NRNP 6531 / NRNP6531 Advanced Primary
Care of Adults Midterm Exam | Highly Rated |
Questions and Answers | Latest 2022/2023
1. Sylvia, age 83, presents with a 3 day history of pain and burning in the left forehead. This
morning she noticed a rash with erythematous papules in that site. What do you suspect?
A. Varicella
B. Herpes zoster
C. Syphilis
D. Rubella
2. A 33-year-old female is admitted with acute pancreatitis. The nurse practitioner knows
that the most common cause of pancreatitis is:
A. Alcohol
B. Gallstones
C. Medications
D. Pregnancy
3. When a patient presents with symptoms of acute gallbladder disease, what is the
appropriate nurse practitioner action?
A. Order abdominal x-rays
B. Order an abdominal ultrasound
C. Refer the patient to a surgeon for evaluation
D. Prescribe pain medication
,4. A false-positive result with the fecal occult blood test can result from:
A. ingestion of large amounts of vitamin C
B. a high dietary intake of rare cooked beef
C. a colonic neoplasm that is not bleeding
D. stool that has been stored before testing
5. A 76-year-old male complains of weight loss, nausea, vomiting, abdominal cramping and
pain. Physical findings include an abdominal mass and stool positive for occult blood.
The nurse practitioner pain suspects a tumor in the small intestine. The best diagnostic
test for this patient is:
A. Colonoscopy
B. Small bowel follow-through
C. Barium enema
D. CT abdomen
6. A patient presents to urgent care complaining of dyspnea, fatigue, and lower extremity
edema. The echocardiogram reveals and ejection fraction of 38%. The nurse practitioner
knows that these findings are consistent with:
A. Mitral regurgitation
B. Systolic heart failure
C. Cardiac myxoma
D. Diastolic heart failure
7. Maxine, Age 76, has just been given a diagnosis of pneumonia. Which of the following is
an indication that she should be hospitalized?
A. Multilobar involvement on chest x-ray with the inability to take oral
medications
, B. Alert and oriented, slightly high but stable vital signs, and no one to take care of
her at home
C. Sputum and gram positive organisms
D. A complete blood count showing leukocytosis
8. A 55-year-old man is diagnosed with basal cell carcinoma. The nurse practitioner
correctly tells him:
A. "It is the most common cause of death in patients with skin cancer."
B. "It can be cured with surgical excision or radiation therapy."
C. "It is a slow growing skin cancer that rarely undergoes malignant changes."
D. "It can be cured using 5-flurouracil cream twice daily for 2 to 4 weeks."
9. Expected spirometry readings when the patient has chronic emphysema include:
A. Decreased residual volume (RV)
B. Increased vital capacity (VC)
C. Increased forced expiratory volume (FEV-1)
D. Increased total lung capacity (TLC)
10. An 80-year-old male admits to difficulty swallowing during the review of systems. The
nurse practitioner recognizes the differential diagnosis for this patient's dysphagia is:
A. Esophageal cancer
B. Chest pain
C. GERD
D. A and C
E. All of the above
, 11. A 40-year-old female with history of frequent sun exposure presents with a multicolored
lesion on her back. It has irregular borders and is about 11mm in diameter. What should
the nurse practitioner suspect?
A. Squamous cell carcinoma
B. Malignant melanoma
C. A common nevus
D. Basal cell carcinoma
12. Which of the following is not a goal of treatment for the patient with cystic fibrosis?
A. Prevent intestinal obstruction
B. Provide adequate nutrition
C. Promote clearance of secretions
D. Replace water-soluble vitamins
13. An active 65-year-old man under your care has known acquired valvular aortic stenosis
and mitral regurgitation. He also has a history of infectious endocarditis. He has recently
been told he needs elective replacement of his aortic valve. When he comes into the
office you discover that he has 10 remaining teeth in poor repair. Your recommendation
would be to:
A. defer any further dental work until his valve replacement is completed
B. instruct him to have dental extraction done cautiously, having no more than 2
teeth per visit removed.
C. suggest he consult with his oral surgeon about having all the teeth removed
at once and receiving appropriate antibiotic prophylaxis
D. coordinate with his cardiac and oral surgeons to have the tooth extractions and
valve replacement done at the same time to reduce the risk of anesthetic
complications.
Care of Adults Midterm Exam | Highly Rated |
Questions and Answers | Latest 2022/2023
1. Sylvia, age 83, presents with a 3 day history of pain and burning in the left forehead. This
morning she noticed a rash with erythematous papules in that site. What do you suspect?
A. Varicella
B. Herpes zoster
C. Syphilis
D. Rubella
2. A 33-year-old female is admitted with acute pancreatitis. The nurse practitioner knows
that the most common cause of pancreatitis is:
A. Alcohol
B. Gallstones
C. Medications
D. Pregnancy
3. When a patient presents with symptoms of acute gallbladder disease, what is the
appropriate nurse practitioner action?
A. Order abdominal x-rays
B. Order an abdominal ultrasound
C. Refer the patient to a surgeon for evaluation
D. Prescribe pain medication
,4. A false-positive result with the fecal occult blood test can result from:
A. ingestion of large amounts of vitamin C
B. a high dietary intake of rare cooked beef
C. a colonic neoplasm that is not bleeding
D. stool that has been stored before testing
5. A 76-year-old male complains of weight loss, nausea, vomiting, abdominal cramping and
pain. Physical findings include an abdominal mass and stool positive for occult blood.
The nurse practitioner pain suspects a tumor in the small intestine. The best diagnostic
test for this patient is:
A. Colonoscopy
B. Small bowel follow-through
C. Barium enema
D. CT abdomen
6. A patient presents to urgent care complaining of dyspnea, fatigue, and lower extremity
edema. The echocardiogram reveals and ejection fraction of 38%. The nurse practitioner
knows that these findings are consistent with:
A. Mitral regurgitation
B. Systolic heart failure
C. Cardiac myxoma
D. Diastolic heart failure
7. Maxine, Age 76, has just been given a diagnosis of pneumonia. Which of the following is
an indication that she should be hospitalized?
A. Multilobar involvement on chest x-ray with the inability to take oral
medications
, B. Alert and oriented, slightly high but stable vital signs, and no one to take care of
her at home
C. Sputum and gram positive organisms
D. A complete blood count showing leukocytosis
8. A 55-year-old man is diagnosed with basal cell carcinoma. The nurse practitioner
correctly tells him:
A. "It is the most common cause of death in patients with skin cancer."
B. "It can be cured with surgical excision or radiation therapy."
C. "It is a slow growing skin cancer that rarely undergoes malignant changes."
D. "It can be cured using 5-flurouracil cream twice daily for 2 to 4 weeks."
9. Expected spirometry readings when the patient has chronic emphysema include:
A. Decreased residual volume (RV)
B. Increased vital capacity (VC)
C. Increased forced expiratory volume (FEV-1)
D. Increased total lung capacity (TLC)
10. An 80-year-old male admits to difficulty swallowing during the review of systems. The
nurse practitioner recognizes the differential diagnosis for this patient's dysphagia is:
A. Esophageal cancer
B. Chest pain
C. GERD
D. A and C
E. All of the above
, 11. A 40-year-old female with history of frequent sun exposure presents with a multicolored
lesion on her back. It has irregular borders and is about 11mm in diameter. What should
the nurse practitioner suspect?
A. Squamous cell carcinoma
B. Malignant melanoma
C. A common nevus
D. Basal cell carcinoma
12. Which of the following is not a goal of treatment for the patient with cystic fibrosis?
A. Prevent intestinal obstruction
B. Provide adequate nutrition
C. Promote clearance of secretions
D. Replace water-soluble vitamins
13. An active 65-year-old man under your care has known acquired valvular aortic stenosis
and mitral regurgitation. He also has a history of infectious endocarditis. He has recently
been told he needs elective replacement of his aortic valve. When he comes into the
office you discover that he has 10 remaining teeth in poor repair. Your recommendation
would be to:
A. defer any further dental work until his valve replacement is completed
B. instruct him to have dental extraction done cautiously, having no more than 2
teeth per visit removed.
C. suggest he consult with his oral surgeon about having all the teeth removed
at once and receiving appropriate antibiotic prophylaxis
D. coordinate with his cardiac and oral surgeons to have the tooth extractions and
valve replacement done at the same time to reduce the risk of anesthetic
complications.
