Kristen1234.
Walden University Minnesota,2020.
NSG 6340 FINAL EXAM 1 –
QUESTION AND ANSWERS
1. A 37-year-old female patient with a history of a single episode of depression and frequent
complaints of PMS is being treated for hypothyroidism. Today she complains of poor
concentration and fatigue. Initially, the NP should:
2. Which of the following is an example of secondary prevention?
3. A 35-year old female with a history of mitral valve prolapse is scheduled for routine dental
cleaning. According to the 2007 American Association’s guideline for endocarditis
prophylaxis, what would you advise this patient?
4. A patient recovering from a recent stroke is starting anticoagulant therapy. The nurse
practitioner should teach the patient to avoid all of the following EXCEPT:
5. A patient present with periorbital erythema and edema, fever, and nasal drainage. The nurse
practitioner should
6. A positive drawer sign supports a diagnosis of
7. A 50-year-old patient with diabetes complains of pain bilaterally in her lower legs while
walking. The pain disappears at rest. What else would you expect to identify on her lower
extremities.
8. A 16-year-old athlete complains of pain underneath his heel every time he walks. There is a
verrucous surface level with the skin of the heel. What pharmacologic interventions should the
nurse practitioner prescribe for this patient?
9. A - year-old with Type I diabetes has had itching and burning lesions between her toes for 6
months. Scrapings of the lesion confirm the diagnosis of tinea pedis. What is the best
treatment option for this patient?
10. What is an appropriate drug for prophylactic treatment of migraine headaches in a 21-year-old
female?
11. Which of the following are the classic features of ulcerative colitis?
12. Which drugs below would be expected to produce the least amount of hypokalemia?
13. What information should patients with diabetes and their families receive about
hypoglycemia?
, 14. A 60-year-old male patient with a past history of glaucoma and frequent sinusitis presents
today with hypertension. On his last 2 visits to the clinic his blood pressures were 150-160/90-
98. The nurse practitioner decides to treat the hypertension with long-acting propranolol
(Inderal). Before prescribing it, the nurse practitioner should ask:
15. Which of the following is NOT associated with Type 2 diabetes mellitus?
16. A 35-year-old male presents with a severe unilateral headache over his left eye. He says it
started about one hour ago and has rapidly gotten worse. He gives a history of similar
headaches over the past 2 years. Physical examination is negative except for left eye
lacrimation. What is the most likely diagnosis?
17. A 16-year-old sexually active female present to the clinic. She has never had vaccination for
hepatitis A or B, she has had one MMR immunization, and her last tetanus vaccination was 4
years ago. Which vaccination would be contraindicated without further testing?
18. A 15-year-old male presents with abdominal pain that began in the peri-umbilical area then
localized to the right lower quadrant. He complains of nausea, vomiting, anorexia, and low-
grade fever. A complete blood count (CBC) reveals moderate leukocytosis. What is the most
likely diagnosis?
19. A 25-year-old hypertensive patient has a BMI of 16. His blood pressure is 165/100. There is
an audible bruit in his left upper abdominal quadrant. He probably has:
20. Which of the following is the most common presenting sign of substance abuse in
adolescents?
21. Therapeutic international normalized ratio (INR) for a patient taken warfarin (Coumadin) for
chronic atrial fibrillation is expected to be
22. A 199-year-old female reports that she is having “panic attacks.” The NP knows that panic
attacks are characterized by
23. A 25-year-old complains of fever and throat pain. The tonsils have exudate bilaterally. The
patient describes having an anaphylactic reaction to penicillin in the past. What antibiotic
should the NP prescribe if she believes the causative agent is bacterial?
24. A diagnostic finding of Hodgkin’s lymphoma is the presence of
25. With a history of ankle sprain, the nurse practitioner would most likely elicit a history of
26. Certification for nurse practitioners is offered through:
27. Simple cases of impetigo and folliculitis are usually successfully treated with:
28. A 43-year-old has chronic gout. He comes to the clinic for the 3rd time in as many months for
treatment of an exacerbation. Dietary counseling should include avoidance of all of the
following EXCEPT:
29. A 57-year-old patient presents for an annual physical exam. He reports having 3 attacks of
acute gout during the past year. He does not take any medication except NSAIDs during the
attacks which help “a little bit.” The NP would appropriately recommend
30. A 43-year-old male presents with a large and painful furuncle, the 3rd one in the past 6
months. The NP should _?_ all of the following EXCEPT:
Walden University Minnesota,2020.
NSG 6340 FINAL EXAM 1 –
QUESTION AND ANSWERS
1. A 37-year-old female patient with a history of a single episode of depression and frequent
complaints of PMS is being treated for hypothyroidism. Today she complains of poor
concentration and fatigue. Initially, the NP should:
2. Which of the following is an example of secondary prevention?
3. A 35-year old female with a history of mitral valve prolapse is scheduled for routine dental
cleaning. According to the 2007 American Association’s guideline for endocarditis
prophylaxis, what would you advise this patient?
4. A patient recovering from a recent stroke is starting anticoagulant therapy. The nurse
practitioner should teach the patient to avoid all of the following EXCEPT:
5. A patient present with periorbital erythema and edema, fever, and nasal drainage. The nurse
practitioner should
6. A positive drawer sign supports a diagnosis of
7. A 50-year-old patient with diabetes complains of pain bilaterally in her lower legs while
walking. The pain disappears at rest. What else would you expect to identify on her lower
extremities.
8. A 16-year-old athlete complains of pain underneath his heel every time he walks. There is a
verrucous surface level with the skin of the heel. What pharmacologic interventions should the
nurse practitioner prescribe for this patient?
9. A - year-old with Type I diabetes has had itching and burning lesions between her toes for 6
months. Scrapings of the lesion confirm the diagnosis of tinea pedis. What is the best
treatment option for this patient?
10. What is an appropriate drug for prophylactic treatment of migraine headaches in a 21-year-old
female?
11. Which of the following are the classic features of ulcerative colitis?
12. Which drugs below would be expected to produce the least amount of hypokalemia?
13. What information should patients with diabetes and their families receive about
hypoglycemia?
, 14. A 60-year-old male patient with a past history of glaucoma and frequent sinusitis presents
today with hypertension. On his last 2 visits to the clinic his blood pressures were 150-160/90-
98. The nurse practitioner decides to treat the hypertension with long-acting propranolol
(Inderal). Before prescribing it, the nurse practitioner should ask:
15. Which of the following is NOT associated with Type 2 diabetes mellitus?
16. A 35-year-old male presents with a severe unilateral headache over his left eye. He says it
started about one hour ago and has rapidly gotten worse. He gives a history of similar
headaches over the past 2 years. Physical examination is negative except for left eye
lacrimation. What is the most likely diagnosis?
17. A 16-year-old sexually active female present to the clinic. She has never had vaccination for
hepatitis A or B, she has had one MMR immunization, and her last tetanus vaccination was 4
years ago. Which vaccination would be contraindicated without further testing?
18. A 15-year-old male presents with abdominal pain that began in the peri-umbilical area then
localized to the right lower quadrant. He complains of nausea, vomiting, anorexia, and low-
grade fever. A complete blood count (CBC) reveals moderate leukocytosis. What is the most
likely diagnosis?
19. A 25-year-old hypertensive patient has a BMI of 16. His blood pressure is 165/100. There is
an audible bruit in his left upper abdominal quadrant. He probably has:
20. Which of the following is the most common presenting sign of substance abuse in
adolescents?
21. Therapeutic international normalized ratio (INR) for a patient taken warfarin (Coumadin) for
chronic atrial fibrillation is expected to be
22. A 199-year-old female reports that she is having “panic attacks.” The NP knows that panic
attacks are characterized by
23. A 25-year-old complains of fever and throat pain. The tonsils have exudate bilaterally. The
patient describes having an anaphylactic reaction to penicillin in the past. What antibiotic
should the NP prescribe if she believes the causative agent is bacterial?
24. A diagnostic finding of Hodgkin’s lymphoma is the presence of
25. With a history of ankle sprain, the nurse practitioner would most likely elicit a history of
26. Certification for nurse practitioners is offered through:
27. Simple cases of impetigo and folliculitis are usually successfully treated with:
28. A 43-year-old has chronic gout. He comes to the clinic for the 3rd time in as many months for
treatment of an exacerbation. Dietary counseling should include avoidance of all of the
following EXCEPT:
29. A 57-year-old patient presents for an annual physical exam. He reports having 3 attacks of
acute gout during the past year. He does not take any medication except NSAIDs during the
attacks which help “a little bit.” The NP would appropriately recommend
30. A 43-year-old male presents with a large and painful furuncle, the 3rd one in the past 6
months. The NP should _?_ all of the following EXCEPT:
