NRNP 6531 Week 8: Knowledge Check Quiz

NRNP 6531 Week 8: Knowledge Check Quiz

Score for this quiz: 
20
 out of 20

This attempt took 37 minutes.

Question 1

1 
/ 1
 pts

Which of the following is not appropriate suppression therapy for chronic bacterial prostatitis?

Doxycycline 100 mg qd

 

Nitrofurantoin 100 mg qd

 

Bactrim DS qd

 

Correct!

Erythromycin qd

 

Question 2

1 
/ 1
 pts

What is the most common cause of Cushing’s syndrome?

Excessive ACTH production

NRNP 6531 Week 8: Knowledge Check Quiz

 

Correct!

Administration of a glucocorticoid or ACTH

 

Pituitary adenoma or a non-pituitary ACTH-producing tumor

 

Autonomous cortisol production from adrenal tissue

 

ORDER HERE 

Question 3

1 
/ 1
 pts

Diagnostic confirmation of acute leukemia is based on:

Correct!

Bone marrow aspiration and biopsy

 

Pancytopenia

 

Hyperuricemia

 

All of the above

 

Question 4

1 
/ 1
 pts

Of the following choices, the least likely cause of cough is:

Asthma

 

Gastroesophageal reflux

 

Correct!

Acute pharyngitis

 

Allergic rhinitis

 

Question 5

1 
/ 1
 pts

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 Quiz

Correct!

A low fat, tyramine-free, caffeine-free, high fiber diet, along with a daily diary, and attention to psychosocial factors.

 

Referral to a gastroenterologist for colonoscopy.

 

Treatment with a selective serotonin reuptake inhibitor (SSRI) such as fluoxetine (Prozac) or sertraline (Zoloft).

 

Antibiotics, nutritional support, and high fiber diet.

 

NRNP 6531 Week 8: Knowledge Check Quiz Question 6

1 
/ 1
 pts

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?

1 week

 

2 weeks

 

Correct!

8 weeks

 

12 weeks

 

Question 7

1 
/ 1
 pts

Reed-Sternberg B lymphocytes are associated with which of the following disorders:

Aplastic anemia

 

Correct!

Hodgkin’s lymphoma

 

Non Hodgkin’s lymphoma

 

Myelodysplastic syndromes

 

NRNP 6531 Week 8: Knowledge Check Quiz Question 8

1 
/ 1
 pts

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 transillumination of the scrotum. What is the most likely diagnosis?

Indirect inguinal hernia

 

Correct!

Hydrocele

 

Orchitis

 

Testicular torsion

 

Question 9

1 
/ 1
 pts

The most commonly recommended method for prostate cancer screening in a 55 year old male is:

Correct!

Digital rectal examination (DRE) plus prostate specific antigen (PSA)

 

Prostate specific antigen (PSA) alone

 

Transrectal ultrasound (TRUS) alone

 

Prostate specific antigen (PSA) and transrectal ultrasound (TRUS)

 

Question 10

1 
/ 1
 pts

Which of the following patients most warrants screening for hypothyroidism?

A young adult female with postpartum depression lasting 2 weeks.

 

A patient taking thyroid replacement preparation.

 

A 40 year old male with unexplained tremors.

 

Correct!

An elderly female with recent onset of mental dysfunction.

 

Question 11

1 
/ 1
 pts

Microalbuminuria is a measure of:

Total urinary protein.

 

Late renal compromise in a diabetic patient.

 

Early glycemic abnormality.

 

Correct!

Protein lost into the urine.

 

Question 12

1 
/ 1
 pts

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?

Apples

 

Correct!

Peppermint

 

Cucumbers

 

Popsicles

 

Question 13

1 
/ 1
 pts

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?

Correct!

Serologic markers for hepatitis

 

Serum bilirubin

 

Serum cholesterol with HDL and LDL

 

A liver biopsy

 

Question 14

1 
/ 1
 pts

Which of the following is not a common early sign of benign prostatic hyperplasia (BPH)?

Difficulty initiating a urine stream

 

Nocturia

 

Urinary retention

 

Correct!

Increased force of urine flow

 

NRNP 6531 Week 8: Knowledge Check Quiz Question 15

1 
/ 1
 pts

John, age 33, has a total cholesterol level of 188 mg/dL. How often should he be screened for hypercholesterolemia?

Correct!

Every 5 years

 

Every 2 years

 

Every year

 

Whenever blood work is done

 

Question 16

1 
/ 1
 pts

The nurse practitioner diagnoses epididymitis in a 24 year old sexually active male patient. The drug of choice for treatment of this patient is:

Oral ciprofloxacin (Cipro)

 

Correct!

Oral doxycycline (Virbamycin) plus intramuscular ceftriaxone

 

Oral trimethoprim-sulfamethoxazole (Bactrim DS)

 

Intramuscular penicillin

 

Question 17

1 
/ 1
 pts

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:

160 mg/dL

 

130 mg/dL

 

Correct!

100 mg/dL

 

70 mg/dL

 

Question 18

1 
/ 1
 pts

Which of the following are classic features of ulcerative colitis?

Right lower quadrant pain, frequently accompanied by a palpable mass, fever, and leukocytosis.

 

Painful hematemesis, occasionally accompanied by melena.

 

Rapidly progressive dysphagia with ingestion of solid foods, anorexia, and weight loss out of proportion to the dysphagia.

 

Correct!

Remissions and exacerbations of bloody diarrhea, tenesmus, fecal incontinence, abdominal pain and weight loss.

 

Question 19

1 
/ 1
 pts

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:

Referral for surgical intervention such as a partial or complete fundoplication

 

Dependent upon how sever the practitioner believes the condition

 

To repeat the 8 week course of drug therapy while continuing lifestyle modifications

 

Correct!

Investigation with endoscopy, manometry, and/or pH testing

 

Question 20

1 
/ 1
 pts

Which of the following is not a risk factor associated with the development of syndrome X and type 2 diabetes mellitus?

Hypertriglyceridemia and low high-density lipoprotein (HDL)

 

Gestational diabetes and polycystic ovarian syndrome

 

Hispanic, African-American, Native-American, and Pacific Islander ethnicity

 

Correct!

Postprandial hypoglycemia