NRNP 6531 Week 6 Midterm Exam 99% correct answers

NRNP 6531 Week 6 Midterm Exam 99% correct answers

Question 1                1 pts

Which of the following are considered core competencies for Advanced Practice Registered Nurses (APRNs)?

Group of answer choices

 

Leadership, Quality, and Consultation

 

Leadership, Research Skills, and Quality

 

Leadership and Research Skills only

 

Quality and Consultation only

Question 2                            1 pts

To reduce adverse events associated with care transitions, the Centers for Medicare and Medicaid Service have implemented which policy?

Group of answer choices

 

Mandates for communication among primary caregivers and hospitalists

 

Penalties for failure to perform medication reconciliations at time of discharge

 

Reduction of payments for patients readmitted within 30 days after discharge

 

Requirements for written discharge instructions for patients and caregivers

Question 3                           1 pts

Rules proposed by the various State Boards of Nursing must be approved by the state Legislatures.

Group of answer choices

 

True

 

False

Question 4                                    1 pts

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 program she decides to go back to the ER as an APRN. Does she meet the competency requirements for such a position?

Group of answer choices

 

Yes

 

No

Question 51 pts

A nurse practitioner uses the Newest Vital Sign (NVS) tool during a health visit with a patient managing a new chronic condition. The purpose of this screening is to evaluate the patient’s ability to:

Group of answer choices

 

Interpret health information and perform basic numerical calculations

 

Navigate online health resources and digital tools

 

Demonstrate understanding through verbal communication

 

Comprehend written discharge instructions

Question 6                                  1 pts

Which statement made by a health care provider demonstrates the most appropriate understanding for the goal of a performance report?

Group of answer choices

 

“This process allows me to critique the performance of the rest of the staff.”

 

“Most organizations require staff to undergo a performance evaluation yearly.”

 

“It is hard to be personally criticized but that’s how we learn to change.”

 

“The comments should help me improve my management skills.”

 

Question 7                                1 pts

Which is the most appropriate research design for a Level III research study?

Group of answer choices

 

Epidemiological studies

 

Experimental design

 

Qualitative studies

 

Randomized clinical trials

 

Question 81 pts

According to multiple research studies, which intervention has resulted in lower costs and fewer rehospitalizations in high-risk older patients?

Group of answer choices

 

Coordination of posthospital care by advanced practice health care providers

 

Frequent posthospital clinic visits with a primary care provider

 

Inclusion of extended family members in the outpatient plan of care

 

Telephone follow-up by the pharmacist to assess medication compliance

 

Question 9                                        1 pts

What is the main reason for using the REALM-SF instrument to evaluate health literacy?

Group of answer choices

 

It assesses numeracy skills.

 

It enhances patient–provider communication.

 

It evaluates medical word recognition.

 

It measures technology knowledge.

 

Question 10                                       1 pts

The Consensus Model for APRN regulation consists of which of the following roles?

Group of answer choices

 

CNM

 

CRNA

 

APN

 

CNS

 

Responses A, B, C, and D

 

Responses A, B & C only

 

Question 11                         1 pts

A patient with atopic and seborrheic dermatitis has lesions on the forehead and scalp line. Which corticosteroid prescription is most appropriate?

Group of answer choices

 

Initiate low-to-medium potency steroid such as 0.1 % triamcinolone acetonide; avoid occlusive dressings

 

Use 0.05 % fluocinonide liberally

 

Cover with occlusive dressing after application

 

Start high-potency steroid daily for one month

 

Question 12                                   1 pts

During a full-skin exam, a raised, shiny, pearly lesion is found on the patient’s nose. What is the appropriate next step?

Group of answer choices

 

Begin cryotherapy in clinic

 

Reassure the patient that this is a benign lesion.

 

Refer for possible electrodessication and curettage (suspected basal cell carcinoma)

 

Diagnose as melanoma

 

Question 13                                   1 pts

A newly diagnosed bullous pemphigoid patient reports severe pruritus. The provider prescribes a topical corticosteroid and warns about which possible complication?

Group of answer choices

 

Bone marrow suppression

 

Systemic spread of disease

 

Secondary skin infection from excoriations

 

Contagious transmission

 

Question 14                                      1 pts

A 28-year-old woman with hidradenitis suppurativa has recurrent abscesses in the groin area. Which statement is accurate when counseling her?

Group of answer choices

 

It is caused by deodorant use

 

The condition is chronic and relapsing, often leading to scarring despite therapy

 

Lesions are contagious

 

Antibiotics alone are curative

 

Question 15                                  1 pts

Jake, a 66-year-old man with psoriasis, develops new plaques along areas of healed abrasions. This response to skin trauma is known as:

Group of answer choices

 

Koebner Phenomenon

 

Ashpitz Sign

 

Guttate phenomenon

 

None of the above.

 

Question 161 pts

A 36-year-old man presents with a cluster of painful, erythematous nodules on the back of his neck. Several lesions have coalesced and are draining purulent material. Which management is most appropriate?

Group of answer choices

 

Systemic antibiotics to treat carbuncles

 

Warm compresses only

 

Topical mupirocin

 

Incision and drainage with local care

 

Question 17                                    1 pts

A man presents with a human bite to his knuckle sustained in a fight. Which complication is most concerning?

Group of answer choices

 

Possible exposure to rabies virus

 

Potential septic arthritis or osteomyelitis

 

Sepsis from Capnocytophaga canimorsus infection

 

Transmission of human immunodeficiency virus

 

Question 18                                    1 pts

What is the initial approach when obtaining a biopsy of a potential malignant melanoma lesion?

Group of answer choices

 

Excisional biopsy

 

Punch biopsy

 

Shave biopsy

 

Wide excision

 

Question 191 pts

Katie presents with multiple soft, mobile, fatty nodules on the neck and trunk. What is the most likely diagnosis?

Group of answer choices

 

Lipoma

 

Acanthosis Nigricans

 

Acrochordon

 

Cherry Angioma

Question 20                                1 pts

A 9-year-old develops vesicular lesions that crust over. His mother recently had shingles. Which statement is accurate?

Group of answer choices

 

Chickenpox and shingles are caused by the same varicella-zoster virus

 

Chickenpox and shingles are caused by different viruses

 

Both are bacterial infections

 

Chickenpox immunity prevents shingles

 

Question 211 pts

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:

Group of answer choices

 

First degree burn

 

Second degree burn

 

Third degree burn

 

Fourth degree burn

 

Question 22                                       1 pts

A patient with hidradenitis suppurativa develops painful bullae. Which antibiotic would not be recommended for treatment?

Group of answer choices

 

Keflex

 

Dicloxacillin

 

Azithromycin

 

None of the above (all may be appropriate depending on severity)

 

Question 231 pts

A 45-year-old woman presents with cellulitis on her lower leg. Which organism is least likely to be the causative agent?

Group of answer choices

 

Staphylococcus aureus

 

Streptococci

 

Staphylococci

 

Salmonella

 

Question 24                        1 pts

When prescribing a topical medication for an open, hairy area, which vehicle provides the best penetration?

Group of answer choices

 

Cream

 

Gel

 

Ointment

 

Powder

 

A 22-year-old has moderate inflammatory acne
with several nodules and mild scarring. Which regimen is most appropriate?

A patient is seen in the clinic for patches of hair loss. The provider notes
several well-demarcated patches on the scalp and eyebrows without areas of inflammation and several hairs within the patch with thinner shafts near the scalp
. Based on these findings, which type of alopecia is most likely?

A provider performs an eye examination during a health maintenance visit and notes a
difference of 0.5 mm in size between the patient’s pupils. What does this finding indicate
?

A woman with
androgenetic alopecia asks about medication options
. You prescribe:

A patient has a
localized nodule on one eyelid
which is warm, tender, and erythematous. On examination, the provider notes clear conjunctivae and no discharge. What is the recommended treatment?

A 19-year-old has
fever, severe sore throat, odynophagia, and tender submandibular nodes
. The most likely organism is:

Angus is a 46 y/o farmer who comes to the clinic for his annual physical exam. During the eye exam the NP notices that
Angus has micro aneurysms and cotton wool spots on the retina
. Based on these findings alone the NP could make the diagnosis that Angus has:

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.