NRNP 6531 / NRNP6531 Advanced Primary
Care of Adults Midterm Exam Review |Questions
and Answers | Latest 2022/2023
1. Amaurosis fugax is described as a:
- is a painless temporary loss of vision in one or both eyes. Transient and
periodic
2. Harriet, a 79-year-old woman, comes to your office every 3 months for follow up on her
hypertension. Her medications include one baby aspirin daily, Lisinopril 5mg daily, and
Calcium 1500 mg daily. At today's visit. Her blood pressure is 170/89. According to JNC
VIII guidelines, what should you do next to control Harriet's blood pressure? (HTN stage
2)
- Add a thiazide diuretic to the Lisinopril 5mg daily
3. Dana has ischemic arterial ulcers. What is your first priority when counseling her?
- Tell her to reduce risk factors to improve tissue perfusion
4. After thorough history, physical examination, and laboratory tests, a patient is diagnosed
with irritable bowel syndrome (IBS). Which of the following initial treatment plans is
currently considered most effective?
, - A low fat, tyramine-free, caffeine-free, high fiber diet, along with a daily
diary, and attention to psychosocial factors.
5. An 8-year-old presents to the health clinic with history of acute onset severe sore throat
and respiratory distress with stridor in the last 2 hours. The child's history is positive for
fever and pharyngitis for 2 days. What is the most likely diagnosis?
- Croup
6. The nurse practitioner is reviewing a patient's lab report who completed the hepatitis B
series 3 months ago. Which of the following lab results would you expect to see in this
patient?
- Positive hepatitis B surface antibody and negative core antibody
7. A 15-year-old male presents with abdominal pain that began in the peri-umbilical area
then localized to the right lower quadrant (RLQ). He complains of anorexia, and low
grade fever. A complete blood count (CBC) reveals moderate leukocytosis. What is the
most likely diagnosis?
- Acute appendicitis
8. A 55-year-old patient has a work-up for hypertension and is noted to have elevated BUN
and creatinine. Which of the following should the nurse practitioner suspect?
- Diabetes
Care of Adults Midterm Exam Review |Questions
and Answers | Latest 2022/2023
1. Amaurosis fugax is described as a:
- is a painless temporary loss of vision in one or both eyes. Transient and
periodic
2. Harriet, a 79-year-old woman, comes to your office every 3 months for follow up on her
hypertension. Her medications include one baby aspirin daily, Lisinopril 5mg daily, and
Calcium 1500 mg daily. At today's visit. Her blood pressure is 170/89. According to JNC
VIII guidelines, what should you do next to control Harriet's blood pressure? (HTN stage
2)
- Add a thiazide diuretic to the Lisinopril 5mg daily
3. Dana has ischemic arterial ulcers. What is your first priority when counseling her?
- Tell her to reduce risk factors to improve tissue perfusion
4. After thorough history, physical examination, and laboratory tests, a patient is diagnosed
with irritable bowel syndrome (IBS). Which of the following initial treatment plans is
currently considered most effective?
, - A low fat, tyramine-free, caffeine-free, high fiber diet, along with a daily
diary, and attention to psychosocial factors.
5. An 8-year-old presents to the health clinic with history of acute onset severe sore throat
and respiratory distress with stridor in the last 2 hours. The child's history is positive for
fever and pharyngitis for 2 days. What is the most likely diagnosis?
- Croup
6. The nurse practitioner is reviewing a patient's lab report who completed the hepatitis B
series 3 months ago. Which of the following lab results would you expect to see in this
patient?
- Positive hepatitis B surface antibody and negative core antibody
7. A 15-year-old male presents with abdominal pain that began in the peri-umbilical area
then localized to the right lower quadrant (RLQ). He complains of anorexia, and low
grade fever. A complete blood count (CBC) reveals moderate leukocytosis. What is the
most likely diagnosis?
- Acute appendicitis
8. A 55-year-old patient has a work-up for hypertension and is noted to have elevated BUN
and creatinine. Which of the following should the nurse practitioner suspect?
- Diabetes
