NR568 / NR 568 Midterm Exam (Latest ): Advanced
Pharmacology for the Adult-Gerontology Primary Care Nurse Practitioner|
Questions and Verified Answers - Chamberlain
A 14-year-old, male patient has some general concerns about eczema, as his twin
brother was recently diagnosed with this condition. The patient reports urticaria and a
rash on his posterior knees bilaterally. The three factors that put the patient at risk for
eczema are a family history of eczema, a personal history of allergic rhinitis, and a
history of:
(a) asthma
(b) bee allergy
(c) otitis media
(d) psoriasis - ans(a) asthma
A 15-year-old patient with type 1 diabetes mellitus reports elevated blood glucose levels
in the morning. An adult-gerontology acute care nurse practitioner determines that the
patient's hyperglycemia is due to the dawn phenomenon and:
(a) increases the insulin dosage at bed time.
(b) reduces the insulin dosage at bed time.
(c) tests the blood glucose level at 3:00 AM every morning.
(d) tests the blood glucose level in the evening. - ans(a) increases the insulin dosage at
bed time.
A 16-year-old patient has been diagnosed with mononucleosis and has a positive throat
culture for group Alpha-hemolytic streptococcal infection. The medication of choice for
this patient is:
(a) amoxicillin (Amoxil).
(b) doxycycline (Vibramycin).
(c) erythromycin (E-Mycin).
(d) trimethoprim-sulfamethoxazole (Bactrim). - ans(c) erythromycin (E-Mycin).
A 19-year-old male patient arrives at the emergency department exhibiting symptoms of
lower abdominal pain that radiates to the groin, and that the patient rates as an 8 on a
scale of 1 to 10. That patient states that the pain came on suddenly, while he was
playing football with friends. The patient's physical examination reveals positive bowel
sounds in all quadrants; a soft, non-tender abdomen; no rebounding and no guarding;
and no palpable mass in the abdomen or groin. Examination of the patient's genitalia
reveals a unilateral cremasteric reflex. What is the adult-gerontology acute care nurse
practitioner's leading differential diagnosis, based on the patient's presentation?
(a) Appendicitis
,NR568 / NR 568 Midterm Exam (Latest ): Advanced
Pharmacology for the Adult-Gerontology Primary Care Nurse Practitioner|
Questions and Verified Answers - Chamberlain
(b) Epididymitis
(c) Inguinal hernia
(d) Testicular torsion - ans(d) Testicular torsion
A 21-year-old patient is admitted to the intensive care unit with a severe closed head
injury. The patient's family is becoming louder and more insistent about seeing the
patient. To establish a therapeutic relationship with the family, an acute care nurse
practitioner's initial action is to:
(a) acknowledge the family's anxiety.
(b) arrange for a meeting with a social worker.
(c) escort the family to a conference room.
(d) gently direct the family to maintain composure. - ans(a) acknowledge the family's
anxiety.
A 24-year-old male patient with a closed head injury has been intubated for 12 days.
The patient's parents have repeatedly refused consent for a tracheostomy and long-
term care placement. On multiple occasions, the surgeon has discussed the risks and
benefits of the surgery with them. Addressing the parents, the acute care nurse
practitioner states:
(a) "I understand you have reservations about the placement of a tracheostomy."
(b) "Please know that not many patients die while undergoing a tracheostomy."
(c) "Without a tracheostomy, we can't transfer your son to another facility."
(d) "You know, your son will die if a tracheostomy is not placed." - ans(a) "I understand
you have reservations about the placement of a tracheostomy."
A 30-year-old, female patient has a two-week history of nausea, vomiting, decreased
weight, abdominal pain, and a long-term history of multiple sexual partners. The
patient's physical examination reveals abdominal tenderness with icteric sclerae and
skin. Which laboratory test confirms active hepatitis B?
(a) Antibody.
(b) Enzyme-linked immunosorbent assay.
(c) Immune globulin G.
(d) Surface antigen. - ans(d) Surface antigen.
,NR568 / NR 568 Midterm Exam (Latest ): Advanced
Pharmacology for the Adult-Gerontology Primary Care Nurse Practitioner|
Questions and Verified Answers - Chamberlain
A 32-year-old patient who underwent an open splenectomy for a ruptured spleen, is
preparing for discharge. An adult-gerontology acute care nurse practitioner reviews the
potential complications with the patient. The nurse practitioner emphasizes which
instruction to the patient?
(a) Continue antibiotics for 14 days
(b) Follow up with primary care provider for vaccinations
(c) No international travel for five years
(d) No weight lifting restrictions - ans(b) Follow up with primary care provider for
vaccinations
A 34-year-old truck driver reports a sharp pain in the lower back that worsens with
ambulation. The symptoms began after a strenuous three-day driving trip. During an
examination, the patient has difficulty walking on the heels and shows weakness in the
extensors of the big toes. The initial differential diagnosis is:
(a) compression fracture.
(b) L-1 root irritation.
(c) L-5 root irritation.
(d) ruptured disc. - ans(c) L-5 root irritation.
A 38-year-old patient who is Vietnamese tells the family nurse practitioner that his or her
parent died in his or her 40s from liver cancer. The nurse practitioner assesses that the
patient is at risk for:
(a) hepatitis B.
(b) malaria.
(c) tularemia.
(d) tyrosinemia. - ans(a) hepatitis B.
A 40-year-old patient has had a generalized, nonpruritic skin eruption with intermittent
exacerbations over the past 10 years. Currently, a well-circumscribed erythematous
plaque appears over the patient's left gluteal fold area. The lesion is covered with scales
and has some fissuring. The family nurse practitioner makes a diagnosis of:
(a) atopic dermatitis.
(b) ichthyosis.
(c) psoriasis.
(d) tinea corporis. - ans(c) psoriasis.
A 42-year-old patient with epistaxis, dilated pupils, tachycardia, and mild euphoria
shows symptoms associated with the use of:
, NR568 / NR 568 Midterm Exam (Latest ): Advanced
Pharmacology for the Adult-Gerontology Primary Care Nurse Practitioner|
Questions and Verified Answers - Chamberlain
(a) benzodiazepine (Alprazolam).
(b) cocaine.
(c) morphine (MS Contin).
(d) oxycodone (OxyContin). - ans(b) cocaine.
A 45-year-old patient who is an opera singer reports progressive hoarseness for the last
four weeks. The hoarseness began after a three-hour opera performance. The patient
does not smoke and reports no weight loss, upper respiratory infection, dysphagia, or
shortness of breath. The family nurse practitioner manages this patient by:
(a) ordering a computed tomography scan of the head.
(b) ordering an immediate lateral neck x-ray.
(c) prescribing systemic antibiotics and cool mist inhalations.
(d) requesting a referral for evaluation of the larynx. - ans(d) requesting a referral for
evaluation of the larynx.
A 45-year-old patient with diabetes comes to the clinic for an annual appointment. The
patient declines a parenteral influenza vaccination because a friend "came down with
the flu after receiving the vaccination." The adult nurse practitioner explains that the
vaccination is:
(a) a polysaccharide, so it may cause a mild case of influenza.
(b) activated, so it may cause a mild case of influenza.
(c) inactivated, and this is unable to cause influenza.
(d) live attenuated, so it may cause a mild case of influenza. - ans(c) inactivated, and
this is unable to cause influenza.
A 55-year-old male patient who is Chinese has a follow-up appointment after cardiac
bypass surgery. The patient brings his father with him into the examination room. The
family nurse practitioner provides culturally sensitive care by:
(a) asking the patient's father if he has any questions regarding his son's care.
(b) asking the patient's father to leave the room due to confidentiality issues.
(c) performing the examination without commenting to the patient's father.
(d) performing the examination, then telling the patient's father the examination findings.
- ans(a) asking the patient's father if he has any questions regarding his son's care.
Pharmacology for the Adult-Gerontology Primary Care Nurse Practitioner|
Questions and Verified Answers - Chamberlain
A 14-year-old, male patient has some general concerns about eczema, as his twin
brother was recently diagnosed with this condition. The patient reports urticaria and a
rash on his posterior knees bilaterally. The three factors that put the patient at risk for
eczema are a family history of eczema, a personal history of allergic rhinitis, and a
history of:
(a) asthma
(b) bee allergy
(c) otitis media
(d) psoriasis - ans(a) asthma
A 15-year-old patient with type 1 diabetes mellitus reports elevated blood glucose levels
in the morning. An adult-gerontology acute care nurse practitioner determines that the
patient's hyperglycemia is due to the dawn phenomenon and:
(a) increases the insulin dosage at bed time.
(b) reduces the insulin dosage at bed time.
(c) tests the blood glucose level at 3:00 AM every morning.
(d) tests the blood glucose level in the evening. - ans(a) increases the insulin dosage at
bed time.
A 16-year-old patient has been diagnosed with mononucleosis and has a positive throat
culture for group Alpha-hemolytic streptococcal infection. The medication of choice for
this patient is:
(a) amoxicillin (Amoxil).
(b) doxycycline (Vibramycin).
(c) erythromycin (E-Mycin).
(d) trimethoprim-sulfamethoxazole (Bactrim). - ans(c) erythromycin (E-Mycin).
A 19-year-old male patient arrives at the emergency department exhibiting symptoms of
lower abdominal pain that radiates to the groin, and that the patient rates as an 8 on a
scale of 1 to 10. That patient states that the pain came on suddenly, while he was
playing football with friends. The patient's physical examination reveals positive bowel
sounds in all quadrants; a soft, non-tender abdomen; no rebounding and no guarding;
and no palpable mass in the abdomen or groin. Examination of the patient's genitalia
reveals a unilateral cremasteric reflex. What is the adult-gerontology acute care nurse
practitioner's leading differential diagnosis, based on the patient's presentation?
(a) Appendicitis
,NR568 / NR 568 Midterm Exam (Latest ): Advanced
Pharmacology for the Adult-Gerontology Primary Care Nurse Practitioner|
Questions and Verified Answers - Chamberlain
(b) Epididymitis
(c) Inguinal hernia
(d) Testicular torsion - ans(d) Testicular torsion
A 21-year-old patient is admitted to the intensive care unit with a severe closed head
injury. The patient's family is becoming louder and more insistent about seeing the
patient. To establish a therapeutic relationship with the family, an acute care nurse
practitioner's initial action is to:
(a) acknowledge the family's anxiety.
(b) arrange for a meeting with a social worker.
(c) escort the family to a conference room.
(d) gently direct the family to maintain composure. - ans(a) acknowledge the family's
anxiety.
A 24-year-old male patient with a closed head injury has been intubated for 12 days.
The patient's parents have repeatedly refused consent for a tracheostomy and long-
term care placement. On multiple occasions, the surgeon has discussed the risks and
benefits of the surgery with them. Addressing the parents, the acute care nurse
practitioner states:
(a) "I understand you have reservations about the placement of a tracheostomy."
(b) "Please know that not many patients die while undergoing a tracheostomy."
(c) "Without a tracheostomy, we can't transfer your son to another facility."
(d) "You know, your son will die if a tracheostomy is not placed." - ans(a) "I understand
you have reservations about the placement of a tracheostomy."
A 30-year-old, female patient has a two-week history of nausea, vomiting, decreased
weight, abdominal pain, and a long-term history of multiple sexual partners. The
patient's physical examination reveals abdominal tenderness with icteric sclerae and
skin. Which laboratory test confirms active hepatitis B?
(a) Antibody.
(b) Enzyme-linked immunosorbent assay.
(c) Immune globulin G.
(d) Surface antigen. - ans(d) Surface antigen.
,NR568 / NR 568 Midterm Exam (Latest ): Advanced
Pharmacology for the Adult-Gerontology Primary Care Nurse Practitioner|
Questions and Verified Answers - Chamberlain
A 32-year-old patient who underwent an open splenectomy for a ruptured spleen, is
preparing for discharge. An adult-gerontology acute care nurse practitioner reviews the
potential complications with the patient. The nurse practitioner emphasizes which
instruction to the patient?
(a) Continue antibiotics for 14 days
(b) Follow up with primary care provider for vaccinations
(c) No international travel for five years
(d) No weight lifting restrictions - ans(b) Follow up with primary care provider for
vaccinations
A 34-year-old truck driver reports a sharp pain in the lower back that worsens with
ambulation. The symptoms began after a strenuous three-day driving trip. During an
examination, the patient has difficulty walking on the heels and shows weakness in the
extensors of the big toes. The initial differential diagnosis is:
(a) compression fracture.
(b) L-1 root irritation.
(c) L-5 root irritation.
(d) ruptured disc. - ans(c) L-5 root irritation.
A 38-year-old patient who is Vietnamese tells the family nurse practitioner that his or her
parent died in his or her 40s from liver cancer. The nurse practitioner assesses that the
patient is at risk for:
(a) hepatitis B.
(b) malaria.
(c) tularemia.
(d) tyrosinemia. - ans(a) hepatitis B.
A 40-year-old patient has had a generalized, nonpruritic skin eruption with intermittent
exacerbations over the past 10 years. Currently, a well-circumscribed erythematous
plaque appears over the patient's left gluteal fold area. The lesion is covered with scales
and has some fissuring. The family nurse practitioner makes a diagnosis of:
(a) atopic dermatitis.
(b) ichthyosis.
(c) psoriasis.
(d) tinea corporis. - ans(c) psoriasis.
A 42-year-old patient with epistaxis, dilated pupils, tachycardia, and mild euphoria
shows symptoms associated with the use of:
, NR568 / NR 568 Midterm Exam (Latest ): Advanced
Pharmacology for the Adult-Gerontology Primary Care Nurse Practitioner|
Questions and Verified Answers - Chamberlain
(a) benzodiazepine (Alprazolam).
(b) cocaine.
(c) morphine (MS Contin).
(d) oxycodone (OxyContin). - ans(b) cocaine.
A 45-year-old patient who is an opera singer reports progressive hoarseness for the last
four weeks. The hoarseness began after a three-hour opera performance. The patient
does not smoke and reports no weight loss, upper respiratory infection, dysphagia, or
shortness of breath. The family nurse practitioner manages this patient by:
(a) ordering a computed tomography scan of the head.
(b) ordering an immediate lateral neck x-ray.
(c) prescribing systemic antibiotics and cool mist inhalations.
(d) requesting a referral for evaluation of the larynx. - ans(d) requesting a referral for
evaluation of the larynx.
A 45-year-old patient with diabetes comes to the clinic for an annual appointment. The
patient declines a parenteral influenza vaccination because a friend "came down with
the flu after receiving the vaccination." The adult nurse practitioner explains that the
vaccination is:
(a) a polysaccharide, so it may cause a mild case of influenza.
(b) activated, so it may cause a mild case of influenza.
(c) inactivated, and this is unable to cause influenza.
(d) live attenuated, so it may cause a mild case of influenza. - ans(c) inactivated, and
this is unable to cause influenza.
A 55-year-old male patient who is Chinese has a follow-up appointment after cardiac
bypass surgery. The patient brings his father with him into the examination room. The
family nurse practitioner provides culturally sensitive care by:
(a) asking the patient's father if he has any questions regarding his son's care.
(b) asking the patient's father to leave the room due to confidentiality issues.
(c) performing the examination without commenting to the patient's father.
(d) performing the examination, then telling the patient's father the examination findings.
- ans(a) asking the patient's father if he has any questions regarding his son's care.
