NRNP 6531 FINAL EXAM QUESTIONS AND CORRECT ANSWERS
Central obesity, "moon" face and dorsocervical fat pad are associated with:
A. Metabolic syndrome
B. Unilateral pheochromocytoma
C. Cushing's syndrome
D. Any of the above
Answer C. Cushing's syndrome
An elderly gentleman is initiated on lisinopril and hydrochlorhiazide for hypertension.
Three days later he is seen back in the office complaining of left great toe pain. On exam
the nurse practitioner finds an edematous erythematous tender left great toe. The likely
precipitant of this patient's pain is:
A. Trauma
B. Tight shoes
C. Arthritis flare
D. Hydrochlorothiazide - Answer D. Hydrochlorothiazide
What must be met for you to bill "incident to" the physician, where you get 100%
reimbursement from Medicare?
You must have initiated the plan of care for the patient
The physician must be in the office and seeing patients
You must be hired as an independent contractor
, You must be the main health care provider who actually sees the patient- Answer The
physician has to be on location and actively involved in the care of the patient
Which of the following is NOT a common early symptom of benign prostatic hyperplasia
(BPH)?
A. Nocturia
B. Urgency incontinence
C. Strong urinary stream flow
D. Straining to void - Answer C. Strong urinary stream flow
Steve is a 69-year-old male diagnosed with gastroesophageal reflux disease. When
educating him on methods to lower lower esophageal sphincter pressure, which of the
following would you instruct him to avoid?
§ Very hot or very cold food
§ Fatty or fried foods
§ Peppermint or spearmint, including flavoring
§ Coffee, tea, and soft drinks containing caffeine
§ Spicy, highly seasoned foods
§ Fried foodDT caffeine, chocolate and anticholinergics - Answer Peppermint or
spearmint, including flavoring
A patient is admitted with dehydration, hypotension, and fever. Lab studies show
hyponatremia, hyperkalemia, and hypoglycemia. These abnormalities are replaced, but
in 6 weeks, the patient returns to the office with the same symptoms of
hyperpigmentation, weakness, anorexia, fatigue, and weight loss. What action(s) should
the nurse practitioner take?
A. Obtain a history and physical, and check serum cortisol and ACTH levels
B. Do a diet history and check CBC and FBS
C. Provide nutritional teaching and have the patient return in one month
D. Refer to home health for intravenous administration Answer A Obtain a thorough
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