29
Practice Questions
1. During a physical examination, the nurse practitioner instructs the
patient to make a fist by folding his thumb and then covering the thumb
with the other fingers. The patient complains of pain (positive
Finkelstein’s sign). Which of the following condi- tions is this test
indicative of?
A) Depuytren’s contracture
B) DeQuervain’s tenosynovitis
C) A “trigger” finger
D) A severe case of carpal tunnel syndrome
2. Which of the following statements is true regarding claims-based
professional mal- practice insurance?
A) All malpractice claims made are paid as long as the nurse
practitioner is in active practice
B) Claims made during the insured periods are covered provided the
nurse prac- titioner is currently enrolled in the malpractice
insurance program with the company
C) Although the nurse practitioner is no longer insured by the same
insurance com- pany, any claims made against her on the dates that
her malpractice insurance was active are still eligible for coverage
D) Malpractice insurance will pay claims that are eligible if the nurse
practitioner is found to be not at fault
3. Which of the following is a true statement regarding the serum
glycosylated hemo- globin test?
A) It is the average blood glucose level during the previous 3 months
B) It detects the fasting blood glucose level in the previous 3 months
C) It is a test to detect the amount of glucose and lactose in the blood
D) The test is more sensitive in type 2 diabetes than in type 1 diabetes
429
, VI. PRACTICE QUESTIONS AND ANSWERS
4. A 21-year-old female, complaining of random palpitations along with
dizziness, is diagnosed with mitral valve prolapse (MVP) by the nurse
practitioner. Her echocar- diogram reveals redundant and thickened
leaflets. On physical examination, a grade III/VI systolic murmur with an
ejection click is noted. Which of the following is a true statement
regarding this condition?
A) Endocarditis prophylaxis is indicated for some dental, urologic, and
gastrointes- tinal invasive procedures
B) No endocarditis prophylaxis is indicated for any procedures
C) Warfarin sodium (Coumadin) is always indicated for older patients
D) Endocarditis prophylaxis is necessary for dental procedures only
5. All of the following services are covered under Medicare Part A except:
A) Inpatient hospitalizations
B) Medicines administered to a patient while hospitalized
C) Nursing home care
D) Radiology tests done in a hospital
6. The nurse practitioner would test the obturator and iliopsoas muscles
to evaluate a possible case of which of the following conditions?
A) Acute cholecystitis
B) Acute appendicitis
C) Inguinal hernia
D) Gastric ulcer
7. The Dawn phenomenon is best described as which of the following?
A) It is due to abnormally low levels of serum glucose very early in
the morning that stimulate the liver to secrete glucagon
B) It is an increase in the blood glucose level early in the morning due
to the physi- ologic spike of growth hormone
C) It is an autoimmune disorder resulting in a very high fasting
blood glucose level
D) It is a rare phenomenon that occurs only in diabetics
Copyright © 2013. Springer Publishing Company. All
8. An 18-year-old male is brought in by his mother to an urgent care
center. She tells the nurse practitioner that he returned from a
camping trip 3 days ago and now has a high fever, severe headache,
myalgias, and neck discomfort. She reports that her son started to
break out with rashes; some of which are turning into dark-red to
purple lesions. On physical examination, the temperature is 103.0°F,
the pulse is 110 beats per minute, and the respiratory rate is
22/minute. The blood pressure is 90/50 mmHg. Which of the following
conditions is it most likely to be?
A) Stevens-Johnson syndrome
B) Meningococcemia
C) Rocky Mountain spotted fever
D) Erythema multiforme
29. PRACTICE QUESTIONS
9. A
2
2-
.
, year-old student is seen in the college health B)
clinic with complaints of fatigue, rhinitis, and a
cough for 2 weeks. The cough is productive of
small amounts of spu- tum. The patient has a
negative health history, is not on any prescription
medica- tions, and denies a history of allergies.
Physical examination reveals a temperature of
99.9°F, respirations of 18/minute, and a pulse of
100 beats per minute. Lung examina- tion reveals
fine crackles on the left lower lobe of the lung. A
chest radiograph (x-ray) shows diffuse infiltrates
on the same lobe. What is the diagnosis most
likely to be?
A) Streptococcus pneumonia
B) Mycoplasma pneumonia
C) Allergic rhinitis
D) Legionnaire’s disease
10.Which of the following antihypertensive
medications should the nurse practitioner avoid
when treating patients with emphysema?
A) Calcium channel blockers
B) ACE inhibitors
C) Beta-blockers
D) Diuretics
11.Linda B., a 30-year-old chef, complains of a
sudden onset of hives that started to break out all
over her body after she returned from lunch. It is
accompanied by chest tightness and a dry cough.
She tells a coworker that she has a history of
eczema and had mild asthma during childhood.
She appears anxious and is not sure of what is to
be done next. Which of the following is the best
intervention to follow for this patient?
A) Immediately administer a treatment of
nebulized albuterol mixed with saline and
repeat in 10 minutes if the patient’s symptoms
are not better
B) Administer an injection of cimetidine
(Tagamet) and an antihistamine as soon as
possible
C) Administer an injection of epinephrine 1:1,000
intramuscularly immediately
D) Immediately administer an injection of
Copyright © 2013. Springer Publishing Company. All
prednisone and epinephrine 1:1,000
intramuscularly and call for emergency
assistance
C)
12.In which of the following conditions would the cremasteric
reflex be absent?
A) Acute epididymitis
B) Testicular torsion
C) Acute prostatitis
D) It is always present
13.Which of the following is not associated with B12-deficiency
anemia?
A) Spoon-shaped nails and pica
.
, nd multisegmented neutrophils 431
D) Tingling and numbness in both feet
.
Practice Questions
1. During a physical examination, the nurse practitioner instructs the
patient to make a fist by folding his thumb and then covering the thumb
with the other fingers. The patient complains of pain (positive
Finkelstein’s sign). Which of the following condi- tions is this test
indicative of?
A) Depuytren’s contracture
B) DeQuervain’s tenosynovitis
C) A “trigger” finger
D) A severe case of carpal tunnel syndrome
2. Which of the following statements is true regarding claims-based
professional mal- practice insurance?
A) All malpractice claims made are paid as long as the nurse
practitioner is in active practice
B) Claims made during the insured periods are covered provided the
nurse prac- titioner is currently enrolled in the malpractice
insurance program with the company
C) Although the nurse practitioner is no longer insured by the same
insurance com- pany, any claims made against her on the dates that
her malpractice insurance was active are still eligible for coverage
D) Malpractice insurance will pay claims that are eligible if the nurse
practitioner is found to be not at fault
3. Which of the following is a true statement regarding the serum
glycosylated hemo- globin test?
A) It is the average blood glucose level during the previous 3 months
B) It detects the fasting blood glucose level in the previous 3 months
C) It is a test to detect the amount of glucose and lactose in the blood
D) The test is more sensitive in type 2 diabetes than in type 1 diabetes
429
, VI. PRACTICE QUESTIONS AND ANSWERS
4. A 21-year-old female, complaining of random palpitations along with
dizziness, is diagnosed with mitral valve prolapse (MVP) by the nurse
practitioner. Her echocar- diogram reveals redundant and thickened
leaflets. On physical examination, a grade III/VI systolic murmur with an
ejection click is noted. Which of the following is a true statement
regarding this condition?
A) Endocarditis prophylaxis is indicated for some dental, urologic, and
gastrointes- tinal invasive procedures
B) No endocarditis prophylaxis is indicated for any procedures
C) Warfarin sodium (Coumadin) is always indicated for older patients
D) Endocarditis prophylaxis is necessary for dental procedures only
5. All of the following services are covered under Medicare Part A except:
A) Inpatient hospitalizations
B) Medicines administered to a patient while hospitalized
C) Nursing home care
D) Radiology tests done in a hospital
6. The nurse practitioner would test the obturator and iliopsoas muscles
to evaluate a possible case of which of the following conditions?
A) Acute cholecystitis
B) Acute appendicitis
C) Inguinal hernia
D) Gastric ulcer
7. The Dawn phenomenon is best described as which of the following?
A) It is due to abnormally low levels of serum glucose very early in
the morning that stimulate the liver to secrete glucagon
B) It is an increase in the blood glucose level early in the morning due
to the physi- ologic spike of growth hormone
C) It is an autoimmune disorder resulting in a very high fasting
blood glucose level
D) It is a rare phenomenon that occurs only in diabetics
Copyright © 2013. Springer Publishing Company. All
8. An 18-year-old male is brought in by his mother to an urgent care
center. She tells the nurse practitioner that he returned from a
camping trip 3 days ago and now has a high fever, severe headache,
myalgias, and neck discomfort. She reports that her son started to
break out with rashes; some of which are turning into dark-red to
purple lesions. On physical examination, the temperature is 103.0°F,
the pulse is 110 beats per minute, and the respiratory rate is
22/minute. The blood pressure is 90/50 mmHg. Which of the following
conditions is it most likely to be?
A) Stevens-Johnson syndrome
B) Meningococcemia
C) Rocky Mountain spotted fever
D) Erythema multiforme
29. PRACTICE QUESTIONS
9. A
2
2-
.
, year-old student is seen in the college health B)
clinic with complaints of fatigue, rhinitis, and a
cough for 2 weeks. The cough is productive of
small amounts of spu- tum. The patient has a
negative health history, is not on any prescription
medica- tions, and denies a history of allergies.
Physical examination reveals a temperature of
99.9°F, respirations of 18/minute, and a pulse of
100 beats per minute. Lung examina- tion reveals
fine crackles on the left lower lobe of the lung. A
chest radiograph (x-ray) shows diffuse infiltrates
on the same lobe. What is the diagnosis most
likely to be?
A) Streptococcus pneumonia
B) Mycoplasma pneumonia
C) Allergic rhinitis
D) Legionnaire’s disease
10.Which of the following antihypertensive
medications should the nurse practitioner avoid
when treating patients with emphysema?
A) Calcium channel blockers
B) ACE inhibitors
C) Beta-blockers
D) Diuretics
11.Linda B., a 30-year-old chef, complains of a
sudden onset of hives that started to break out all
over her body after she returned from lunch. It is
accompanied by chest tightness and a dry cough.
She tells a coworker that she has a history of
eczema and had mild asthma during childhood.
She appears anxious and is not sure of what is to
be done next. Which of the following is the best
intervention to follow for this patient?
A) Immediately administer a treatment of
nebulized albuterol mixed with saline and
repeat in 10 minutes if the patient’s symptoms
are not better
B) Administer an injection of cimetidine
(Tagamet) and an antihistamine as soon as
possible
C) Administer an injection of epinephrine 1:1,000
intramuscularly immediately
D) Immediately administer an injection of
Copyright © 2013. Springer Publishing Company. All
prednisone and epinephrine 1:1,000
intramuscularly and call for emergency
assistance
C)
12.In which of the following conditions would the cremasteric
reflex be absent?
A) Acute epididymitis
B) Testicular torsion
C) Acute prostatitis
D) It is always present
13.Which of the following is not associated with B12-deficiency
anemia?
A) Spoon-shaped nails and pica
.
, nd multisegmented neutrophils 431
D) Tingling and numbness in both feet
.
