NRNP-6531 module 1 Knowledge Check: advanced nursing practice competencies, integumentary, and HEENT conditions

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

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:

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?

A 19 year old basketball player complains of itching in the crural folds, buttocks, and upper thighs. The lesions are well demarcated and are half-moon shaped. The area is red, irritated, and there are small breaks in the skin from scratching. What is this patient’s diagnosis and how should it be treated?

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?

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?

The Centor criteria for diagnosis of Group A B-hemolytic streptococcus includes which of the following?

Marvin has sudden eye redness that occurred after a strenuous coughing episode. You diagnose a subconjunctival hemorrhage. Your next step is to

Your 31-year-old patient, whose varicella rash just erupted yesterday, asks you when she can go back to work. What do you tell her?

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?

Which of the following is a predisposing condition for furunculosis?

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

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

Which of the following statements about malignant melanomas is true?

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?

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

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

Your well-nourished 75-year-old patient has come into the office for a physical exam and states that she recently had two nosebleeds. She does not take any anticoagulants, and you have ruled out any coagulopathies. The most likely cause of these nosebleeds is: