NUR 6531 MIDTERM REVIEW EXAM QUESTIONS AND
ANSWERS
The most common cancer found on the auricle is: - CORRECT ANSWER✅✅Basal cell carcinoma
Which of the following medication classes should be avoided in patients with acute or chronic bronchitis
because it will contribute to ventilation-perfusion mismatch in the patient? - CORRECT
ANSWER✅✅Antihistimines
A 47 year old male patient presents to the clinic with a single episode of a moderate amount of bright
red rectal bleeding. On examination, external hemorrhoids are noted. How should the nurse practitioner
proceed? - CORRECT ANSWER✅✅Refer the patient for a barium enema and sigmoidoscopy.
Which of the following patient characteristics are associated with chronic bronchitis? - CORRECT
ANSWER✅✅Overweight, cyanosis, and normal or slightly increased respiratory rate
A 65-year-old female with a past medical history of hypertension, hyperlipidemia, and polymyalgia
rheumatica presents to urgent care with new onset left lower quadrant pain. Her current medications
include omeprazole 20 milligrams po daily, lisinopril 20 milligrams po daily, simvastatin 20 milligrams po
daily, and prednisone 12 milligrams po daily. The nurse practitioner suspects acute diverticulitis and
possibly an abscess. The most appropriate diagnostic test for this patient at this time is: - CORRECT
ANSWER✅✅CT scan
A patient reports "something flew in my eye" about an hour ago while he was splitting logs. If there
were a foreign body in his eye, the nurse practitioner would expect to find all except: - CORRECT
ANSWER✅✅Purulent drainage
A 21 year old college student presents to the student health center with copious, markedly purulent
discharge from her left eye. The nurse practitioner student should suspect: - CORRECT
ANSWER✅✅Gonococcal conjunctivitis
A 35 year old man presents with radicular pain followed by the appearance of grouped vesicles
consisting of about 15 lesions across 3 different thoracic dermatomes. He complains of pain, burning,
and itching. The nurse practitioner should suspect: - CORRECT ANSWER✅✅Herpes zoster and consider
that this patient may be immunocompromised
, Which type of lung cancer has the poorest prognosis? - CORRECT ANSWER✅✅Small cell carcinoma
An 83-year-old female presents to the office complaining of diarrhea for several days. She explains she
has even had fecal incontinence one time. She describes loose stools 3-4 times a day for several weeks
and denies fever, chills, pain, recent antibiotic use. The history suggests that the patient has: - CORRECT
ANSWER✅✅Chronic diarrhea
Margaret, age 32, comes into the office with painful joints and a distinctive rash in a butterfly
distribution on her face. The rash has red papules and plaques with a fine scale. What do you suspect? -
CORRECT ANSWER✅✅Systemic lupus erythematosus
Antibiotic administration has been demonstrated to be of little benefit to the treatment of which of the
following disease processes? - CORRECT ANSWER✅✅Acute bronchitis
Lisa, age 49, has daily symptoms of asthma. She uses her inhaled short-acting beta-2 agonist daily. Her
exacerbations affect her activities and they occur at least twice weekly and may last for days. She is
affected more than once weekly during the night with an exacerbation. Which category of asthma
severity is Lisa in? - CORRECT ANSWER✅✅Moderate persistent
Which of the following is the most appropriate therapeutic regimen for an adult patient with no known
allergies diagnosed with group A B-hemolytic strep? - CORRECT ANSWER✅✅Penicillin V 500 milligrams
PO every 8 hours for 10 days
A cashier complains of dull ache and pressure sensation in her lower legs. It is relieved by leg elevation.
She occasionally has edema in her lower legs at the end of the day. What is the most likely cause of
these problems? - CORRECT ANSWER✅✅Varicose veins
Which statement below is correct about pertussis? - CORRECT ANSWER✅✅It is also called whooping
cough
Which of the following is the most important diagnosis to rule out in the adult patient with acute
bronchitis? - CORRECT ANSWER✅✅Pneumonia
ANSWERS
The most common cancer found on the auricle is: - CORRECT ANSWER✅✅Basal cell carcinoma
Which of the following medication classes should be avoided in patients with acute or chronic bronchitis
because it will contribute to ventilation-perfusion mismatch in the patient? - CORRECT
ANSWER✅✅Antihistimines
A 47 year old male patient presents to the clinic with a single episode of a moderate amount of bright
red rectal bleeding. On examination, external hemorrhoids are noted. How should the nurse practitioner
proceed? - CORRECT ANSWER✅✅Refer the patient for a barium enema and sigmoidoscopy.
Which of the following patient characteristics are associated with chronic bronchitis? - CORRECT
ANSWER✅✅Overweight, cyanosis, and normal or slightly increased respiratory rate
A 65-year-old female with a past medical history of hypertension, hyperlipidemia, and polymyalgia
rheumatica presents to urgent care with new onset left lower quadrant pain. Her current medications
include omeprazole 20 milligrams po daily, lisinopril 20 milligrams po daily, simvastatin 20 milligrams po
daily, and prednisone 12 milligrams po daily. The nurse practitioner suspects acute diverticulitis and
possibly an abscess. The most appropriate diagnostic test for this patient at this time is: - CORRECT
ANSWER✅✅CT scan
A patient reports "something flew in my eye" about an hour ago while he was splitting logs. If there
were a foreign body in his eye, the nurse practitioner would expect to find all except: - CORRECT
ANSWER✅✅Purulent drainage
A 21 year old college student presents to the student health center with copious, markedly purulent
discharge from her left eye. The nurse practitioner student should suspect: - CORRECT
ANSWER✅✅Gonococcal conjunctivitis
A 35 year old man presents with radicular pain followed by the appearance of grouped vesicles
consisting of about 15 lesions across 3 different thoracic dermatomes. He complains of pain, burning,
and itching. The nurse practitioner should suspect: - CORRECT ANSWER✅✅Herpes zoster and consider
that this patient may be immunocompromised
, Which type of lung cancer has the poorest prognosis? - CORRECT ANSWER✅✅Small cell carcinoma
An 83-year-old female presents to the office complaining of diarrhea for several days. She explains she
has even had fecal incontinence one time. She describes loose stools 3-4 times a day for several weeks
and denies fever, chills, pain, recent antibiotic use. The history suggests that the patient has: - CORRECT
ANSWER✅✅Chronic diarrhea
Margaret, age 32, comes into the office with painful joints and a distinctive rash in a butterfly
distribution on her face. The rash has red papules and plaques with a fine scale. What do you suspect? -
CORRECT ANSWER✅✅Systemic lupus erythematosus
Antibiotic administration has been demonstrated to be of little benefit to the treatment of which of the
following disease processes? - CORRECT ANSWER✅✅Acute bronchitis
Lisa, age 49, has daily symptoms of asthma. She uses her inhaled short-acting beta-2 agonist daily. Her
exacerbations affect her activities and they occur at least twice weekly and may last for days. She is
affected more than once weekly during the night with an exacerbation. Which category of asthma
severity is Lisa in? - CORRECT ANSWER✅✅Moderate persistent
Which of the following is the most appropriate therapeutic regimen for an adult patient with no known
allergies diagnosed with group A B-hemolytic strep? - CORRECT ANSWER✅✅Penicillin V 500 milligrams
PO every 8 hours for 10 days
A cashier complains of dull ache and pressure sensation in her lower legs. It is relieved by leg elevation.
She occasionally has edema in her lower legs at the end of the day. What is the most likely cause of
these problems? - CORRECT ANSWER✅✅Varicose veins
Which statement below is correct about pertussis? - CORRECT ANSWER✅✅It is also called whooping
cough
Which of the following is the most important diagnosis to rule out in the adult patient with acute
bronchitis? - CORRECT ANSWER✅✅Pneumonia
