NRNP 6531 Midterm Exam 2022 Latest Questions and Answers | 100% Correct

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Angie is a new NP who just finished her FNP program. She is having a difficult time finding an FNP position in the rural area where she lives. So, since she was an ER nurse prior to her graduate pro... gram she decides to go back to the ER as an APRN. Does she meet the competency requirements for such a position? *A . Ye s B. No What is the main reason for using the REALM-SF instrument to evaluate health literacy? a. It assesses numeracy skills. b. It enhances patient–provider communication. *c . It evaluates medical word recognition. d. It measures technology knowledge. A small, rural hospital is part of an Accountable Care Organization (ACO) and is designated as a Level 1 ACO. What is part of this designation? *a . Bonuses based on achievement of benchmarks b. Care coordination for chronic diseases c. Standards for minimum cash reserves d. Strict requirements for financial reporting Question 4 The Consensus Model identifies 3 core courses that all ANPs must take. All the following are Advanced core courses except: *A . Public Health B. Physiology C. Pharmacology D. Physical Assessment The care provided by APRNs is not limited by setting but by patient care needs. *True False Which is the most appropriate research design for a Level III research study? a. Epidemiological studies b. Experimental design *c . Qualitative studies d. Randomized clinical trials What was an important finding of the Advisory Board survey of 2014 about primary care preferences of patients? a. Associations with area hospitals b. Costs of ambulatory care *c . Ease of access to care d. The ratio of providers to patients To reduce adverse events associated with care transitions, the Centers for Medicare and Medicaid Service have implemented which policy? a. Mandates for communication among primary caregivers and hospitalists b. Penalties for failure to perform medication reconciliations at time of discharge *c . Reduction of payments for patients readmitted within 30 days after discharge d. Requirements for written discharge instructions for patients and caregivers The Consensus Model for APRN regulation consists of which of the following roles? A. CNM B. CRNA C. APN D. CNS *E . All the Above F. A, B & C only Rules proposed by the various State Boards of Nursing must be approved by the state Legislatures. *True False In reviewing the Total Percentage of Body surface area for adult burn patients each, leg, arm and head are noted evaluated at 9%. *True False What is the initial approach when obtaining a biopsy of a potential malignant melanoma lesion? *a . Excisional biopsy b. Punch biopsy c. Shave biopsy d. Wide excision When assisting with a skin biopsy of a patient suspected of having bullous pemphigoid (BP) lesions, what will the practitioner do? a. Avoid contact with the infected lesions. b. Elicit a positive Nikolsky sign to confirm the diagnosis. *c . Perform direct immunofluorescence microscopy. d. Prevent spread of the lesions to other areas of the skin. When recommending an over-the-counter topical medication to treat a dermatologic condition, which instruction to the patient is important to enhance absorption of the drug? a. Apply a thick layer of medication over the affected area. b. A solution spray preparation will be more effective on hairy areas. *c . Put cool compresses over the affected area after application. d. Use a lotion or cream instead of an ointment preparation. Carbuncles are typically treated with systemic antibiotics. *True False Mild acne is treated only with topicals. *True False Steroids should be avoided in cases of suspected fungal etiology. *True False A patient comes to the clinic after being splashed with boiling water while cooking. The patient has partial thickness burns on both forearms, the neck, and the chin. What will the provider do? a. Clean and dress the burn wounds. *b . Order a CBC, glucose, and electrolytes. c. Perform a chest radiograph. d. Refer the patient to the emergency department (ED). A provider is considering an oral contraceptive medication to treat acne in an adolescent female. Which is an important consideration when prescribing this drug? a. A progesterone-only contraceptive is most beneficial for treating acne. b. Combined oral contraceptives are effective for non-inflammatory acne only. c. Oral contraceptives are effective because of their androgen enhancing effects. *d . Yaz, Ortho Tri-Cyclen, and Estrostep, are approved for acne treatment. Ashley a 24 y/o female comes to the clinic with the following chief complaint: “I have these reddish/purple raised patches all over my skin. On physical exam the NP notes that the lesions are erythematous with discrete borders that are irregular, oval or round. The most likely diagnosis based on the physical exam is: A. Seborrheic keratoses *B . Urticaria C. Xanthelasma D. Melasma The most common type of melanoma in African Americans and Asians is: A. Basal Cell carcinoma B. Actinic Keratosis * C. Acral Lentiginous Melanoma D. Toxic Epidermal Necrolysis Olga was making French fries for her kids and gets splashed with hot oil. At the clinic the NP notes that she has red colored skin with superficial blisters and pain where the oil splashed. The most likely diagnosis is: *A . First degree burn B. Second degree burn C. Third degree burn D. Fourth degree burn Patty comes to the clinic with these soft fatty cystic lesions on her neck, trunk and arms. The most likely diagnosis is: A. Nevi B. Acanthosis Nigricans * C. Acrochordon D. Cherry Angioma During a total body skin examination for skin cancer, the provider notes a raised, shiny, slightly pigmented lesion on the patient’s nose. What will the provider do? a. Consult with a dermatologist about possible melanoma. b. Reassure the patient that this is a benign lesion. *c . Refer the patient for possible electrodessication and curettage. d. Tell the patient this is likely a squamous cell carcinoma. Mikey is a 19 y/o male who is brought to the clinic because he has a fever, sore throat, pain on swallowing and mildly enlarged submandibular nodes First line pharmacological treatment for Mikey would include: A. Amoxicillin B. Doxycycline * C. Oral Penicillin D. Azithromyci n During an eye examination, the provider notes a red-light reflex in one eye but not the other. What is the significance of this finding? a. Normal physiologic variant *b . Ocular disease requiring referral c. Potential infection in the “red” eye d. Potential vision loss in one eye A patient diagnosed with allergic conjunctivitis and prescribed a topical antihistaminevasoconstrictor medication reports worsening symptoms. What is the provider’s next step in managing this patient’s symptoms? a. Consider prescribing a topical mast cell stabilizer. *b . Determine the duration of treatment with this medication. c. Prescribe a non-sedating oral antihistamine. d. Refer the patient to an ophthalmologist for further care. An adult patient with a history of recurrent sinusitis and allergic rhinitis reports chronic tearing in one eye, ocular discharge, and eyelid crusting. The provider suspects nasolacrimal duct obstruction. Which initial treatment will the provider recommend? a. Antibiotic eye drops b. Nasolacrimal duct probing c. Systemic antibiotics *d . Warm compresses A patient diagnosed with alopecia is noted to have scaling on the affected areas of the scalp. Which confirmatory test(s) will the provider order? *a . Examination of scalp scrapings with potassium hydroxide (KOH) b. Grasping and pulling on a few dozen hairs c. Serum iron studies and a complete blood count d. Venereal Disease Research Laboratory (VDRL) test A female patient is diagnosed with androgenetic alopecia. Which medication will the primary health care provider prescribe? a. Anthralin b. Cyclospori ne c. Finasteride *d . Minoxidil Mikey is a 19 y/o male who is brought to the clinic because he has a fever, sore throat, pain on swallowing and mildly enlarged submandibular nodes The most likely organism causing Mikey’s infection is: *A . Streptococcus pyogenes B. Streptococcus pneumonia C. Streptococcus mutans D. Streptomyces Audrey is a 16 y/o female who comes to the clinic because her teacher says that she is having a hard time hearing in class. The NP examines her ears and notes that she has otitis media. If the NP performed a Weber test on Audrey she would discover that there would be: A. Lateralization to the good ear *B . Lateralization to the bad ear C. Lateralization would be equal to either ear. A patient experiencing chronically dry eyes reports having a foreign body sensation, burning, and itching. A Schirmer test is abnormal. What is the suspected cause of this patient’s symptoms based on this test finding? *a . Aqueous deficiency b. Corneal abrasion c. Evaporative disorder d. Poor eyelid closure Which is the most common cause of orbital cellulitis in all age groups? a. Bacteremic spread from remote infections b. Inoculation from local trauma or bug bites *c . Local spread from the ethmoid sinus d. Paranasal sinus inoculation A patient reports bilateral burning and itching eyes for several days. The provider notes a boggy appearance to the conjunctivae, along with clear, watery discharge. The patient’s eyelids are thickened and discolored. There are no other symptoms. Which type of conjunctivitis is most likely? *a . Allergic b. Bacteri al c. Chemic al d. Viral A retinal detachment would be identified by a shower of floaters with the addition of sudden flashes of light. *True False A patient has an elevated, yellowish-white lesion adjacent to the cornea at the 3 o’clock position of the right eye. The provider notes pinkish inflammation with dilated blood vessels surrounding the lesion. What information will the provider provide the patient about this lesion? a. Artificial tear drops are contraindicated. b. Spontaneous bleeding is likely. *c . UVB eye protection is especially important. d. Visine may be used for symptomatic relief. A primary care provider may suspect cataract formation in a patient with which finding? *a . Asymmetric red reflex b. Corneal opacification c. Excessive tearing d. Injection of conjunctiva Aaron an 18 y/o male comes to the clinic with the following symptoms: nasal stuffiness, sneezing, scratchy irritated throat and hoarseness. He also complains of a low-grade fever and a cough that he has had for the past 4 days. Prevention of Aaron’s condition would include which of the following: A. Good hand washing B. Adequate rest C. Zinc Lozenges *D . All the above E. A & B only Bryce is a 17 y/o male who comes to the clinic with chief complaint of ear sudden onset of pain, popping noises, and muffled hearing. During the ear exam the NP notices that the TM has ruptured. The most likely diagnosis is: *A . Acute otitis media B. Bullous Myringitis C. Otitis externa D. Swimmer’s ear Koplik spots on the buccal mucosa are pathognomonic for mumps. True * False Mikey is a 19 y/o male who is brought to the clinic because he has a fever, sore throat, pain on swallowing and mildly enlarged submandibular nodes. The most likely diagnosis for Mikey is: A. Flu B. Peritonsillar abscess * C. Streptococcal Pharyngitis A patient who works in a furniture manufacturing shop reports a sudden onset of severe eye pain while sanding a piece of wood and now has copious tearing, redness, and light sensitivity in the affected eye. On examination, the conjunctiva appears injected, but no foreign body is visualized. What is the practitioner’s next step? a. Administration of antibiotic eye drops *b . Application of topical fluorescein dye c. Instillation of cycloplegic eye drops d. Irrigation of the eye with n [Show More]

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