NRNP 6565 week 5 quiz

NRNP 6565 week 5 quiz

Question 1

 

Joan is a 39 y/o female who presents to the clinic with a chief complaint of: 3-day history of fever (101 F degrees), chills, n & v, 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. NRNP-6565 week 5 quiz answers 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 Christmas tree–like pattern.

 

True

 

False

Question 3

 

Judy, a 28 y/o, presents to the clinic with a fever, vaginal discharge, and pain in the lower abdomen, pelvis, and lower back NRNP-6565 week 5 quiz answers. 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 y/o 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

 

 

Question 6

Diagnostic studies for Type II diabetes mellitus would include which of the following?

 

HbA1C (>6.5%)

Fasting plasma glucose (= to or >126 mg/dL)

Random plasma glucose (>200 mg/dL)

All of the above

None of the above

 

 

Question 7

Marty is an 18y/o 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 y/o 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 y/o 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

 

A

 

Question 12

Judy, a 28 y/o, 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 y/o 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 y/o 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 y/o 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 y/o 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

NRNP-6565 week 5 quiz answers

 

 

 

Question 19

Marty is an 18 y/o 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

NRNP-6565 week 5 quiz answers The definition of a UTI is >100,000 CFU/mL of one organism.

 

True

 

False

 

 

 

Question 23

Mike is a 56 y/o 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 y/o 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: NRNP-6565 week 5 quiz answers

 

Mollusca contagiosum

Shingles

Impetigo

Meningococcemia

 

 

Question 25

Artie, a 36 y/o male, comes to the clinic with chief complaint of: intermittent flank one side flank pain. 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

D

 

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 y/o, 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 y/o male, comes to the clinic with chief complaint of: intermittent flank one side flank pain. 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 y/o 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 NRNP-6565 week 5 quiz answers. 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

NRNP-6565 week 5 quiz answers

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