NR667 CEA FNP All +400 Questions With Correct
Answers/ Verified Answers| Graded A+ Study
Guide 2024|Test Bank
A geriatric patient with a history of gout presents with an acute attack. He had
stopped taking allopurinol (Zyloprim) for a few months but resumed taking it a few
days ago when the pain returned. He says that the pain is getting worse. The nurse
practitioner should:
A. Continue allopurinol and encourage dietary changes to avoid foods high in purines
B. Start another hypouricemic agent such as probenecid and titrate allopurinol to a
lower dose
C. Start the patient on a short-term steroid
D. Continue allopurinol and order a serum uric acid test to confirm gout as the
diagnosis
C
Which of the following fine motor skills is typically expected of a 3-year-old child?
A. Writing their own name
B. Stacking 10 blocks
C. Drawing a straight line
D. Using a pincer grasp to pick up small objects
C
Which of the following is a common physical sign of bulimia nervosa?
A. Persistant fever
B. Enlargement of the thyroid gland
C. Calluses or scars on the knuckles
D. Rapid fluctuation in weight gain or loss
C
,Which of the following symptoms are not found in anti-depressant discontinuation
syndrome?
A. Imbalance
B. Flu-like symptoms
C. Hypersomnia
D. Hyperarousal
C
our patient who has undergone right upper lobectomy for stage II adenocarcinoma
does not have any nodes positive for metastasis on pathology. Which of the following
stages is ruled out by the absence of positive lymph nodes?
A. Stage III
B. Stage I
C. Stage II
D. Stage IV
A
Which of the following medications is not considered part of optimal medical therapy
for a 54-year-old male patient with a diagnosis of heart failure with reduced ejection
fraction (HFrEF) with an EF of 30%, known coronary artery disease, and normal renal
function?
A. Carvedilol (Coreg)
B. Spironolactone (Aldactone)
,C. Aspirin
D. Diltiazem (Cardizem)
D
An otherwise healthy patient reports episodes of palpitations lasting less than 5
minutes and occurring 3-5 times daily. The patient describes a substernal flip-flop
sensation with a sudden rapid heart rate, ending with a forceful beat. Holter
monitoring would most likely document:
A. Sinus tachycardia
B. Premature ventricular contraction (extrasystole)
C. Paroxysmal supraventricular tachycardia
D. Atrial flutter
C
An adult patient presents with tachycardia and nervousness. The patient is currently
taking levothyroxine (Synthroid), 75 mcg daily. The nurse practitioner orders a
thyroid-stimulating hormone (TSH) and anticipates having to:
A. lower the dose to 50 mcg daily.
B. continue the same daily dose.
C. raise the dose to 100 mcg daily.
D. add atenolol, 50 mg daily.
, A
A patient is having increased thirst and urination. You have ruled out diabetes
mellitus. After a compete history and physical you suspect diabetes insipidus. Your
initial lab tests should include?
A. Plasma sodium, 24-hour urine osmolality and volume
B. Recording Intake and output
C. Plasma sodium and renal US
D. Renal US and 24-hour urine for volume
A
A 45-year-old woman presents with chronic diarrhea, weight loss, and abdominal
pain. Endoscopy reveals villous atrophy of the small intestine. What is the most
appropriate initial management?
A. Antibiotics
B. Lactose-free diet
C. Gluten-free diet
D. High-fiber diet
C
A 34-year-old male with past medical history of alcohol abuse, cirrhosis, hypertension,
and CAD presents with hematemesis. Patient does not report and symptoms or prior
vomiting prior to the episode of hematemesis. What would be a likely cause of patients
upper GI bleed?
A. Ulcer bleed
B. Peptic ulcer bleed
Answers/ Verified Answers| Graded A+ Study
Guide 2024|Test Bank
A geriatric patient with a history of gout presents with an acute attack. He had
stopped taking allopurinol (Zyloprim) for a few months but resumed taking it a few
days ago when the pain returned. He says that the pain is getting worse. The nurse
practitioner should:
A. Continue allopurinol and encourage dietary changes to avoid foods high in purines
B. Start another hypouricemic agent such as probenecid and titrate allopurinol to a
lower dose
C. Start the patient on a short-term steroid
D. Continue allopurinol and order a serum uric acid test to confirm gout as the
diagnosis
C
Which of the following fine motor skills is typically expected of a 3-year-old child?
A. Writing their own name
B. Stacking 10 blocks
C. Drawing a straight line
D. Using a pincer grasp to pick up small objects
C
Which of the following is a common physical sign of bulimia nervosa?
A. Persistant fever
B. Enlargement of the thyroid gland
C. Calluses or scars on the knuckles
D. Rapid fluctuation in weight gain or loss
C
,Which of the following symptoms are not found in anti-depressant discontinuation
syndrome?
A. Imbalance
B. Flu-like symptoms
C. Hypersomnia
D. Hyperarousal
C
our patient who has undergone right upper lobectomy for stage II adenocarcinoma
does not have any nodes positive for metastasis on pathology. Which of the following
stages is ruled out by the absence of positive lymph nodes?
A. Stage III
B. Stage I
C. Stage II
D. Stage IV
A
Which of the following medications is not considered part of optimal medical therapy
for a 54-year-old male patient with a diagnosis of heart failure with reduced ejection
fraction (HFrEF) with an EF of 30%, known coronary artery disease, and normal renal
function?
A. Carvedilol (Coreg)
B. Spironolactone (Aldactone)
,C. Aspirin
D. Diltiazem (Cardizem)
D
An otherwise healthy patient reports episodes of palpitations lasting less than 5
minutes and occurring 3-5 times daily. The patient describes a substernal flip-flop
sensation with a sudden rapid heart rate, ending with a forceful beat. Holter
monitoring would most likely document:
A. Sinus tachycardia
B. Premature ventricular contraction (extrasystole)
C. Paroxysmal supraventricular tachycardia
D. Atrial flutter
C
An adult patient presents with tachycardia and nervousness. The patient is currently
taking levothyroxine (Synthroid), 75 mcg daily. The nurse practitioner orders a
thyroid-stimulating hormone (TSH) and anticipates having to:
A. lower the dose to 50 mcg daily.
B. continue the same daily dose.
C. raise the dose to 100 mcg daily.
D. add atenolol, 50 mg daily.
, A
A patient is having increased thirst and urination. You have ruled out diabetes
mellitus. After a compete history and physical you suspect diabetes insipidus. Your
initial lab tests should include?
A. Plasma sodium, 24-hour urine osmolality and volume
B. Recording Intake and output
C. Plasma sodium and renal US
D. Renal US and 24-hour urine for volume
A
A 45-year-old woman presents with chronic diarrhea, weight loss, and abdominal
pain. Endoscopy reveals villous atrophy of the small intestine. What is the most
appropriate initial management?
A. Antibiotics
B. Lactose-free diet
C. Gluten-free diet
D. High-fiber diet
C
A 34-year-old male with past medical history of alcohol abuse, cirrhosis, hypertension,
and CAD presents with hematemesis. Patient does not report and symptoms or prior
vomiting prior to the episode of hematemesis. What would be a likely cause of patients
upper GI bleed?
A. Ulcer bleed
B. Peptic ulcer bleed
