NRNP 6568 Week 4 Comprehensive Practice Quiz Walden University 2024

Question 1 1 / 1 pts Martin is a 17y/o male who comes to the clinic with the following chief complaint: “I have pain around my belly button and have had no appetite for the past 24 hours. I have had some nausea and have vomited three times. I have had a low-grade fever also.” During the clinical exam, the NP notices that Martin has some guarding and rebound tenderness in the RLQ. The most likely diagnosis for this patient is: Acute appendicitis Cholecystitis Acute diverticulosis Acute pancreatitis Question 2 1 / 1 pts Diagnostic studies for Type II diabetes mellitus would include which of the following: HbA1C (6.5%) Fasting plasma glucose (= to or 126 mg/dL) Random plasma glucose (200 mg/dL) All of the above None of the above Question 3 1 / 1 pts Amanda was out hiking with her boyfriend in the woods. When she gets home, she notices that she has an inflammatory skin reaction caused by something she picked up in the woods. The next day she sees bright red pruritic lesions on her lower extremities that are moist and painful. Treatment for Amanda’s condition would include which of the following? A. Topical steroids B. Triamcinolone C. Calamine lotion D. Oatmeal baths (Aveeno) E. All of the above F. All of the above except D IncorrectQuestion 4 0 / 1 pts John is a 7 y/o whose mother brings him to the clinic with the following chief complaint: “He fidgets and squirms all the time. His teachers tell me he has difficulty remaining in his seat, talks excessively, can’t wait for his turn, interrupts conversations, and acts like a robot.” Differential diagnoses for John would include all the following except: Autism spectrum disorder Language delay Dysfunctional family situation Laziness Question 5 1 / 1 pts Adela is a 38 y/o overweight female who presents to the clinic with RUQ pain that occurs approximately 1 hour after eating a fatty meal. The most likely diagnosis for Adela is: Acute pancreatitis Acute cholecystitis Crohn’s disease Ulcerative colitis Question 6 1 / 1 pts Martin is a 17 y/o male who comes to the clinic with the following chief complaint: “I have pain around my belly button and have had no appetite for the past 24 hours. I have had some nausea and have vomited three times. I have had a low-grade fever also.” During the clinical exam, the NP notices that Martin has some guarding and rebound tenderness in the RLQ. In the physical exam, the NP performs some abdominal maneuvers. What would be the most appropriate maneuvers for Martin’s symptomatology? A. Psoas sign B. Obturator sign C. Rovsing’s sign D. Murphy’s sign E. A, B and C only F. All of the above Question 7 1 / 1 pts Michael is 2 months old and his mother brings him to the clinic for his 2- month vaccinations. Which is the correct combination of vaccines that he needs? Hep A, Tdap, PCV, Polio Hep B, Tdap, Hib, Hep A Hep B, DTaP, Hib, PCV Hep B, DTaP, IPV Question 8 1 / 1 pts Sara is a 38 y/o multipara who is in her 6th–7th month of pregnancy with her fourth child. She has a new onset of vaginal bleeding that is worsened by intercourse. On external physical exam, you note that her uterus is soft and non-tender to palpation. The most likely diagnosis for this condition is: Placental abruption Severe preeclampsia Placenta previa None of the above Question 9 1 / 1 pts Jay is a 72 y/o male who comes to the clinic with the following chief complaint: “I have been feeling very tired recently and having trouble breathing when I go upstairs. I noticed that my ankles and feet are swollen and I have been putting on weight.” The most likely diagnosis for this patient is: Acute myocardial infarction (AMI) Infective endocarditis Congestive heart failure (CHF) Dissecting abdominal aortic aneurysm (AAA) Question 10 1 / 1 pts Carter, a 74 y/o male, comes for his annual physical exam and the NP notes that he has a very loud murmur with her scope off his chest, and that there is also an obvious thrill. This would describe which grade of murmur? Grade III Grade IV Grade V Grade 6 Question 11 1 / 1 pts Jane is a 57 y/o female whose husband of 35 years just passed away in the past 6 months. Jane comes to the clinic and says: “I cry all the time. I can’t sleep, I have no energy, I have lost 20 pounds in the past 2 months, and I get easily agitated. What’s wrong with me?” Anxiety Minor depression Major depression None of the above Question 12 1 / 1 pts The use of steroids in the treatment of fungal infections will worsen the infection. True False Question 13 1 / 1 pts Cellulitis is usually caused by a gram-negative bacterium. True False Question 14 1 / 1 pts Andre is a 52 y/o construction worker who stayed home today because he was having severe chest pain. His wife calls the clinic and describes his symptoms as: squeezing chest tightness, with pain that radiates to the left side of his neck, jaw, and left arm. The NP’s immediate response should be to tell the wife: Begin CPR and then call 911. Call 911 immediately. Have the wife drive the patient to the ER. Call back if the intensity of the pain increases. Question 15 1 / 1 pts John is a 7 y/o whose mother brings him to the clinic with the following chief complaint: “He fidgets and squirms all the time. His teachers tell me he has difficulty remaining in his seat, talks excessively, can’t wait for his turn, interrupts conversations, and acts like a robot.” After evaluation, the NP determines that he probably has which of the following: Attention-deficit/hyperactive disorder (ADHD) Developmental delays Learning disability Poor parenting Question 16 1 / 1 pts The CDC recommends that after a child receives a vaccine (s)he should be monitored for: 15 minutes 20 minutes 30 minutes 60 minutes Question 17 1 / 1 pts John is a 26 y/o Caucasian male who works as a landscaper for his father’s business. During the past couple of months, he has noticed a small dark popular lesion on his neck. He states that it sometimes bleeds and is a “sore that never heals.” The NP notes that he has a circumscribed 2mm lesion at the base of his neck just below the hairline. The most appropriate treatment for John’s lesion would be: Apply Aldara Cream Electrocautery Mohs surgery “Watch and wait” Question 18 1 / 1 pts Sara is a 38 y/o multipara who is in her 6th–7th month of pregnancy with her fourth child. She has a new onset of vaginal bleeding that is worsened by intercourse. On external physical exam, you note that her uterus is soft and non-tender to palpation. If Sara started having uterine cramping, then the most appropriate immediate treatment would be: Vaginal exam Ultrasound of the uterus C-section Intravenous magnesium Question 19 1 / 1 pts Marty is an 18 y/o outdoorsman who loves hiking in the woods. Marty notes that he was hiking about 10 days ago, and now he has a red rash with a central clearing that looks like a target. The rash is rough and hot to the touch. He now has flu-like symptoms. The NP diagnoses this rash as: Eczema Brown recluse spider bite Lyme disease Actinic keratosis Question 20 1 / 1 pts According to the CDC, an infant can start receiving live attenuated vaccine at 6 months of age. True False Question 21 1 / 1 pts Ann is a primigravida in her 35th week of pregnancy and presents to the clinic with severe recurrent headaches, blurred vision, pitting edema, and right upper quadrant pain. Additionally, she has oliguria, nausea, and vomiting. Her urine protein is 1+. Her most likely diagnosis is: Placentia previa Hemolysis, elevated liver enzymes, and low platelets (HEELP) syndrome Placental abruption Severe preeclampsia Question 22 1 / 1 pts Bobby is a 20 y/o African American male who comes to the clinic with the following presentation. His BMI is 85% for his age and sex. His PMH indicates hypertension, hyperlipidemia, and acanthosis nigricans. Based on his PMH and presenting symptoms, the NP would most likely be inclined to identify him as having: Pheochromocytoma Type 1 diabetes mellitus Type 2 diabetes None of the above Question 23 1 / 1 pts Sara is a 38 y/o multipara who is in her 6th–7th month of pregnancy with her fourth child. She has a new onset of vaginal bleeding that is worsened by intercourse. On external physical exam, you note that her uterus is soft and non-tender to palpation. Knowing that her cervix is not dilated, the most appropriate treatment would be: An emergency room visit Strict bedrest Hospitalization All of the above Question 24 1 / 1 pts Bonnie is a 76 y/o female patient who resides in a nursing home. She is currently on a 10-day course of Clindamycin for a recurrent bacterial vaginal infection. She has started having 10–15 watery stools per day. The NP recognizes this as: Crohn’s disease Ulcerative colitis Clostridium difficile colitis None of the above Question 25 1 / 1 pts Andrew, a 41 y/o male resident of Oklahoma, presents to the clinic in July with the following symptoms: fever, chills, severe headache photophobia, and myalgia. He states that since his fever occurred 2 days ago, he now has this rash of petechiae on wrists, forearms, and ankles. The first line pharmacological treatment for Andrew would include: Chloramphenicol Doxycycline Ampicillin Penicillin Question 26 1 / 1 pts Jay is a 72 y/o male who comes to the clinic with the following chief complaint: “I have been feeling very tired recently and having trouble breathing when I go upstairs. I noticed that my ankles and feet are swollen and I have been putting on weight.” Treatment for Jay’s diagnosis could include which of the following? A. Diuretics B. Calcium channel blockers C. Beta blockers D. All of the above E. A & C only Question 27 1 / 1 pts Andrew is a 37 y/o male who comes to the clinic with the following symptoms: insomnia, feelings of worthlessness, and being easily fatigued. Given his symptoms the most likely diagnosis would be: Major depression Minor depression Suicidal ideation Anxiety Question 28 1 / 1 pts Which vaccine is required at birth of a newborn? Hepatitis A Hepatitis B DTAP Tdap Question 29 1 / 1 pts The typical ratio of basal to bolus insulin is: 70:30 or 55:45 50:50 or 60:40 40:60 to 45:55 None of the above Question 30 1 / 1 pts Maria is a 26 y/o female in her third trimester of pregnancy. She has a sudden onset of vaginal bleeding and has a hypertonic uterus. She has a history of hypertension secondary to previous cocaine use. Her most likely diagnosis would be: Placental abruption Placenta previa Severe preeclampsia Uterine rupture