NRNP 6531 week 5 candioscavular and respiratory conditions questions and answers
A 19 year old basketball player complains of itching in the crural folds, buttocks, and upper thighs. The
lesions are well demarcated and are half-moon shaped. The area is red, irritated, and there are small
breaks in the skin from scratching. What is this patient's diagnosis and how should it be treated? -
(correct answer)Tinea cruris, treat with a topical antifungal
A 20 year old is diagnosed with mild persistent asthma. What drug combination would be most effective
in keeping him symptom-free? - (correct answer)A bronchodilator PRN and an inhaled corticosteroid
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? - (correct answer)Hydrocele
A 26 year old female presents with elbow pain that is described as aching and burning. There is point
tenderness along the lateral aspect of the elbow and painful passive flexion and extension. She reports
she has been playing tennis almost daily for the past month. The most likely diagnosis is: - (correct
answer)Lateral epicondylitis
A 45 year old with diabetes has had itching and burning lesions between her toes for 2 months.
Scrapings of the lesions confirm the diagnosis tinea pedis. What is the best initial treatment option for
this patient? - (correct answer)Provide an anti fungal powder for application between toes and in her
shoes and a topical prescription strength antifungal cream for other affected areas. Monitor for
secondary bacterial infections
A 55 year old man is diagnosed with basal cell carcinoma. The nurse practitioner correctly tells him: -
(correct answer)It can be cured with surgical excision or radiation therapy
A 57-year-old male presents to urgent care complaining of substernal chest discomfort for the past
hour. The EKG reveals ST elevations in Leads II, III, and AVF. The nurse practitioner is aware that these
changes are consistent with which myocardial infarction territory? - (correct answer)Inferior wall
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? - (correct answer)Trigeminal neuralgia
A 72 year old patient exhibits sudden onset of fluctuating restlessness, agitation, confusion, and
impaired attention. This is accompanied by visual hallucinations and sleep disturbance. What is the most
likely cause of this behavior? - (correct answer)Delirium
A patient comes in complaining of 1 week of pain in the posterior neck with difficulty turning the head to
the right. What additional history is needed? - (correct answer)Any recent trauma
A patient has been diagnosed with hypothyroidism and thyroid hormone replacement therapy is
prescribed. How long should the nurse practitioner wait before checking the patient's TSH? - (correct
answer)8 weeks
A patient presents to the office with a blood pressure 142/80. This patient is classified as having: -
(correct answer)Stage 1 hypertension
, NRNP 6531 week 5 candioscavular and respiratory conditions questions and answers
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: - (correct answer)Systolic heart failure
A patient presents with classic symptoms of gastroesophageal reflux disease (GERD). He is instructed on
life style modifications and drug therapy for 8 weeks. Three months later he returns, reporting that he
was "fine" as long as he took the medication. The most appropriate next step is: - (correct
answer)Investigation with endoscopy, manometry, and/ or pH testing
A patient taking levothyroxine is being over-replaced. What condition is he at risk for? - (correct
answer)Osteoporosis
A positive drawer sign supports a diagnosis of: - (correct answer)Cruciate ligament injury
A typical description of a tension headache is: - (correct answer)Bilateral, occipital, or frontal tightening
or fullness with waves of aching pain
After thorough history, physical examination, and laboratory tests, a patient is diagnosed with irritable
bowel syndrome (IBS). Which of the following initial treatment plans is currently considered most
effective? - (correct answer)A low fat, thyramine-free, caffeine-free, high fiber diet, along with a daily
diary, and attention to psychosocial factors
Antibiotic administration has been demonstrated to be of little benefit to the treatment of which of the
following disease processes? - (correct answer)Acute bronchitis
Before initiating an HMG CoA-reductase inhibitor for hyperlipidemia, the nurse practitioner orders liver
function studies. The patient's aminotransferase (ALT) is elevated. What laboratory test(s) should be
ordered? - (correct answer)Serologic markers for hepatitis
Carl, age 78, is brought to the office by his son, who states that his father has been unable to see clearly
since last night. Carl reports that his vision is "like looking through a veil." He also sees floaters and
flashing lights but is not having any pain. What do you suspect? - (correct answer)Retinal detachment
Diagnostic confirmation of acute leukemia is based on: - (correct answer)Bone marrow aspiration &
biopsy
Diagnostic radiological studies are indicated for low back pain: - (correct answer)When there is a
suspicion of a space occupying lesion, fracture, cauda , equina, or infection
Harriet, a 79-year-old woman, comes to your office every 3 months for follow up on her hypertension.
Her medications include one baby aspirin daily, Lisinopril 5mg daily, and Calcium 1500 mg daily. At
today's visit. Her blood pressure is 170/89. According to JNC VIII guidelines, what should you do next to
control Harriet's blood pressure? - (correct answer)Add thiazide diuretic to Lisinopril 5mg daily
Harvey has had Meniere's disease for several years. He has some hearing loss but now has persistent
vertigo. What treatment might be instituted to relieve the vertigo? - (correct answer)A vestibular
neurectomy
If a patient presents with a deep aching, red eye and there is no discharge, you should suspect: - (correct
answer)Iritis
A 19 year old basketball player complains of itching in the crural folds, buttocks, and upper thighs. The
lesions are well demarcated and are half-moon shaped. The area is red, irritated, and there are small
breaks in the skin from scratching. What is this patient's diagnosis and how should it be treated? -
(correct answer)Tinea cruris, treat with a topical antifungal
A 20 year old is diagnosed with mild persistent asthma. What drug combination would be most effective
in keeping him symptom-free? - (correct answer)A bronchodilator PRN and an inhaled corticosteroid
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? - (correct answer)Hydrocele
A 26 year old female presents with elbow pain that is described as aching and burning. There is point
tenderness along the lateral aspect of the elbow and painful passive flexion and extension. She reports
she has been playing tennis almost daily for the past month. The most likely diagnosis is: - (correct
answer)Lateral epicondylitis
A 45 year old with diabetes has had itching and burning lesions between her toes for 2 months.
Scrapings of the lesions confirm the diagnosis tinea pedis. What is the best initial treatment option for
this patient? - (correct answer)Provide an anti fungal powder for application between toes and in her
shoes and a topical prescription strength antifungal cream for other affected areas. Monitor for
secondary bacterial infections
A 55 year old man is diagnosed with basal cell carcinoma. The nurse practitioner correctly tells him: -
(correct answer)It can be cured with surgical excision or radiation therapy
A 57-year-old male presents to urgent care complaining of substernal chest discomfort for the past
hour. The EKG reveals ST elevations in Leads II, III, and AVF. The nurse practitioner is aware that these
changes are consistent with which myocardial infarction territory? - (correct answer)Inferior wall
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? - (correct answer)Trigeminal neuralgia
A 72 year old patient exhibits sudden onset of fluctuating restlessness, agitation, confusion, and
impaired attention. This is accompanied by visual hallucinations and sleep disturbance. What is the most
likely cause of this behavior? - (correct answer)Delirium
A patient comes in complaining of 1 week of pain in the posterior neck with difficulty turning the head to
the right. What additional history is needed? - (correct answer)Any recent trauma
A patient has been diagnosed with hypothyroidism and thyroid hormone replacement therapy is
prescribed. How long should the nurse practitioner wait before checking the patient's TSH? - (correct
answer)8 weeks
A patient presents to the office with a blood pressure 142/80. This patient is classified as having: -
(correct answer)Stage 1 hypertension
, NRNP 6531 week 5 candioscavular and respiratory conditions questions and answers
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: - (correct answer)Systolic heart failure
A patient presents with classic symptoms of gastroesophageal reflux disease (GERD). He is instructed on
life style modifications and drug therapy for 8 weeks. Three months later he returns, reporting that he
was "fine" as long as he took the medication. The most appropriate next step is: - (correct
answer)Investigation with endoscopy, manometry, and/ or pH testing
A patient taking levothyroxine is being over-replaced. What condition is he at risk for? - (correct
answer)Osteoporosis
A positive drawer sign supports a diagnosis of: - (correct answer)Cruciate ligament injury
A typical description of a tension headache is: - (correct answer)Bilateral, occipital, or frontal tightening
or fullness with waves of aching pain
After thorough history, physical examination, and laboratory tests, a patient is diagnosed with irritable
bowel syndrome (IBS). Which of the following initial treatment plans is currently considered most
effective? - (correct answer)A low fat, thyramine-free, caffeine-free, high fiber diet, along with a daily
diary, and attention to psychosocial factors
Antibiotic administration has been demonstrated to be of little benefit to the treatment of which of the
following disease processes? - (correct answer)Acute bronchitis
Before initiating an HMG CoA-reductase inhibitor for hyperlipidemia, the nurse practitioner orders liver
function studies. The patient's aminotransferase (ALT) is elevated. What laboratory test(s) should be
ordered? - (correct answer)Serologic markers for hepatitis
Carl, age 78, is brought to the office by his son, who states that his father has been unable to see clearly
since last night. Carl reports that his vision is "like looking through a veil." He also sees floaters and
flashing lights but is not having any pain. What do you suspect? - (correct answer)Retinal detachment
Diagnostic confirmation of acute leukemia is based on: - (correct answer)Bone marrow aspiration &
biopsy
Diagnostic radiological studies are indicated for low back pain: - (correct answer)When there is a
suspicion of a space occupying lesion, fracture, cauda , equina, or infection
Harriet, a 79-year-old woman, comes to your office every 3 months for follow up on her hypertension.
Her medications include one baby aspirin daily, Lisinopril 5mg daily, and Calcium 1500 mg daily. At
today's visit. Her blood pressure is 170/89. According to JNC VIII guidelines, what should you do next to
control Harriet's blood pressure? - (correct answer)Add thiazide diuretic to Lisinopril 5mg daily
Harvey has had Meniere's disease for several years. He has some hearing loss but now has persistent
vertigo. What treatment might be instituted to relieve the vertigo? - (correct answer)A vestibular
neurectomy
If a patient presents with a deep aching, red eye and there is no discharge, you should suspect: - (correct
answer)Iritis
