NURS 6531 Midterm Exam (2026/2027) |
Correct Q&A Graded A+ | AGPCNP, Diagnosis,
Pharmacology, Management
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:
CBC/diff
Erythrocyte sedimentation rate
Abdominal ultrasound
CT scan - ANSWERS-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:
Purulent drainage
Tearing
Photophobia
,A positive fluorescein stain - ANSWERS-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:
Viral conjunctivitis
Common pink eye
Gonococcal conjunctivitis
Allergic conjunctivitis - ANSWERS-Gonococcal conjunctivitis
The most common cancer found on the auricle is: - ANSWERS-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?
Xanthines
Antihistimines
Steroids
Anticholinergics - ANSWERS-Antihistamines
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?
,Instruct the patient on measures to prevent hemorrhoids such as bowel
habits and diet.
Order a topical hemorrhoid cream along with a stool softener.
Refer the patient for a barium enema and sigmoidoscopy.
Refer the patient for a surgical hemorrhoidectomy. - ANSWERS-Refer the
patient for a barium enema and sigmoidoscopy.
Which of the following patient characteristics are associated with chronic
bronchitis?
Overweight, cyanosis, and normal or slightly increased respiratory rate
Underweight, pink skin, and increased respiratory rate
Overweight, pink skin, and normal or slightly increased respiratory rate
Normal weight, cyanosis, and greatly increased respiratory rate - ANSWERS-
Overweight, cyanosis, and normal or slightly increased respiratory rate
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:
A common case of shingles and prescribe an analgesic and an antiviral agent
, A complicated case of shingles and prescribe acyclovir, an analgesic, and a
topical cortisone cream
Herpes zoster and consider that this patient may be immunocompromised
A recurrence of chickenpox and treat the patient's symptoms - ANSWERS-
Herpes zoster and consider that this patient may be immunocompromised
Which type of lung cancer has the poorest prognosis?
Adenocarcinoma
Epidermoid carcinoma
Small cell carcinoma
Large cell carcinoma - ANSWERS-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:
Acute diarrhea
Chronic diarrhea
Irritable bowel
Functional bowel disease - ANSWERS-Chronic diarrhea
Correct Q&A Graded A+ | AGPCNP, Diagnosis,
Pharmacology, Management
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:
CBC/diff
Erythrocyte sedimentation rate
Abdominal ultrasound
CT scan - ANSWERS-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:
Purulent drainage
Tearing
Photophobia
,A positive fluorescein stain - ANSWERS-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:
Viral conjunctivitis
Common pink eye
Gonococcal conjunctivitis
Allergic conjunctivitis - ANSWERS-Gonococcal conjunctivitis
The most common cancer found on the auricle is: - ANSWERS-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?
Xanthines
Antihistimines
Steroids
Anticholinergics - ANSWERS-Antihistamines
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?
,Instruct the patient on measures to prevent hemorrhoids such as bowel
habits and diet.
Order a topical hemorrhoid cream along with a stool softener.
Refer the patient for a barium enema and sigmoidoscopy.
Refer the patient for a surgical hemorrhoidectomy. - ANSWERS-Refer the
patient for a barium enema and sigmoidoscopy.
Which of the following patient characteristics are associated with chronic
bronchitis?
Overweight, cyanosis, and normal or slightly increased respiratory rate
Underweight, pink skin, and increased respiratory rate
Overweight, pink skin, and normal or slightly increased respiratory rate
Normal weight, cyanosis, and greatly increased respiratory rate - ANSWERS-
Overweight, cyanosis, and normal or slightly increased respiratory rate
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:
A common case of shingles and prescribe an analgesic and an antiviral agent
, A complicated case of shingles and prescribe acyclovir, an analgesic, and a
topical cortisone cream
Herpes zoster and consider that this patient may be immunocompromised
A recurrence of chickenpox and treat the patient's symptoms - ANSWERS-
Herpes zoster and consider that this patient may be immunocompromised
Which type of lung cancer has the poorest prognosis?
Adenocarcinoma
Epidermoid carcinoma
Small cell carcinoma
Large cell carcinoma - ANSWERS-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:
Acute diarrhea
Chronic diarrhea
Irritable bowel
Functional bowel disease - ANSWERS-Chronic diarrhea
