NURS 6531 Final Exam, Latest
1.
2. Question
3. 2 Central obesity, “moon” face, and dorsocervical fat pad are
associated with: A. Metabolic syndrome B. Unilateral
pheochromocytoma C. Cushing’s syndrome D. None of the above
4. Question 3 An elderly man is started on lisinopril and
hydrochlorhiazide for hypertension. Three days later, he returns to the
office complaining of left great toe pain. On exam, the nurse practitioner
notes an edematous, erythematous tender left great toe. The likely
precipitant of this patient’s pain is: A. Trauma B. Tight shoes C.
Arthritis flare D. Hydrochlorothiazide
5.Question 4 The most effective treatment of non-infectious bursitis
includes:
6. Question 5 What conditions must be met for you to bill “incident
to” the physician, receiving 100% reimbursement from Medicare? The
physician must be on-site and engaged in patient care You must initiate
the plan of care for the patient The physician must be on-site and
engaged in patient care You must be employed as an independent
contractor You must be the main health care provider who sees the
patient • Question 6 Which of the following is not a risk factor
associated with the development of syndrome X and type 2 diabetes
mellitus? • Question 7 Which of the following is not a common early
sign of benign prostatic hyperplasia (BPH)? A. Nocturia B. Urgency
incontinence C. Strong urinary stream flow D. Straining to void •
Question 8 Steve, age 69, has gastroesophageal reflux disease (GERD).
,When teaching him how to reduce his lower esophageal sphincter
pressure, which substances do you recommend that he avoid? •
Question 9 Which drug category contains the drugs that are the first line
Gold standard therapy for COPD? • Question 10 The most commonly
recommended pharmacological treatment regimen for low back pain
(LBP) is: • Question 11 Which of the following is not appropriate
suppression therapy for chronic bacterial prostatitis? • Question 12 A
patient presents with dehydration, hypotension, and fever. Laboratory
testing reveals hyponatremia, hyperkalemia, and hypoglycemia. These
imbalances are corrected, but the patient returns 6 weeks later with the
same symptoms of hyperpigmentation, weakness, anorexia, fatigue, and
weight loss. What action(s) should the nurse practitioner take? .A Obtain
a thorough history and physical, and check serum cortisol and ACTH
levels. B. Perform a diet history and check CBC and FBS. C. Provide
nutritional guidance and have the patient return in one month. D.
Consult home health for intravenous administration 1. • Question 16
You are assessing a patient after a sports injury to his right knee. You
elicit a positive anterior/posterior drawer sign. This test indicates an
injury to the: he A. lateral meniscus B. cruciate ligament C. medial
meniscus D. collateral ligament. • Question 17 A 32 year old female
patient presents with fever, chills, right flank pain, right costovertebral
angle tenderness, and hematuria. Her urinalysis is positive for leukocytes
and red blood cells. The nurse practitioner diagnoses pyelonephritis. The
most appropriate management is: • Question 19 A middle-aged man
presents to urgent care complaining of pain of the medial condyle of the
lower humerus. The man works as a carpenter and describes a gradual
onset of pain. On exam, the medial epicondyle is tender and pain is
increased with flexion and pronation. Range of motion is full The most
likely cause of this patient’s pain is: • Question 21 The best test to
determine microalbuminuria to assist in the diagnosis of diabetic
neuropathy •
, NURS 6531 Final Exam, Latest
Question 22 What is the first symptom seen in the majority of patients
with Parkinson’s disease? • Question 23 The most commonly
recommended method for prostate cancer screening in a 55 year old
male is: • Question 24 Martin, age 24, presents with an erythematous ear
canal, pain, and a recent history of swimming. What do you suspect? •
Question 25 Which of the following symptoms suggests a more serious
cause of back pain? • Question 28 A patient taking levothyroxine is
being over-replaced. What condition is he at risk for? • Question 29
Which of the following is the most common cause of low back pain? A.
Lumbar disc disease B. Spinal stenosis C. Traumatic fracture D.
Osteoporosis • Question 30 Which is the most common cause of end-
stage renal disease in the United States? • Question 31 A 77-year-old
female presents to the office complaining a sudden swelling on her right
elbow. She denies fever, chills, trauma, or pain. The physical exam
reveals a non-tender area of swelling over the extensor surface over the
right elbow with evidence of trauma or irritation. The nurse practitioner
suspects: A. Arthritis B. Ulnar neuritis C. Septic arthritis D. Olecranon
bursitis • Question 32 A 60 year old female patient complains of sudden
onset unilateral, stabbing, surface pain in the lower part of her face
lasting a few minutes, subsiding, and then returning. The pain is
triggered by touch or temperature extremes. Physical examination is
normal. Which of the following is the most likely diagnosis? • Question
33 Beth, age 49, comes in with low back pain. An x-ray of the
lumbosacral spine is within normal limits. Which of the following
diagnoses do you explore further? • Question 34 • D A patient exhibits
extrapyramidal side effects of antipsychotic medications. Which of the
following symptoms would lead you to look for another diagnosis? •
Question 35 Phalen’s test, 90°wrist flexion for 60 seconds, reproduces
symptoms of: • Question 37 The most common cause of elevated liver
function tests is: • Question 38 Reed-Sternberg B lymphocytes are
, associated with which of the following disorders: A. Aplastic anemia B.
Hodgkin’s lymphoma C. Non Hodgkin’s lymphoma D. Myelodysplastic
syndromes • Question 39 Which of the following is a potential acquired
cause of thrombophilia? A. Homocysteinuria B. Protein C deficiency C.
Factor V Leiden D. Antiphospholipid antibodies • Question 41 A 75-
year-old female is diagnosed with primary hyperparathyroidism and asks
the nurse practitioner what the treatment for this disorder is. The nurse
practitioner explains: Primary hyperparathyroidism is treated with
Vitamin D restriction Primary hyperparathyroidism is treated with
parathyroidectomy Primary hyperparathyroidism is treated with daily
magnesium Primary hyperparathyroidism is treated with parenteral
parathyroid hormone (PTH) • Question 43 A 25 year old overweight
patient presents with a complaint of dull achiness in his groin and
history of a palpable lump in his scrotum that “comes and goes”. On
physical examination, the nurse practitioner does not detect a scrotal
mass. There is no tenderness, edema, or erythema of the scrotum, the
scrotum does not transilluminate. What is the most likely diagnosis? A.
Testicular torsion B. Epididymitis C. Inguinal hernia D. Varicocele •
Question 44 Dave, age 38, states that he thinks he has an ear infection
because he just flew back from a business trip and feels unusual pressure
in his ear. You diagnose barotrauma. What is your next action? A.
Prescribe nasal steroids and oral decongestants B. Prescribe antibiotic
eardrops C. Prescribe systemic eardrops D. Refer David to an ear, nose,
and throat specialist A. Prescribe • Question 46 The physiological
explanation of syncope is: • Question 47 A 20 year old male patient
complains of “scrotal swelling.” He states his scrotum feels heavy, but
denies pain. On examination, the nurse practitioner notes
transillumination of the scrotum. What is the most likely diagnosis? •
Question 48 A 32 year old male patient complains of urinary frequency
and burning on urination for 3 days. Urinalysis reveals bacteriuria. He
1.
2. Question
3. 2 Central obesity, “moon” face, and dorsocervical fat pad are
associated with: A. Metabolic syndrome B. Unilateral
pheochromocytoma C. Cushing’s syndrome D. None of the above
4. Question 3 An elderly man is started on lisinopril and
hydrochlorhiazide for hypertension. Three days later, he returns to the
office complaining of left great toe pain. On exam, the nurse practitioner
notes an edematous, erythematous tender left great toe. The likely
precipitant of this patient’s pain is: A. Trauma B. Tight shoes C.
Arthritis flare D. Hydrochlorothiazide
5.Question 4 The most effective treatment of non-infectious bursitis
includes:
6. Question 5 What conditions must be met for you to bill “incident
to” the physician, receiving 100% reimbursement from Medicare? The
physician must be on-site and engaged in patient care You must initiate
the plan of care for the patient The physician must be on-site and
engaged in patient care You must be employed as an independent
contractor You must be the main health care provider who sees the
patient • Question 6 Which of the following is not a risk factor
associated with the development of syndrome X and type 2 diabetes
mellitus? • Question 7 Which of the following is not a common early
sign of benign prostatic hyperplasia (BPH)? A. Nocturia B. Urgency
incontinence C. Strong urinary stream flow D. Straining to void •
Question 8 Steve, age 69, has gastroesophageal reflux disease (GERD).
,When teaching him how to reduce his lower esophageal sphincter
pressure, which substances do you recommend that he avoid? •
Question 9 Which drug category contains the drugs that are the first line
Gold standard therapy for COPD? • Question 10 The most commonly
recommended pharmacological treatment regimen for low back pain
(LBP) is: • Question 11 Which of the following is not appropriate
suppression therapy for chronic bacterial prostatitis? • Question 12 A
patient presents with dehydration, hypotension, and fever. Laboratory
testing reveals hyponatremia, hyperkalemia, and hypoglycemia. These
imbalances are corrected, but the patient returns 6 weeks later with the
same symptoms of hyperpigmentation, weakness, anorexia, fatigue, and
weight loss. What action(s) should the nurse practitioner take? .A Obtain
a thorough history and physical, and check serum cortisol and ACTH
levels. B. Perform a diet history and check CBC and FBS. C. Provide
nutritional guidance and have the patient return in one month. D.
Consult home health for intravenous administration 1. • Question 16
You are assessing a patient after a sports injury to his right knee. You
elicit a positive anterior/posterior drawer sign. This test indicates an
injury to the: he A. lateral meniscus B. cruciate ligament C. medial
meniscus D. collateral ligament. • Question 17 A 32 year old female
patient presents with fever, chills, right flank pain, right costovertebral
angle tenderness, and hematuria. Her urinalysis is positive for leukocytes
and red blood cells. The nurse practitioner diagnoses pyelonephritis. The
most appropriate management is: • Question 19 A middle-aged man
presents to urgent care complaining of pain of the medial condyle of the
lower humerus. The man works as a carpenter and describes a gradual
onset of pain. On exam, the medial epicondyle is tender and pain is
increased with flexion and pronation. Range of motion is full The most
likely cause of this patient’s pain is: • Question 21 The best test to
determine microalbuminuria to assist in the diagnosis of diabetic
neuropathy •
, NURS 6531 Final Exam, Latest
Question 22 What is the first symptom seen in the majority of patients
with Parkinson’s disease? • Question 23 The most commonly
recommended method for prostate cancer screening in a 55 year old
male is: • Question 24 Martin, age 24, presents with an erythematous ear
canal, pain, and a recent history of swimming. What do you suspect? •
Question 25 Which of the following symptoms suggests a more serious
cause of back pain? • Question 28 A patient taking levothyroxine is
being over-replaced. What condition is he at risk for? • Question 29
Which of the following is the most common cause of low back pain? A.
Lumbar disc disease B. Spinal stenosis C. Traumatic fracture D.
Osteoporosis • Question 30 Which is the most common cause of end-
stage renal disease in the United States? • Question 31 A 77-year-old
female presents to the office complaining a sudden swelling on her right
elbow. She denies fever, chills, trauma, or pain. The physical exam
reveals a non-tender area of swelling over the extensor surface over the
right elbow with evidence of trauma or irritation. The nurse practitioner
suspects: A. Arthritis B. Ulnar neuritis C. Septic arthritis D. Olecranon
bursitis • Question 32 A 60 year old female patient complains of sudden
onset unilateral, stabbing, surface pain in the lower part of her face
lasting a few minutes, subsiding, and then returning. The pain is
triggered by touch or temperature extremes. Physical examination is
normal. Which of the following is the most likely diagnosis? • Question
33 Beth, age 49, comes in with low back pain. An x-ray of the
lumbosacral spine is within normal limits. Which of the following
diagnoses do you explore further? • Question 34 • D A patient exhibits
extrapyramidal side effects of antipsychotic medications. Which of the
following symptoms would lead you to look for another diagnosis? •
Question 35 Phalen’s test, 90°wrist flexion for 60 seconds, reproduces
symptoms of: • Question 37 The most common cause of elevated liver
function tests is: • Question 38 Reed-Sternberg B lymphocytes are
, associated with which of the following disorders: A. Aplastic anemia B.
Hodgkin’s lymphoma C. Non Hodgkin’s lymphoma D. Myelodysplastic
syndromes • Question 39 Which of the following is a potential acquired
cause of thrombophilia? A. Homocysteinuria B. Protein C deficiency C.
Factor V Leiden D. Antiphospholipid antibodies • Question 41 A 75-
year-old female is diagnosed with primary hyperparathyroidism and asks
the nurse practitioner what the treatment for this disorder is. The nurse
practitioner explains: Primary hyperparathyroidism is treated with
Vitamin D restriction Primary hyperparathyroidism is treated with
parathyroidectomy Primary hyperparathyroidism is treated with daily
magnesium Primary hyperparathyroidism is treated with parenteral
parathyroid hormone (PTH) • Question 43 A 25 year old overweight
patient presents with a complaint of dull achiness in his groin and
history of a palpable lump in his scrotum that “comes and goes”. On
physical examination, the nurse practitioner does not detect a scrotal
mass. There is no tenderness, edema, or erythema of the scrotum, the
scrotum does not transilluminate. What is the most likely diagnosis? A.
Testicular torsion B. Epididymitis C. Inguinal hernia D. Varicocele •
Question 44 Dave, age 38, states that he thinks he has an ear infection
because he just flew back from a business trip and feels unusual pressure
in his ear. You diagnose barotrauma. What is your next action? A.
Prescribe nasal steroids and oral decongestants B. Prescribe antibiotic
eardrops C. Prescribe systemic eardrops D. Refer David to an ear, nose,
and throat specialist A. Prescribe • Question 46 The physiological
explanation of syncope is: • Question 47 A 20 year old male patient
complains of “scrotal swelling.” He states his scrotum feels heavy, but
denies pain. On examination, the nurse practitioner notes
transillumination of the scrotum. What is the most likely diagnosis? •
Question 48 A 32 year old male patient complains of urinary frequency
and burning on urination for 3 days. Urinalysis reveals bacteriuria. He
