NURS6531 Final Exam

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NURS6531 Final Exam


Question 1

When completing this quiz, did you comply with Walden
University’s Code of Conduct including the expectations for academic integrity?

Question 2

Your patient has an elevated mean cell volume (MCV). What
should you be considering in terms of diagnosis?

Question 3

A patient presenting for an annual physical exam has a BMI
of 25 kg/m2 This patient would be classified as:

Question 4

The most effective intervention(s) to prevent stroke is

Question 5

Which of the following physical modalities recommended for
treatment of rheumatoid arthritis provides the most effective long term pain

Question 6

An 81-year-old female is diagnosed with type 2 diabetes.
When considering drug therapy for this patient, the nurse practitioner is most
concerned with which of the following side effects?

Question 7

Martin is complaining of erectile dysfunction. He also has a
condition that has reduced arterial blood flow to his penis. The most common
cause of this condition is:

Question 8

Prolonged PT suggests:

Question 9

Diagnostic radiological studies are indicated for low back

Question 10

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:

Question 11

Which of the following is not a risk factor associated with
the development of syndrome X and type 2 diabetes mellitus?

Question 12

Maria, age 17, was raped when she was 13 year old. She is
now experiencing sleeping problems, flashbacks, and depression. What is your
initial diagnosis?

Question 13

A patient exhibits extrapyramidal side effects of
antipsychotic medications. Which of the following symptoms would lead you to
look for another diagnosis?

Question 14

Which of the following statements about multiple sclerosis
(MS) is correct?

Question 15

Which patient would benefit most from screening for type 2

Question 16

Differential diagnosis of proteinuria includes which of the

Question 17

A 75-year-old female is diagnosed with primary
hyperparathyroidism and asks the nurse practitioner what the treatment for this
disorder is. The nurse practitioner explains:

Question 18

A middle-aged man presents to urgent care complaining of
pain of the medial condyle of the lower humerus. The man works as a carpenter
and describes a gradual onset of pain. On exam, the medial epicondyle is tender
and pain is increased with flexion and pronation. Range of motion is full The
most likely cause of this patient’s pain is:

Question 19

What intervention does the American College of Rheumatology
recommend as first line therapy for osteoarthritis?

Question 20

The cardinal sign of infectious arthritis is:

Question 21

Legal authority for advanced practice nursing rests with:

Question 22

The nurse
practitioner diagnoses epididymitis in a 24 year old sexually active male
patient. The drug of choice for treatment of this patient is:

Question 23

A patient has been taking fluoxetine (Prozac) since being
diagnosed with major depression, first episode, 2 months ago. She reports
considerable improvement in her symptoms and her intention to discontinue the
medication. What should be the nurse practitioner’s recommendation?

Question 24

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?

Question 25

Risk factors for prostate cancer include all of the
following except:

Question 26

An obese hyperlipidemic patient, newly diagnosed with type 2
diabetes mellitus, has fasting glucose values 180 to 250 mg/Dl. What is the
most appropriate initial treatment to consider?

Question 27

The primary goals of treatment for patients with alcohol
abuse disorder are:

Question 28

What is the most commonly abused substance?

Question 29

Central obesity, “moon” face, and dorsocervical fat pad are
associated with:

Question 30

Reed-Sternberg B lymphocytes are associated with which of
the following disorders:

Question 31

Deficiency of which nutritional source usually presents with
an insidious onset of paresthesias of the hands and feet that are usually

Question 32

The most commonly recommended method for prostate cancer
screening in a 55 year old male is:

Question 33

What is the most
common cause of Cushing’s syndrome?

Question 34

Urine cultures should be obtained for which of the following

Question 35

The cornerstone of treatment for stress fracture of the
femur or metatarsal stress fracture is:

Question 36

The 4 classic features of Parkinson’s disease are:

Question 37

The correct treatment for ankle sprain during the first 48
hours after injury includes:

Question 38

Martin, age 24, presents with an erythematous ear canal,
pain, and a recent history of swimming. What do you suspect?

Question 39

The nurse practitioner is following a child with juvenile
rheumatoid arthritis (JRA) who has been previously diagnosed and is being
managed for the disease by a pediatric rheumatologist. The mother asks for
information about the child’s long term prognosis. What is the most appropriate

Question 40

Josh, age 22, is a stock boy and has an acute episode of low
back pain. You order and NSAID and tell him which of the following?

Question 41

The initial clinical sign of Dupuytren’s contracture is:

Question 42

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?

Question 43

In which of the following presentations is further
diagnostic testing not warranted?

Question 44

A 27 year old female
patient with epilepsy is well controlled with phenytoin (Dilantin). She
requests information about contraception. The nurse practitioner should
instruct her that while taking phenytoin:

Question 45

A patient complains of generalized joint pain and stiffness
associated with activity and relieved with rest. This patient history is
consistent with which of the following disorders?

Question 46

Beth, age 49, comes in with low back pain. An x-ray of the
lumbosacral spine is within normal limits. Which of the following diagnoses do
you explore further?

Question 47

The intervention known to be most effective in the treatment
of severe depression, with or without psychosis, is:

Question 48

Establishment of a definitive diagnosis of osteomyelitis

Question 49

Dave, age 38, states that he thinks he has an ear infection
because he just flew back from a business trip and feels unusual pressure in
his ear. You diagnose barotrauma. What is your next action?

Question 50

Successful management of a patient with attention deficit
hyperactivity disorder (ADHD) may be achieved with:

Question 51

A 15 year-old female patient is 5 feet tall and weighs 85
pounds. You suspect anorexia and know that the best initial approach is to:

Question 52

Diagnostic confirmation of acute leukemia is based on:

Question 53

What conditions must be met for you to bill “incident to”
the physician, receiving 100% reimbursement from Medicare?

Question 54

Potential causes of septic arthritis include which of the

Question 55

What diabetic complications result from hyperglycemia?


resistant to treatment

Peripheral neuropathy


Question 56

A patient taking
levothyroxine is being over-replaced. What condition is he at risk for?

Question 57

Which of the following patients most warrants screening for

Question 58

You have a new patient that presents with generalized
lymphadenopathy. You know that this is indicative of:

Question 59

A typical description of a tension headache is:

Question 60

What is the first symptom seen in the majority of patients
with Parkinson’s disease?

Question 61

A 26 year old female
presents with elbow pain that is described as aching and burning. There is
point tenderness along the lateral aspect of the elbow and painful passive
flexion and extension. She reports she has been playing tennis almost daily for
the past month. The most likely diagnosis is:

Question 62

The most effective treatment of non-infectious bursitis

Question 63

Which of the following medications increase the risk for
metabolic syndrome?

Question 64

Which history is commonly found in a patient with

Question 65

Warfarin (Coumadin) is prescribed for a frail, elderly male
with new onset atrial fibrillation. The goal INR for this patient should be:

Question 66

Other than smoking cessation, which of the following slows
the progression of COPD in smokers?

Question 67

The hallmark of neurofibromatosis (von Recklinghausen’s
disease) present in almost 100% of patients is:

Question 68

The organism most often associated with prostatitis is:

Question 69

Potential causes of hypocalcemia include which of the

Question 70

A patient has been diagnosed with generalized anxiety
disorder (GAD). Which of the following medications may be used to treat
generalized anxiety disorder?

Question 71

The most common cause of elevated liver function tests is:

Question 72

A 28-year-old female presents to the office requesting
testing for diagnosis of hereditary thrombophilia. Her father recently had a
deep vein thrombosis and she is concerned about her risk factors. The nurse
practitioner explains that:

Question 73

Which is the most common cause of end-stage renal disease in
the United States?

Question 74

A diabetic patient is taking low-dose enalapril for
hypertension. A record of the patient’s blood pressure over 4 weeks ranges from
130 to 142 mmHg systolic and 75 to 85 mmHg diastolic. How should the nurse
practitioner respond?

Question 75

A patient has just been diagnosed with Bell’s palsy. He is
understandably upset and has questions about the prognosis. You response should

Question 76

Major depression occurs most often in which of the following

Question 77

At what age is screening most likely to detect scoliosis?

Question 78

A 20 year old male patient complains of “scrotal swelling.”
He states his scrotum feels heavy, but denies pain. On examination, the nurse
practitioner notes transillumination of the scrotum. What is the most likely

Question 79

Sam, age 67, is a diabetic with worsening renal function. He
has frequent hypoglycemic episodes, which he believes means that his diabetes
is getting “better.” How do you respond?

Question 80

Which of the following set of symptoms should raise
suspicion of a brain tumor?

Question 81

What is the first step in the treatment of uric acid kidney

Question 82

A 35 year old male
presents with a complaint of low pelvic pain, dysuria, hesitancy, urgency, and
reduced force of stream. The nurse practitioner suspects acute bacterial
prostatitis. Which of the following specimens would be least helpful for

Question 83

A 72 year old female
patient reports a 6 month history of gradually progressive swollen and painful
distal interphalangeal (DIP) joints of one hand. She has no systemic symptoms
but the erythrocyte sedimentation rate (ESR), antinuclear antibody (ANA), and
rheumatoid factor (RF) are all minimally elevated. What is the most likely

Question 84

How do you respond when Jessica, age 42, asks you what
constitutes a good minimum cardiovascular workout?

Question 85

The most reliable diagnostic indicator of gout is:

Question 86

What information should patients with diabetes and their
families receive about hypoglycemia?

Question 87

Martin, a 58 year old male with diabetes, is at your office
for his diabetes follow up. On examining his feet with monofilament, you
discover that he has developed decreased sensation in both feet. There are no
open areas or signs of infection on his feet. What health teaching should
Martin receive today regarding the care if his feet?

Question 88

Microalbuminuria is a measure of:

Question 89

Sally, a computer programmer, has just been given a new
diagnosis of carpal tunnel syndrome. Your next step is to:

Question 90

A 63-year-old man presents to the office with hematuria,
hesitancy, and dribbling. Digital rectal exam (DRE) reveals a moderately
enlarged prostate that is smooth. The PSA is 1.2. What is the most appropriate
management strategy for you to follow at this time?

Question 91

The best test to determine microalbuminuria to assist in the
diagnosis of diabetic neuropathy:

Question 92

Which factors are associated with high risk for foot
complications in a patient with diabetes mellitus?


Abnormal nails

Abnormal gait

Poorly controlled lipids

Question 93

After treating a patient for Helicobacter pylori infection,
what test do you order to see if it has been cured?

Question 94

A 14 year old female cheerleader reports gradual and
progressive dull anterior knee pain, exacerbated by kneeling. The nurse
practitioner notes swelling and point tenderness at the tibial tuberosity.
X-ray is negative. What is the most likely diagnosis?

Question 95

A patient has been diagnosed with hypothyroidism and thyroid
hormone replacement therapy is prescribed. How long should the nurse
practitioner wait before checking the patient’s TSH?

Question 96

A 32 year old male
patient complains of urinary frequency and burning on urination for 3 days.
Urinalysis reveals bacteriuria. He denies any past history of urinary tract
infection. The initial treatment should be:

Question 97

A 25 year old
overweight patient presents with a complaint of dull achiness in his groin and
history of a palpable lump in his scrotum that “comes and goes”. On physical
examination, the nurse practitioner does not detect a scrotal mass. There is no
tenderness, edema, or erythema of the scrotum, the scrotum does not
transilluminate. What is the most likely diagnosis?

Question 98

Which of the following is the most common cause of low back

Question 99

A nurse practitioner diagnoses a 60 year old male with
balanitis. Which disease is commonly associated with balanitis?

Question 100

Which of the following characteristics are associated with
prepatellar bursitis?

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