NRNP – 6531 Week 8 Knowledge Check
Week 8 Knowledge Check
Question 1
The nurse practitioner diagnoses epididymitis in a 24 year old sexually active male patient. The drug of choice for treatment of this patient is:
| a. | Oral ciprofloxacin (Cipro) | |
| b. | Oral doxycycline (Virbamycin) plus intramuscular ceftriaxone | |
| c. | Oral trimethoprim-sulfamethoxazole (Bactrim DS) | |
| d. | Intramuscular penicillin |
- Oral doxycycline (Virbamycin) plus intramuscular ceftriaxone
Question 2
Diagnostic confirmation of acute leukemia is based on:
| a. | Bone marrow aspiration and biopsy | |
| b. | Pancytopenia | |
| c. | Hyperuricemia | |
| d. | All of the above |
- Bone marrow aspiration and biopsy
Question 3
After thorough history, physical examination, and laboratory tests, a patient is diagnosed with irritable bowel syndrome (IBS). Which of the following initial treatment plans is currently considered most effective? NRNP – 6531 Week 8 Knowledge Check
| a. | A low fat, tyramine-free, caffeine-free, high fiber diet, along with a daily diary, and attention to psychosocial factors. | |
| b. | Referral to a gastroenterologist for colonoscopy. | |
| c. | Treatment with a selective serotonin reuptake inhibitor (SSRI) such as fluoxetine (Prozac) or sertraline (Zoloft). | |
| d. | Antibiotics, nutritional support, and high fiber diet. |
- A low fat, tyramine-free, caffeine-free, high fiber diet, along with a daily diary, and attention to psychosocial factors
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Question 4
A 20 year old male patient complains of “scrotal swelling.” He states his scrotum feels heavy, but denies pain. On examination, the nurse practitioner notes trans illumination of the scrotum. NRNP – 6531 Week 8 Knowledge Check. What is the most likely diagnosis?
| a. | Indirect inguinal hernia | |
| b. | Hydrocele | |
| c. | Orchitis | |
| d. | Testicular torsion |
- Hydrocele
Question 5
The National Cholesterol Education Program’s Adult Treatment Panel III recommends that the goal for low density lipoproteins in high risk patients be less than:
| a. | 160 mg/dL | |
| b. | 130 mg/dL | |
| c. | 100 mg/dL | |
| d. | 70 mg/dL |
- 100mg/dL
Question 6
Which of the following are classic features of ulcerative colitis?
| a. | Right lower quadrant pain, frequently accompanied by a palpable mass, fever, and leukocytosis. | |
| b. | Painful hematemesis, occasionally accompanied by melena. NRNP – 6531 Week 8 Knowledge Check | |
| c. | Rapidly progressive dysphagia with ingestion of solid foods, anorexia, and weight loss out of proportion to the dysphagia. | |
| d. | Remissions and exacerbations of bloody diarrhea, tenesmus, fecal incontinence, abdominal pain and weight loss. |
- Remissions and exacerbations of bloody diarrhea, tenesmus, fecal incontinence, abdominal pain and weight loss
Question 7
Reed-Sternberg B lymphocytes are associated with which of the following disorders:
| a. | Aplastic anemia | |
| b. | Hodgkin’s lymphoma | |
| c. | Non-Hodgkin’s lymphoma | |
| d. | Myelodysplastic syndromes |
- Hodgkin’s lymphoma
Question 8
Which of the following patients most warrants screening for hypothyroidism?
| a. | A young adult female with postpartum depression lasting 2 weeks. | |
| b. | A patient taking thyroid replacement preparation. | |
| c. | A 40 year old male with unexplained tremors. | |
| d. | An elderly female with recent onset of mental dysfunction. |
- An elderly female with recent onset of mental dysfunction
Question 9
Steve, age 69, has gastroesophageal reflux disease (GERD). When teaching him how to reduce his lower esophageal sphincter pressure, which substances do you recommend that he avoid?
| a. | Apples | |
| b. | Peppermint | |
| c. | Cucumbers | |
| d. | Popsicles |
- Peppermint
Question 10
Which of the following is not a common early sign of benign prostatic hyperplasia (BPH)?
| a. | Difficulty initiating a urine stream | |
| b. | Nocturia | |
| c. | Urinary retention | |
| d. | Increased force of urine flow |
- Increased force of urine flow
Question 11
Microalbuminuria is a measure of:
| a. | Total urinary protein. | |
| b. | Late renal compromise in a diabetic patient. | |
| c. | Early glycemic abnormality. NRNP – 6531 Week 8 Knowledge Check | |
| d. | Protein lost into the urine. |
- Protein lost into the urine
Question 12
Which of the following is not appropriate suppression therapy for chronic bacterial prostatitis?
| a. | Doxycycline 100 mg qd | |
| b. | Nitrofurantoin 100 mg qd | |
| c. | Bactrim DS qd | |
| d. | Erythromycin qd |
- Erythromycin qd
Question 13
What is the most common cause of Cushing’s syndrome? NRNP – 6531 Week 8 Knowledge Check
| a. | Excessive ACTH production | |
| b. | Administration of a glucocorticoid or ACTH | |
| c. | Pituitary adenoma or a non-pituitary ACTH-producing tumor | |
| d. | Autonomous cortisol production from adrenal tissue |
- Administration of a glucocorticoid or ACTH
Question 14
John, age 33, has a total cholesterol level of 188 mg/dL. How often should he be screened for hypercholesterolemia?
| a. | Every 5 years | |
| b. | Every 2 years | |
| c. | Every year | |
| d. | Whenever blood work is done |
- Every 5 years
Question 15
Which of the following is not a risk factor associated with the development of syndrome X and type 2 diabetes mellitus? NRNP – 6531 Week 8 Knowledge Check
| a. | Hypertriglyceridemia and low high-density lipoprotein (HDL) | |
| b. | Gestational diabetes and polycystic ovarian syndrome | |
| c. | Hispanic, African-American, Native-American, and Pacific Islander ethnicity | |
| d. | Postprandial hypoglycemia |
- Postprandial hypoglycemia
Question 16
Of the following choices, the least likely cause of cough is:
| a. | Asthma | |
| b. | Gastroesophageal reflux | |
| c. | Acute pharyngitis | |
| d. | Allergic rhinitis |
- Acute pharyngitis
Question 17
Before initiating an HMG CoA-reductase inhibitor for hyperlipidemia, the nurse practitioner orders liver function studies. The patient’s aminotransferase (ALT) is elevated. What laboratory test(s) should be ordered? NRNP – 6531 Week 8 Knowledge Check
| a. | Serologic markers for hepatitis | |
| b. | Serum bilirubin | |
| c. | Serum cholesterol with HDL and LDL | |
| d. | A liver biopsy |
- Serologic markers for hepatitis
Question 18
The most commonly recommended method for prostate cancer screening in a 55 year old male is:
| a. | Digital rectal examination (DRE) plus prostate specific antigen (PSA) | |
| b. | Prostate specific antigen (PSA) alone | |
| c. | Transrectal ultrasound (TRUS) alone | |
| d. | Prostate specific antigen (PSA) and Transrectal ultrasound (TRUS) |
- Digital rectal examination (DRE) plus prostate specific antigen (PSA)
Question 19
A patient has been diagnosed with hypothyroidism and thyroid hormone replacement therapy is prescribed. How long should the nurse practitioner wait before checking the patient’s TSH? NRNP – 6531 Week 8 Knowledge Check
| a. | 1 week | |
| b. | 2 weeks | |
| c. | 4 weeks | |
| d. | 8 weeks |
- 8 weeks
Question 20
A patient presents with classic symptoms of gastroesophageal reflux disease (GERD). He is instructed on life style modifications and drug therapy for 8 weeks. Three months later he returns, reporting that he was “fine” as long as he took the medication. The most appropriate next step is:
| a. | Referral for surgical intervention such as a partial or complete fundoplication | |
| b. | Dependent upon how sever the practitioner believes the condition | |
| c. | To repeat the 8 week course of drug therapy while continuing lifestyle modifications | |
| d. | Investigation with endoscopy, manometry, and/or pH testing |
- Investigation with endoscopy, manometry, and/or pH testing
- NRNP – 6531 Week 8 Knowledge Check