NRNP-6568-6-Syn Adv Nurs Pr Patient Family-2021

Begin: Quiz – Week 8 Comprehensive Practice

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Question 1
Lactation mastitis typically occurs in which time frame:

At 3 months after birth
At 6 months after birth
Within the first 2 months after birth
None of the above

Question 2
Danger signs of oral contraceptives include all the following except:

Chest pain
Severe headache
Weakness on both sides of the body
Visual changes in one eye

Question 3
Artie is a 21 y/o male who comes to the clinic with a chief complaint of paroxysmal coughing without an apparent cause. He states that this has been going on for about 15 days. He initially had a mild fever and a runny nose. His most likely diagnosis is:

Pertussis
Atypical pneumonia
CAP
Common cold

Question 4
Imaging, in relationship to UTIs, should be done in all the following except:

Poor response to antibiotics
H/O of calculi
On initial visit
Recurrent pyelonephritis
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Question 5
Adam is a 10 y/o male who has Koplik’s spots inside the cheeks by the rear molars. The most likely diagnosis is:

Measles
Hand, foot, and mouth disease
Scarlet fever
Varicella

Question 6
Zina is a 34 y/o female who comes to the clinic with a chief complaint of 3 years of chronic heartburn. She states that she gets it after eating tacos and bacon. She has tried to self-medicate with OTC antacids with no improvement. In the exam, the NP notices a sour odor on Zina’s breath, thinning tooth enamel, and a chronic red throat. Some lifestyle changes to treat Zina’s condition would include which of the following?

Stop smoking
Avoid ASA
Avoid alcohol
Avoid caffeine
All of the above
A, C, and D only

Question 7
Zina is a 34 y/o female who comes to the clinic with a chief complaint of 3 years of chronic heartburn. She states that she gets it after eating tacos and bacon. She has tried to self-medicate with OTC antacids with no improvement. In the exam, the NP notices a sour odor on Zina’s breath, thinning tooth enamel, and a chronic red throat. The most likely diagnosis is:

Halitosis
Peptic ulcer disease
Gastroesophageal reflux disease (GERD)
A or B only

Question 8
Artie is a 21 y/o male who comes to the clinic with a chief complaint of paroxysmal coughing without an apparent cause. He states that this has been going on for about 15 days. He initially had a mild fever and a runny nose. First-line treatment for Artie would include macrolides.

True

False

Question 9
Sam is a 19 y/o male who comes to the clinic with a chief complaint of several weeks of fatigue and non-productive paroxysmal coughing. He initially had a sore throat, some rhinitis, and low-grade fever. Treatment of Sam’s condition includes which of the following:

Doxycycline
Azithromycin
Tessalon Perles
All of the above
A & B only

Question 10
After skin cancer, breast cancer is the most common cancer in women.

True

False

Question 11
Mark is a 2-month-old infant, and he should be able to do all the following tasks except:

Follow objects past midline
Make gurgling sounds
Rolling over
Lift head up 45 degrees

Question 12
Patients with bipolar disorder may have all the following except:

Delusions
Hallucinations
Lower rates of substance abuse
A & B only

Question 13
The positive signs of pregnancy include all the following except:

Palpation of uterus by NP
Ultrasound and visualization of fetus
Goodell’s sign (cervical softening at 4 weeks)
Fetal heart tones

Question 14
Susan is a 29 y/o female who comes to the clinic with a 3-day history of fever, chills, nausea, vomiting, and flank pain. During the visit, the NP does a urine dipstick and discover that Susan is positive for nitrites, leukocytes, and >10 WBCs. The physical exam reveals a CVA tenderness. Her most likely diagnosis is:

Lower urinary tract infection
Abdominal virus
Upper urinary tract infection
Sexually transmitted disease

Question 15
Drew is a 13 y/o male who presents to the clinic with testicular pain, nausea, vomiting, scrotal edema, and redness. You perform a urine analysis, which is negative. What is the most likely diagnosis?

Testicular cancer
Testicular torsion
Hodgkin lymphoma
None of the above

Question 16
Archie is a 19 y/o male who comes to the clinic with his significant other because of recent outbursts and then long periods of mood changes that cycle between mania and depression. His most likely diagnosis is:

Major depression
Bipolar depression
Minor depression
None of the above

Question 17
In a pregnant woman, most of the weight gain occurs in which trimester?

First trimester
Second trimester
Third trimester
Fourth trimester

Question 18
The CDC recommends HPV vaccine for males until what age?

18 y/o
20 y/o
23 y/o
26 y/o

Question 19
All of the following are characteristics of Kleinfelter syndrome in a male except:

Small testicles
Wide hips
Decreased body and facial hair
Small stature

Question 20
The most common method of contraception is:

IUDs
Sterilization
Condoms
Diaphragms

Question 21
Susan is a 29 y/o female who comes to the clinic with a 3-day history of fever, chills, nausea, vomiting, and flank pain. During the visit, the NP does a urine dipstick and discover that Susan is positive for nitrites, leukocytes, and >10 WBCs. The physical exam reveals a CVA tenderness. Within 2 weeks, Susan returns to the clinic and a culture of her urine shows she has the same bacteria as when the NP first saw her. This would be referred to as:

Relapsing UTI
Recurring UTI
Persistent UTI
None of the above

Question 22
Susan is a 29 y/o female who comes to the clinic with a 3-day history of fever, chills, nausea, vomiting, and flank pain. During the visit, the NP does a urine dipstick and discover that Susan is positive for nitrites, leukocytes, and >10 WBCs. The physical exam reveals a CVA tenderness. In treating Susan, the NP could use which of the following antibiotics?

TMP-SMX
Nitrofurantoin
Cephalexin
A and C only
A & C only
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Question 23
Sam is a 19 y/o male who comes to the clinic with a chief complaint of several weeks of fatigue and non-productive paroxysmal coughing. He initially had a sore throat, some rhinitis, and low-grade fever. Potential organisms that might have caused Sam’s condition include which of the following:

Mycoplasma pneumoniae
Chlamydia pneumoniae
Legionella pneumonia
All of the above
None of the above

Question 24
Jeremy is suffering from chronic alcohol abuse. His symptoms include mental confusion, ataxia, stupor, and hypotension. The most likely diagnosis for these symptoms is:

Korsakoff’s syndrome
Insomnia
Anorexia nervosa
Bipolar disorder

Question 25
All of the following are in the LUQ of the abdomen except

Stomach
Sigmoid colon
Pancreas
Kidney (left)

Question 26
Zina is a 34 y/o female who comes to the clinic with a chief complaint of 3 years of chronic heartburn. She states that she gets it after eating tacos and bacon. She has tried to self-medicate with OTC antacids with no improvement. In the exam, the NP notices a sour odor on Zina’s breath, thinning tooth enamel, and a chronic red throat. Medications to assist Zina would include all the following except:

Zantac
Pepcid
NSAIDS
Prevacid

Question 27
At 12 weeks in a pregnancy the fundal height of the uterus should be:

Above the symphysis pubis
Halfway between symphysis pubis and umbilicus
At level of umbilicus
Below symphysis pubis

Question 28
Breast cancer in women is characterized by all of the following except

Mobile mass on palpation
Mass is painless
Mass is typically found in the upper outer quadrant
Skin around breast is dimpled

Question 29
All of the following are presumptive signs of pregnancy except:

Amenorrhea
Chadwick’s sign (blue coloration of the uterus and vagina)
Breast changes
Fatigue

Question 30
Which of the following can reduce breast cancer risk?

Healthy diet
Limiting ETOH intake
Stop smoking
Maintain normal body weight
All of the above
A, B, & C only

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