NSG6340 Final Exam
1. Which of the following physical findings is consistent with a diagnosis of beta-thalassemia major?
a. Bronze skin color
2. Weber test with lateralization to right ear
Conduction problem in the right ear
3. Yesterday, a patient got sand in his eye during a volleyball game at the beach. Today, he presents with
an exquisitely painful left eye, photophobia, and constant tearing. The nurse practitioner removes a tiny
spec of sand from under the lid and notes vertical corneal abrasion. The treatment of choice is:
a. patching the injured eye only; no medication is needed
b. an ophthalmic steroid to reduce swelling, inflammation, and pain
c. an ophthalmic antibiotic ointment, eye patch, and ibuprofen
d. normal saline drops only, eye-patching is not necessary
4. A critically ill patient states “my family is well provided for. The nurse practitioner must interpret this
as meaning the patient
a. is suicidal
b. wishes to discuss the topic of death
5. The patient who has iron deficiency anemia should be advised that food high in iron content include:
, a. bananas, apples, and oranges
b. yellow vegetables
c. organ meats, and dark, leafy vegetables
6. Microalbuminuria is a measure of:
d. protein lost into the urine
7. Appropriate therapy for peptic ulcer disease (PUD) is:
a. primarily by eradication of infection
b. based on etiology
8. All of the following are medical emergencies which may be attributed to acute cocaine intoxication
EXCEPT:
d. decreased heart rate and vasodilation leading to hypersomnia
9. The treatment of choice for chronic bacterial prostatitis (CBP) is:
c. a flouroquinolone twice daily for 3 weeks to 4 months
10. Before initiating a HMG-CoA-reductase inhibitor for hyperlipidemia, the nurse practitioner orders
liver function studies. The patient’s aminotransferase (ALT) is elevated. What lavoratory test(s) should be
ordered?
a. serologic markers for hepatitis
,12. Subsequent to successful completion of the nurse practitioner certification exam, the candidate is
considered to be:
b. certified
14. Which of the following patient characteristics are associated with chronic bronchitis?
a. Overweight, cyanosis, and normal or slightly increased respiratory rate
15. The nurse practitioner would be correct to include all of the following points in the education of
patients with folic acid deficiency anemia EXCEPT:
c. oral folate replacement therapy is 0.4 mg per day
17. On examination, a 67-year-old patient is noted to have high-tone hearing loss. This finding is
consistent with what diagnosis.
c. presbycusis
18. Which of the following is appropriate to teach a patient who is using a daily nitrate agent for treatment
of chronic angina?
a. continuous 24-hour coverage is necessary for maximum protection
b. A daily 12-hour nitrate free period is important to prevent tolerance
19. An 83-year-old has heart failure (HF). He takes Prinivil (Lisinopril), metoprolol (Lopressor), ASA,
and low dose furosemide every morning. After assessing the patient today, the NP determines that he is
having a mild exacerbation of HF. The LEAST likely cause of this is:
d. consumption of an antacid calcium carbonate, 3x yesterday
, 22. Upon ophthalmic examination of a 78-year-old patient, the nurse practitioner observes dark spots
against a red retina. What diagnosis is this finding most consistent with?
d. macular degeneration
24. Which immunization(s) is (are) contraindicated in an immunodeficient individual? 1. Varicella 2. IPV
3. MMR 4. HBV
b. 1,3
25. Which of the following may predispose the patient to hyperglycemia?
a. glucocorticosteroids
26. An 18-year-old college student lives in the dormitory. He has been treated for scabies infestation with
permethrin (Nix). He was asymptomatic for two weeks, but now complain again of itching and skin
bumps. How should the nurse practitioner proceed?
d. Retreat him with permethrin and have him launder all of his bedding and clothing.
27. Pre-diabetes is:
a. the result of insulin resistance and hyperinsulinemia
29. The nurse practitioner suspects a TMJ disorder. As the patient slowly opens and closes the lower jaw,
the nurse practitioner palpates the temporomandibular joint (TMJ) bilaterally:
a. anterior to the mastoid process
b. anterior to the tragus
1. Which of the following physical findings is consistent with a diagnosis of beta-thalassemia major?
a. Bronze skin color
2. Weber test with lateralization to right ear
Conduction problem in the right ear
3. Yesterday, a patient got sand in his eye during a volleyball game at the beach. Today, he presents with
an exquisitely painful left eye, photophobia, and constant tearing. The nurse practitioner removes a tiny
spec of sand from under the lid and notes vertical corneal abrasion. The treatment of choice is:
a. patching the injured eye only; no medication is needed
b. an ophthalmic steroid to reduce swelling, inflammation, and pain
c. an ophthalmic antibiotic ointment, eye patch, and ibuprofen
d. normal saline drops only, eye-patching is not necessary
4. A critically ill patient states “my family is well provided for. The nurse practitioner must interpret this
as meaning the patient
a. is suicidal
b. wishes to discuss the topic of death
5. The patient who has iron deficiency anemia should be advised that food high in iron content include:
, a. bananas, apples, and oranges
b. yellow vegetables
c. organ meats, and dark, leafy vegetables
6. Microalbuminuria is a measure of:
d. protein lost into the urine
7. Appropriate therapy for peptic ulcer disease (PUD) is:
a. primarily by eradication of infection
b. based on etiology
8. All of the following are medical emergencies which may be attributed to acute cocaine intoxication
EXCEPT:
d. decreased heart rate and vasodilation leading to hypersomnia
9. The treatment of choice for chronic bacterial prostatitis (CBP) is:
c. a flouroquinolone twice daily for 3 weeks to 4 months
10. Before initiating a HMG-CoA-reductase inhibitor for hyperlipidemia, the nurse practitioner orders
liver function studies. The patient’s aminotransferase (ALT) is elevated. What lavoratory test(s) should be
ordered?
a. serologic markers for hepatitis
,12. Subsequent to successful completion of the nurse practitioner certification exam, the candidate is
considered to be:
b. certified
14. Which of the following patient characteristics are associated with chronic bronchitis?
a. Overweight, cyanosis, and normal or slightly increased respiratory rate
15. The nurse practitioner would be correct to include all of the following points in the education of
patients with folic acid deficiency anemia EXCEPT:
c. oral folate replacement therapy is 0.4 mg per day
17. On examination, a 67-year-old patient is noted to have high-tone hearing loss. This finding is
consistent with what diagnosis.
c. presbycusis
18. Which of the following is appropriate to teach a patient who is using a daily nitrate agent for treatment
of chronic angina?
a. continuous 24-hour coverage is necessary for maximum protection
b. A daily 12-hour nitrate free period is important to prevent tolerance
19. An 83-year-old has heart failure (HF). He takes Prinivil (Lisinopril), metoprolol (Lopressor), ASA,
and low dose furosemide every morning. After assessing the patient today, the NP determines that he is
having a mild exacerbation of HF. The LEAST likely cause of this is:
d. consumption of an antacid calcium carbonate, 3x yesterday
, 22. Upon ophthalmic examination of a 78-year-old patient, the nurse practitioner observes dark spots
against a red retina. What diagnosis is this finding most consistent with?
d. macular degeneration
24. Which immunization(s) is (are) contraindicated in an immunodeficient individual? 1. Varicella 2. IPV
3. MMR 4. HBV
b. 1,3
25. Which of the following may predispose the patient to hyperglycemia?
a. glucocorticosteroids
26. An 18-year-old college student lives in the dormitory. He has been treated for scabies infestation with
permethrin (Nix). He was asymptomatic for two weeks, but now complain again of itching and skin
bumps. How should the nurse practitioner proceed?
d. Retreat him with permethrin and have him launder all of his bedding and clothing.
27. Pre-diabetes is:
a. the result of insulin resistance and hyperinsulinemia
29. The nurse practitioner suspects a TMJ disorder. As the patient slowly opens and closes the lower jaw,
the nurse practitioner palpates the temporomandibular joint (TMJ) bilaterally:
a. anterior to the mastoid process
b. anterior to the tragus
