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