NURS 6531 FINAL EXAM 1-2024-2025
NURS 6531 final exam 1-2024-2025
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
.
pg. 1
, NURS 6531 FINAL EXAM 1-2024-2025
The most effective treatment of non-infectious bursitis includes: Conservative treatment
includes rest, cold and heat treatments, elevation, administration of nonsteroidal anti-inflammatory
drugs (NSAIDs), bursal aspiration, and intrabursal steroid injections
What conditions must be met for you to bill “incident to” the physician, receiving 100%
reimbursement from Medicare?
Selected
Answer: The physician must be on-site and engaged in patient
care
Answers: 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
Which of the following is not a risk factor associated with the development of syndrome X and type
2 diabetes mellitus?
The metabolic syndrome refers to the co-occurrence of several known cardiovascular risk factors,
including insulin resistance, obesity, atherogenic dyslipidemia and hypertension.
Which of the following is not a common early sign of benign prostatic hyperplasia (BPH)?
A. Nocturia
B. Urgency incontinence
C. Strong urinary stream flow
D. Straining to void
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?
pg. 2
, NURS 6531 FINAL EXAM 1-2024-2025
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 food DT caffeine, chocolate and anticholinergics
Which drug category contains the drugs that are the first line Gold standard therapy for COPD?
Beta antagonist
The most commonly recommended pharmacological treatment regimen for low back pain
(LBP) is:
Nsaid
Which of the following is not appropriate suppression therapy for chronic bacterial prostatitis?
Erythromycin
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
pg. 3
, NURS 6531 FINAL EXAM 1-2024-2025
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: he
A. lateral meniscus
B. cruciate ligament
C. medial meniscus D. collateral ligament.
A 32 year old female patient presents with fever, chills, right flank pain, right costovertebral angle
tenderness, and hematuria. Her urinalysis is positive for leukocytes and red blood cells. The nurse
practitioner diagnoses pyelonephritis. The most appropriate management is:
Include 500 mg of oral ciprofloxacin (Cipro) twice per day for seven days; 1,000 mg of extended-
release ciprofloxacin once per day for seven days; or 750 mg of levofloxacin (Levaquin) once
per day for five days.
A middle-aged man presents to urgent care complaining of pain of the medial condyle of the lower
humerus. The man works as a carpenter and describes a gradual onset of pain. On exam, the medial
epicondyle is tender and pain is increased with flexion and pronation. Range of motion is full The
most likely cause of this patient’s pain is:
epicondylitis
The best test to determine microalbuminuria to assist in the diagnosis of diabetic neuropathy
s to measure albumin in a spot urine sample, collected either as the first urine in the morning
or at random, for example, at the medical visit. This method is accurate,:Early morning
What is the first symptom seen in the majority of patients with Parkinson’s disease?
pg. 4
NURS 6531 final exam 1-2024-2025
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
.
pg. 1
, NURS 6531 FINAL EXAM 1-2024-2025
The most effective treatment of non-infectious bursitis includes: Conservative treatment
includes rest, cold and heat treatments, elevation, administration of nonsteroidal anti-inflammatory
drugs (NSAIDs), bursal aspiration, and intrabursal steroid injections
What conditions must be met for you to bill “incident to” the physician, receiving 100%
reimbursement from Medicare?
Selected
Answer: The physician must be on-site and engaged in patient
care
Answers: 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
Which of the following is not a risk factor associated with the development of syndrome X and type
2 diabetes mellitus?
The metabolic syndrome refers to the co-occurrence of several known cardiovascular risk factors,
including insulin resistance, obesity, atherogenic dyslipidemia and hypertension.
Which of the following is not a common early sign of benign prostatic hyperplasia (BPH)?
A. Nocturia
B. Urgency incontinence
C. Strong urinary stream flow
D. Straining to void
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?
pg. 2
, NURS 6531 FINAL EXAM 1-2024-2025
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 food DT caffeine, chocolate and anticholinergics
Which drug category contains the drugs that are the first line Gold standard therapy for COPD?
Beta antagonist
The most commonly recommended pharmacological treatment regimen for low back pain
(LBP) is:
Nsaid
Which of the following is not appropriate suppression therapy for chronic bacterial prostatitis?
Erythromycin
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
pg. 3
, NURS 6531 FINAL EXAM 1-2024-2025
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: he
A. lateral meniscus
B. cruciate ligament
C. medial meniscus D. collateral ligament.
A 32 year old female patient presents with fever, chills, right flank pain, right costovertebral angle
tenderness, and hematuria. Her urinalysis is positive for leukocytes and red blood cells. The nurse
practitioner diagnoses pyelonephritis. The most appropriate management is:
Include 500 mg of oral ciprofloxacin (Cipro) twice per day for seven days; 1,000 mg of extended-
release ciprofloxacin once per day for seven days; or 750 mg of levofloxacin (Levaquin) once
per day for five days.
A middle-aged man presents to urgent care complaining of pain of the medial condyle of the lower
humerus. The man works as a carpenter and describes a gradual onset of pain. On exam, the medial
epicondyle is tender and pain is increased with flexion and pronation. Range of motion is full The
most likely cause of this patient’s pain is:
epicondylitis
The best test to determine microalbuminuria to assist in the diagnosis of diabetic neuropathy
s to measure albumin in a spot urine sample, collected either as the first urine in the morning
or at random, for example, at the medical visit. This method is accurate,:Early morning
What is the first symptom seen in the majority of patients with Parkinson’s disease?
pg. 4
