Week 5 Quiz Answers for NRNP-6565

Week 5 Quiz Answers for NRNP-6565

Question 1

Joan, a 39-year-old female, presents to the clinic with a chief complaint of a 3-day history of fever (101 F degrees), chills, nausea and vomiting, and flank pain. During the physical exam, the NP notices that Joan has CVA tenderness. In a urine check, the NP notes that she has many leukocytes, hematuria, WBC casts, and mild proteinuria. Patients with Joan’s diagnosis would be referred to a nephrologist under these conditions if they were:
Pregnant women
Children
Diabetic
All of the above

Question 2

Pityriasis rosea is described as having a pattern resembling a Christmas tree.

True

False

Question 3

Judy, a 28-year-old, presents to the clinic with a fever, vaginal discharge, and pain in the lower abdomen, pelvis, and lower back. These symptoms are accompanied by chills, nausea, and vomiting. Treatment for Judy’s condition would include all the following drugs except:
Cefotan
Amoxicillin
Ceftriaxone
Metronidazole

Question 4

Martin is a 73-year-old male who has a 50 pack/year history of smoking and comes to the clinic for his annual physical. As you are leading him back to the exam room you note that he has dyspnea with minimal cough, a barrel chest, and appears to have lost weight since his last visit. Your physical exam confirms a 20 lb. weight loss and more noticeable pursed lip breathing. Your diagnosis is:
Chronic bronchitis
Emphysema
COPD

Question 5

An S3 heart sound can be a normal finding in all the following except:
Young athletes
Pregnant women
Children

DNP-801A-RS1-Doctoral Dispositions Acknowledgement of Review

Question 6

Diagnostic studies for Type II diabetes mellitus would include which of the following?
HbA1C (>6.5%)
Fasting plasma glucose (equal to or >126 mg/dL)
Random plasma glucose (>200 mg/dL)
All of the above
None of the above

Question 7

Marty is an 18-year-old outdoorsman who loves hiking in the woods. Marty notes that he was hiking about 10 days ago, and now he has a red rash with a central clearing that looks like a target. The rash is rough and hot to the touch. He now has flu-like symptoms. Treatment for Marty’s condition would include all the following drugs, except:
Doxycycline
Amoxicillin
Cefuroxime
Azithromycin

Question 8

Randy is a 29-year-old African American male who has a body mass index (BMI) of 30, does not exercise, and has evidence of metabolic syndrome. His most likely diagnosis is:
DM type 1
DM type 2
None of the above

Question 9

Mike is a 56-year-old male who lives in an abandoned building with about 40 other people who are homeless. He comes to the clinic with a social worker who describes his symptoms as: a cough, dyspnea, pleuritic chest pain, fever, and tachypnea. In your physical exam, you learn that he has some consolidation in the lower lobes with an audible friction rub. To treat Mike’s problem, the most appropriate pharmacological agent would be:
Levofloxacin
Macrolide
Cefoxitin
Moxifloxacin

Question 10

All of the following are in the LUQ of the abdomen except
Stomach
Sigmoid colon
Pancreas
Kidney (left)

Question 11

Oral contraceptives can be started anytime in the menstrual cycle.

True

False

Question 12

Judy, a 28-year-old, presents to the clinic with a fever, vaginal discharge, and pain in the lower abdomen, pelvis, and lower back. These symptoms are accompanied by chills, nausea, and vomiting. This presentation is most typical of:
Pelvic inflammatory disease (PID)
Vulvovaginitis
Dysmenorrhea
Amenorrhea

Question 13

Deep palpation of the left lower quadrant of the abdomen causes referred pain to the RLQ. This is a positive for:
Rovsing’s sign
Psoas sign
McBurney’s point
Murphy’s maneuver

Question 14

An S3 heart sound is considered abnormal if it occurs after the age of 35–40 years of age.

True

False

Question 15

Mike is a 56-year-old male who lives in an abandoned building with about 40 other people who are homeless. He comes to the clinic with a social worker who describes his symptoms as: a cough, dyspnea, pleuritic chest pain, fever, and tachypnea. In your physical exam, you learn that he has some consolidation in the lower lobes with an audible friction rub. Given Mike’s diagnosis, the most likely causative agent is:
Strep pneumonia
Pneumococcal pneumonia
Mycoplasma pneumonia
Moraxella catarrhalis

Question 16

Martin is a 41-year-old male who comes to the clinic with the following symptoms: fever, chills, and malaise. On physical exam, the NP notes that he has a new murmur that was not present at his last visit and is aware that he has a prosthetic valve. He also has splinter hemorrhages on his nails, and petechiae on his palate. Treatment for Martin would include which of the following:
IV antibiotics
Debridement of prosthetic valve
Dental evaluation and treatment
All of the above
A & B only

Question 17

Martin is a 41-year-old male who comes to the clinic with the following symptoms: fever, chills, and malaise. On physical exam, the NP notes that he has a new murmur that was not present at his last visit and is aware that he has a prosthetic valve. He also has splinter hemorrhages on his nails, and petechiae on his palate. Additional diagnostic criteria for Martin’s presumed diagnosis would include which of the following:
Blood cultures
Echocardiography
Transesophageal echocardiography
All of the above
A & B only

Question 18

Jane is a 57-year-old female whose husband of 35 years just passed away in the past 6 months. Jane comes to the clinic and says: “I cry all the time. I can’t sleep, I have no energy, I have lost 20 pounds in the past 2 months, and I get easily agitated. What’s wrong with me?”
Anxiety
Minor depression
Major depression
None of the above

Question 19

Marty is an 18-year-old outdoorsman who loves hiking in the woods.

Marty notes that he was hiking about 10 days ago, and now he has a red rash with a central clearing that looks like a target. The rash is rough and hot to the touch. He now has flu-like symptoms. The NP diagnoses this rash as:
Eczema
Brown recluse spider bite
Lyme disease
Actinic keratosis

Question 20

Diabetes mellitus causes both microvascular and macrovascular damage. All of the following are indications of microvascular damage except:
Retinopathy
Nephropathy
Neuropathy
Atherosclerosis

Question 21

Risk factors for Alcohol Use Disorder include which of the following?
Family history
Stressful life events
Low socioeconomic status
All of the above
A & B only

Question 22

The definition of a UTI is >100,000 CFU/mL of one organism.

True

False

Question 23

Mike is a 56-year-old male who lives in an abandoned building with about 40 other people who are homeless. He comes to the clinic with a social worker who describes his symptoms as: a cough, dyspnea, pleuritic chest pain, fever, and tachypnea. In your physical exam, you learn that he has some consolidation in the lower lobes with an audible friction rub. The most likely diagnosis for this man would be:
COPD
Asthma
Community acquired pneumonia (CAP)
Bronchitis

Question 24

Jon, a 63-year-old male, comes to the clinic with the following presentation. He reports a sudden eruption of multiple vesicular lesions on his scalp, forehead, and sides and tips of his nose. After performing a physical exam, the NP diagnoses his condition as:
Mollusca contagiosum
Shingles
Impetigo
Meningococcemia

Question 25

Artie, a 36-year-old male, comes to the clinic with a chief complaint of intermittent flank pain on one side. The pain is an 8 on a scale of 1–10, with 10 being the worst pain he has ever felt. He states the pain lasts from 20–60 minutes and that he must either stand or walk when the pain hits. He also notes that he has blood in his urine. All of the following could be risk factors for Artie except:
Family history of identical condition
Low fluid intake
Gout
Arthritis
A & B only

Question 26

Differential diagnoses for patients with alcohol use disorder would include all the following except:
Depression
Pulmonary disease
Peptic ulcer disease
Essential hypertension

Question 27

Judy, a 28-year-old, presents to the clinic with a fever, vaginal discharge, and pain in the lower abdomen, pelvis, and lower back. These symptoms are accompanied by chills, nausea, and vomiting. Differential diagnoses for Judy’s diagnosis would include which of the following:
Ectopic pregnancy
Ovarian cyst
Acute appendicitis
All of the above
A & B only

Question 28

Zollinger-Ellison syndrome causes high levels of acid production in the stomach.

True

False

Question 29

Artie, a 36-year-old male, comes to the clinic with chief complaint of intermittent flank pain on one side. The pain is an 8 on a scale of 1–10, with 10 being the worst pain he has ever felt. He states the pain lasts from 20–60 minutes and that he must either stand or walk when the pain hits. He also notes that he has blood in his urine. His most likely diagnosis is:
Acute pyelonephritis
Nephrolithiasis (kidney stone)
Bladder cancer
None of the above

Question 30

Bonnie is a 76-year-old female patient who resides in a nursing home. She is currently on a 10-day course of Clindamycin for a recurrent bacterial vaginal infection. She has started having 10–15 watery stools per day. The best way to treat Bonnie’s diarrhea is:
Put her on an antidiarrheal medication
Replace lost fluids with an IV
Discontinue her Clindamycin
Give her an antacid