NRNP 6531 final/ Actual Exam Questions with Correct
Verified Answers- Latest Update 2024/ Rated A+
Central obesity, "moon" face, and dorsocervical fat pad are associated with:
A. Metabolic syndrome
B. Unilateral pheochromocytoma
C. Cushing's syndrome
D. None of the above - ANSWER - C. Cushing's syndrome
An elderly man is started on lisinopril and hydrochlorhiazide for hypertension. Three days later, he
returns to the office complaining of left great toe pain. On exam, the nurse practitioner notes 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 conditions must be met for you to bill "incident to" the physician, receiving 100% reimbursement
from Medicare?
You must initiate the plan of care for the patient
The physician must be on-site and engaged in patient care
You must be employed as an independent contractor
You must be the main health care provider who sees the patient - ANSWER - The physician must be on-
site and engaged in patient care
Which of the following is not a common early sign of benign prostatic hyperplasia (BPH)?
A. Nocturia
pg. 1
,B. Urgency incontinence
C. Strong urinary stream flow
D. Straining to void - ANSWER - C. Strong urinary stream flow
Steve, age 69, has gastroesophageal reflux disease (GERD). When teaching him how to reduce his lower
esophageal sphincter pressure, which substances do you recommend that he avoid?
§ Food that is very hot or very cold
§ Fatty or fried foods
§ Peppermint or spearmint, including flavoring
§ Coffee, tea, and soft drinks that contain caffeine
§ Spicy, highly seasoned foods
§ Fried foodDT caffeine, chocolate and anticholinergics - ANSWER - Peppermint or spearmint, including
flavoring
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?
A. Obtain a thorough history and physical, and check serum cortisol and ACTH levels.
B. Perform a diet history and check CBC and FBS.
C. Provide nutritional guidance and have the patient return in one month.
D. Consult home health for intravenous administration - ANSWER - A. Obtain a thorough history and
physical, and serum cortisol and ACTH levels
Which of the following is a potential acquired cause of thrombophilia?
A. Homocysteinuria
B. Protein C deficiency
C. Factor V Leiden
D. Antiphospholipid antibodies - ANSWER - D. Antiphospholipid antibodies
pg. 2
, A 75-year-old female is diagnosed with primary hyperparathyroidism and asks the nurse practitioner
what the treatment for this disorder is. The nurse practitioner explains:
Primary hyperparathyroidism is treated with Vitamin D restriction
Primary hyperparathyroidism is treated with parathyroidectomy
Primary hyperparathyroidism is treated with daily magnesium
Primary hyperparathyroidism is treated with parenteral parathyroid hormone (PTH) - ANSWER - Primary
hyperparathyroidism is treated with parathyroidectomy
A 25 year old overweight patient presents with a complaint of dull achiness in his groin and history of a
palpable lump in his scrotum that "comes and goes". On physical examination, the nurse practitioner
does not detect a scrotal mass. There is no tenderness, edema, or erythema of the scrotum, the scrotum
does not transilluminate. What is the most likely diagnosis?
A. Testicular torsion
B. Epididymitis
C. Inguinal hernia
D. Varicocele - ANSWER - C. Inguinal hernia
Dave, age 38, states that he thinks he has an ear infection because he just flew back from a business trip
and feels unusual pressure in his ear. You diagnose barotrauma. What is your next action?
A. Prescribe nasal steroids and oral decongestants
B. Prescribe antibiotic eardrops
C. Prescribe systemic eardrops
D. Refer David to an ear, nose, and throat specialist - ANSWER - A. Prescribe nasal steroids and oral
decongestants
A 32 year old male patient complains of urinary frequency and burning on urination for 3 days. Urinalysis
reveals bacteriuria. He denies any past history of urinary tract infection. The initial treatment should be:
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