NRNP 6531 Advanced Practice Care Adult across Life-Week 6 Midterm Exam

Question 1          1 pts

A provider performs an eye examination during a health maintenance visit and notes a difference of 0.5 mm in size between the patient’s pupils. What does this finding indicate?

Group of answer choices

A relative afferent pupillary defect

Indication of a difference in intraocular pressure

Likely underlying neurological abnormality

Probable benign, physiologic anisocoria

Question 2         1 pts

Aaron an 18 y/o male comes to the clinic with the following symptoms: nasal stuffiness, sneezing, scratchy irritated throat and hoarseness. He also complains of a low-grade fever and a cough that he has had for the past 4 days.

Prevention of Aaron’s condition would include which of the following:

Group of answer choices

Good hand washing

Adequate rest

Zinc Lozenges

All the above

A & B only

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Question 3             1 pts

Mikey is a 19 y/o male who is brought to the clinic because he has a fever, sore throat, pain on swallowing and mildly enlarged submandibular nodes

First line pharmacological treatment for Mikey would include:

Group of answer choices

Amoxicillin

Doxycycline

Oral Penicillin

Azithromycin

Question 4             1 pts

A patient is diagnosed with dacryocystitis. The provider notes a painful lacrimal sac abscess that appears to be coming to a head. Which treatment will be useful initially?

Group of answer choices

Eyelid scrubs with baby shampoo

Incision and drainage

Lacrimal bypass surgery

Topical antibiotic ointment

uestion 5      1 pts

A patient has a gradually enlarging nodule on one upper eyelid and reports that the lesion is painful. On examination, the lesion appears warm and erythematous. The provider knows that this is likely to be which type of lesion?

Group of answer choices

Blepharitis

Chalazion

Hordeolum

Meibomian

Question 6         1 pts

A patient is diagnosed with peripheral arterial disease (PAD) and elects not to have angioplasty after an angiogram reveals partial obstruction in lower extremity arteries. What will the provider recommend to help manage this patient’s symptoms?

Group of answer choices

Daily aspirin therapy to prevent clotting

Statin therapy with clopidogrel

Walking slowly for 15 to 20 minutes twice daily

Walking to the point of pain each day

Question 24                      1 pts

Pulsus paradoxus is a phenomenon in which the radial pulse can be palpated even though the apical pulse can’t be heard.

Group of answer choices

True

False

Question 32                          1 pts

A 75-year-old patient reports pain and a feeling of tiredness in both legs that only relieves after sitting for 30 minutes or more. What the does provider suspect as the cause for these symptoms? NRNP 6531 Advanced Practice Care Adult across Life-Week 6 Midterm Exam

Group of answer choices

Buerger’s disease

Cauda equina syndrome

Diabetic neuropathy

Peripheral arterial disease (PAD)

Question 49               1 pts

A split S2 is best heard at the upper left sternum.

Group of answer choices

True

False

Question 50               1 pts

Patients with diabetic retinopathy will have which of the following:

Group of answer choices

Neovascularization

Cotton wool spots

Microaneurysms

All the Above

A & C only

Question 51           1 pts

Which test is diagnostic for diagnosing myocarditis?

Group of answer choices

Echocardiogram

Electrocardiogram

Endomyocardial biopsy

Magnetic resonance imaging

Question 521 pts

Guy is a 65 y/o male who comes to the clinic with the following chief complaint: “I have been feeling feverish, have chills, and am tired all the time. My heart also makes a funny sound. In the physical exam the NP auscultates a heart murmur, and notices that he patient has subungual hemorrhages, petechiae on the palate, violet colored nodes on the fingers and feet, and nontender red nodes on the palms and soles of his feet.

In a patient with Guy’s diagnosis, on funduscopic exam one might see:

Group of answer choices

Cotton wool spots

Silver wire vessels

Retinal hemorrhages

A & B only

Question 531 pts

According to the JNC 8 guidelines the hypertension treatment goal for patients 60 years and younger should be:

Group of answer choices

<140/90

<130/80

<150/90

<150/80

Question 541 pts

A patient is in clinic for evaluation of sudden onset of abdominal pain. The provider palpates a pulsatile, painful mass between the xiphoid process and the umbilicus. What is the initial action?

Group of answer choices

Order a CBC, type and crossmatch, electrolytes, and renal function tests.

Perform an ultrasound examination to evaluate the cause.

Schedule the patient for an aortic angiogram.

Transfer the patient to the emergency department for a surgical consult.

Question 551 pts

Guy is a 65 y/o male who comes to the clinic with the following chief complaint: “I have been feeling feverish, have chills, and am tired all the time. My heart also makes a funny sound. In the physical exam the NP auscultates a heart murmur, and notices that he patient has subungual hemorrhages, petechiae on the palate, violet colored nodes on the fingers and feet, and nontender red nodes on the palms and soles of his feet.

The violet colored nodes on the fingers and feet are known as:

Group of answer choices

Osler nodes

Janeway Lesions

Roth Nodes

None of the above

Question 561 pts

A patient who is an avid long-distant runner is diagnosed with viral myocarditis. What will the provider tell this patient when asked when resuming exercising is permitted?

Group of answer choices

Exercise is contraindicated for life.

Exercise may resume when symptoms subside.

He may resume exercise in 6 months.

He must be symptom-free for 1 year.

Question 571 pts

A patient who is on renal dialysis is diagnosed with infective endocarditis. What causative organisms are more likely in this patient?

Group of answer choices

Enterococcal organisms

Neisseria gonorrhea

Pseudomonas aeruginosa

Staphylococcus aureus

Question 581 pts

Karen is a 65 y/o female who has just returned from a 14-hour car ride from Texas up to Arizona. She comes to the clinic with the following chief complaint: “My lower legs are painful, red and swollen, and it hurts whenever I flex my toes backward. The NP proposes the following diagnosis: NRNP 6531 Advanced Practice Care Adult across Life-Week 6 Midterm Exam

Group of answer choices

Raynaud’s Phenomenon

Rhabdomyolysis

Deep Vein Thrombosis (DVT)

Restless foot syndrome

Question 591 pts

Ashley is a 47 y/o female who comes to the clinic with a chief complaint of sudden onset of palpitations and a feeling of weakness and dizziness. Additionally she notes that she has dyspnea on exertion. On the physical exam the NP notes that he HR is 120 bpm and her BP drops to 98/60.   Her EKG shows  no discrete p waves and irregularly irregular rhythm.

The primary pharmacological management for Ashley’s condition would be all of the following except:

Group of answer choices

Beta Blockers

Calcium Channel Blockers

Digoxin

ACE inhibitors

Question 601 pts

Ashley is a 47 y/o female who comes to the clinic with a chief complaint of sudden onset of palpitations and a feeling of weakness and dizziness. Additionally she notes that she has dyspnea on exertion. On the physical exam the NP notes that he HR is 120 bpm and her BP drops to 98/60.   Her EKG shows  no discrete p waves and irregularly irregular rhythm. NRNP 6531 Advanced Practice Care Adult across Life-Week 6 Midterm Exam

Lifestyle changes for Ashley would include which of the following:

Group of answer choices

Caffeine

Nicotine

Decongestants

All the Above

A & B only

Question 611 pts

Ashley is a 47 y/o female who comes to the clinic with a chief complaint of sudden onset of palpitations and a feeling of weakness and dizziness. Additionally she notes that she has dyspnea on exertion. On the physical exam the NP notes that he HR is 120 bpm and her BP drops to 98/60.   Her EKG shows  no discrete p waves and irregularly irregular rhythm.

If Ashley were to start bleeding she would go to the ER and they would initiate which intervention below to reverse the effects of her warfarin:

Group of answer choices

Vitamin A

Vitamin C

Vitamin K

Vitamin D

NRNP 6531 Advanced Practice Care Adult across Life-Week 6 Midterm Exam