Page 1 of 377
Nrnp6531 week 11 final exam
2024 testbank| updated 600
questions and correct detailed
answers (verified answers)
Steve, age 69, has gastroesophageal reflux disease (GERD). When
teaching him how to reduce his lower esophageal sphincter pressure,
which substances do you recommend that he avoid?
§ Food that is very hot or very cold
§ Fatty or fried foods
§ Peppermint or spearmint, including flavoring
§ Coffee, tea, and soft drinks that contain caffeine
§ Spicy, highly seasoned foods
, Page 2 of 377
§ Fried foodDT caffeine, chocolate and
anticholinergics✔✔✔✔ANS➖Peppermint or spearmint, including
flavoring
Central obesity, "moon" face, and dorsocervical fat pad are associated
with:
A. Metabolic syndrome
B. Unilateral pheochromocytoma
C. Cushing's syndrome
D. None of the above✔✔✔✔ANS➖C. Cushing's syndrome
An elderly man is started on lisinopril and hydrochlorhiazide for
hypertension. Three days later, he returns to the office complaining of
left great toe pain. On exam, the nurse practitioner notes an edematous,
erythematous tender left great toe. The likely precipitant of this patient's
pain is:
, Page 3 of 377
A. Trauma
B. Tight shoes
C. Arthritis flare
D. Hydrochlorothiazide✔✔✔✔ANS➖D. Hydrochlorothiazide
What conditions must be met for you to bill "incident to" the physician,
receiving 100% reimbursement from Medicare?
You must initiate the plan of care for the patient
The physician must be on-site and engaged in patient care
You must be employed as an independent contractor
You must be the main health care provider who sees the
patient✔✔✔✔ANS➖The physician must be on-site and engaged in
patient care
, Page 4 of 377
Which of the following is not a common early sign of benign prostatic
hyperplasia (BPH)?
A. Nocturia
B. Urgency incontinence
C. Strong urinary stream flow
D. Straining to void✔✔✔✔ANS➖C. Strong urinary stream flow
A patient presents with dehydration, hypotension, and fever. Laboratory
testing reveals hyponatremia, hyperkalemia, and hypoglycemia. These
imbalances are corrected, but the patient returns 6 weeks later with the
same symptoms of hyperpigmentation, weakness, anorexia, fatigue, and
weight loss. What action(s) should the nurse practitioner take?
.A Obtain a thorough history and physical, and check serum cortisol and
ACTH levels.
B. Perform a diet history and check CBC and FBS.
C. Provide nutritional guidance and have the patient return in one
month.
Nrnp6531 week 11 final exam
2024 testbank| updated 600
questions and correct detailed
answers (verified answers)
Steve, age 69, has gastroesophageal reflux disease (GERD). When
teaching him how to reduce his lower esophageal sphincter pressure,
which substances do you recommend that he avoid?
§ Food that is very hot or very cold
§ Fatty or fried foods
§ Peppermint or spearmint, including flavoring
§ Coffee, tea, and soft drinks that contain caffeine
§ Spicy, highly seasoned foods
, Page 2 of 377
§ Fried foodDT caffeine, chocolate and
anticholinergics✔✔✔✔ANS➖Peppermint or spearmint, including
flavoring
Central obesity, "moon" face, and dorsocervical fat pad are associated
with:
A. Metabolic syndrome
B. Unilateral pheochromocytoma
C. Cushing's syndrome
D. None of the above✔✔✔✔ANS➖C. Cushing's syndrome
An elderly man is started on lisinopril and hydrochlorhiazide for
hypertension. Three days later, he returns to the office complaining of
left great toe pain. On exam, the nurse practitioner notes an edematous,
erythematous tender left great toe. The likely precipitant of this patient's
pain is:
, Page 3 of 377
A. Trauma
B. Tight shoes
C. Arthritis flare
D. Hydrochlorothiazide✔✔✔✔ANS➖D. Hydrochlorothiazide
What conditions must be met for you to bill "incident to" the physician,
receiving 100% reimbursement from Medicare?
You must initiate the plan of care for the patient
The physician must be on-site and engaged in patient care
You must be employed as an independent contractor
You must be the main health care provider who sees the
patient✔✔✔✔ANS➖The physician must be on-site and engaged in
patient care
, Page 4 of 377
Which of the following is not a common early sign of benign prostatic
hyperplasia (BPH)?
A. Nocturia
B. Urgency incontinence
C. Strong urinary stream flow
D. Straining to void✔✔✔✔ANS➖C. Strong urinary stream flow
A patient presents with dehydration, hypotension, and fever. Laboratory
testing reveals hyponatremia, hyperkalemia, and hypoglycemia. These
imbalances are corrected, but the patient returns 6 weeks later with the
same symptoms of hyperpigmentation, weakness, anorexia, fatigue, and
weight loss. What action(s) should the nurse practitioner take?
.A Obtain a thorough history and physical, and check serum cortisol and
ACTH levels.
B. Perform a diet history and check CBC and FBS.
C. Provide nutritional guidance and have the patient return in one
month.
