NRNP 6531 Week 6 Midterm Exam (March 2021)

NRNP 6531 Week 6 Midterm Exam (March 2021) Question: 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? Question: What is the main reason for using the REALM-SF instrument to evaluate health literacy? Question: A small, rural hospital is part of an Accountable Care Organization (ACO) and is … as a Level 1 ACO. What is part of this designation? Question: The Consensus Model identifies 3 core courses that all ANPs must take. All the following are Advanced core courses except: Question: The care provided by APRNs is not limited by setting but by patient care needs. Question: Which is the most appropriate research design for a Level III research study? Question: What was an important finding of the Advisory Board survey of 2014 about primary care preferences of patients? Question: To reduce adverse events … with care transitions, the Centers for Medicare and Medicaid Service have implemented which policy? Question: The Consensus Model for APRN regulation consists of which of the following roles? Question: Rules … by the various State Boards of Nursing must … by the state Legislatures. Question: In reviewing the Total Percentage of Body surface area for adult burn patients each, leg, arm and head are noted … at 9%. Question: What is the initial approach when obtaining a biopsy of a potential malignant melanoma lesion? Question: When assisting with a skin biopsy of a patient … of having bullous pemphigoid (BP) lesions, what will the practitioner do? Question: 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? Question: Carbuncles are typically treated with systemic antibiotics Question: Mild acne is treated only with topicals. Question: Steroids should be avoided in cases of suspected fungal etiology. Question: 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? Question: A provider is considering an oral contraceptive medication to treat acne in an adolescent female. Which is an important consideration when prescribing this drug? Question: 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: Question: The most common type of melanoma in African Americans and Asiansis: Question: Olga was making French fries for her kids and gets … with hot oil. At the clinic theNP notes that she has red colored skin with superficial blisters and pain where the oil splashed. The most likely diagnosisis: Question: Patty comes to the clinic with these soft fatty cystic lesions on her neck, trunk and arms. The most likely diagnosis is: Question: During a total body skin examination for skin cancer, the provider notes a raised, shiny, slightly … lesion on the patient’s nose. What will the provider do? Question: 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 … submandibular nodes First line pharmacological treatment for Mikey would include: Question: During an eye examination, the provider notes a red-light reflex in one eye but not the What is the significance of this finding? Question: A patient … with allergic conjunctivitis and prescribed a topical antihistamine- vasoconstrictor medication reports worsening symptoms. What is the provider’s next step in managing this patient’s symptoms? Question: 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? Question: A patient … with alopecia is … to have scaling on the affected areas of the scalp. Which confirmatory test(s) will the provider order? Question: A female patient is … with androgenetic alopecia. Which medication will the primary health care provider prescribe? Question: 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 … sub mandibular nodes The most likely organism causing Mikey’s infection is: Question: 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 … a Weber test on Audrey she would discover that there would be: Question: A patient experiencing chronically dry eyes reports having a foreign body sensation, burning, and itching. A Schirmer test is abnormal. What is the … cause of this patient’s symptoms based on this test finding? Question: Which is the most common cause of orbital cellulitis in all age groups? Question: 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 …. There are no other symptoms. Which type of conjunctivitis is most likely? Question: A retinal detachment would … by a shower of floaters with the addition of sudden flashes of light. Question: A patient has an …, yellowish-white lesion adjacent to the cornea at the 3 o’clock position of the right eye. The provider notes pinkish inflammation with … blood vessels surrounding the lesion. What information will the provider provide the patient about this lesion? Question: A primary care provider may suspect cataract formation in a patient with which finding? Question: 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: Question: Bryce is a 17 y/o male who comes to the clinic with chief complaint of ear sudden onset of pain, popping noises, and … hearing. During the ear exam the NP notices that the TM has ruptured. The most likely diagnosis is: Question: Koplik spots on the buccal mucosa are pathognomonic for mumps. Question: 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 … submandibular nodes. The most likely diagnosis for Mikey is: Question: 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 … eye. On examination, the conjunctiva appears … , but no foreign body is visualized. What is the practitioner’s next step? Question: 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? Question: According to the JNC 8 guidelines the hypertension treatment goal for patients 60 years and younger should be: Question: An African-American patient who is being … with a thiazide diuretic for chronic hypertension reports blurred vision and shortness of breath. The provider notes a blood pressure of 185/115. What is the recommended action for this patient? Question: A young adult patient is … with a mitral valve prolapse. During a routine 3-year health maintenance exam, the provider notes an apical systolic murmur and a mid-systolic click on auscultation. The patient denies chest pain, syncope, or palpitations. What action will the provider take? Question: A previously healthy patient presents with sudden onset of dyspnea, fatigue, and orthopnea. A family history is negative. The provider suspects myocarditis. What is the most likely etiology for this patient? Question: A patient is … with peripheral arterial disease (PAD) and elects not to have angioplasty after an angiogram reveals partial obstruction in lower extremity arteries. What will the provider recommend to help manage this patient’s symptoms? Question: A split S2 is best heard at the upper left sternum. Question: In coarctation of the aorta the BP of the arms is higher than the BP of the legs. Question: Pulsus paradoxus is a phenomenon in which the radial pulse can … even though the apical pulse can’t be heard. Question: Juan is a known patient to the NP. He comes in for his quarterly check on his blood pressure. His blood pressure is 125/85. According to JNC 8 his BP falls into the category of: Question: An elderly adult patient without prior history of cardiovascular disease reports lower leg soreness and fatigue when shopping or walking in the neighborhood. T