Walden NURS6531 Midterm Exam Graded

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Walden NURS6531 Midterm Exam Graded

Question

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

Answers:

Yes

No

• Question
2 The most common cancer found on
the auricle is:

Answers: Actinic
keratosis

Basal cell carcinoma

Squamous
cell carcinoma

Acral-lentiginous
melanoma

• Question
3 Which of the following
medication classes should be avoided in patients with acute or chronic
bronchitis because it will contribute to ventilation-perfusion mismatch in the
patient?

Answers: Xanthines

Antihistimines

Steroids

Anticholinergics

• Question
4 A 47 year old male patient
presents to the clinic with a single episode of a moderate amount of bright red
rectal bleeding. On examination, external hemorrhoids are noted. How should the
nurse practitioner proceed?

Answers: Instruct
the patient on measures to prevent hemorrhoids such as bowel habits and diet.

Order a
topical hemorrhoid cream along with a stool softener.

Refer the patient for a barium enema and sigmoidoscopy.

Refer
the patient for a surgical hemorrhoidectomy.

• Question
5 Which of the following patient
characteristics are associated with chronic bronchitis?

Answers:

Overweight, cyanosis, and normal or slightly increased
respiratory rate

Underweight,
pink skin, and increased respiratory rate

Overweight,
pink skin, and normal or slightly increased respiratory rate

Normal
weight, cyanosis, and greatly increased respiratory rate

• Question
6 A 65-year-old female with a
past medical history of hypertension, hyperlipidemia, and polymyalgia
rheumatica presents to urgent care with new onset left lower quadrant pain. Her
current medications include omeprazole 20 milligrams po daily, lisinopril 20
milligrams po daily, simvastatin 20 milligrams po daily, and prednisone 12
milligrams po daily. The nurse practitioner suspects acute diverticulitis and
possibly an abscess. The most appropriate diagnostic test for this patient at
this time is:

Answers: CBC/diff

Erythrocyte
sedimentation rate

Abdominal
ultrasound

CT scan

• Question
7 A patient reports “something
flew in my eye” about an hour ago while he was splitting logs. If there were a
foreign body in his eye, the nurse practitioner would expect to find all
except:

Answers:

Purulent drainage

Tearing

Photophobia

A
positive fluorescein stain

• Question
8 A 21 year old college student
presents to the student health center with copious, markedly purulent discharge
from her left eye. The nurse practitioner student should suspect:

Answers: Viral
conjunctivitis

Common
pink eye

Gonococcal conjunctivitis

Allergic
conjunctivitis

• Question
9 A 35 year old man presents
with radicular pain followed by the appearance of grouped vesicles consisting
of about 15 lesions across 3 different thoracic dermatomes. He complains of
pain, burning, and itching. The nurse practitioner should suspect:

Answers: A
common case of shingles and prescribe an analgesic and an antiviral agent

A
complicated case of shingles and prescribe acyclovir, an analgesic, and a
topical cortisone cream

Herpes zoster and consider that this patient may be
immunocompromised

A
recurrence of chickenpox and treat the patient’s symptoms

• Question
10 Which type of lung cancer has
the poorest prognosis?

Answers: Adenocarcinoma

Epidermoid
carcinoma

Small cell carcinoma

Large
cell carcinoma

• Question
11 An 83-year-old female presents
to the office complaining of diarrhea for several days. She explains she has
even had fecal incontinence one time. She describes loose stools 3–4 times a
day for several weeks and denies fever, chills, pain, recent antibiotic use.
The history suggests that the patient has:

Answers: Acute
diarrhea

Chronic diarrhea

Irritable
bowel

Functional
bowel disease

• Question
12 Margaret, age 32, comes into the
office with painful joints and a distinctive rash in a butterfly distribution
on her face. The rash has red papules and plaques with a fine scale. What do
you suspect?

Answers: An
allergic reaction

Relapsing
polychondritis

Lymphocytoma
cutis

Systemic lupus erythematosus

• Question
13 Antibiotic administration has
been demonstrated to be of little benefit to the treatment of which of the
following disease processes?

Answers: Chronic
sinusitis

Acute bronchitis

Bacterial
pneumonia

Acute
exacerbation of chronic bronchitis

• Question
14 Lisa, age 49, has daily symptoms
of asthma. She uses her inhaled short-acting beta-2 agonist daily. Her
exacerbations affect her activities and they occur at least twice weekly and
may last for days. She is affected more than once weekly during the night with
an exacerbation. Which category of asthma severity is Lisa in?

Answers: Mild
intermittent

Mild
persistent

Moderate persistent

• Question
15 Which of the following is the
most appropriate therapeutic regimen for an adult patient with no known
allergies diagnosed with group A B-hemolytic strep?

Answers:

Penicillin V 500 milligrams PO every 8 hours for 10 days

Ampicillin
250 milligrams PO twice a day for 10 days

Clarithromycin
500 milligrams po daily for 7 days

None of
the above

• Question
16 A cashier complains of dull ache
and pressure sensation in her lower legs. It is relieved by leg elevation. She
occasionally has edema in her lower legs at the end of the day. What is the
most likely cause of these problems?

Answers: Congestive
heart failure

Varicose veins

Deep
vein thrombosis

Arterial
insufficiency

• Question
17 Which statement below is correct
about pertussis?

Answers:

It is also called whooping cough

It
begins with symptoms like strep throat

It
lasts about 3 weeks

It
occurs most commonly in toddlers and young children

• Question
18 Which of the following is the
most important diagnosis to rule out in the adult patient with acute
bronchitis?

Answers:

Pneumonia

Asthma

Sinusitis

Pertussis

• Question
19 A 70 year old patient presents
with left lower quadrant (LLQ) abdominal pain, a markedly tender palpable
abdominal wall, fever, and leukocytosis. Of the following terms, which
correctly describes the suspected condition?

Answers: Diverticulosis

Diverticula

Diverticulitis

Diverticulum

• Question
20 Sylvia, age 83, presents with a
3 day history of pain and burning in the left forehead. This morning she
noticed a rash with erythematous papules in that site. What do you suspect?

Answers: Varicella

Herpes zoster

Syphilis

Rubella

• Question
21 A 33-year-old female is admitted
with acute pancreatitis. The nurse practitioner knows that the most common
cause of pancreatitis is:

Answers: Alcohol

Gallstones

Medications

Pregnancy

• Question
22 When a patient presents with
symptoms of acute gallbladder disease, what is the appropriate nurse
practitioner action?

Answers: Order
abdominal x-rays

Order an abdominal ultrasound

Refer
the patient to a surgeon for evaluation

Prescribe
pain medication

• Question
23 A false-positive result with the fecal occult blood test can result from:

Answers: ingestion
of large amounts of vitamin C

a high dietary intake of rare cooked beef

a
colonic neoplasm that is not bleeding

stool
that has been stored before testing

• Question
24 A 76-year-old male complains of
weight loss, nausea, vomiting, abdominal cramping and pain. Physical findings
include an abdominal mass and stool positive for occult blood. The nurse
practitioner pain suspects a tumor in the small intestine. The best diagnostic
test for this patient is:

Answers: Colonoscopy

Small bowel follow-through

Barium
enema

CT
abdomen

• Question
25 A patient presents to urgent
care complaining of dyspnea, fatigue, and lower extremity edema. The
echocardiogram reveals and ejection fraction of 38%. The nurse practitioner
knows that these findings are consistent with:

Answers: Mitral
regurgitation

Systolic heart failure

Cardiac
myxoma

Diastolic
heart failure

• Question
26 Maxine, Age 76, has just been
given a diagnosis of pneumonia. Which of the following is an indication that
she should be hospitalized?

Answers:

Multilobar involvement on chest x-ray with the inability to
take oral medications

Alert
and oriented, slightly high but stable vital signs, and no one to take care of
her at home

Sputum
and gram positive organisms

A
complete blood count showing leukocytosis

• Question
27 A 55 year old man is diagnosed
with basal cell carcinoma. The nurse practitioner correctly tells him:

Answers: “It
is the most common cause of death in patients with skin cancer.”

“It can be cured with surgical excision or radiation
therapy.”

“It is
a slow growing skin cancer that rarely undergoes malignant changes.”

“It can
be cured using 5-flurouracil cream twice daily for 2 to 4 weeks.”

• Question
28 Expected spirometry readings
when the patient has chronic emphysema include:

Answers: Decreased
residual volume (RV)

Increased
vital capacity (VC)

Increased
forced expiratory volume (FEV-1)

Increased total lung capacity (TLC)

• Question
29 An 80-year-old male admits to
difficulty swallowing during the review of systems. The nurse practitioner
recognizes the differential diagnosis for this patient’s dysphagia is:

Answers: Esophageal
cancer

Chest
pain

GERD

A and C

All of
the above

• Question
30 A 40 year old female with
history of frequent sun exposure presents with a multicolored lesion on her
back. It has irregular borders and is about 11mm in diameter. What should the
nurse practitioner suspect?

Answers: Squamous
cell carcinoma

Malignant melanoma

A
common nevus

Basal
cell carcinoma

• Question
31 Which of the following is not a
goal of treatment for the patient with cystic fibrosis?

Answers: Prevent
intestinal obstruction

Provide
adequate nutrition

Promote
clearance of secretions

Replace water-soluble vitamins

• Question
32 The nurse practitioner is
performing a physical exam on a middle-aged African-American man. Which of the
following areas is a common site for melanomas in African-Americans and other
dark-skinned individuals?

Answers: Scalp

Nails

Feet

B and C

All of
the above

• Question
33 An adult presents with tinea
corporis. Which item below is a risk factor for its development?

Answers:

Topical steroid use

Topical
antibiotic use

A
recent laceration

Cold
climates

• Question
34 A patient has experienced nausea
and vomiting, headache, malaise, low grade fever, abdominal cramps, and watery
diarrhea for 72 hours. His white count is elevated with a shift to the left. He
is requesting medication for diarrhea. What is the most appropriate response?

Answers: Prescribe
loperamide (Immodium) or atropine-diphenoxylate (Lomotil) and a clear liquid
diet for 24 hours.

Prescribe a broad-spectrum antibiotic such as ciprofloxacin
(Cipro), and symptom management.

Offer
an anti-emetic medication such as ondansetron (Zofran) and provide oral fluid
and electrolyte replacement instruction.

Order
stool cultures.

• Question
35 Janine, age 29, has numerous
transient lesions that come and go, and she is diagnosed with urticaria. What
do you order?

Answers: Aspirin

NSAIDs

Opioids

Antihistamines

• Question
36 Of the following signs and
symptoms of congestive heart failure (CHF), the earliest clinical manifestation
is:

Answers: Peripheral
edema

Weight gain

Shortness
of breath

Nocturnal
dyspnea

• Question
37 A 16 year old male presents with
mild sore throat, fever, fatigue, posterior cervical adenopathy, and palatine
petechiae. Without a definitive diagnosis for this patient, what drug would be
least appropriate to prescribe?

Answers: Ibuprofen

Erythromycin

Amoxicillin

Acetaminophen

• Question
38 A 70 year old man who walks 2
miles every day complains of pain in his left calf when he is walking. The
problem has gotten gradually worse and now he is unable to complete his 2 mile
walk. What question asked during the history, if answered affirmatively, would
suggest a diagnosis of arteriosclerosis obliterans?

Answers: “Are
you wearing your usual shoes?”

“Do you
also have chest pain when you have leg pain?”

“Is your leg pain relieved by rest?”

“Do you
ever have the same pain in the other leg?”

• Question
39 Which of the following
statements about malignant melanomas is true?

Answers: They
usually occur in older adult males

The
patient has no family history of melanoma

They
are common in blacks

The prognosis is directly related to the thickness of the
lesion

• Question
40 Sheila, age 78, presents with a chief complaint of waking up during the
night coughing. You examine her and find an S3 heart sound, pulmonary crackles
that do not clear with coughing, and peripheral edema. What do you suspect?

Answers: Asthma

Nocturnal
allergies

Valvular
disease

Heart failure

• Question
41 Which antibiotic would be the most effective in treating community acquired
pneumonia (CAP) in a young adult without any comorbid conditions?

Answers: Erythromycin

Clarithromycin (Biaxin)

Doxycycline
(Vibramycin)

Penicillin

• Question
42 Which of the following
dermatologic vehicles are the most effective in absorbing moisture and
decreasing friction?

Answers:

Powders

Gels

Creams

Lotion

• Question
43 A 70 year old patient presents
with a slightly raised, scaly, erythematous patch on her forehead. She admits
to having been a “sun worshiper.” The nurse practitioner suspects actinic
keratosis. This lesion is a precursor to:

Answers:

Squamous cell carcinoma

Basal
cell carcinoma

Malignant
melanoma

Acne
vulgaris

• Question
44 An elderly patient is being seen
in the clinic for complaint of “weak spells” relieved by sitting or lying down.
How should the nurse practitioner proceed with the physical examination?

Answers: Assist
the patient to a standing position and take her blood pressure.

Assess
the patient’s cranial nerves.

Compare the patient’s blood pressure lying first, then
sitting, and then standing.

Compare
the amplitude of the patient’s radial and pedal pulses.

• Question
45 What oral medication might be
used to treat chronic cholethiasis in a patient who is a poor candidate for
surgery?

Answers:

Ursodiol

Ibuprofen

Prednisone

Surgery is the only answer

• Question
46 A 46-year-old female with a past
medical history of diabetes presents with a swollen, erythematous right auricle
and is diagnosed with malignant otitis externa. The nurse practitioner knows
that the most likely causative organism for this patient’s problem is:

Answers: Staphylococcus
aureus

Group A
beta hemolytic streptococcus

Haemophilus
influenza

Pseudomonas aeruginosa

• Question
47 Which of the following is not a
symptom of irritable bowel syndrome?

Answers: Painful
diarrhea

Painful
constipation

Cramping
and abdominal pain

Weight loss

• Question
48 A patient comes in complaining
of 1 week of pain in the posterior neck with difficulty turning the head to the
right. What additional history is needed?

Answers:

Any recent trauma

Difficulty
swallowing

Stiffness in the right shoulder

Change
in sleeping habits

• Question
49 Marvin, age 56, is a smoker with
diabetes. He has just been diagnosed as hypertensive. Which of the following
drugs has the potential to cause the development of bronchial asthma and
inhibit gluconeogenesis?

Answers: ACE
Inhibitor

Beta Blocker

Calcium
channel blocker

Diuretic

• Question
50 The differential diagnosis for a
patient complaining of a sore throat includes which of the following?

Answers: Gonococcal
infection

Thrush

Leukoplakia

B only

A, B, and C

• Question
51 A patient presents to the primary care provider complaining of a rash on his
right forehead that started yesterday and is burning and painful. The physical
exam reveals an erythematous, maculopapular rash that extends over the
patient’s right eye to his upper right forehead. Based on the history and
examination, the most likely cause of this patient’s symptoms is:

Answers: Rhus
dermatitis

Ophthalmic zoster

Chemosis

Optic
neuritis

• Question
52 Before initiating an HMG
CoA-reductase inhibitor for hyperlipidemia, the nurse practitioner orders liver
function studies. The patient’s aminotransferase (ALT) is elevated. What
laboratory test(s) should be ordered?

Answers:

Serologic markers for hepatitis

Serum
bilirubin

Serum
cholesterol with HDL and LDL

A liver
biopsy

• Question
53 A patient with elevated lipids
has been started on lovastatin. After 3 weeks of therapy, he calls to report
generalized muscle aches. The nurse practitioner should suspect:

Answers: A
drug interaction

Hepatic
dysfunction

Hypersensitivity
to lovastatin

Rhabdomyolysis

• Question
54 Treatment of acute vertigo
includes:

Answers:

Bedrest and an antihistamine

Fluids
and a decongestant

A
sedative and decongestant

Rest
and a low sodium diet

• Question
55 Treatment of H.pylori includes
which of the following?

Answers: Proton
pump inhibitor

Antibiotic
therapy

Bismuth
subsalicylate

A and B

A, B, and C

• Question
56

Carl,
age 78, is brought to the office by his son, who states that his father has
been unable to see clearly since last night. Carl reports that his vision is
“like looking through a veil.” He also sees floaters and flashing lights but is
not having any pain. What do you suspect?

Answers: Cataracts

Glaucoma

Retinal detachment

Iritis

• Question
57In order to decrease deaths from lung cancer:

Answers: All
smokers should be screened annually

All
patients should be screened annually

Only
high risk patients should be screened routinely

Patients should be counseled to quit smoking

• Question
58 John, age 33, has a total
cholesterol level of 188 mg/dL. How often should he be screened for
hypercholesterolemia?

Answers:

Every 5 years

Every 2
years

Every year

Whenever
blood work is done

• Question
59 Mort is hypertensive. Which of
the following factors influenced your choice of using an alpha blocker as the
antihypertensive medication?

Answers: Mort
is black

Mort
also has congestive heart failure

Mort has benign
prostatic hyperplasia

Mort has frequent migraine headaches

• Question
60 John, age 59, presents with
recurrent, sharply circumscribed red papules and plaques with a powdery white
scale on the extensor aspect of his elbows and knees. What do you suspect?

Answers: Actinic
keratosis

Eczema

Psoriasis

Seborrheic
dermatitis

• Question
61 Harriet, a 79-year-old woman,
comes to your office every 3 months for follow up on her hypertension. Her
medications include one baby aspirin daily, Lisinopril 5mg daily, and Calcium
1500 mg daily. At today’s visit. Her blood pressure is 170/89. According to JNC
VIII guidelines, what should you do next to control Harriet’s blood pressure?

Answers: Increase
her Lisinopril to 20mg daily

Add a thiazide diuretic to the Lisinopril 5mg daily

Discontinue
the Lisinopril and start a combination of ACE Inhibitor and calcium channel
blocker

Discontinue
the Lisinopril and start a diuretic

• Question
62 An active 65-year-old man under
your care has known acquired valvular aortic stenosis and mitral regurgitation.
He also has a history of infectious endocarditis. He has recently been told he
needs elective replacement of his aortic valve. When he comes into the office
you discover that he has 10 remaining teeth in poor repair. Your recommendation
would be to:

Answers: defer
any further dental work until his valve replacement is completed

instruct
him to have dental extraction done cautiously, having no more than 2 teeth per
visit removed.

suggest he consult with his oral surgeon about having all
the teeth removed at once and receiving appropriate antibiotic prophylaxis

coordinate
with his cardiac and oral surgeons to have the tooth extractions and valve
replacement done at the same time to reduce the risk of anesthetic
complications.

• Question
63 Appropriate therapy for peptic
ulcer disease (PUD) is:

Answers: Primarily
by eradication of infection

Based on etiology

Aimed
at diminishing prostaglandin synthesis

Dependent
on cessation of NSAID use

• Question
64 Shirley, age 58, has been a
diabetic for 7 years. Her blood pressure is normal. Other than her diabetes
medications, what would you prescribe today during her routine office visit?

Answers: A
calcium channel blocker

A beta
blocker

An ACE Inhibitor

No
hypertension medication

• Question
65 Medicare is a federal program administered by the Centers for Medicare and
Medicaid Services (CMS). The CMS has developed guidelines for Evaluation and
Management coding, which all providers are expected to follow when coding
patient visits for reimbursement. Which of the following is an important
consideration regarding billing practices?

Answers: It
is important to “undercode” so that one does not get charged with Medicare
fraud

The
practice of “overcoding” is essential in this age of decreasing reimbursements

Failing to bill for billable services will lead to
unnecessarily low revenues

Time
spent with the patient is a very important determinant of billing

• Question
66 A 2 year old presents with a
white pupillary reflex. What is the most likely cause of this finding?

Answers: Viral
conjunctivitis

Glaucoma

Corneal
abrasion

Retinoblastoma

• Question
67 Harvey has had Meniere’s disease
for several years. He has some hearing loss but now has persistent vertigo.
What treatment might be instituted to relieve the vertigo?

Answers: Pharmacological
therapy

A
labyrinthectomy

A vestibular neurectomy

Wearing
an earplug in the ear with the most hearing loss

• Question
68 Which of the following is not a
risk factor for coronary arterial insufficiency?

Answers: Hyperhomocysteinemia

Smoking

Genetic
factors

Alcohol ingestion

• Question
69 An 18-year-old female presents
to the urgent care center complaining of severe pruritus in both eyes that
started 2 days ago. Associated symptoms include a headache and fatigue. On
examination, the nurse practitioner notes some clear discharge from both eyes
and some erythema of the eyelids and surrounding skin. Which of the following
is the most likely cause of this patient’s symptoms?

Answers:

Allergic conjunctivitis

Bacterial
conjunctivitis

Gonococcal
conjunctivitis

Viral
conjunctivitis

• Question
70 A 20 year old is diagnosed with mild persistent asthma. What drug
combination would be most effective in keeping him symptom-free?

Answers: A
long-acting bronchodilator

An
inhaled corticosteroid and cromolyn

Theophylline
and a short acting bronchodilator

A bronchodilator PRN and an inhaled corticosteroid

• Question
71 Acute rheumatic fever is an
inflammatory disease which can follow infection with:

Answers:

Group A Streptococcus

Staphlococcus
areus

?-hemolytic
Streptococcus

Streptococcus
pyogenes

• Question
72 A 60 year old male diabetic
patient presents with redness, tenderness, and edema of the left lateral aspect
of his face. His left eyelid is grossly edematous. He reports history of a
toothache in the past week which “is better.” His temperature is 100°F and
pulse is 102 bpm. The most appropriate initial action is to:

Answers: Start
an oral antibiotic, refer the patient to a dentist immediately, and follow up
within 3 days

Order
mandibular x-rays and question the patient about physical abuse

Start
an oral antibiotic, mouth swishes with an oral anti-infective, and an analgesic

Initiate a parenteral antibiotic and consider hospital
admission

• Question
73 If a patient presents with a
deep aching, red eye and there is no discharge, you should suspect:

Answers:

Iritis

Allergic
conjunctivitis

Viral
conjunctivitis

Bacterial
conjunctivitis

• Question
74 The National Cholesterol
Education Program’s Adult Treatment Panel III recommends that the goal for low
density lipoproteins in high risk patients be less than:

Answers: 160
mg/dL

130
mg/dL

100 mg/dL

70
mg/dL

• Question
75 A patient presents with classic
symptoms of gastroesophageal reflux disease (GERD). He is instructed on life
style modifications and drug therapy for 8 weeks. Three months later he
returns, reporting that he was “fine” as long as he took the medication. The
most appropriate next step is:

Answers: Referral
for surgical intervention such as a partial or complete fundoplication

Dependent
upon how sever the practitioner believes the condition

To
repeat the 8 week course of drug therapy while continuing lifestyle
modifications

Investigation with endoscopy, manometry, and/or pH testing

• Question
76

Group A
?-hemolytic streptococcal (GABHS) pharyngitis is most common in which age
group?

Answers: Under
3 years of age

Preschool
children

6 to 12 years of age

Adolescents

• Question
77 The most appropriate treatment
for a child with mild croup is:

Answers: A
bronchodilator

An
antibiotic

A
decongestant

A cool mist vaporizer

• Question
78 A child complains that his
“throat hurts” with swallowing. His voice is very “throaty” and he is
hyperextending his neck to talk. Examination reveals asymmetrical swelling of
his tonsils. His uvula is deviated to the left. What is the most likely diagnosis?

Answers:

Peritonsillar abscess

Thyroiditis

Mononucleosis

Epiglottitis

• Question
79 Salmeterol (Servent) is
prescribed for a patient with asthma. What is the most important teaching point
about this medication?

Answers:

It is not effective during an acute asthma attack.

It may
take 2 to 3 days to begin working.

This
drug works within 10 minutes.

This
drug may be used by patients 6 years and older.

• Question
80 Which intervention listed below
is safe for long term use by an adult with constipation?

Answers:

Bulk-forming agents

Stool
softeners

Laxatives

Osmotic
agents

• Question
81 A 40 year old presents with a
hordeolum. The nurse practitioner teaches the patient to:

Answers:

Apply a topical antibiotic and warm compresses.

Apply
cool compresses and avoid touching the hordeolum.

Use an
oral antibiotic and eye flushes.

Apply
light palpation to facilitate drainage.

• Question
82 Sarah has allergic rhinitis and
is currently being bothered by nasal congestion. Which of the following meds
ordered for allergic rhinitis would be most appropriate?

Answers: An
antihistamine intranasal spray

A decongestant nasal spray

Ipratropium

Omalizumab

• Question
83 What is the Gold standard for
the diagnosis of asthma?

Answers: Patient’s
perception of clogged airways

Validated
quality-of-life questionnaires

Bronchoscopy

Spirometry

• Question
84 A patient complains of “an
aggravating cough for the past 6 weeks.” There is no physiological cause for
the cough. Which medication is most likely causing the cough?

Answers: Methyldopa

Enalapril

Amlodipine

Hydrochlorothiazide

• Question
85 Stacy, age 27, states that she
has painless, white, slightly raised patches in her mouth. They are probably
caused by:

Answers: Herpes
simplex

Aphthous
ulcers

Candidiasis

Oral
cancer

• Question
86 Risk factors for acute otitis
media (AOM) include all of the following except:

Answers: Household
cigarette smoke

Group
daycare attendance

Sibling
history of acute otitis media

African-American ethnicity

• Question
87 Which of the following can
result from chronic inflammation of a meibomian gland?

Answers:

A chalazion

Uveitis

Keratitis

A
pterygium

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

Answers: You
must initiate the plan of care for the patient

The physician must be on-site and engaged in patient care

You
must be employed as an independent contractor

You
must be the main health care provider who sees the patient

• Question
89 Of the following choices, the
least likely cause of cough is:

Answers: Asthma

Gastroesophageal
reflux

Acute pharyngitis

Allergic
rhinitis

• Question
90 The most common correlate(s)
with chronic bronchitis and emphysema is(are):

Answers: Familial
and genetic factors

Cigarette smoking

Air
pollution

Occupational
environment

• Question
91 Which choice below is least
effective for alleviating symptoms of the common cold?

Answers:

Antihistamines

Oral
decongestants

Topical
decongestants

Antipyretics

• Question
92 When teaching a patient with
hypertension about restricting sodium, you would include which of the following
instructions?

Answers: Diets
with markedly reduced intakes of sodium may be associated with other beneficial
effects beyond blood pressure control

Sodium
restriction can cause serious adverse effects

A goal
of 3 g of sodium chloride or 1.2 g of sodium per day is easily achievable

Seventy-five of sodium intake is derived from processed
foods

• Question
93 Which of the following heart murmurs
warrants the greatest concern?

Answers: Systolic
murmur

Venous
hum murmur

Diastolic murmur

Flow
murmur

• Question
94 A patient presents with an
inflamed upper eyelid margin. The conjunctiva is red and there is particulate
matter along the upper eyelid. The patient complains of a sensation that “there
is something in my eye.” What is the diagnosis and how should it be treated?

Answers: Hordeolum;
treat with a topical antibiotic and warm compress

Conjunctivitis;
treat with topical antibiotic and warm compresses

Blepharitis; treat with warm compresses and gentle
debridement with a cotton swab

Chalazion;
refer to an ophthalmologist for incision and drainage

• Question
95 A 57-year-old male presents to
urgent care complaining of substernal chest discomfort for the past hour. The
EKG reveals ST elevations in Leads II, III, and AVF. The nurse practitioner is
aware that these changes are consistent with which myocardial infarction
territory?

Answers:

Inferior wall

Anterior
wall

Apical
wall

Lateral
wall

• Question
96 The nurse practitioner observes
a tympanic membrane that is opaque, has decreased mobility, and is without
bulging or inflammation. The least likely diagnosis for this patient is:

Answers:

Acute otitis media (AOM)

Otitis
media with effusion

Mucoid
otitis media

Serous
otitis media

• Question
97 Alan, age 54, notices a bulge in
his midline every time he rises from bed in the morning. You tell him it is a
ventral hernia, also known as:

Answers: inguinal
hernia

epigastric hernia

umbilical
hernia

incisional
hernia

• Question
98 A 58-year-old man is diagnosed
with Barrett’s esophagus after an endoscopy. He has no known allergies. Which
of the following medications is MOST appropriate to treat this patient’s
disorder?

Answers:

Omeprazole

Ranitidine

An
antacid

None of
the above

• Question
99 Larry, age 66, is a smoker with
hyperlipidemia and hypertension. He is 6 months post-MI. To prevent
reinfarction, the most important behavior change that he can make is to:

Answers:

Quit smoking

Maintain
aggressive hypertension therapy

Stick
to a low-fat, low-sodium diet

Continue
with his exercise program

• Question
100 Risk factors for acute arterial
insufficiency include which of the following?

Answers: Recent
myocardial infarction

Atrial
fibrillation

Atherosclerosis

All of the above

• Question
101 Impetigo and folliculitis are
usually successfully treated with:

Answers: Systemic
antibiotics

Topical antibiotics

Topical
steroid creams

Cleansing
and debridement

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