What is the primary action of PCSK9 inhibitors (e.g., Praluent or Repatha) in cholesterol control?
They increase the breakdown of LDL in the bloodstream.
They bind to LDL receptors, enhancing their degradation.
They reduce the absorption of cholesterol in the gut.
They block PCSK9, allowing more LDL receptors on cell surfaces.
They directly inhibit cholesterol synthesis in the liver.
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.
Question 33 1 pts
Chronic gritty sensation and burning; abnormal Schirmer test. Likely mechanism:
Group of answer choices
Aqueous deficiency
Corneal abrasion
Evaporative disorder
Poor eyelid closure
Question 32 1 pts
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 first line treatment for Bryce would be:
Group of answer choices
Amoxicillin
Cefoxin
Augmentin
Levaquin
Diabetic retinopathy Question 31 1 pts
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:
Group of answer choices
Papilledema
Hypertensive retinopathy
Diabetic retinopathy
Cataracts
Question 30 1 pts
A 19-year-old has fever, severe sore throat, odynophagia, and tender submandibular nodes. The most likely organism is:
Group of answer choices
Streptococcus pyogenes
Streptococcus pneumonia
Streptococcus mutans
Streptomyces
Question 29 1 pts
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?
Group of answer choices
Referral to an ophthalmologist
Surgical incision and drainage
Systemic antibiotics
Warm compresses and massage of the lesion
Minoxidil for hair loss
A woman with androgenetic alopecia asks about medication options. You prescribe:
Group of answer choices
Anthralin
Cyclosporine
Finasteride
Minoxidil
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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?
Group of answer choices
A relative afferent pupillary defect
Indication of a difference in intraocular pressure
Likely underlying neurological abnormality
Probable benign, physiologic anisocoria