NRNP 6531 MIDTERM EXAM (4 LATEST VERSIONS) PRAC 6531 MIDTERM EXAM 2

Walden6531Primary Care of f f f f f




Adults Across the Lifespan
f f f




Midterm ExamSpring 2023 U f f f f




PDATED
(NOTfallfoffthesefarefcorrectfandfsomefquestionsfarefincomplete,fbutfTHESEfAREfthefQ’s!)

1. Whatfisfthefpurposefoffclinicalfresearchftrialsfinfthefspectrumfofftranslationalfresearch?
Examinationfoffsafetyfandfeffectivenessfoffvariousfinterventions

2. WhatfisfthefpurposefoffLevelfIIfresearch?
Tofdescribefrelationshipsfamongfcharacteristicsforfvariables

3. ThefcarefprovidedfbyfAPRNsfisfnotflimitedfbyfsettingfbutfbyfpatientfcarefneeds.
A. True
B. False

4. APRNfConsensusfModel/LACEfincludefallfexcept:
A. Licensure
B. Accreditation
C. Certification
D. It’sfthefonefthatfstarsfwithfanfEf(Education)

5. AllfofftheffollowingfarefcorefqualityfcompetenciesfexpectedfoffAPRNsfexcept:
A. Usesfbestfevidenceftofimprovefcare
B. Assumesfadvancedfleadershipfrole
C. Appliesfskillsfinfpeerfreviewftofpromotefculturefoffexcellence
D. Evaluatesforganizationalfstructuresftofimprovedfcaref–fNotfsure??

6. WhatfwasfanfimportantffindingfoffthefAdvisoryfBoardfsurveyfoff2014faboutfprimaryfcarefpre
ferencesfoffpatients?
A. AssociationsfwithfareafhospitalsfB.f Costsfoffambulatoryfcare
C. Easefoffaccessftofcare.
D. Thefratiofoffprovidersftofpatients

7. Tofreducefadversefeventsfassociatedfwithfcareftransitions,fthefCentersfforfMedicarefandfMe
dicaidfServicefhavefimplementedfwhichfpolicy?
A. Mandatesfforfcommunicationfamongfprimaryfcaregiversfandfhospitalists
B. Penaltiesfforffailureftofperformfmedicationfreconciliationsfatftimefoffdischarge
C. Reductionfoffpaymentsfforfpatientsfreadmittedfwithinf30fdaysfafterfdischarge
D. Requirementsfforfwrittenfdischargefinstructionsfforfpatientsfandfd.fcaregivers

,8. RulesfproposedfbyfthefvariousfStatefBoardsfoffNursingfmustfbefapprovedfbyfthefstatefLeg
islatures.
A. True
B. False

9. Tofreducefadversefeventsfassociatedfwithfcareftransitions,fthefCentersfforfMedicarefandfMe
dicaidfServicefhavefimplementedfwhichfpolicy?

,10. WhatfwasfanfimportantffindingfoffthefAdvisoryfBoardfsurveyfoff2014faboutfprimaryfcarefpref
erencesfoffpatients?

11. ThefConsensusfModelfforfAPRNfregulationfconsistsfoffwhichfofftheffollowingfroles?
A. CNMfB.f CRNA
C. APN
D. CNS
EfAllfthefAbove
A,fBf&fCfF.fonly

12. InfreviewingfthefTotalfPercentagefoffBodyfsurfacefareafforfadultfburnfpatientsfeach,fleg,farm
fandfheadfarefnotedfevaluatedfatf9%.


A. True
B. False

13. Whatfisfthefinitialfapproachfwhenfobtainingfafbiopsyfoffafpotentialfmalignantfmelanomaflesi
on?
A. Excisionalfbiopsy
B. Punchfbiopsy
C. Shavefbiopsy
D. Widefexcision

14. WhichfofftheffollowingfarefindependentfpracticefcompetenciesfforfAPRNs?
A. Prescribesfmedications
B. Functionsfasfanfindependentfpractitioner
C. EmploysfscreeningfandfdiagnosticfstrategiesftofarrivefatfdiagnosesfD.fManagesfhe
alth/illnessfstrategiesfoffpatientsfandffamiliesfoverftime.
E. AllfthefAbove
F. A,fCf&fDfonly

15. Affemalefpatientfisfdiagnosedfwithfandrogeneticfalopecia.fWhichfmedicationfwillfthefpri
maryfhealthfcarefproviderfprescribe?fa.fAnthralin
b.fCyclosporine
c.f Finasteride
dfMinoxidil

16. Agnesfisfaf72fy/ofgrandmotherfwhofcomesftofthefclinicfwithfanfacutefonsetfoffseverefeyefpain.f
Shefhasfbeenfhavingfheadaches,fnauseafandfvomiting,fandfseeingfhalosfaroundflights.fEyefex
amfrevealsfcuppingfoffopticfnervefthefpupilfisfovalfandfthefcorneafisfcloudy.fHerfmostflikelyfdi
agnosisfis:

17. Mikeyfisfaf19fy/ofmalefwhofisfbroughtftofthefclinicfbecausefhefhasfaffever,fsorefthroat,fpainfon
fswallowingfandfmildlyfenlargedfsubmandibularfnodes.fThefmost flikelyfdiagnosisfforfMikeyf

is:
18. Af50-year-
old,fpreviouslyfhealthyfpatientfhasfdevelopedfgastritis.fWhatfisfthefmostflikelyfcausefoffthisfc
ondition?
a. H.fpylorifinfection
b. NSAIDfuse
c. Parasitefinfestation
d. Viralfgastroenteritis

, 19. Whichfdiagnosticftestfwillfthefproviderfsafelyforderfforfaf30-year-
oldfwomanfreportingfrightfupperfquadrantfabdominalfpain,fnausea,fandfvomiting?fa.fAbd
ominalfcomputedftomographyf(CT)fwithfcontrast
b.fAbdominalfultrasound
c.f Magneticfresonancefimagingf(MRI)foffthefabdomen

20. Afpatient,fwhoffirstfdevelopedfacutefdiarrheaf2fweeksfago,fpresentsftofclinicfreportingfprofus
efwatery,fbloodyfdiarrhealfstoolsf6ftof8ftimesfdaily.fThefproviderfnotesfaftoxicfappearancefwi
thfmoderatefdehydration.fWhichftestfisfindicatedftofdiagnosefthisfproblem?
a. Qualitativefandfquantitativeffecalffat
b. Stoolfcollectionfforf24-hourfstoolfpH
c. StoolfsamplefforfC.fdifficileftoxin
d. Wrightfstainfoffstoolfforfwhitefbloodfcells

21. AfpatientfwithfafpositivefHbeAgfindicatesfthefpatientfhasfchronicfHepatitisfB.
A. True
B. False

22. Classicfpainfoffacutefpancreatitisfisfseverefmidgastricfpainfthatfrefersftofthefmidback.fA.fTr
uefIfthink
B.f False

23. Afpatientfwithfhemoptysisfandfnofotherfsymptomsfhasfafnormalfchestfradiographf(CXR),fco
mputedftomographyf(CT),fandffiberopticfbronchoscopyfstudies.fWhatfisfthefnextfactionfinfma
nagingfthisfpatient?

24. Jeremyfisfanf18fy/ofmalefwhofcomesftofthefclinicfwithfafchieffcomplaintfoffperiumbilicalfpain
.fOverfthefpastf24fhoursfhefhasfhadfboutsfoffnauseafandfdiarrheafandfpainfat
McBurney’sfpoint.fWhichfofftheffollowingfassessmentsfwouldfaidefinfconfirmingfJeremy’sf
diagnosis:
A. PsoasfSignfB.f ObturatorfSign
C. Murphy’sfSign
D. AllfthefAbove
E. Af&fBfonly
25. Afpatientfdiagnosedfwithfcirrhosisfdevelopsfascites.fWhichfmedicationfwillfbeforderedfini
tiallyftofimprovefsymptoms?fa.fCephalosporin
b. Furosemide
c. Lactulose
d. Spironolactone

26. Samfisfaf19fy/ofmalefwhofcomesftofthefclinicfwithfafchieffcomplaintfoffseveralfweeksfofffatig
uefandfnon-
productivefparoxysmalfcoughing.fHefinitiallyfhadfafsorefthroat,fsomefrhinitisfandflow-
gradeffever.fHisflikelyfdiagnosisfis:
A. Bronchitis
B. AtypicalfPneumoniaf(Walkingfpneumonia)
C. AllergicfRhinitis
D. Communityfacquiredfbacterialfpneumonia