NRNP-6531 Module 1 Knowledge Check: Advanced Nursing Practice Competencies, Integumentary, and HEENT Conditions

NRNP-6531 Module 1 Knowledge Check: Advanced Nursing Practice Competencies, Integumentary, and HEENT Conditions

Question 1

1 / 1 pts
Janine, age 29, has numerous transient lesions that come and go, and she is diagnosed with urticaria. What do you order?

Aspirin

 

NSAIDs

 

Opioids

Correct!

Antihistamines

 

Question 2

1 / 1 pts
Larry, age 66, is a smoker with hyperlipidemia and hypertension. He is 6 months post-MI. To prevent reinfarction, the most important behavior change that he can make is to:
Correct!

Quit smoking

 

Maintain aggressive hypertension therapy

 

Stick to a low-fat, low-sodium diet

 

Continue with his exercise program

 

Question 3

1 / 1 pts
Harvey has had Meniere’s disease for several years. He has some hearing loss but now has persistent vertigo. What treatment might be instituted to relieve the vertigo?

Pharmacological therapy

 

A labyrinthectomy

Correct!

A vestibular neurectomy

 

Wearing an earplug in the ear with the most hearing loss

 

Question 4

1 / 1 pts
A 19-year-old basketball player complains of itching in the crural folds, buttocks, and upper thighs. The lesions are well demarcated and are half-moon-shaped. The area is red, irritated, and there are small breaks in the skin from scratching. What is this patient’s diagnosis and how should it be treated?
Correct!

Tinea cruris; treat with a topical antifungal cream

 

Eczema; treat with a topical steroid

 

Scabies; treat with permethrin cream

 

Syphilis; treat with penicillin

 

Question 5

0 / 1 pts
A 45-year-old with diabetes has had itching and burning lesions between her toes for 2 months. Scrapings of the lesions confirm the diagnosis tinea pedis. What is the best initial treatment option for this patient?
Correct Answer

Prescribe an antifungal powder for application between her toes and in her shoes and a topical prescription strength antifungal cream for other affected areas. Monitor for a secondary bacterial infection.

Prescribe an oral antifungal for 4 to 12 weeks. Monitor BUN and creatinine at 1 week, 2 weeks, and every month thereafter.

Prescribe an oral antifungal for 4 to 12 weeks. Monitor liver enzymes, BUN, and creatinine at 1 week, 2 weeks, and every month thereafter.

 

You Answered

Prescribe a prescription strength antifungal/steroid combination cream. Monitor for a secondary bacterial infection.

Question 6

1 / 1 pts
Medicare is a federal program administered by the Centers for Medicare and Medicaid Services (CMS). The CMS has developed guidelines for Evaluation and Management coding, which all providers are expected to follow when coding patient visits for reimbursement. Which of the following is an important consideration regarding billing practices?

It is important to “undercode” so that one does not get charged with Medicare fraud

The practice of “overcoding” is essential in this age of decreasing reimbursements

Correct!

Failing to bill for billable services will lead to unnecessarily low revenues

Time spent with the patient is a very important determinant of billing

Question 7

1 / 1 pts
A patient comes in complaining of 1 week of pain in the posterior neck with difficulty turning the head to the right. What additional history is needed?
Correct!

Any recent trauma

Difficulty swallowing

Stiffness in the right shoulder

Change in sleeping habits

Question 8

1 / 1 pts
The Centor criteria for the diagnosis of Group A B-hemolytic streptococcus includes which of the following?

Fever history

Tender, swollen anterior cervical lymph nodes

Positive rapid antigen detection test

Correct!

A and B only

A, B, and C

 

Question 9

1 / 1 pts
Marvin has sudden eye redness that occurred after a strenuous coughing episode. You diagnose a subconjunctival hemorrhage. Your next step is to

Refer him to an ophthalmologist

Order antibiotics

Correct!

Do nothing other than provide reassurance

 

Consult with your collaborating physician

Noah Caputo Dermatology Shadow Health Objective Data

Question 10

1 / 1 pts
Your 31-year-old patient, whose varicella rash just erupted yesterday, asks you when she can go back to work. What do you tell her?
Correct!

Once all the vesicles are crusted over

 

When the rash is entirely gone

 

Once you have been on medication for at least 48 hours

 

Now, as long as you stay away from children and pregnant women

 

Question 11

1 / 1 pts
Carl, age 78, is brought to the office by his son, who states that his father has been unable to see clearly since last night. Carl reports that his vision is “like looking through a veil.” He also sees floaters and flashing lights but is not having any pain. What do you suspect?

Cataracts

 

Glaucoma

Correct!

Retinal detachment

 

Iritis

 

Question 12

1 / 1 pts
Which of the following is a predisposing condition for furunculosis?
Correct!

Diabetes mellitus

 

Hypertension

 

Peripheral vascular disease

 

Chronic fatigue syndrome

 

Question 13

1 / 1 pts
If a patient presents with a deep aching, red eye and there is no discharge, you should suspect:
Correct!

Iritis

 

Allergic conjunctivitis

 

Viral conjunctivitis

 

Bacterial conjunctivitis

 

Question 14

1 / 1 pts
A 55-year-old man is diagnosed with basal cell carcinoma. The nurse practitioner correctly tells him:

“It is the most common cause of death in patients with skin cancer.”

Correct!

“It can be cured with surgical excision or radiation therapy.”

 

“It is a slow-growing skin cancer that rarely undergoes malignant changes.”

 

“It can be cured using 5-fluorouracil cream twice daily for 2 to 4 weeks.”

 

Question 15

1 / 1 pts
Which of the following statements about malignant melanomas is true?

They usually occur in older adult males

 

The patient has no family history of melanoma

 

They are common in blacks

Correct!

The prognosis is directly related to the thickness of the lesion

 

Question 16

1 / 1 pts
Sarah has allergic rhinitis and is currently being bothered by nasal congestion. Which of the following meds ordered for allergic rhinitis would be most appropriate?

An antihistamine intranasal spray

Correct!

A decongestant nasal spray

 

Ipratropium

 

Omalizumab

 

Question 17

1 / 1 pts
Stacy, age 27, states that she has painless, white, slightly raised patches in her mouth. They are probably caused by:

Herpes simplex

 

Aphthous ulcers

Correct!

Candidiasis

 

Oral cancer

 

 

Question 18

1 / 1 pts
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

Correct!

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

 

Question 19

1 / 1 pts
Your well-nourished 75-year-old patient has come into the office for a physical exam and states that she recently had two nosebleeds. She does not take any anticoagulants, and you have ruled out any coagulopathies. The most likely cause of these nosebleeds is:

Sex hormones

Correct!

Trauma or inflammation

 

A dietary change

 

Scurvy

 

Question 20

1 / 1 pts
Sylvia, age 83, presents with a 3-day history of pain and burning in the left forehead. This morning she noticed a rash with erythematous papules in that site. What do you suspect?

Varicella

Correct!

Herpes zoster

 

Syphilis

 

Rubella