NRNP 6531 Final Exam (Multiple Versions

NRNP 6531 Final Exam
(Multiple Versions)


 QuestionI1
1IoutIofI1Ipoints
CentralIobesity,I“moon”Iface,IandIdorsocervicalIfatIpadIareIassociatedIwith:

A MetabolicIsyndrome

.


B UnilateralIpheochromocytoma

.


C Cushing’sIsyndrome

.


D NoneIofItheIabove

.



 QuestionI2
1IoutIofI1Ipoints
AnIelderlyImanIisIstartedIonIlisinoprilIandIhydrochlorhiazideIforIhypertension.IThreeIdaysIl
ater,IheIreturnsItoItheIofficeIcomplainingIofIleftIgreatItoeIpain.IOnIexam,ItheInurseIpractit
ionerInotesIanIedematous,IerythematousItenderIleftIgreatItoe.ITheIlikelyIprecipitantIofIthi
sIpatient’sIpainIis:

A Trauma

.


B TightIshoes

.

, C ArthritisIflare

.


D Hydrochlorothiazid

. e



 QuestionI3
1IoutIofI1Ipoints
TheImostIeffectiveItreatmentIofInon-
infectiousIbursitisIincludes:IConservativeItreatmentIincludesIrest,IcoldIandIheatItreatments,Ielevati
on,IadministrationIofInonsteroidalIanti-
inflammatoryIdrugsI(NSAIDs),IbursalIaspiration,IandIintrabursalIsteroidIinjections



 QuestionI4
1IoutIofI1Ipoints
WhatIconditionsImustIbeImetIforIyouItoIbillI“incidentIto”ItheIphysician,IreceivingI100%Irei
mbursementIfromIMedicare?

SelectedIAnsw I
er: TheIphysicianImustIbeIon-
siteIandIengagedIinIpatientIcare

Answers: YouImustIinitiateItheIplanIofIcareIforItheIpatient

I
TheIphysicianImustIbeIon-
siteIandIengagedIinIpatientIcare
YouImustIbeIemployedIasIanIindependentIcontractor
YouImustIbeItheImainIhealthIcareIproviderIwhoIseesIthe
Ipatient


 QuestionI5
1IoutIofI1Ipoints
WhichIofItheIfollowingIisInotIaIriskIfactorIassociatedIwithItheIdevelopmentIofIsyndromeIXI
andItypeI2IdiabetesImellitus?

ITheImetabolicIsyndromeIrefersItoItheIco-
occurrenceIofIseveralIknownIcardiovascularIriskIfactors,IincludingIinsulinIresistance,Iobesity,Iathero
genicIdyslipidemiaIandIhypertension.



 QuestionI6

, 1IoutIofI1Ipoints
WhichIofItheIfollowingIisInotIaIcommonIearlyIsignIofIbenignIprostaticIhyperplasiaI(BPH)?

IA.INocturia
B.IUrgencyIincontinence
C.IStrongIurinaryIstreamIflow
D.IStrainingItoIvoid




 QuestionI7
1IoutIofI1Ipoints
Steve,IageI69,IhasIgastroesophagealIrefluxIdiseaseI(GERD).IWhenIteachingIhimIhowItoIre
duceIhisIlowerIesophagealIsphincterIpressure,IwhichIsubstancesIdoIyouIrecommendIthatI
heIavoid?

FoodIthatIisIveryIhotIorIveryIcoldI
FattyIorIfriedIfoodsI
PeppermintIorIspearmint,IincludingIflavoringI
Coffee,Itea,IandIsoftIdrinksIthatIcontainIcaffeineI
Spicy,IhighlyIseasonedIfoodsI
FriedIfoodIDTIcaffeine,IchocolateIandIanticholinergics




 QuestionI8
1IoutIofI1Ipoints
WhichIdrugIcategoryIcontainsItheIdrugsIthatIareItheIfirstIlineIGoldIstandardItherapyIforIC
OPD?

IBetaIantagonist



 QuestionI9
1IoutIofI1Ipoints
TheImostIcommonlyIrecommendedIpharmacologicalItreatmentIregimenIforIlowIbackIpain
I(LBP)Iis:

INsaid



 QuestionI10
1IoutIofI1Ipoints
WhichIofItheIfollowingIisInotIappropriateIsuppressionItherapyIforIchronicIbacterialIprostat
itis?

, Erythromycin



 QuestionI11
1IoutIofI1Ipoints
AIpatientIpresentsIwithIdehydration,Ihypotension,IandIfever.ILaboratoryItestingIrevealsIh
yponatremia,Ihyperkalemia,IandIhypoglycemia.ITheseIimbalancesIareIcorrected,IbutItheI
patientIreturnsI6IweeksIlaterIwithItheIsameIsymptomsIofIhyperpigmentation,Iweakness,Ia
norexia,Ifatigue,IandIweightIloss.IWhatIaction(s)IshouldItheInurseIpractitionerItake?I

.AIObtainIaIthoroughIhistoryIandIphysical,IandIcheckIserumIcortisolIandIACTHIlev
els.

B.IPerformIaIdietIhistoryIandIcheckICBCIandIFBS.

C.IProvideInutritionalIguidanceIandIhaveItheIpatientIreturnIinIoneImonth.

D.IConsultIhomeIhealthIforIintravenousIadministration




 QuestionI12
1IoutIofI1Ipoints

YouIareIassessingIaIpatientIafterIaIsportsIinjuryItoIhisIrightIknee.IYouIelicitIaIpositiveIante
rior/posteriorIdrawerIsign.IThisItestIindicatesIanIinjuryItoIthe:Ihe
A.IlateralImeniscus
B.IcruciateIligament
C.ImedialImeniscus
D.IcollateralIligament.



 QuestionI13
1IoutIofI1Ipoints



AI32IyearIoldIfemaleIpatientIpresentsIwithIfever,Ichills,IrightIflankIpain,IrightIcostovertebr
alIangleItenderness,IandIhematuria.IHerIurinalysisIisIpositiveIforIleukocytesIandIredIblood
Icells.ITheInurseIpractitionerIdiagnosesIpyelonephritis.ITheImostIappropriateImanagemen
tIis:

IncludeI500ImgIofIoralIciprofloxacinI(Cipro)ItwiceIperIdayIforIsevenIdays;I1,000ImgIofIexte
nded-
releaseIciprofloxacinIonceIperIdayIforIsevenIdays;IorI750ImgIofIlevofloxacinI(Levaquin)Io