NRNP 6531 Week 6 Midterm Exam 2021 (Walden University)

Angie is a new NP who just finished her FNP program. She is having a difficult time finding an FNP position in the rural area where she lives. So, since she was an ER nurse prior to her graduate program she decides to go back to the ER as an APRN. Does she meet the competency requirements for such a position? *A . Ye s B. No What is the main reason for using the REALM-SF instrument to evaluate health literacy? a. It assesses numeracy skills. b. It enhances patient–provider communication. *c . It evaluates medical word recognition. d. It measures technology knowledge. A small, rural hospital is part of an Accountable Care Organization (ACO) and is designated as a Level 1 ACO. What is part of this designation? *a . Bonuses based on achievement of benchmarks b. Care coordination for chronic diseases c. Standards for minimum cash reserves d. Strict requirements for financial reporting Question 4 The Consensus Model identifies 3 core courses that all ANPs must take. All the following are Advanced core courses except: *A . Public Health B. Physiology C. Pharmacology D. Physical Assessment The care provided by APRNs is not limited by setting but by patient care needs. *True False Which is the most appropriate research design for a Level III research study? a. Epidemiological studies b. Experimental design *c . Qualitative studies d. Randomized clinical trials What was an important finding of the Advisory Board survey of 2014 about primary care preferences of patients? a. Associations with area hospitals b. Costs of ambulatory care *c . Ease of access to care d. The ratio of providers to patients To reduce adverse events associated with care transitions, the Centers for Medicare and Medicaid Service have implemented which policy? a. Mandates for communication among primary caregivers and hospitalists b. Penalties for failure to perform medication reconciliations at time of discharge *c . Reduction of payments for patients readmitted within 30 days after discharge d. Requirements for written discharge instructions for patients and caregivers The Consensus Model for APRN regulation consists of which of the following roles? A. CNM B. CRNA C. APN D. CNS *E . All the Above F. A, B & C only Rules proposed by the various State Boards of Nursing must be approved by the state Legislatures. *True False In reviewing the Total Percentage of Body surface area for adult burn patients each, leg, arm and head are noted evaluated at 9%. *True False What is the initial approach when obtaining a biopsy of a potential malignant melanoma lesion? *a . Excisional biopsy b. Punch biopsy c. Shave biopsy d. Wide excision When assisting with a skin biopsy of a patient suspected of having bullous pemphigoid (BP) lesions, what will the practitioner do? a. Avoid contact with the infected lesions. b. Elicit a positive Nikolsky sign to confirm the diagnosis. *c . Perform direct immunofluorescence microscopy. d. Prevent spread of the lesions to other areas of the skin. When recommending an over-the-counter topical medication to treat a dermatologic condition, which instruction to the patient is important to enhance absorption of the drug? a. Apply a thick layer of medication over the affected area. b. A solution spray preparation will be more effective on hairy areas. *c . Put cool compresses over the affected area after application. d. Use a lotion or cream instead of an ointment preparation. Carbuncles are typically treated with systemic antibiotics. *True False Mild acne is treated only with topicals. *True False Steroids should be avoided in cases of suspected fungal etiology. *True False A patient comes to the clinic after being splashed with boiling water while cooking. The patient has partial thickness burns on both forearms, the neck, and the chin. What will the provider do? a. Clean and dress the burn wounds. *b . Order a CBC, glucose, and electrolytes. c. Perform a chest radiograph. d. Refer the patient to the emergency department (ED). A provider is considering an oral contraceptive medication to treat acne in an adolescent female. Which is an important consideration when prescribing this drug? a. A progesterone-only contraceptive is most beneficial for treating acne. b. Combined oral contraceptives are effective for non-inflammatory acne only. c. Oral contraceptives are effective because of their androgen enhancing effects. *d . Yaz, Ortho Tri-Cyclen, and Estrostep, are approved for acne treatment. Ashley a 24 y/o female comes to the clinic with the following chief complaint: “I have these reddish/purple raised patches all over my skin. On physical exam the NP notes that the lesions are erythematous with discrete borders that are irregular, oval or round. The most likely diagnosis based on the physical exam is: A. Seborrheic keratoses *B . Urticaria C. Xanthelasma D. Melasma The most common type of melanoma in African Americans and Asians is: A. Basal Cell carcinoma B. Actinic Keratosis * C. Acral Lentiginous Melanoma D. Toxic Epidermal Necrolysis Olga was making French fries for her kids and gets splashed with hot oil. At the clinic the NP notes that she has red colored skin with superficial blisters and pain where the oil splashed. The most likely diagnosis is: *A . First degree burn B. Second degree burn C. Third degree burn D. Fourth degree burn Patty comes to the clinic with these soft fatty cystic lesions on her neck, trunk and arms. The most likely diagnosis is: A. Nevi B. Acanthosis Nigricans * C. Acrochordon D. Cherry Angioma During a total body skin examination for skin cancer, the provider notes a raised, shiny, slightly pigmented lesion on the patient’s nose. What will the provider do?