NRNP 6531 Midterm Exam
Question 1
When completing this quiz, did you comply with Walden University’s Code of Conduct including
the expectations for academic integrity?
Selected Answer:
Yes
• Question 2
The most common cancer found on the auricle is: Basal cell carcinoma
• Question 3
Which of the following medication classes should be avoided in patients with acute or
chronic bronchitis because it will contribute to ventilation-perfusion mismatch in the
patient?: Antihistimines
• Question 4
A 47 year old male patient presents to the clinic with a single episode of a moderate amount
of bright red rectal bleeding. On examination, external hemorrhoids are noted. How
should the nurse practitioner proceed?: Refer the patient for a barium enema and
sigmoidoscopy.
Question 5
Which of the following patient characteristics are associated with chronic bronchitis?:
Overweight, cyanosis, and normal or slightly increased respiratory rate
,• Question 6
A 65-year-old female with a past medical history of hypertension, hyperlipidemia, and
polymyalgia rheumatica presents to urgent care with new onset left lower quadrant pain.
Her current medications include omeprazole 20 milligrams po daily, lisinopril 20
milligrams po daily, simvastatin 20 milligrams po daily, and prednisone 12 milligrams po
daily. The nurse practitioner suspects acute diverticulitis and possibly an abscess. The
most appropriate diagnostic test for this patient at this time is: CT scan
• Question 7
A patient reports “something flew in my eye” about an hour ago while he was splitting logs.
If there were a foreign body in his eye, the nurse practitioner would expect to find all
except: Purulent drainage
• Question 8
A 21 year old college student presents to the student health center with copious, markedly
purulent discharge from her left eye. The nurse practitioner student should suspect:
Gonococcal conjunctivitis
• Question 9
A 35 year old man presents with radicular pain followed by the appearance of grouped
vesicles consisting of about 15 lesions across 3 different thoracic dermatomes. He
complains of pain, burning, and itching. The nurse practitioner should suspect: Herpes
zoster and consider that this patient may be immunocompromised
Question 10
Which type of lung cancer has the poorest prognosis?: Small cell carcinoma
Question 11
An 83-year-old female presents to the office complaining of diarrhea for several days. She
explains she has even had fecal incontinence one time. She describes loose stools 3–4 times
a day for several weeks and denies fever, chills, pain, recent antibiotic use. The history
suggests that the patient has: Chronic diarrhea
Question 12
, Margaret, age 32, comes into the office with painful joints and a distinctive rash in a
butterfly distribution on her face. The rash has red papules and plaques with a fine scale.
What do you suspect?: Systemic lupus erythematosus
• Question 13
Antibiotic administration has been demonstrated to be of little benefit to the treatment of
which of the following disease processes?: Acute bronchitis
• Question 14
Lisa, age 49, has daily symptoms of asthma. She uses her inhaled short-acting beta-2 agonist
daily. Her exacerbations affect her activities and they occur at least twice weekly and may
last for days. She is affected more than once weekly during the night with an exacerbation.
Which category of asthma severity is Lisa in?: Moderate persistent
• Question 15
Which of the following is the most appropriate therapeutic regimen for an adult patient with
no known allergies diagnosed with group A B-hemolytic strep?: Penicillin V 500 milligrams
PO every 8 hours for 10 days
• Question 16
A cashier complains of dull ache and pressure sensation in her lower legs. It is relieved by leg
elevation. She occasionally has edema in her lower legs at the end of the day. What is the
most likely cause of these problems?: Varicose veins
Question 17
Which statement below is correct about pertussis?: It is also called whooping cough
Question 18
Which of the following is the most important diagnosis to rule out in the adult patient with
acute bronchitis?: Pneumonia
Question 1
When completing this quiz, did you comply with Walden University’s Code of Conduct including
the expectations for academic integrity?
Selected Answer:
Yes
• Question 2
The most common cancer found on the auricle is: Basal cell carcinoma
• Question 3
Which of the following medication classes should be avoided in patients with acute or
chronic bronchitis because it will contribute to ventilation-perfusion mismatch in the
patient?: Antihistimines
• Question 4
A 47 year old male patient presents to the clinic with a single episode of a moderate amount
of bright red rectal bleeding. On examination, external hemorrhoids are noted. How
should the nurse practitioner proceed?: Refer the patient for a barium enema and
sigmoidoscopy.
Question 5
Which of the following patient characteristics are associated with chronic bronchitis?:
Overweight, cyanosis, and normal or slightly increased respiratory rate
,• Question 6
A 65-year-old female with a past medical history of hypertension, hyperlipidemia, and
polymyalgia rheumatica presents to urgent care with new onset left lower quadrant pain.
Her current medications include omeprazole 20 milligrams po daily, lisinopril 20
milligrams po daily, simvastatin 20 milligrams po daily, and prednisone 12 milligrams po
daily. The nurse practitioner suspects acute diverticulitis and possibly an abscess. The
most appropriate diagnostic test for this patient at this time is: CT scan
• Question 7
A patient reports “something flew in my eye” about an hour ago while he was splitting logs.
If there were a foreign body in his eye, the nurse practitioner would expect to find all
except: Purulent drainage
• Question 8
A 21 year old college student presents to the student health center with copious, markedly
purulent discharge from her left eye. The nurse practitioner student should suspect:
Gonococcal conjunctivitis
• Question 9
A 35 year old man presents with radicular pain followed by the appearance of grouped
vesicles consisting of about 15 lesions across 3 different thoracic dermatomes. He
complains of pain, burning, and itching. The nurse practitioner should suspect: Herpes
zoster and consider that this patient may be immunocompromised
Question 10
Which type of lung cancer has the poorest prognosis?: Small cell carcinoma
Question 11
An 83-year-old female presents to the office complaining of diarrhea for several days. She
explains she has even had fecal incontinence one time. She describes loose stools 3–4 times
a day for several weeks and denies fever, chills, pain, recent antibiotic use. The history
suggests that the patient has: Chronic diarrhea
Question 12
, Margaret, age 32, comes into the office with painful joints and a distinctive rash in a
butterfly distribution on her face. The rash has red papules and plaques with a fine scale.
What do you suspect?: Systemic lupus erythematosus
• Question 13
Antibiotic administration has been demonstrated to be of little benefit to the treatment of
which of the following disease processes?: Acute bronchitis
• Question 14
Lisa, age 49, has daily symptoms of asthma. She uses her inhaled short-acting beta-2 agonist
daily. Her exacerbations affect her activities and they occur at least twice weekly and may
last for days. She is affected more than once weekly during the night with an exacerbation.
Which category of asthma severity is Lisa in?: Moderate persistent
• Question 15
Which of the following is the most appropriate therapeutic regimen for an adult patient with
no known allergies diagnosed with group A B-hemolytic strep?: Penicillin V 500 milligrams
PO every 8 hours for 10 days
• Question 16
A cashier complains of dull ache and pressure sensation in her lower legs. It is relieved by leg
elevation. She occasionally has edema in her lower legs at the end of the day. What is the
most likely cause of these problems?: Varicose veins
Question 17
Which statement below is correct about pertussis?: It is also called whooping cough
Question 18
Which of the following is the most important diagnosis to rule out in the adult patient with
acute bronchitis?: Pneumonia
