NRNP 6568/NURS 6565 Practice
Questions and Answer
A .65-year-old .woman .presents .for .a .follow-up .examination .after .a .new .patient .visit.
.She.has .not .seen .a .healthcare .provider .for .several .years. .She .is .a .smoker .and .her
.hypertension .is .now .adequately .controlled .with .medication. .Her .mother .died .at .age .40
.from .a .heart .attack. .The .fasting .lipid .profile .shows .cholesterol .= .240 .mg/dL, .HDL .=
.30, .and .LDL .= .200. .In .addition .to .starting .Therapeutic .Lifestyle .Changes, .the .nurse
.practitioner .should .start .the .patient .on:
1. bile .acid .sequestrant.
2. a .statin .drug.
3. a .cholesterol .absorption .inhibitor.
4. low-dose .aspirin. .- .ans-A .statin .drug
The .most .commonly .prescribed .medication .for .mild .systemic .lupus
.erythematosus.(SLE) .is:
1.
azathioprine
.(AZA)..2.
belimumab
.(Benlysta)..3.
ibuprofen
.(Advil)..4.
cyclophosphamide .(Cytoxan). .- .ans-ibuprofen .(advil)
The .most .common .sign .of .cervical .cancer .is:
1.
postcoital
.bleeding..2.
strong .odor .from .vaginal
.discharge..3.
itching .in .the .vaginal
.area..4.
molluscum .contagiosum. .- .ans-postcoital .bleeding
,The .nurse .practitioner .prescribes .amitriptyline .(Elavil) .for .a .patient .with .neuropathic
.pain.secondary .to .diabetes .mellitus. .On .follow-up, .the .patient .complains .of .urine
.retention .and .dry .mouth. .The .practitioner .would:
1.
discontinue .amitriptyline .and .begin .ibuprofen
.(Motrin)..2.
, refer .to .physical
.therapy..3.
start .methocarbamol
.(Robaxin)..4.
discontinue .amitriptyline .and .begin .gabapentin .(Neurontin). .- .ans-
discontinue.amitriptyline .and .begin .gabapentin .(neurontin)
A .17-year-old .male .with .rheumatoid .arthritis .is .being .treated .with .an .NSAID .and
.omeprazole .(Prilosec). .The .patient .complains .of .headache, .abdominal .pain, .and
.gas..These .symptoms .are .most .likely:
1.
associated .with .the
.omeprazole..2.
related .to .the .underlying
.condition..3.
the .result .of .the
.NSAID..4.
caused .by .viral .gastroenteritis. .- .ans-associated .with .the .omeprazole
The .medication .of .choice .for .the .initial .treatment .of .juvenile .rheumatoid .arthritis .is:
1.
acetaminophen..
2.
prednisone..
3.
aspirin.
4.
ibuprofen. .- .ans-ibuprofen
A .12-year-old .with .sickle .cell .anemia .has .recently .experienced .a .sickle .cell .crisis .and
.presents .for .a .follow-up .examination .after .a .recent .hospitalization. .It .is .most .important
.to.continue .monitoring .growth, .development, .and:
1.
white .blood .cell
.levels..2.
fecal .occult .blood
.test..3.
hemoglobin .levels.
4.
urine .dipsticks. .- .ans-hemoglobin .levels
Questions and Answer
A .65-year-old .woman .presents .for .a .follow-up .examination .after .a .new .patient .visit.
.She.has .not .seen .a .healthcare .provider .for .several .years. .She .is .a .smoker .and .her
.hypertension .is .now .adequately .controlled .with .medication. .Her .mother .died .at .age .40
.from .a .heart .attack. .The .fasting .lipid .profile .shows .cholesterol .= .240 .mg/dL, .HDL .=
.30, .and .LDL .= .200. .In .addition .to .starting .Therapeutic .Lifestyle .Changes, .the .nurse
.practitioner .should .start .the .patient .on:
1. bile .acid .sequestrant.
2. a .statin .drug.
3. a .cholesterol .absorption .inhibitor.
4. low-dose .aspirin. .- .ans-A .statin .drug
The .most .commonly .prescribed .medication .for .mild .systemic .lupus
.erythematosus.(SLE) .is:
1.
azathioprine
.(AZA)..2.
belimumab
.(Benlysta)..3.
ibuprofen
.(Advil)..4.
cyclophosphamide .(Cytoxan). .- .ans-ibuprofen .(advil)
The .most .common .sign .of .cervical .cancer .is:
1.
postcoital
.bleeding..2.
strong .odor .from .vaginal
.discharge..3.
itching .in .the .vaginal
.area..4.
molluscum .contagiosum. .- .ans-postcoital .bleeding
,The .nurse .practitioner .prescribes .amitriptyline .(Elavil) .for .a .patient .with .neuropathic
.pain.secondary .to .diabetes .mellitus. .On .follow-up, .the .patient .complains .of .urine
.retention .and .dry .mouth. .The .practitioner .would:
1.
discontinue .amitriptyline .and .begin .ibuprofen
.(Motrin)..2.
, refer .to .physical
.therapy..3.
start .methocarbamol
.(Robaxin)..4.
discontinue .amitriptyline .and .begin .gabapentin .(Neurontin). .- .ans-
discontinue.amitriptyline .and .begin .gabapentin .(neurontin)
A .17-year-old .male .with .rheumatoid .arthritis .is .being .treated .with .an .NSAID .and
.omeprazole .(Prilosec). .The .patient .complains .of .headache, .abdominal .pain, .and
.gas..These .symptoms .are .most .likely:
1.
associated .with .the
.omeprazole..2.
related .to .the .underlying
.condition..3.
the .result .of .the
.NSAID..4.
caused .by .viral .gastroenteritis. .- .ans-associated .with .the .omeprazole
The .medication .of .choice .for .the .initial .treatment .of .juvenile .rheumatoid .arthritis .is:
1.
acetaminophen..
2.
prednisone..
3.
aspirin.
4.
ibuprofen. .- .ans-ibuprofen
A .12-year-old .with .sickle .cell .anemia .has .recently .experienced .a .sickle .cell .crisis .and
.presents .for .a .follow-up .examination .after .a .recent .hospitalization. .It .is .most .important
.to.continue .monitoring .growth, .development, .and:
1.
white .blood .cell
.levels..2.
fecal .occult .blood
.test..3.
hemoglobin .levels.
4.
urine .dipsticks. .- .ans-hemoglobin .levels
