NRNP-6565-4-Syntesis Advanced Nursing Practice Care

Take Test: Exam – Week 10

Question 1
Osteoporosis is defined as having a T-score of _ or less than the standard deviation of a healthy individual.

1
-1.5
-2.5
-3.5

Question 2
A smooth round nodule with a pearly gray border and central induration best describes which type of skin lesion?

Seborrheic keratosis
Basal cell carcinoma
Malignant melanoma
Herpes zoster

Question 3
A 59 year old man with chronic prostatitis should be treated with trimethoprim 80mg-sulfamethoxazole 400mg (TMP-SMX,Bactrim) for how long?

3 to 7 days
14-21 days
3 to 6 weeks
6 to 12 weeks

Question 4
Treatment for H. pylori-negative ulcers includes all the following except:

Stop NSAIDS
Stop smoking
Prilosec for 4–8 weeks
Triple therapy including Biaxin, Flagyl, and amoxicillin
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Question 5
Carlos is a 64 y/o male who has previously been diagnosed as a Category A COPD patient based on Gold guidelines (2017). The Category A patient group includes which of the following?

Minimally symptomatic (low risk of exacerbation)
More symptomatic (low risk of exacerbation)
Minimally symptomatic (high risk of exacerbation)
High risk

Question 6
Helicobacter pylori is implicated as a causative agent in the development of duodenal or gastric ulcers. What teaching should the nurse practitioner plan for a patient who has a positive Helicobacter pylori test?

It is highly contagious and a mask should be worn
Treatment regimen is multiple lifetime medications
Treatment regimen is multiple medications taken daily for a few weeks
Treatment regimen is complicated and is not indicated unless the patient is symptomatic

Question 7
Metabolic syndrome is characterized by all the following traits except

Obesity
Hypertension
Dyslipidemia
Hypoglycemia

Question 8
What is the first line of treatment for eczema? Select all that apply.

a. Hydrocortisone 2.5%
b. Triamcinolone acetonide
c. Oral steroids
d. None of the above

Question 9
Acanthosis nigricans is associated with all the following except:

Diabetes
Metabolic syndrome
Obesity
Cancer of bladder

Question 10
The NP recognizes that potentially inappropriate medications for older adults (Beers List Criteria) may include:

a. NSAIDs
b. Alpha-blockers
c. Zolpidem
d. Cardiac drugs
e. All of the above

Question 11
A 19-year-old bisexual female wants to get tested for HIV. Based on CDC guidelines, what is the appropriate order of testing for HIV?

a. HIV-1/HIV-2 antibodies and P24 antigen
b. HIV RNA PCR
c. HIV-1 RNA
d. HIV antibody differentiation immunoassay

Question 20
________________vaccine is given in two separate doses to prevent Shingles.

A. Shingrix
B. Pneumococcal
C. Influenza
D. TDAP

Question 21
Mr. Richards is a 65 year old caucasian male who presents to your office with complaints of decreased arm swing and cogwheel rigidity. What conditions are these symptoms a manifestation of?

Multiple Sclerosis
Parkinson’s Disease
Vascular Dementia
Rheumatoid Arthritis

Question 22
Which of the following glands is responsible for calcium balance in the body?

Posterior pituitary
Parathyroid glands
Thyroid gland
Pineal gland

Question 23
The NP recognizes that the main focus of treatment for Anemia is:

replenishing iron stores
management of the underlying disorder
providing for adequate nutrition high in iron
administration of monthly vitamin B12 injections

Question 24
The use of steroids in the treatment of fungal infections will worsen the infection.

True

False

Question 25
State laws about NP practice take two forms:

a. Regulations and prescriptive authority
b. Statutes and Regulations
c. Regulations and prescriptive authority
d. Regulations and Licensure

Question 26
Jason is 72 y/o COPD patient who has a 50-year history of smoking. He now has pneumonia. The most likely causative organism for his pneumonia is:

Mycoplasma pneumoniae
Chlamydia pneumoniae
H. influenzae bacteria
None of the above

Question 27
One of the most common side effects of SSRIs is:

Nausea
Ataxia
Erectile dysfunction
Seizures

Question 28
Which of the following are non-antibiotic strategies to prevent UTIs?

Estrogen therapy
Cranberry juice/extract
Methenamine salts
Lactobacillus
All of the above

Question 29
A nurse practitioner (NP) is applying for an NPI number. The NP recognizes that the purpose of NPI is to

a. A number for ICD-10 code
b. A number for Medicare/Medicaid billing
c. To reimburse patients for receiving patient care
d. To bill to Tricare insurance

Question 30
You would recommend the pneumococcal vaccine (Pneumovax) to patients with all of the following conditions except:

a. HIV infection
b. Asthma
c. Sickle Cell anemia
d. G6PD-deficiency anemia

Question 31
All of the following are pharmacological treatments for osteoporosis except:

Biphosphates
Thyroid stimulating hormone
Tamoxifen
Parathyroid hormone analog
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Question 32
An older woman with osteoporosis wants to be treated with Fosamax. The nurse practitioner (NP) recognizes that the patient is not a good candidate for this drug because of

a. Stomach/intestinal problems
b. Jaw pain
c. A and B
d. A only

Question 33
A nurse practitioner (NP) portfolio should include some but not all of the following:

a. Statement of career goals, special interests, transcripts, diploma, letters of recommendation
b. Statement of career goals, preferred salary, special interests, diploma, letters of recommendation from professors
c. Statement of career goals, special abilities, preferred salary, special interests, diploma
d. All of the above

Question 42
Statues describing NP scope of practice fall into all but one of the categories:

a. Defined by statute.
b. Defined by regulation.
c. Scope of practice is defined.
d. Scope of practice is not defined.

Question 43
Since UTIs are never “normal” in a male, what should the NP rule out as the cause of the infection?

Ureteral stricture
Acute prostatitis
STDs
All of the above
A & C only

Question 44
An NP recognizes that the five major categories of third-party payers are:

a. Medicare, Medicaid, self-pay, Indemnity insurance companies, HMOs
b. Medicare, Medicaid, self-pay, PPOs, HMOs
c. Medicare, Medicaid, Indemnity insurance companies, Managed-care organizations (MCOs)
d. Indemnity insurance companies, managed-care organizations, PPOs, HMOs, Self-Pay

Question 45
Mr. Trellis is a 65 year-old man who presents with complaints of nocturia. Which of the following should be included in the differential diagnosis?

Urethral polyp
Constipation
Benign Prostatic Hypertrophy
Posterial Urethral lesion

Question 46
Cellulitis is usually caused by a gram-negative bacterium.

True

False

Question 47
Juan, an 82 y/o male, is brought to the clinic by his daughter with LLQ pain, anorexia, nausea, and vomiting. Palpation of the abdomen reveals a positive rebound tenderness, positive Rovsing’s sign, and rigid abdomen. The NP in Juan’s case should:

Refer to ER
Try an antiemetic
Draw labs
Send for a CAT scan

Question 48
Mr. Knight, an obese middle-aged client presents with a month of nonproductive irritating cough without fever. He also reports occasional morning hoarseness. What should the differential include?

Atypical pneumonia
Peptic ulcer disease
Gastroesophageal reflux
Mononucleosis (Epstein-Barr)

Question 49
Pneumonia vaccine should be given annually. True or False?

True

False

Question 50
Ms. Stevens, a 70 year old patient with community acquired pneumonia presents with chills, productive cough, temperature of 102.1, pulse 100, respiration 18, BP 94/52, WBC 12,000, and blood urea nitrogen (BUN) 24mg/dl. She has a history of mild dementia and his mental status is unchanged from her last visit. These findings indicate that this patient:

Can be treated as an outpatient
Can be treated with oral antibiotics
Requires a high dose of parenteral antibiotics
requires hospitalization for treatment

Question 51
Ms. Roberts is being seen today at your office. She reports symptoms of Allergic Rhinitis. The NP recognizes that Second-generation antihistamines such as loratadine (Claritin) are prescribed for seasonal allergies because they:

Are prescription products and are therefore covered by insurance
Are more effective than first-generation antihistamines
are less sedating than first-generation antihistamines
can be taken with CNS sedatives, such as alcohol

Question 52
Folliculitis is most commonly due to:

Staphylococcal infection
Dermatophytes
Varicella zoster
E coli

Question 53
In pulsus paradoxus, even if the pulse cannot be palpated, it can still be heard by using a BP cuff and stethoscope.

True

False

Question 54
You are seeing Ms. Ellie, a 60 year old female with COPD. She tells you that she has been using albuterol with good relief for shortness of breath. She is using it 3-4 times daily over the past 4 weeks. How should the NP manage this?

Add a long-acting beta agonist
Encourage its use at the same time every day xTell him to use it only once a day . Add a long-acting beta agonist
Add an oral steroid
Add an ace inhibitor

Question 55
Bacterial vaginosis has all the following signs/symptoms except:

Fish-like odor
Milk-like discharge
Non-itchy vulva
Red vulvovaginal

Question 56
The NP recognizes that the increased presence of which of the following ina urinalysis indicates the presence of bacteria or protein, which is seen in severe renal disease and could also indicate urinary calculi?

Crystals
Nitrates
Casts
Ketones

Question 57
A 25-year-old patient states that he is on an HMO plan. The nurse practitioner (NP) stands for

a. Home Management Organizations
b. Health Management Organizations
c. Health Movement Organizations
d. Health Maintenance Organizations

Question 58
Mr. Reynolds is a 66 year old male who is a Pastor of a church. He informs you that he has just returned from a 6 month missionary trip to South Africa. He reports unremitting cough, hemoptysis, and an unintentional weight loss of 10 pounds over the last month. These symptoms should prompt the clinician to suspect:

Malaria
Tuberculosis
Legionnaires’ Disease
Pneumonia

Question 59
Hillary is an 18 y/o Caucasian who comes to the clinic with a chief complaint of hirsutism, acne, and amenorrhea. Her most likely diagnosis is:

Polycystic ovary syndrome (PCOS)
Ovarian cancer
Hyperprolactinemia
Pregnancy

Question 60
Abby is a 63 y/o patient who is known to have atrial fibrillation and has been on Coumadin for 2 years. Her INR is 2.4. This ratio is considered:

Normal
High
Low

Question 61
As the NP prepares to manage a patient with Anemia, the NP knows that The pathophysiological hallmark of Anemia of Chronic Disease is:

Depleted iron stores
Chronic uncorrectable bleeding
Impaired ability to use iron stores
Reduced intestinal absorption of iron

Question 64
Medicare Part A covers all the following except:

a. Custodial care
b. Inpatient psychiatric hospital care
c. Skilled nursing facility care
d. Inpatient hospital care

Question 68
Ms. Lashley, a 70 year old obese female presents complaining of persistent right upper quadrant pain. She reports that she has not had any prior abdominal surgeries. Which of the following laboratory studies would be most indicative of acute cholecystitis?

C-reactive protein level of 3 mg
White blood cell count of 11,000
Direct serum bilirubin level of 0.3 mg/dl
Serum amylase level of 145 U/L

Question 69
The screening for melanoma includes: (Select all that apply.)

a. Asymmetry
b. Black texture
c. Border irregular
d. Color varies in the same region
e. Diameter greater than 6 mm
f. Change in size

uestion 70
If the TSH is decreased then the patient needs to be worked up for hypothyroidism.

True

False

Question 71
The diagnosis of a subclinical hypothyroidism would be identified by which lab test results?

Increased TSH and normal free T4
Decreased TSH and normal free T4
Increased TSH and increased free T4
Decreased TSH and decreased free T4

S1 points

Question 72
The most common way for testing COVID-19 is performed by what route?

a. Oral
b. Nasopharyngeal
c. Blood test
d. None of the above

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