NR667- CEA FNP Questions With Complete
Solutions
A young male presents with dysuria. Dipstick
urinalysis is positive for WBCs, shows a pH of 7.0, a
specific gravity of 1.015, and is otherwise negative.
The nurse practitioner should:
A. Order a voiding cystourethrogram and an
ultrasound of the kidneys
B. Initiate trimethoprim-sulfamethoxazole (Bactrim)
pending culture results
C. Start pyridoxine to decrease symptoms pending
culture results
D. Obtain a urine sample for a nucleic acid test
(NAT) for chlamydia
D
A 22-year-old has ASCAS on Pap smear and
negative for HPV. The next step is:
A. Colposcopy
B. Repeat Pap in 6 months
C. No follow up is needed.
D. Repeat HPV in 3 months
B
,A 60-year-old man with a history of chronic
obstructive pulmonary disease (COPD) presents
with an acute exacerbation, including increased
sputum production and dyspnea. He has no known
drug allergies. What is the most appropriate initial
antibiotic treatment?
A. Amoxicillin-clavulanate
B. Doxycycline
C. Azithromycin
D. Levofloxacin
A
Which of the following oxygen delivery devices will
provide 95% or more to the adult patient with
normal respirations?
A. High flow nasal cannula at 50 LPM blender flow
with a 100% oxygen setting
B. Venturi mask at 10 LPM with a 40% spacer
C. Nonrebreather mask at 5 LPM
D. Nasal cannula at 4 LPM
A
A 25-year-old woman presents with a sudden onset
of shortness of breath and pleuritic chest pain. She
has no significant past medical history and takes
no medications. On physical examination, her heart
rate is 110 beats per minute, respiratory rate is 24
,breaths per minute, and oxygen saturation is 90%
on room air. What is the most likely diagnosis?
A. Pulmonary embolism
B. Asthma exacerbation
C. Pneumonia
D. Pneumothorax
A
Which two lobes of the lung are most associated
with aspiration pneumonia?
A. Right middle and right lower
B. Left lower and left upper
C. Right lower and right upper
D. Right upper and right middle
A
Your patient with a history of COPD is being
evaluated in urgent care with respiratory distress.
Which of the following interventions would NOT
cause the patient to potentially develop worsening
of respiratory acidosis?
A. Initiation of BiPAP
B. Initiation of 15LPM oxygen via nonrebreather
mask
C. Administration of Xanax 0.5mg PO
, D. Initiation of CPAP with 4LPM oxygen bled in for
hypoxia
A
Which of the following findings is typically a sign of
acute appendicitis?
A. Positive Prehn's sign
B. A negative psoas sign
C. Positive Murphy's sign
D. A positive Rovsing's sign
D
A 49-year-old male presents to your service with
symptoms of fever 102.3, jaundice, and abdominal
pain. Imagining reveals a biliary obstruction. Which
diagnosis is most likely for this patient?
A. Choledocholithiasis
B. Cholangitis
C. Acute cholecystitis
D. Cholangiocarcinoma
B
A patient presents with blood present in the
anterior portion of their eye covering the lower half
of their iris. With which of the following diagnoses
is this most consistent?
Solutions
A young male presents with dysuria. Dipstick
urinalysis is positive for WBCs, shows a pH of 7.0, a
specific gravity of 1.015, and is otherwise negative.
The nurse practitioner should:
A. Order a voiding cystourethrogram and an
ultrasound of the kidneys
B. Initiate trimethoprim-sulfamethoxazole (Bactrim)
pending culture results
C. Start pyridoxine to decrease symptoms pending
culture results
D. Obtain a urine sample for a nucleic acid test
(NAT) for chlamydia
D
A 22-year-old has ASCAS on Pap smear and
negative for HPV. The next step is:
A. Colposcopy
B. Repeat Pap in 6 months
C. No follow up is needed.
D. Repeat HPV in 3 months
B
,A 60-year-old man with a history of chronic
obstructive pulmonary disease (COPD) presents
with an acute exacerbation, including increased
sputum production and dyspnea. He has no known
drug allergies. What is the most appropriate initial
antibiotic treatment?
A. Amoxicillin-clavulanate
B. Doxycycline
C. Azithromycin
D. Levofloxacin
A
Which of the following oxygen delivery devices will
provide 95% or more to the adult patient with
normal respirations?
A. High flow nasal cannula at 50 LPM blender flow
with a 100% oxygen setting
B. Venturi mask at 10 LPM with a 40% spacer
C. Nonrebreather mask at 5 LPM
D. Nasal cannula at 4 LPM
A
A 25-year-old woman presents with a sudden onset
of shortness of breath and pleuritic chest pain. She
has no significant past medical history and takes
no medications. On physical examination, her heart
rate is 110 beats per minute, respiratory rate is 24
,breaths per minute, and oxygen saturation is 90%
on room air. What is the most likely diagnosis?
A. Pulmonary embolism
B. Asthma exacerbation
C. Pneumonia
D. Pneumothorax
A
Which two lobes of the lung are most associated
with aspiration pneumonia?
A. Right middle and right lower
B. Left lower and left upper
C. Right lower and right upper
D. Right upper and right middle
A
Your patient with a history of COPD is being
evaluated in urgent care with respiratory distress.
Which of the following interventions would NOT
cause the patient to potentially develop worsening
of respiratory acidosis?
A. Initiation of BiPAP
B. Initiation of 15LPM oxygen via nonrebreather
mask
C. Administration of Xanax 0.5mg PO
, D. Initiation of CPAP with 4LPM oxygen bled in for
hypoxia
A
Which of the following findings is typically a sign of
acute appendicitis?
A. Positive Prehn's sign
B. A negative psoas sign
C. Positive Murphy's sign
D. A positive Rovsing's sign
D
A 49-year-old male presents to your service with
symptoms of fever 102.3, jaundice, and abdominal
pain. Imagining reveals a biliary obstruction. Which
diagnosis is most likely for this patient?
A. Choledocholithiasis
B. Cholangitis
C. Acute cholecystitis
D. Cholangiocarcinoma
B
A patient presents with blood present in the
anterior portion of their eye covering the lower half
of their iris. With which of the following diagnoses
is this most consistent?
