NRNP 6531 Final exam 6531 multiple tests
GRADED A+ 2021/2022
6531 Final Multiple tests (use
alphabetical reference page)
In which of the following is further testing not warranted? Bilateral gynecomastia in a pre-pubertal boy
•Question 2 1 out of 1 point. 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
•Question 3 1 out of 1 point. An elderly man is started on lisinopril and hydrochlorothiazide 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
•Question 4 1 out of 1 point. The most effective treatment of non-infectious bursitis includes:
nonsteroidal anti-inflammatory drugs (NSAIDs), bursal aspiration, and intra-bursal steroid
injections
Conservative treatment includes rest, cold and heat treatments,
elevation, administration of
•Question 5 1 out of 1 point. What conditions must be met for you to bill “incident to” the physician,
receiving 100% reimbursement from Medicare? Selected Answer: The physician must be on-site and
engaged in patient care Answers: You must initiate the plan of care for the patient You must be
employed as an independent contractor You must be the main health care provider who sees the
patient
•Question 6 1 out of 1 point. Which of the following is not a risk factor associated with the
development of syndrome X and type 2 diabetes mellitus? The metabolic syndrome refers to the co-
occurrence of several known cardiovascular risk factors, including insulin resistance, obesity,
atherogenic dyslipidemia and hypertension.
•Question 7 1 out of 1 point. 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 1 out of 1 point. 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? Food that is very hot or very cold Fatty or fried foods Peppermint or
spearmint, including flavoring Coffee, tea, and soft drinks that contain caffeine Spicy, highly seasoned
foods Fried food DT caffeine, chocolate, and anticholinergics
•Question 9 1 out of 1 point. Which drug category contains the drugs that are the first line
Gold standard therapy for COPD? Beta antagonist
•Question 10 1 out of 1 point. The most commonly recommended pharmacological treatment
regimen for low back pain (LBP) is: NSAID
1
,NRNP 6531 Final exam 6531 multiple tests
GRADED A+ 2021/2022
•Question 11 1 out of 1 point. Which of the following is not appropriate suppression therapy for
chronic bacterial prostatitis? Erythromycin
•Question 12 1 out of 1 point. 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,
2
, NRNP 6531 Final exam 6531 multiple tests
GRADED A+ 2021/2022
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
•Question 16 1 out of 1 point. 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: A. lateral meniscus B.
cruciate ligament C. medial meniscus D. collateral ligament.
•Question 17 1 out of 1 point. 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:
Include 500 mg of oral ciprofloxacin (Cipro) twice per day for seven days; 1,000 mg of extended-
release ciprofloxacin once per day for seven days; or 750 mg of levofloxacin (Levaquin) once per day
for five days.
•Question 19 1 out of 1 point. 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: epicondylitis
•Question 21 1 out of 1 point. The best test to determine microalbuminuria to assist in the diagnosis
of diabetic neuropathy s to measure albumin in a spot urine sample, collected either as the first
urine in the morning or at random, for example, at the medical visit. This method is accurate: Early
morning
•Question 22 1 out of 1 point. What is the first symptom seen in the majority of patients
with Parkinson’s disease? Tremor at rest
•Question 23 1 out of 1 point. The most commonly recommended method for prostate cancer
screening in a 55-year-old male is: digital rectal exams
•Question 24 1 out of 1 point. Martin, age 24, presents with an erythematous ear canal, pain, and
a recent history of swimming. What do you suspect? Otitis externa/ swimmer’s ear
•Question 25 1 out of 1 point. Which of the following symptoms suggests a more serious cause of
back pain? Pain associated with lying down at night
•Question 28 1 out of 1 point. A patient taking levothyroxine is being over-replaced. What condition
is he at risk for? osteoporosis
•Question 29 1 out of 1 point. 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 1 out of 1 point. Which is the most common cause of end-stage renal disease in the
United States? Diabetes
•Question 31 1 out of 1 point. 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
3
GRADED A+ 2021/2022
6531 Final Multiple tests (use
alphabetical reference page)
In which of the following is further testing not warranted? Bilateral gynecomastia in a pre-pubertal boy
•Question 2 1 out of 1 point. 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
•Question 3 1 out of 1 point. An elderly man is started on lisinopril and hydrochlorothiazide 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
•Question 4 1 out of 1 point. The most effective treatment of non-infectious bursitis includes:
nonsteroidal anti-inflammatory drugs (NSAIDs), bursal aspiration, and intra-bursal steroid
injections
Conservative treatment includes rest, cold and heat treatments,
elevation, administration of
•Question 5 1 out of 1 point. What conditions must be met for you to bill “incident to” the physician,
receiving 100% reimbursement from Medicare? Selected Answer: The physician must be on-site and
engaged in patient care Answers: You must initiate the plan of care for the patient You must be
employed as an independent contractor You must be the main health care provider who sees the
patient
•Question 6 1 out of 1 point. Which of the following is not a risk factor associated with the
development of syndrome X and type 2 diabetes mellitus? The metabolic syndrome refers to the co-
occurrence of several known cardiovascular risk factors, including insulin resistance, obesity,
atherogenic dyslipidemia and hypertension.
•Question 7 1 out of 1 point. 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 1 out of 1 point. 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? Food that is very hot or very cold Fatty or fried foods Peppermint or
spearmint, including flavoring Coffee, tea, and soft drinks that contain caffeine Spicy, highly seasoned
foods Fried food DT caffeine, chocolate, and anticholinergics
•Question 9 1 out of 1 point. Which drug category contains the drugs that are the first line
Gold standard therapy for COPD? Beta antagonist
•Question 10 1 out of 1 point. The most commonly recommended pharmacological treatment
regimen for low back pain (LBP) is: NSAID
1
,NRNP 6531 Final exam 6531 multiple tests
GRADED A+ 2021/2022
•Question 11 1 out of 1 point. Which of the following is not appropriate suppression therapy for
chronic bacterial prostatitis? Erythromycin
•Question 12 1 out of 1 point. 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,
2
, NRNP 6531 Final exam 6531 multiple tests
GRADED A+ 2021/2022
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
•Question 16 1 out of 1 point. 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: A. lateral meniscus B.
cruciate ligament C. medial meniscus D. collateral ligament.
•Question 17 1 out of 1 point. 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:
Include 500 mg of oral ciprofloxacin (Cipro) twice per day for seven days; 1,000 mg of extended-
release ciprofloxacin once per day for seven days; or 750 mg of levofloxacin (Levaquin) once per day
for five days.
•Question 19 1 out of 1 point. 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: epicondylitis
•Question 21 1 out of 1 point. The best test to determine microalbuminuria to assist in the diagnosis
of diabetic neuropathy s to measure albumin in a spot urine sample, collected either as the first
urine in the morning or at random, for example, at the medical visit. This method is accurate: Early
morning
•Question 22 1 out of 1 point. What is the first symptom seen in the majority of patients
with Parkinson’s disease? Tremor at rest
•Question 23 1 out of 1 point. The most commonly recommended method for prostate cancer
screening in a 55-year-old male is: digital rectal exams
•Question 24 1 out of 1 point. Martin, age 24, presents with an erythematous ear canal, pain, and
a recent history of swimming. What do you suspect? Otitis externa/ swimmer’s ear
•Question 25 1 out of 1 point. Which of the following symptoms suggests a more serious cause of
back pain? Pain associated with lying down at night
•Question 28 1 out of 1 point. A patient taking levothyroxine is being over-replaced. What condition
is he at risk for? osteoporosis
•Question 29 1 out of 1 point. 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 1 out of 1 point. Which is the most common cause of end-stage renal disease in the
United States? Diabetes
•Question 31 1 out of 1 point. 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
3
