinning tooth enamel, and a chronic red throat. The most likely diagnosis is:

  

Halitosis

  

Peptic ulcer disease

  

Gastroesophageal reflux disease (GERD)

  

A or B only

Question 8

Artie is a 21 y/o male who comes to the clinic with a chief complaint of paroxysmal coughing without an apparent cause. He states that this has been going on for about 15 days. He initially had a mild fever and a runny nose. First-line treatment for Artie would include macrolides.

 True

 False

Question 9

Sam is a 19 y/o male who comes to the clinic with a chief complaint of several weeks of fatigue and non-productive paroxysmal coughing. He initially had a sore throat, some rhinitis, and low-grade fever. Treatment of Sam’s condition includes which of the following:

  

Doxycycline

  

Azithromycin

  

Tessalon Perles

  

All of the above

  

A & B only

Question 10

After skin cancer, breast cancer is the most common cancer in women.

 True

 False

Question 11

Mark is a 2-month-old infant, and he should be able to do all the following tasks except:

  

Follow objects past midline

  

Make gurgling sounds

  

Rolling over 

  

Lift head up 45 degrees

Question 12

Patients with bipolar disorder may have all the following except:

  

 Delusions

  

 Hallucinations

  

 Lower rates of substance abuse

  

 A & B only

Question 13

The positive signs of pregnancy include all the following except:

  

Palpation of uterus by NP

  

Ultrasound and visualization of fetus

  

Goodell’s sign (cervical softening at 4 weeks)

  

Fetal heart tones

Question 14

Susan is a 29 y/o female who comes to the clinic with a 3-day history of fever, chills, nausea, vomiting, and flank pain. During the visit, the NP does a urine dipstick and discover that Susan is positive for nitrites, leukocytes, and >10 WBCs. The physical exam reveals a CVA tenderness. Her most likely diagnosis is:

  

Lower urinary tract infection

  

Abdominal virus

  

Upper urinary tract infection

  

Sexually transmitted disease

Question 15

Drew is a 13 y/o male who presents to the clinic with testicular pain, nausea, vomiting, scrotal edema, and redness. You perform a urine analysis, which is negative. What is the most likely diagnosis?

  

Testicular cancer

  

Testicular torsion

  

Hodgkin lymphoma

  

None of the above

Question 16

Archie is a 19 y/o male who comes to the clinic with his significant other because of recent outbursts and then long periods of mood changes that cycle between mania and depression. His most likely diagnosis is:

  

Major depression

  

Bipolar depression

  

Minor depression

  

None of the above

Question 17

In a pregnant woman, most of the weight gain occurs in which trimester?

  

First trimester

  

Second trimester

  

Third trimester

  

Fourth trimester

Question 18

The CDC recommends HPV vaccine for males until what age?

  

18 y/o

  

20 y/o

  

23 y/o

  

26 y/o

Question 19

All of the following are characteristics of Kleinfelter syndrome in a male except:

  

Small testicles

  

Wide hips

  

Decreased body and facial hair

  

Small stature

Question 20

The most common method of contraception is:

  

IUDs

  

Sterilization

  

Condoms

  

Diaphragms

Question 21

Susan is a 29 y/o female who comes to the clinic with a 3-day history of fever, chills, nausea, vomiting, and flank pain. During the visit, the NP does a urine dipstick and discover that Susan is positive for nitrites, leukocytes, and >10 WBCs. The physical exam reveals a CVA tenderness. Within 2 weeks, Susan returns to the clinic and a culture of her urine shows she has the same bacteria as when the NP first saw her. This would be referred to as:

  

Relapsing UTI

  

Recurring UTI

  

Persistent UTI

  

None of the above

Question 22

Susan is a 29 y/o female who comes to the clinic with a 3-day history of fever, chills, nausea, vomiting, and flank pain. During the visit, the NP does a urine dipstick and discover that Susan is positive for nitrites, leukocytes, and >10 WBCs. The physical exam reveals a CVA tenderness. In treating Susan, the NP could use which of the following antibiotics?

  

TMP-SMX

  

Nitrofurantoin

  

Cephalexin

  

A and C only 

  

A & C only

Question 23

Sam is a 19 y/o male who comes to the clinic with a chief complaint of several weeks of fatigue and non-productive paroxysmal coughing. He initially had a sore throat, some rhinitis, and low-grade fever. Potential organisms that might have caused Sam’s condition include which of the following:

  

Mycoplasma pneumoniae

  

Chlamydia pneumoniae

  

Legionella pneumonia

  

All of the above

  

None of the above

Question 24

Jeremy is suffering from chronic alcohol abuse. His symptoms include mental confusion, ataxia, stupor, and hypotension. The most likely diagnosis for these symptoms is:

  

 Korsakoff’s syndrome

  

 Insomnia

  

 Anorexia nervosa

  

 Bipolar disorder

Question 25

All of the following are in the LUQ of the abdomen except

  

Stomach

  

Sigmoid colon

  

Pancreas

  

Kidney (left)

Question 26

Zina is a 34 y/o female who comes to the clinic with a chief complaint of 3 years of chronic heartburn. She states that she gets it after eating tacos and bacon. She has tried to self-medicate with OTC antacids with no improvement. In the exam, the NP notices a sour odor on Zina’s breath, thinning tooth enamel, and a chronic red throat. Medications to assist Zina would include all the following except:

  

Zantac

  

Pepcid

  

NSAIDS

  

Prevacid

Question 27

At 12 weeks in a pregnancy the fundal height of the uterus should be:

  

Above the symphysis pubis

  

Halfway between symphysis pubis and umbilicus

  

At level of umbilicus

  

Below symphysis pubis

Question 28

Breast cancer in women is characterized by all of the following except

  

Mobile mass on palpation

  

Mass is painless

  

Mass is typically found in the upper outer quadrant

  

Skin around breast is dimpled

Question 29

All of the following are presumptive signs of pregnancy except:

  

Amenorrhea

  

Chadwick’s sign (blue coloration of the uterus and vagina)

  

Breast changes

  

Fatigue

Question 30

Which of the following can reduce breast cancer risk?

  

Healthy diet

  

Limiting ETOH intake

  

Stop smoking

  

Maintain normal body weight

  

All of the above

  

A, B, & C only

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