Posted: January 24th, 2023

NRNP-6565-Synthesis in Advanced Nursing Practice Final Exam

NRNP-6565-Synthesis in Advanced Nursing Practice Final Exam

NRNP-6565-4-Syntesis Advanced Nursing Practice Care-2021-Fall-QTR-Term-wks-1-thru-11-(08/30/2021-11/14/2021)-PT27 

Take Test: Exam – Week 10

Question 1

Osteoporosis is defined as having a T-score of _____ or less than the standard deviation of a healthy individual.

		1
		-1.5
		-2.5
		-3.5

 

Question 2

A smooth round nodule with a pearly gray border and central induration best describes which type of skin lesion? NRNP-6565-Synthesis in Advanced Nursing Practice Final Exam

		Seborrheic keratosis
		Basal cell carcinoma
		Malignant melanoma
		Herpes zoster

Question 3

A 59 year old man with chronic prostatitis should be treated with trimethoprim 80mg-sulfamethoxazole 400mg (TMP-SMX,Bactrim) for how long?

		3 to 7 days
		14-21 days
		3 to 6 weeks
		6 to 12 weeks

 

Question 4

Treatment for H. pylori-negative ulcers includes all the following except: NRNP-6565-Synthesis in Advanced Nursing Practice Final Exam

		Stop NSAIDS
		Stop smoking
		Prilosec for 4–8 weeks
		Triple therapy including Biaxin, Flagyl, and amoxicillin

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Question 5

Carlos is a 64 y/o male who has previously been diagnosed as a Category A COPD patient based on Gold guidelines (2017). The Category A patient group includes which of the following?

		Minimally symptomatic (low risk of exacerbation)
		More symptomatic (low risk of exacerbation)
		Minimally symptomatic (high risk of exacerbation)
		High risk

 

Question 6

Helicobacter pylori is implicated as a causative agent in the development of duodenal or gastric ulcers.  What teaching should the nurse practitioner plan for a patient who has a positive Helicobacter pylori test?

		It is highly contagious and a mask should be worn
		Treatment regimen is multiple lifetime medications
		Treatment regimen is multiple medications taken daily for a few weeks
		Treatment regimen is complicated and is not indicated unless the patient is symptomatic NRNP-6565-Synthesis in Advanced Nursing Practice Final Exam

Question 7

Metabolic syndrome is characterized by all the following traits except

		Obesity
		Hypertension
		Dyslipidemia
		Hypoglycemia

 

Question 8

What is the first line of treatment for eczema? Select all that apply.

	a.	Hydrocortisone 2.5%
	b.	Triamcinolone acetonide
	c.	Oral steroids
	d.	None of the above

 

 

Question 9

Acanthosis nigricans is associated with all the following except:

		Diabetes
		Metabolic syndrome
		Obesity
		Cancer of bladder

 

 

Question 10

The NP recognizes that potentially inappropriate medications for older adults (Beers List Criteria) may include:

	a.	NSAIDs
	b.	Alpha-blockers
	c.	Zolpidem
	d.	Cardiac drugs
	e.	All of the above

 

Question 11

A 19-year-old bisexual female wants to get tested for HIV. Based on CDC guidelines, what is the appropriate order of testing for HIV?

	a.	HIV-1/HIV-2 antibodies and P24 antigen
	b.	HIV RNA PCR
	c.	HIV-1 RNA
	d.	HIV antibody differentiation immunoassay

 

 

Question 20

________________vaccine is given in two separate doses to prevent Shingles.

	A.	Shingrix
	B.	Pneumococcal
	C.	Influenza
	D.	TDAP

 

Question 21

Mr. Richards is a 65 year old caucasian male who presents to your office with complaints of decreased arm swing and cogwheel rigidity.  What conditions are these symptoms a manifestation of?

 

 

		Multiple Sclerosis
		Parkinson’s Disease
		Vascular Dementia
		Rheumatoid Arthritis

 

Question 22

Which of the following glands is responsible for calcium balance in the body?

		Posterior pituitary
		Parathyroid glands
		Thyroid gland
		Pineal gland NRNP-6565-Synthesis in Advanced Nursing Practice Final Exam

 

Question 23

The NP recognizes that the main focus of treatment for Anemia is:

		replenishing iron stores
		management of the underlying disorder
		providing for adequate nutrition high in iron
		administration of monthly vitamin B12 injections

 

Question 24

The use of steroids in the treatment of fungal infections will worsen the infection.

True

False

 

Question 25

State laws about NP practice take two forms:

	a.	Regulations and prescriptive authority
	b.	Statutes and Regulations
	c.	Regulations and prescriptive authority
	d.	Regulations and Licensure

 

Question 26

Jason is 72 y/o COPD patient who has a 50-year history of smoking. He now has pneumonia. The most likely causative organism for his pneumonia is: NRNP-6565-Synthesis in Advanced Nursing Practice Final Exam

		Mycoplasma pneumoniae
		Chlamydia pneumoniae
		H. influenzae bacteria
		None of the above

 

Question 27

One of the most common side effects of SSRIs is:

		Nausea
		Ataxia
		Erectile dysfunction
		Seizures

Question 28

Which of the following are non-antibiotic strategies to prevent UTIs?

		Estrogen therapy
		Cranberry juice/extract
		Methenamine salts
		Lactobacillus
		All of the above

 

Question 29

A nurse practitioner (NP) is applying for an NPI number. The NP recognizes that the purpose of NPI is to

	a.	A number for ICD-10 code
	b.	A number for Medicare/Medicaid billing
	c.	To reimburse patients for receiving patient care
	d.	To bill to Tricare insurance

 

Question 30

You would recommend the pneumococcal vaccine (Pneumovax) to patients with all of the following conditions except:

	a.	HIV infection
	b.	Asthma
	c.	Sickle Cell anemia
	d.	G6PD-deficiency anemia

 

Question 31

All of the following are pharmacological treatments for osteoporosis except:

		Biphosphates
		Thyroid stimulating hormone
		Tamoxifen
		Parathyroid hormone analog

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Question 32

An older woman with osteoporosis wants to be treated with Fosamax. The nurse practitioner (NP) recognizes that the patient is not a good candidate for this drug because of

	a.	Stomach/intestinal problems
	b.	Jaw pain
	c.	A and B
	d.	A only

 

Question 33

A nurse practitioner (NP) portfolio should include some but not all of the following:

	a.	Statement of career goals, special interests, transcripts, diploma, letters of recommendation
	b.	Statement of career goals, preferred salary, special interests, diploma, letters of recommendation from professors
	c.	Statement of career goals, special abilities, preferred salary, special interests, diploma
	d.	All of the above NRNP-6565-Synthesis in Advanced Nursing Practice Final Exam

 

 

Question 42

Statues describing NP scope of practice fall into all but one of the categories:

	a.	Defined by statute.
	b.	Defined by regulation.
	c.	Scope of practice is defined.
	d.	Scope of practice is not defined.

 

Question 43

Since UTIs are never “normal” in a male, what should the NP rule out as the cause of the infection?

		Ureteral stricture
		Acute prostatitis
		STDs
		All of the above
		A & C only

 

Question 44

An NP recognizes that the five major categories of third-party payers are:

	a.	Medicare, Medicaid, self-pay, Indemnity insurance companies, HMOs
	b.	Medicare, Medicaid, self-pay, PPOs, HMOs
	c.	Medicare, Medicaid, Indemnity insurance companies, Managed-care organizations (MCOs)
	d.	Indemnity insurance companies, managed-care organizations, PPOs, HMOs, Self-Pay

 

Question 45

Mr. Trellis is a 65 year-old man who presents with complaints of nocturia. Which of the following should be included in the differential diagnosis?

 

		Urethral polyp
		Constipation
		Benign Prostatic Hypertrophy
		Posterial Urethral lesion

 

Question 46

Cellulitis is usually caused by a gram-negative bacterium.

True

False

 

Question 47

Juan, 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: NRNP-6565-Synthesis in Advanced Nursing Practice Final Exam

		Refer to ER
		Try an antiemetic
		Draw labs
		Send for a CAT scan

 

Question 48

Mr. Knight, an obese middle-aged client presents with a month of nonproductive irritating cough without fever.  He also reports occasional morning hoarseness.  What should the differential include?

 

 

		Atypical pneumonia
		Peptic ulcer disease
		Gastroesophageal reflux
		Mononucleosis (Epstein-Barr)

 

Question 49

Pneumonia vaccine should be given annually. True or False?

True

False

 

 

Question 50

Ms. Stevens, a 70 year old patient with community acquired pneumonia presents with chills, productive cough, temperature of 102.1, pulse 100, respiration 18, BP 94/52, WBC 12,000, and blood urea nitrogen (BUN) 24mg/dl.  She has a history of mild dementia and his mental status is unchanged from her last visit.  These findings indicate that this patient:

		Can be treated as an outpatient
		Can be treated with oral antibiotics
		Requires a high dose of parenteral antibiotics
		requires hospitalization for treatment

 

Question 51

Ms. Roberts is being seen today at your office.  She reports symptoms of Allergic Rhinitis.  The NP recognizes that Second-generation antihistamines such as loratadine (Claritin) are prescribed for seasonal allergies because they:

		Are prescription products and are therefore covered by insurance
		Are more effective than first-generation antihistamines
		are less sedating than first-generation antihistamines
		can be taken with CNS sedatives, such as alcohol

Question 52

Folliculitis is most commonly due to:

		Staphylococcal infection
		Dermatophytes
		Varicella zoster
		E coli

Question 53

In pulsus paradoxus, even if the pulse cannot be palpated, it can still be heard by using a BP cuff and stethoscope.

True

False

 

Question 54

You are seeing Ms. Ellie,  a 60 year old female with COPD.  She tells you that she has been using albuterol with good relief for shortness of breath. She is using it 3-4 times daily over the past 4 weeks.  How should the NP manage this?

		Add a long-acting beta agonist
		Encourage its use at the same time every day xTell him to use it only once a day . Add a long-acting beta agonist
		Add an oral steroid
		Add an ace inhibitor

 

Question 55

Bacterial vaginosis has all the following signs/symptoms except:

		Fish-like odor
		Milk-like discharge
		Non-itchy vulva
		Red vulvovaginal

 

Question 56

The NP recognizes that the increased presence of which of the following ina  urinalysis indicates the presence of bacteria or protein, which is seen in severe renal disease and could also indicate urinary calculi? NRNP-6565-Synthesis in Advanced Nursing Practice Final Exam

		Crystals
		Nitrates
		Casts
		Ketones

 

Question 57

A 25-year-old patient states that he is on an HMO plan. The nurse practitioner (NP) stands for

	a.	Home Management Organizations
	b.	Health Management Organizations
	c.	Health Movement Organizations
	d.	Health Maintenance Organizations

 

Question 58

Mr. Reynolds is a 66 year old male who is a Pastor of a church.  He informs you that he has just returned from a 6 month missionary trip to South Africa.  He reports unremitting cough, hemoptysis, and an unintentional weight loss of 10 pounds over the last month.  These symptoms should prompt the clinician to suspect:

		Malaria
		Tuberculosis
		Legionnaires’ Disease
		Pneumonia

 

Question 59

Hillary is an 18 y/o Caucasian who comes to the clinic with a chief complaint of hirsutism, acne, and amenorrhea. Her most likely diagnosis is:

		Polycystic ovary syndrome (PCOS)
		Ovarian cancer
		Hyperprolactinemia
		Pregnancy

 

Question 60

Abby is a 63 y/o patient who is known to have atrial fibrillation and has been on Coumadin for 2 years. Her INR is 2.4. This ratio is considered:

		Normal
		High
		Low

 

Question 61

As the NP prepares to manage a patient with Anemia, the NP knows that The pathophysiological hallmark of Anemia of Chronic Disease is: NRNP-6565-Synthesis in Advanced Nursing Practice Final Exam

		Depleted iron stores
		Chronic uncorrectable bleeding
		Impaired ability to use iron stores
		Reduced intestinal absorption of iron

 

Question 64

Medicare Part A covers all the following except:

	a.	Custodial care
	b.	Inpatient psychiatric hospital care
	c.	Skilled nursing facility care
	d.	Inpatient hospital care

 

 

Question 68

Ms. Lashley, a 70  year old obese female presents complaining of persistent right upper quadrant pain.  She reports that she has not had any prior abdominal surgeries.  Which of the following laboratory studies would be most indicative of acute cholecystitis?

 

 

		C-reactive protein level of 3 mg
		White blood cell count of 11,000
		Direct serum bilirubin level of 0.3 mg/dl
		Serum amylase level of 145 U/L

 

Question 69

The screening for melanoma includes: (Select all that apply.)

	a.	Asymmetry
	b.	Black texture
	c.	Border irregular
	d.	Color varies in the same region
	e.	Diameter greater than 6 mm
	f.	Change in size

 

uestion 70

If the TSH is decreased then the patient needs to be worked up for hypothyroidism.

True

False

 

Question 71

The diagnosis of a subclinical hypothyroidism would be identified by which lab test results?

		Increased TSH and normal free T4
		Decreased TSH and normal free T4
		Increased TSH and increased free T4
		Decreased TSH and decreased free T4

 

S1 points   

Question 72

The most common way for testing COVID-19 is performed by what route? NRNP-6565-Synthesis in Advanced Nursing Practice Final Exam

	a.	Oral
	b.	Nasopharyngeal
	c.	Blood test
	d.	None of the above