NRNP 6531 midterm review Exam Latest Update 2023-2024 100 Questions and Verified Correct Answers Guaranteed Success A 2 year old presents with a white pupillary reflex. What is the most likely cause of this
finding? - Correct Answer:Retinoblastoma
A 16 year old male presents with mild sore throat, fever, fatigue, posterior cervical adenopathy, and palatine petechiae. Without a definitive diagnosis for this patient, what
drug would be least appropriate to prescribe? - Correct Answer:Amoxicillin
A 20 year old is diagnosed with mild persistent asthma. What drug combination would be most effective in keeping him symptom-free? - Correct Answer:A bronchodilator PRN and an inhaled corticosteroid
A 21 year old college student presents to the student health center with copious, markedly purulent discharge from her left eye. The nurse practitioner student should suspect: - Correct Answer:Gonococcal conjunctivitis
A 33-year-old female is admitted with acute pancreatitis. The nurse practitioner knows that the most common cause of pancreatitis is: - Correct Answer:Gallstones
A 35 year old man presents with radicular pain followed by the appearance of grouped vesicles consisting of about 15 lesions across 3 different thoracic dermatomes. He complains of pain, burning, and itching. The nurse practitioner should suspect: - Correct
Answer:Herpes zoster and consider that this patient may be immunocompromised
A 40 year old female with history of frequent sun exposure presents with a multicolored lesion on her back. It has irregular borders and is about 11mm in diameter. What should
the nurse practitioner suspect? - Correct Answer:Malignant melanoma
A 40 year old presents with a hordeolum. The nurse practitioner teaches the patient to:
- Correct Answer:Apply a topical antibiotic and warm compresses.
A 46-year-old female with a past medical history of diabetes presents with a swollen, erythematous right auricle and is diagnosed with malignant otitis externa. The nurse practitioner knows that the most likely causative organism for this patient's problem is: -
Correct Answer:Pseudomonas aeruginosa
A 47 year old male patient presents to the clinic with a single episode of a moderate amount of bright red rectal bleeding. On examination, external hemorrhoids are noted.How should the nurse practitioner proceed? - Correct Answer:Refer the patient for a barium enema and sigmoidoscopy. 1 / 2
A 55 year old man is diagnosed with basal cell carcinoma. The nurse practitioner correctly tells him: - Correct Answer:"It can be cured with surgical excision or radiation therapy."
A 57-year-old male presents to urgent care complaining of substernal chest discomfort for the past hour. The EKG reveals ST elevations in Leads II, III, and AVF. The nurse practitioner is aware that these changes are consistent with which myocardial infarction
territory? - Correct Answer:Inferior wall
A 58-year-old man is diagnosed with Barrett's esophagus after an endoscopy. He has no known allergies. Which of the following medications is MOST appropriate to treat this
patient's disorder? - Correct Answer:Omeprazole
A 60 year old male diabetic patient presents with redness, tenderness, and edema of the left lateral aspect of his face. His left eyelid is grossly edematous. He reports history of a toothache in the past week which "is better." His temperature is 100°F and pulse is 102 bpm. The most appropriate initial action is to: - Correct Answer:Initiate a parenteral antibiotic and consider hospital admission
A 65-year-old female with a past medical history of hypertension, hyperlipidemia, and polymyalgia rheumatica presents to urgent care with new onset left lower quadrant pain.Her current medications include omeprazole 20 milligrams po daily, lisinopril 20 milligrams po daily, simvastatin 20 milligrams po daily, and prednisone 12 milligrams po daily. The nurse practitioner suspects acute diverticulitis and possibly an abscess. The most appropriate diagnostic test for this patient at this time is: - Correct Answer:CT scan
A 70 year old man who walks 2 miles every day complains of pain in his left calf when he is walking. The problem has gotten gradually worse and now he is unable to complete his 2 mile walk. What question asked during the history, if answered affirmatively, would suggest a diagnosis of arteriosclerosis obliterans? - Correct
Answer:"Is your leg pain relieved by rest?"
A 70 year old patient presents with a slightly raised, scaly, erythematous patch on her forehead. She admits to having been a "sun worshiper." The nurse practitioner suspects actinic keratosis. This lesion is a precursor to: - Correct Answer:Squamous cell carcinoma
A 70 year old patient presents with left lower quadrant (LLQ) abdominal pain, a markedly tender palpable abdominal wall, fever, and leukocytosis. Of the following terms, which correctly describes the suspected condition? - Correct Answer:Diverticulitis
A 76-year-old male complains of weight loss, nausea, vomiting, abdominal cramping and pain. Physical findings include an abdominal mass and stool positive for occult blood. The nurse practitioner pain suspects a tumor in the small intestine. The best diagnostic test for this patient is: - Correct Answer:Small bowel follow-through
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