NRNP 6531 Final exam questions with correct Detailed Answers || Graded A+ <UPDATED VERSION>
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Course
NRNP 6531
Institution
NRNP 6531
NRNP 6531 Final exam questions
with correct Detailed Answers ||
Graded A+ <UPDATED VERSION>
A 21-year-old female presents to the office complaining of urinary
frequency and urinary burning. The nurse practitioner suspects a urinary
tract infection when the urinalysis rev...
NRNP 6531 Final exam questions
with correct Detailed Answers ||
Graded A+ <UPDATED VERSION>
A 21-year-old female presents to the office complaining of urinary
frequency and urinary burning. The nurse practitioner suspects a urinary
tract infection when the urinalysis reveals - ANSWER ✔ 10- white
blood cells per high-powered field
A 26 year old female presents with elbow pain that is described as
aching and burning. There is point tenderness along the lateral aspect of
the elbow and painful passive flexion and extension. She reports she has
been playing tennis almost daily for the past month. The most likely
diagnosis is: - ANSWER ✔ Lateral epicondylitis
Maria, age 17, was raped when she was 13 year old. She is now
experiencing sleeping problems, flashbacks, and depression. What is
your initial diagnosis? - ANSWER ✔ PTSD
An elderly man is started on lisinopril and hydrochlorothiazide 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: - ANSWER ✔ hydrochlorhiazide
Which of the following is a contraindication for metformin therapy? -
ANSWER ✔ Creatinine > 1.5
, A positive drawer sign supports a diagnosis of: - ANSWER ✔ Cruciate
ligament injury
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? - ANSWER ✔
peppermint
The nurse practitioner diagnoses epididymitis in a 24-year-old sexually
active male patient. the drug of choice fort the treatment of this patient is
- ANSWER ✔ Oral doxycycline (Vibramycin)plus IM ceftriaxone
Diagnostic confirmation of acute leukemia is based on - ANSWER ✔
bone marrow aspiration and biopsy.
A patient taking levothyroxine is being over-replaced. What condition is
he at risk for? - ANSWER ✔ osteoporosis
Diabetes screening recommendations for asymptomatic adults age 45
and over include which of the following: - ANSWER ✔ HbA1C2-hour
75 gram oral glucose tolerance test
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? - ANSWER ✔
Prescribe nasal steroids and oral decongestants
Josh, age 22, is a stock boy and has an acute episode of low back pain.
You order and NSAID and tell him which of the following? - ANSWER
✔ Begin lower back strengthening exercises depending on pain
tolerance
,Risk factors for Addison's disease include which of the following? -
ANSWER ✔ all of the above (autoimmune disease, AIDS, and TB)
Urine cultures should be obtained for which of the following patients? -
ANSWER ✔ Suspected urinary tract infection in pregnancyFebrile
patientsYoung men
All of the above
Jennifer says that she has heard that caffeine can cause osteoporosis and
asks you why. how do you respond? - ANSWER ✔ A high caffeine
intake has a diuretic effect that may cause calcium to be excreted more
rapidly."
The diagnosis which must be considered in a patient who presents with
a severe headache of sudden onset, with neck stiffness and fever, is: -
ANSWER ✔ meningitits
What conditions must be met for you to bill "incident to" the physician,
receiving 100% reimbursement from Medicare? - ANSWER ✔ The
physician must be on-site and engaged in patient care
The most commonly recommended method for prostate cancer
screening in a 55 year old male is - ANSWER ✔ Digital rectal
examination (DRE) plus prostate specific antigen (PSA)
The primary goals of treatment for patients with alcohol abuse disorder
are: - ANSWER ✔ Psychotherapeutic and pharmacological
interventions to decrease desire for and effects of alcohol
, 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: - ANSWER ✔ 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 - ANSWER ✔
Musculoskeletal pain
Differential diagnosis of proteinuria includes which of the following? -
ANSWER ✔ Orthostatic proteinuria
A patient presenting for an annual physical exam has a BMI of 25
kg/m2 This patient would be classified as: - ANSWER ✔ overweight
Reed-Sternberg B lymphocytes are associated with which of the
following disorders - ANSWER ✔ 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: - ANSWER ✔ olecranon
bursitis
Establishment of a definitive diagnosis of osteomyelitis requires: -
ANSWER ✔ Biopsy of culture of the pathogen from blood or bone
aspirate.
The most accurate measure of diabetes control is: - ANSWER ✔
HbA1c has evolved to become the gold standard outcome to measure the
efficacy of glucose-lowering medications.
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