NRNP6531 Final Exam Latest 2021

Question 2. Which of the following is a potential acquired cause of thrombophilia?

Homocysteinuria

Protein C deficiency

Factor V Leiden

Antiphospholipid

antibodies

Question 3Phalen’s test, 90°wrist flexion for 60 seconds, reproduces symptoms of:

Ulnar tunnel

syndrome

Carpal tunnel

syndrome

Tarsal tunnel

syndrome

Myofascial pain

syndrome

Question 4Which patient would benefit most from screening for type 2 diabetes?

A 30 year old female with unintended weight loss.

A 25 year old male with family history of type 1 diabetes

An obese female with recurrent vaginitis

A 50 year old hyperlipidemic male

Question 5 A 72 year old female patient reports a 6 month history of gradually progressive swollen and painful distal interphalangeal (DIP) joints of one hand. She has no systemic symptoms but the erythrocyte sedimentation rate (ESR), antinuclear antibody (ANA), and rheumatoid factor (RF) are all minimally elevated. What is the most likely diagnosis?

Rheumatoid arthritis (RA)

Osteoarthritis (OA)

Lupus

Peripheral

neuropathy

Question 6A 32 year old male patient complains of urinary frequency and burning on urination for 3days. Urinalysis reveals bacteriuria. He denies any past history of urinary tract infection. The initial treatment should be:

Trimethoprim-sulfamethoxazole for 3 days

Ciprofloxacin for 7-10 days

Trimethoprim-sulfamethoxazole for 14 days

Ciprofloxacin for 3 days

Question 7 A thymectomy is usually recommended in the early treatment of which disease?

Parkinson’s

disease

Multiple

sclerosis

Myasthenia

gravis

Huntington’s

 

chorea

Question 8The diagnosis of human papilloma virus (HPV) infection in males is usually made by:

Clinical

appearance

Viral culture

Tzanck smear

KOH prep

Question 9The most effective intervention(s) to prevent stroke is (are):

81 mg of aspirin daily

Carotid endarterectomy for patients with high-grade

carotid lesions

Routine screening for carotid artery stenosis with

auscultation for bruits

Smoking cessation and treatment of hypertension

Question 10What is the most common cause of Cushing’s syndrome?

Excessive ACTH production

Administration of a glucocorticoid or ACTH

Pituitary adenoma or a non-pituitary ACTHproducing

tumor

Autonomous cortisol production from adrenal

tissue

Question 11Diagnostic radiological studies are indicated for low back pain:

Routinely after 3 weeks of low back pain symptoms.

To screen for spondylolithiasis in patients less than 20 years of age with 2 weeks of more of low back pain.

When there is a suspicion of a space-occupying lesion, fracture, cauda equina, or infection.

As a part of a pre-employment physical when heavy lifting is included in the job description.

Question 12After treating a patient for Helicobacter pylori infection, what test do you order to see if it

has been cured?

An enzyme-linked immunosorbent

assay titer

A urea breath test

A rapid urease test

A repeat endoscopy

Question 13Which appropriate test for the initial assessment of Alzheimer’s disease provides the

performance ratings on 10 complex, higher order activities?

MMSE

CAGE questionnaire

FAQ – Functional Activities

Questionnaire

Holmes and Rahe social

readjustment scale

Question 14Major depression occurs most often in which of the following conditions?

A. Myocardial

infarction

Parkinson’s disease

Stroke

Alzheimer’s disease

Question 15Which of the following statements about multiple sclerosis (MS) is correct?

MS is a chronic, untreatable illness that is almost always fatal.

MS is a disease of steadily progressive and unrelenting neurologic deterioration.

MS is a chronic, treatable illness with unknown cause and a variable course.

Patients with MS who take active steps to improve their health have

the best cure rate.

Question 16Diagnostic evaluation of hypothyroidism reveals:

Elevated TSH and

decreased T4

Decreased TSH and

increased T4

Decreased TSH and

decreased T3

Elevated TSH and

increased T4

Question 17 Risk factors for prostate cancer include all of the following except:

Family history

Benign prostatic

hypertrophy

African American race

Age

Question 18 What information should patients with diabetes and their families receive about

hypoglycemia?

Hypoglycemia is a rare complication.

Hypoglycemia requires professional medical treatment.

Hypoglycemia is serious, dangerous, and can be fatal if not

treated quickly.

Hypoglycemia occurs only as a result of insulin overdose.

Question 19 Which history is commonly found in a patient with glomerulonephritis?

Beta-hemolytic strep

infection

Frequent urinary tract

infections

Kidney stones

Hypotension

Question 20 Which of the following is characteristic of a manic episode?

weight loss of gain

insomnia or hypersomnia

diminished ability to think or

concentrate

grandiose delusions

Question 21 Central obesity, “moon” face, and dorsocervical fat pad are associated with:

Metabolic syndrome

Unilateral

pheochromocytoma

Cushing’s syndrome

None of the above

Question 22Which of the following is the most common cause of low back pain?

Lumbar disc

disease

Spinal stenosis

Traumatic

fracture

Osteoporosis

Question 23A middle-aged female presents complaining of recent weight loss. The physical exam reveals

an enlarged painless cervical lymph node. The differential diagnosis for this patient’s

problem includes:

Infection

Toxoplasmosis

Mononucleosi

s

All of the

above

None of the

above

Question 24An 81-year-old female is diagnosed with type 2 diabetes. When considering drug therapy for

this patient, the nurse practitioner is most concerned with which of the following side

effects?

Weightgain

Fracturerisk

Hypoglyce Mia

Weight loss

Question 25A patient has HIV infection and is having a problem with massive diarrhea. You suspect the

cause is:

cryptococcosi

s

toxoplasmosi

s

cryptosporidi

osis

cytomegalovi

ru

Question 26Which of the following is the most common causative organism of nongonococcal urethritis?

Chlamydia

trachomatis

Ureaplasma

urealyticum

Mycoplasma

hominis

Trichonomas

vaginalis

Question 27The most common symptoms of transient ischemic attack (TIA) include:

Nausea, vomiting, syncope, incontinence, dizziness, and seizure.

Weakness in an extremity, abruptly slurred speech, or partial loss of vision, and

sudden gait changes.

Headache and visual symptoms such as bright spots or sparkles crossing the

visual field.

Gradual onset of ataxia, vertigo, generalized weakness, or lightheadedness

Question 28What is the first symptom seen in the majority of patients with Parkinson’s disease?

Rigidity

Bradykinesi

a

Rest tremor

Flexed

posture

Question 29A 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

1–4 red blood cells per highpowered

field

Specific gravity 1.012

Urobilinogen

10- white blood cells per highpowered

field

Question 30A 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:

Radial tunnel syndrome

Ulnar collateral ligament

sprain

Olecranon bursitis

Lateral epicondylitis

Question 31

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?

Depression

Panic disorder

Anxiety

Post-traumatic stress

disorder

Question 32An 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:

Trauma

Tight shoes

Arthritis flare

Hydrochlorothia

zide

Question 33Which of the following is a contraindication for metformin therapy?

Insulin

therapy

Creatinine >1.5 Edema

None of theabove

Question 34A positive drawer sign supports a diagnosis of:

Sciatica

Cruciate ligament

injury

Meniscal injury

Patellar ligament

injury

Question 35Steve, 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?

Apples

Peppermint

Cucumbers

Popsicles

Question 36A patient taking levothyroxine is being over-replaced. What condition is he at risk for?

Osteoporosis

Constipation

Depression

Exopthalmia

Question 37

Diabetes screening recommendations for asymptomatic adults age 45 and over include

which of the following:

HbA1C

2-hour 75 gram oral glucose

tolerance test

C-peptide level

A and B

 

All of the above

Question 38

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?

Prescribe systemic antibiotics

Prescribe antibiotic ear drops

Prescribe nasal steroids and oral

decongestants

Refer him to an ear, nose, and throat

specialist

Question 39

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?

Maintain moderate bed rest for 3-4 days

Call the office for narcotics if there is no relief with the NSAID

in 24-48 hours

Begin lower back strengthening exercises depending on pain

tolerance

Wear a Boston brace at night

Question 40

Risk factors for Addison’s disease include which of the following?

Tuberculosis

Autoimmune

disease

AIDS

All of the above

Question 41Urine cultures should be obtained for which of the following patients?

Suspected urinary tract infection in

pregnancy

Febrile patients

Young men

All of the above

Question 42Jennifer says that she has heard that caffeine can cause osteoporosis and asks you why. How

do you respond?

“Caffeine has not effect on osteoporosis.”

“A high caffeine intake has a diuretic effect that may cause calcium to be excreted

more rapidly.”

“Caffeine affects bone metabolism by altering intestinal absorption of calcium and

assimilation of calcium into the bone matrix.”

“Caffeine increase bone resorption.”