NRNP 6531 compilation exam with 100
questions and answers
you are assessing a patient after a sports injury to his right knee. You elicit a positive
anterior/posterior drawer sign. This test indicates an injury to the: - Cruciate ligament
Marsha presents with symptoms resembling both fibromyalgia and chronic fatigue
syndrome, which have many similarities. Which of the following is more characteristic of
fibromyalgia - Musculoskeletal pain
Differential diagnosis of proteinuria includes which of the following? - Orthostatic
proteinuria
A patient presenting for an annual physical exam has a BMI of 25 kg/m2 This patient
would be classified as: - overweight
Reed-Sternberg B lymphocytes are associated with which of the following disorders -
Hodgkin's lympoma
A 77-year-old female presents to the office complaining a sudden swelling on her right
elbow. She denies fever, chills, trauma, or pain. The physical exam reveals a non-
tender area of swelling over the extensor surface over the right elbow with evidence of
trauma or irritation. The nurse practitioner suspects: - olecranon bursitis
Establishment of a definitive diagnosis of osteomyelitis requires: - Biopsy of culture of
the pathogen from blood or bone aspirate.
The most accurate measure of diabetes control is: - HbA1c has evolved to become the
gold standard outcome to measure the efficacy of glucose-lowering medications.
A patient has been diagnosed with generalized anxiety disorder (GAD). Which of the
following medications may be used to treat generalized anxiety disorder? -
The most common presentation of thyroid cancer is: - A solitary thyroid nodule
Which of the following accounts for half of the bladder tumors among men and one-third
in women? - Cigarette smoke, both active and passive inhalation
You have a new patient that presents with generalized lymphadenopathy. You know
that this is indicative of: - Cancer of the liver
, Sally, a computer programmer, has just been given a new diagnosis of carpal tunnel
syndrome. Your next step is to - try neutral position wrist splinting and order an oral
NSAID
Which drug category contains the drugs that are the first line Gold standard therapy for
COPD? - Inhaled beta-2 agonist bronchodilators
Potential causes of septic arthritis include which of the following? - A and B
A patient has been taking fluoxetine (Prozac) since being diagnosed with major
depression, first episode, 2 months ago. She reports considerable improvement in her
symptoms and her intention to discontinue the medication. What should be the nurse
practitioner's recommendation? - Recommend that the patient continue the
antidepressant medication for at least 4 more months
Your patient has an elevated mean cell volume (MCV). What should you be considering
in terms of diagnosis? - Liver disease
Which of the following medications increase the risk for metabolic syndrome? - All of the
above
(Antihistamines, PPI, protease inhibitors)
The hallmark of neurofibromatosis (von Recklinghausen's disease) present in almost
100% of patients is - Café au lait spots
The most commonly recommended pharmacological treatment regimen for low back
pain (LBP) is: - acetaminophen, nonsteroidal anti-inflammatory drugs (NSAIDs)
Legal authority for advanced practice nursing rests with - Certifying bodies (maybe)
Which of the following physical modalities recommended for treatment of rheumatoid
arthritis provides the most effective long term pain relief? - Application of cold
A patient presents with dehydration, hypotension, and fever. Laboratory testing reveals
hyponatremia, hyperkalemia, and hypoglycemia. These imbalances are corrected, but
the patient returns 6 weeks later with the same symptoms of hyperpigmentation,
weakness, anorexia, fatigue, and weight loss. What action(s) should the nurse
practitioner take? - Obtain a thorough history and physical, and check serum cortisol
and ACTH levels.
Jack, age 55, comes to the office with a blood pressure of 144/98 mm Hg. He states
that he did not know if it was ever elevated before. When you retake his blood pressure
at the end of the exam, it remains at 144/98. What should your next action be? - stage 2
hypertension (lifestyle change, and medication
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