Walden NRNP6568 2021 December Week 7 Comprehensive Quiz Latest

NRNP-6568F/DRNP-6568/DRNP-6568F/NRNP-6568

NRNP6568 Synthesis in Advanced Nursing Practice Care of Patients in Family Care Settings

Week 7 Comprehensive Quiz

Question 1Mary is a new mother who was tested HBsAG+ during her prenatal screening process. Upon the birth of her infant, the newborn should be given HBIG and Hep B within:

Selected Answer:           

 12 hours of birth

24 hours of birth

36 hours of birth

48 hours of birth

Question 2Sam is a 19 y/o male who comes to the clinic with a chief complaint of several weeks of fatigue and non-productive paroxysmal coughing. He initially had a sore throat, some rhinitis, and low-grade fever. His likely diagnosis is:

Selected Answer:           

Bronchitis

 Atypical pneumonia (Walking pneumonia)

Allergic rhinitis

Community acquired bacterial pneumonia

Question 3In treating patients for depression, the first line pharmacological treatment would be:

Selected Answer:           

Monoamine oxidase inhibitors (MAOIs)

Benzodiazepines

 Selective serotonin reuptake inhibitors (SSRIs)

Tricyclic antidepressants (TCAs)

Question 4The most common drug trigger for Stevens-Johnson Syndrome include all the following except:

Selected Answer:           

 ASA

NSAIDS

Anticonvulsants

Allopurinol

Question 5Risk factors for Alcohol Use Disorder include which of the following?

Selected Answer:           

Family history

Stressful life events

Low socioeconomic status

 All of the above

A & B only

Question 6Menopause is associated with a dramatic decline in estrogen levels.

Selected Answer:           

True

 

True

False

Question 7Andreas is a 22 y/o male who comes to the clinic with a UTI. In reviewing the labs that were drawn yesterday, you know that there are many squamous epithelial in the specimen. This indicates:

 Sample contamination

Pyelonephritis

Bladder cancer

None of the above

Question 8Which of the following insulins is a “rapid acting” insulin?

Selected Answer:           

Lantis

Humulin N

Humulin R

 Humalog

Question 9Juan, an 82 y/o male, is brought to the clinic by his daughter with LLQ pain, anorexia, nausea, and vomiting. Palpation of the abdomen reveals a positive rebound tenderness, positive Rovsing’s sign, and rigid abdomen. Juan’s most likely diagnosis is:

Selected Answer:           

PUD

 Acute diverticulitis

Acute pancreatitis

Hepatitis

Question 10Artie, a 36 y/o male, comes to the clinic with chief complaint of: intermittent flank one side flank pain. The pain is an 8 on a scale of 1–10, with 10 being the worst pain he has ever felt. He states the pain lasts from 20–60 minutes and that he must either stand or walk when the pain hits. He also notes that he has blood in his urine. Treatment of Artie’s condition would involve avoiding which of the following foods:

Selected Answer:           

Rhubarb

Spinach

Beets

Chocolate

 All of the above

All of the above except D

Question 11Juan, an 82 y/o male, is brought to the clinic by his daughter with LLQ pain, anorexia, nausea, and vomiting. Palpation of the abdomen reveals a positive rebound tenderness, positive Rovsing’s sign, and rigid abdomen. The NP in Juan’s case should:

Selected Answer:           

  Refer to ER

Try an antiemetic

Draw labs

Send for a CAT scan

Question 12The average age range of the beginning of natural menopause is:

Selected Answer:           

40–45 y/o

46–50 y/o

 50–51 y/o

52–53 y/o

Question 13

All of the following are characteristic of the S4 heart sound except

Selected Answer:           

Normal finding in some healthy elderly

Occurs during systole

Best heard at apex of the heart

Best heard with bell of stethoscope

Question 14An S3 heart sound is considered abnormal if it occurs after the age of 35–40 years of age.

Selected Answer:           

True

False

Question 15Oral contraceptives can be started anytime in the menstrual cycle.

Selected Answer:           

True

False

Question 16A patient with type 2 DM should have an eye exam for diabetic retinopathy every

Selected Answer:           

 6–12 months

12–18 months

18–24 months

24–36 months

Question 17Hyperprolactinemia can be a sign of pituitary adenoma.

Selected Answer:           

True

False

Question 18Oscar is a 41 y/o male who presents to the clinic with onset of fever, n&v, with a rapid onset of pain that radiates to the midback, epigastric region. On physical exam, you notice guarding over epigastric area and a positive Cullen’s and Grey-Turner’s sign. The most likely diagnosis is:

Selected Answer:           

 GERD

 Acute pancreatitis

Hepatitis

Peptic ulcer disease

Question 19The parents of Joshua want to be able to follow their son’s growth and development patterns and ask you for a recommendation on which of the following standards would be most appropriate. You would recommend for the parents to use:

Selected Answer:           

Newborn Behavioral Assessment Scale

Denver Developmental Scale II

Ages and Stages Questionnaire

Bayley Scales of Infant Development

Question 20Martin is a 73 y/o male who has a 50 pack/year history of smoking and comes to the clinic for his annual physical. As you are leading him back to the exam room you note that he has dyspnea with minimal cough, a barrel chest, and appears to have lost weight since his last visit. Your physical exam confirms a 20 lb. weight loss and more noticeable pursed lip breathing. Given Martin’s condition, the first line treatment would be all the following except:

Selected Answer:           

Albuterol

 Salmeterol

Levalbuterol

Metaproterenol

Question 21Rescue drugs for patients with respiratory problems such as asthma or COPD would include both SABAs and LABAs.

Selected Answer:           

True

False

Question 22Martin is a 73 y/o male who has a 50 pack/year history of smoking and comes to the clinic for his annual physical. As you are leading him back to the exam room you note that he has dyspnea with minimal cough, a barrel chest, and appears to have lost weight since his last visit. Your physical exam confirms a 20 lb. weight loss and more noticeable pursed lip breathing. Your diagnosis is:

Selected Answer:           

Chronic bronchitis

Emphysema

 COPD

Question 23Judy, a 28 y/o, presents to the clinic with a fever, vaginal discharge, and pain in the lower abdomen, pelvis, and lower back. These symptoms are accompanied by chills, nausea, and vomiting. Treatment for Judy’s condition would include all the following drugs except:

Selected Answer:           

Cefotan

 Amoxicillin

Ceftriaxone

Metronidazole

Question 24Randy is a 29 y/o African American male who has a body mass index (BMI) of 30, does not exercise, and has evidence of metabolic syndrome. The first line treatment for Randy’s diagnosis would be:

Selected Answer:           

Insulin

Actos

 Metformin

Glucotrol

Question 25When testing an infant for developmental dysplasia of the hip, which of the following tests could be used?

Selected Answer:           

Ortolani test

Barlow test

Galeazzi (Allis) sign

 All of the above

Question 26The most likely source of the shingles infection comes from the reactivation of a virus from which nerve root?

Selected Answer:           

CN I

CN III

CN V

CN VII

Question 27Serum creatinine is a better measure of renal function than BUN.

Selected Answer:           

True

False

Question 28Artie, a 36 y/o male, comes to the clinic with chief complaint of: intermittent flank one side flank pain. The pain is an 8 on a scale of 1–10, with 10 being the worst pain he has ever felt. He states the pain lasts from 20–60 minutes and that he must either stand or walk when the pain hits. He also notes that he has blood in his urine. All of the following could be risk factors for Artie except:

Selected Answer:           

Family history of identical condition

Low fluid intake

Gout

 Arthritis

A & B only

Question 29Sal is a 56 y/o male who the NP has seen on many occasions in the clinic. During her physical exam of the heart, the NP notices that he has a new mitral regurgitation murmur that is described as a Grade II. She notes that his murmur is associated with which part of the cardiac cycle?

Selected Answer:           

Diastolic

Systolic

Friction rub

None of the above

Question 30Differential diagnoses for patients with alcohol use disorder would include all the following except:

Selected Answer:           

Depression

 Pulmonary disease

Peptic ulcer disease

Essential hypertension

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