NRNP – 6568 Synthesis in Advanced Nursing Practice of Patients in Family Care Settings Week 8 Quiz

NRNP – 6568 Synthesis in Advanced Nursing Practice of Patients in Family Care Settings Week 8 Quiz
NRNP – 6568 Synthesis in Advanced Nursing Practice of Patients in Family Care Settings Week 8 Quiz
NRNP-6568-6-Syn Adv Nurs Pr Patient Family-2021-Winter-QTR-Term-wks-1-thru-11-(11/29/2021-02/13/2022)-PT27
Begin: Quiz – Week 8 Comprehensive Practice
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Click Begin to start: Quiz – Week 8 Comprehensive Practice. Click Cancel to go back NRNP – 6568 Synthesis in Advanced Nursing Practice of Patients in Family Care Settings Week 8 Quiz.
Question 1
Lactation mastitis typically occurs in which time frame:

At 3 months after birth

At 6 months after birth

Within the first 2 months after birth

None of the above

Question 2
Danger signs of oral contraceptives include all the following except:

Chest pain

Severe headache

Weakness on both sides of the body

Visual changes in one eye

Question 3
Artie is a 21 y/o male who comes to the clinic with a chief complaint of paroxysmal coughing without an apparent cause. He states that this has been going on for about 15 days. He initially had a mild fever and a runny nose NRNP – 6568 Synthesis in Advanced Nursing Practice of Patients in Family Care Settings Week 8 Quiz. His most likely diagnosis is:

Pertussis

Atypical pneumonia

CAP

Common cold

Question 4
Imaging, in relationship to UTIs, should be done in all the following except:

Poor response to antibiotics

H/O of calculi

On initial visit

Recurrent pyelonephritis

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Question 5
Adam is a 10 y/o male who has Koplik’s spots inside the cheeks by the rear molars. The most likely diagnosis is:

Measles

Hand, foot, and mouth disease

Scarlet fever

Varicella

 
Question 6
Zina is a 34 y/o female who comes to the clinic with a chief complaint of 3 years of chronic heartburn. She states that she gets it after eating tacos and bacon. She has tried to self-medicate with OTC antacids with no improvement. In the exam, the NP notices a sour odor on Zina’s breath, thinning tooth enamel, and a chronic red throat NRNP – 6568 Synthesis in Advanced Nursing Practice of Patients in Family Care Settings Week 8 Quiz. Some lifestyle changes to treat Zina’s condition would include which of the following?

Stop smoking

Avoid ASA

Avoid alcohol

Avoid caffeine

All of the above

A, C, and D only

 
Question 7
Zina is a 34 y/o female who comes to the clinic with a chief complaint of 3 years of chronic heartburn. She states that she gets it after eating tacos and bacon. She has tried to self-medicate with OTC antacids with no improvement. In the exam, the NP notices a sour odor on Zina’s breath, thinning tooth enamel, and a chronic red throat NRNP – 6568 Synthesis in Advanced Nursing Practice of Patients in Family Care Settings Week 8 Quiz. The most likely diagnosis is:

Halitosis

Peptic ulcer disease

Gastroesophageal reflux disease (GERD)

A or B only

Question 8
Artie is a 21 y/o male who comes to the clinic with a chief complaint of paroxysmal coughing without an apparent cause. He states that this has been going on for about 15 days. He initially had a mild fever and a runny nose. First-line treatment for Artie would include macrolides.
True
False
Question 9
Sam is a 19 y/o male who comes to the clinic with a chief complaint of several weeks of fatigue and non-productive paroxysmal coughing. He initially had a sore throat, some rhinitis, and low-grade fever. Treatment of Sam’s condition includes which of the following:

Doxycycline

Azithromycin

Tessalon Perles

All of the above

A & B only

 
Question 10
After skin cancer, breast cancer is the most common cancer in women NRNP – 6568 Synthesis in Advanced Nursing Practice of Patients in Family Care Settings Week 8 Quiz.
True
False
 
Question 11
Mark is a 2-month-old infant, and he should be able to do all the following tasks except:

Follow objects past midline

Make gurgling sounds

Rolling over

Lift head up 45 degrees

 
Question 12
Patients with bipolar disorder may have all the following except:

 Delusions

 Hallucinations

 Lower rates of substance abuse

 A & B only

 
Question 13
The positive signs of pregnancy include all the following except:

Palpation of uterus by NP

Ultrasound and visualization of fetus

Goodell’s sign (cervical softening at 4 weeks)

Fetal heart tones

 
Question 14
Susan is a 29 y/o female who comes to the clinic with a 3-day history of fever, chills, nausea, vomiting, and flank pain. During the visit, the NP does a urine dipstick and discover that Susan is positive for nitrites, leukocytes, and >10 WBCs. The physical exam reveals a CVA tenderness. Her most likely diagnosis is:

Lower urinary tract infection

Abdominal virus

Upper urinary tract infection

Sexually transmitted disease

Question 15
Drew is a 13 y/o male who presents to the clinic with testicular pain, nausea, vomiting, scrotal edema, and redness NRNP – 6568 Synthesis in Advanced Nursing Practice of Patients in Family Care Settings Week 8 Quiz. You perform a urine analysis, which is negative. What is the most likely diagnosis?

Testicular cancer

Testicular torsion

Hodgkin lymphoma

None of the above

Question 16
Archie is a 19 y/o male who comes to the clinic with his significant other because of recent outbursts and then long periods of mood changes that cycle between mania and depression. His most likely diagnosis is:

Major depression

Bipolar depression

Minor depression

None of the above

Question 17
In a pregnant woman, most of the weight gain occurs in which trimester?

First trimester

Second trimester

Third trimester

Fourth trimester

Question 18
The CDC recommends HPV vaccine for males until what age? NRNP – 6568 Synthesis in Advanced Nursing Practice of Patients in Family Care Settings Week 8 Quiz

18 y/o

20 y/o

23 y/o

26 y/o

Question 19
All of the following are characteristics of Kleinfelter syndrome in a male except:

Small testicles

Wide hips

Decreased body and facial hair

Small stature

Question 20
The most common method of contraception is:

IUDs

Sterilization

Condoms

Diaphragms

Question 21
Susan is a 29 y/o female who comes to the clinic with a 3-day history of fever, chills, nausea, vomiting, and flank pain. During the visit, the NP does a urine dipstick and discover that Susan is positive for nitrites, leukocytes, and >10 WBCs. The physical exam reveals a CVA tenderness. Within 2 weeks, Susan returns to the clinic and a culture of her urine shows she has the same bacteria as when the NP first saw her NRNP – 6568 Synthesis in Advanced Nursing Practice of Patients in Family Care Settings Week 8 Quiz. This would be referred to as:

Relapsing UTI

Recurring UTI

Persistent UTI

None of the above

 
Question 22
Susan is a 29 y/o female who comes to the clinic with a 3-day history of fever, chills, nausea, vomiting, and flank pain. During the visit, the NP does a urine dipstick and discover that Susan is positive for nitrites, leukocytes, and >10 WBCs. The physical exam reveals a CVA tenderness. In treating Susan, the NP could use which of the following antibiotics?

TMP-SMX

Nitrofurantoin

Cephalexin

A and C only

A & C only

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Question 23
Sam is a 19 y/o male who comes to the clinic with a chief complaint of several weeks of fatigue and non-productive paroxysmal coughing. He initially had a sore throat, some rhinitis, and low-grade fever. Potential organisms that might have caused Sam’s condition include which of the following:

Mycoplasma pneumoniae

Chlamydia pneumoniae

Legionella pneumonia

All of the above

None of the above

 
Question 24
Jeremy is suffering from chronic alcohol abuse. His symptoms include mental confusion, ataxia, stupor, and hypotension. The most likely diagnosis for these symptoms is:

 Korsakoff’s syndrome

 Insomnia

 Anorexia nervosa

 Bipolar disorder

Question 25
All of the following are in the LUQ of the abdomen except

Stomach

Sigmoid colon

Pancreas

Kidney (left)

Question 26
Zina is a 34 y/o female who comes to the clinic with a chief complaint of 3 years of chronic heartburn. She states that she gets it after eating tacos and bacon. She has tried to self-medicate with OTC antacids with no improvement. In the exam, the NP notices a sour odor on Zina’s breath, thinning tooth enamel, and a chronic red throat NRNP – 6568 Synthesis in Advanced Nursing Practice of Patients in Family Care Settings Week 8 Quiz. Medications to assist Zina would include all the following except:

Zantac

Pepcid

NSAIDS

Prevacid

Question 27
At 12 weeks in a pregnancy the fundal height of the uterus should be:

Above the symphysis pubis

Halfway between symphysis pubis and umbilicus

At level of umbilicus

Below symphysis pubis

Question 28
Breast cancer in women is characterized by all of the following except

Mobile mass on palpation

Mass is painless

Mass is typically found in the upper outer quadrant

Skin around breast is dimpled

 
Question 29
All of the following are presumptive signs of pregnancy except:

Amenorrhea

Chadwick’s sign (blue coloration of the uterus and vagina)

Breast changes

Fatigue

Question 30
Which of the following can reduce breast cancer risk? NRNP – 6568 Synthesis in Advanced Nursing Practice of Patients in Family Care Settings Week 8 Quiz

Healthy diet

Limiting ETOH intake

Stop smoking

Maintain normal body weight

All of the above

A, B, & C only

NRNP – 6568 Synthesis in Advanced Nursing Practice of Patients in Family Care Settings Week 8 Quiz


Objective Data – Brian foster chest pain shadow health assessment

Objective Data – Brian foster chest pain shadow health assessment
Objective Data – Brian foster chest pain shadow health assessment
Objective Data Collection: 30 of 33 (90.91%)

 Correct
 Partially correct

 Incorrect
 Missed

 Inspected face
1 of 1 point

Appearance (1/1 point)

 No visible abnormal findings
 Rash or lesion
 Cyanosis
 Pallor
 Redness or flushing
 Evidence of trauma (scar, laceration, or bruising)
Objective Data – Brian foster chest pain shadow health assessment

 Inspected for jugular venous distension
1 of 1 point

Height Of Venous Pressure (1/1 point)

 4 cm or less above the sternal angle
 More than 4 cm above the sternal angle

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Inspected chest
1 of 1 point

Symmetry (1/2 point)

 Symmetric
 Asymmetric

Appearance (1/2 point)

 No visible abnormal findings
 Rash or lesion
 AP diameter abnormal
 Intercostal retraction while breathing
 Excessive use of accessory muscles while breathing
 Pectus excavatum
 Skin growths (freckles or moles)
 Evidence of skin trauma (scar, laceration, or bruising)
Objective Data – Brian foster chest pain shadow health assessment

 Inspected abdomen
0.67 of 1 point

Symmetry (1/3 point)

 Symmetric
 Asymmetric

Contour (No point)

 Flat
 Rounded
 Protuberant
 Hollowed

Appearance (1/3 point)

 No visible abnormal findings
 Rash
 Striae
 Bulging around umbilicus
 Distension
 Visible masses (warts, cysts, or tumors)
 Freckles, birthmark, or discoloration
 Excessive hair growth
 Visible scars
 Laceration, lesion or wound
 Bruising

 Inspected hands and fingernails
1 of 1 point

Right: Appearance (1/4 point)

 No visible abnormal findings
 Redness
 Moles or skin tags
 Masses (warts, cysts, or tumors)
 Freckles, birthmark, or other discoloration
 Excessive dry or flaking skin
 Purpura
 Scarring
 Laceration, lesion, or wound
 Bruising
 Rash

Right: Nail Changes (1/4 point)

 No visible abnormal findings
 Pallor
 Cyanosis
 Splinter hemorrhages
 Clubbing

Left: Appearance (1/4 point)

 No visible abnormal findings
 Redness
 Moles or skin tags
 Masses (warts, cysts, or tumors)
 Freckles, birthmark, or other discoloration
 Excessive dry or flaking skin
 Purpura
 Scarring
 Laceration, lesion, or wound
 Bruising
 Rash

Left: Nail Changes (1/4 point)

 No visible abnormal findings
 Pallor
 Cyanosis
 Splinter hemorrhages
 Clubbing

 Inspected lower extremities and toenails
1 of 1 point

Right: Appearance (1/4 point)

 No visible abnormal findings
 Visible distortion or swelling
 Brownish pigmentation
 Skin thickening
 Ulceration
 Varicose veins

Right: Nail Changes (1/4 point)

 No visible abnormal findings
 Pallor
 Cyanosis
 Splinter hemorrhages
 Clubbing

Left: Appearance (1/4 point)

 No visible abnormal findings
 Visible distortion or swelling
 Brownish pigmentation
 Skin thickening
 Ulceration
 Varicose veins

Left: Nail Changes (1/4 point)

 No visible abnormal findings
 Pallor
 Cyanosis
 Splinter hemorrhages
 Clubbing

 Inspect lower extremities for edema
1 of 1 point

Right: Edema (1/4 point)

 No edema
 Pitting
 Non-pitting

Right: Severity Of Edema (1/4 point)

 No edema
 1+ Slight pitting
 2+ Deeper pit, disappears in 10 to 15 seconds
 3+ Noticeably deep pit that lasts more than a minute
 4+ Very deep pit that lasts 2 to 5 minutes
Objective Data – Brian foster chest pain shadow health assessment

Left: Edema (1/4 point)

 No edema
 Pitting
 Non-pitting

Left: Severity Of Edema (1/4 point)

 No edema
 1+ Slight pitting
 2+ Deeper pit, disappears in 10 to 15 seconds
 3+ Noticeably deep pit that lasts more than a minute
 4+ Very deep pit that lasts 2 to 5 minutes

 Tested capillary refill time
1 of 1 point

Fingers (1/2 point)

 Less than 3 seconds
 Greater than 3 seconds

Toes (1/2 point)

 Less than 3 seconds
 Greater than 3 seconds

 Auscultated carotid arteries
0.5 of 1 point

Right (No point)

 No bruit
 Bruit

Left (1/2 point)

 No bruit
 Bruit

 Auscultated heart sounds
0.5 of 1 point

Heart Sounds (No point)

 S1 and S2 audible
 S1, S2, and S3 audible
 S1, S2, and S4 audible
 S1, S2, S3, and S4 audible

Extra Heart Sounds (1/2 point)

 No extra sounds
 Gallops
 Murmur
 Friction rub
 Valve clicks

 Auscultated breath sounds
0.33 of 1 point

Breath Sounds (1/3 point)

 Present in all areas
 Diminished in some areas
 Absent in some areas

Adventitious Sounds (No point)

 No adventitious sounds
 Wheezing
 Fine crackles
 Stridor
 Rhonchi
 Course crackles

Location (No point)

 All areas clear
 Adventitious sounds in anterior right upper lobe
 Adventitious sounds in anterior right middle lobe
 Adventitious sounds in anterior right lower lobe
 Adventitious sounds in anterior left upper lobe
 Adventitious sounds in anterior left lower lobe
 Adventitious sounds in posterior right upper lobe
 Adventitious sounds in posterior right lower lobe
 Adventitious sounds in posterior left upper lobe
 Adventitious sounds in posterior left lower lobe
Objective Data – Brian foster chest pain shadow health assessment

 Auscultated abdominal aorta
1 of 1 point

Sounds (1/1 point)

 No bruit
 Bruit

 Auscultated abdominal and lower extremity arteries
1 of 1 point

Right: Renal (1/6 point)

 No bruit
 Bruit

Left: Renal (1/6 point)

 No bruit
 Bruit

Right: Iliac (1/6 point)

 No bruit
 Bruit

Left: Iliac (1/6 point)

 No bruit
 Bruit

Right: Femoral (1/6 point)

 No bruit
 Bruit

Left: Femoral (1/6 point)

 No bruit
 Bruit

 Auscultated bowel sounds
1 of 1 point

Bowel Sounds (1/2 point)

 Absent
 Hypoactive
 Normoactive
 Hyperactive

Location Of Non Normoactive Bowel Sounds (1/2 point)

 All quadrants normoactive
 Right upper quadrant
 Right lower quadrant
 Left upper quadrant
 Left lower quadrant

 Palpated carotid arteries
0.5 of 1 point

Right: Vibration (No point)

 No thrill
 Thrill

Right: Amplitude (No point)

 0 Absent
 1+ Diminished or barely palpable
 2+ Expected
 3+ Increased
 4+ Bounding pulse

Left: Vibration (1/4 point)

 No thrill
 Thrill

Left: Amplitude (1/4 point)

 0 Absent
 1+ Diminished or barely palpable
 2+ Expected
 3+ Increased
 4+ Bounding pulse

 Palpated PMI
1 of 1 point

Location (1/3 point)

 Present at midclavicular line and 5th intercostal space
 Displaced laterally

Diameter (1/3 point)

 Less than 3 cm
 Greater than 3 cm

Amplitude (1/3 point)

 Brisk and tapping
 Increased amplitude (hyperkinetic)

 Palpated brachial arteries
1 of 1 point

Right: Vibration (1/4 point)

 No thrill
 Thrill

Right: Amplitude (1/4 point)

 0 Absent
 1+ Diminished or barely palpable
 2+ Expected
 3+ Increased
 4+ Bounding pulse

Left: Vibration (1/4 point)

 No thrill
 Thrill

Left: Amplitude (1/4 point)

 0 Absent
 1+ Diminished or barely palpable
 2+ Expected
 3+ Increased
 4+ Bounding pulse

 Palpated radial arteries
1 of 1 point

Right: Vibration (1/4 point)

 No thrill
 Thrill

Right: Amplitude (1/4 point)

 0 Absent
 1+ Diminished or barely palpable
 2+ Expected
 3+ Increased
 4+ Bounding pulse

Left: Vibration (1/4 point)

 No thrill
 Thrill

Left: Amplitude (1/4 point)

 0 Absent
 1+ Diminished or barely palpable
 2+ Expected
 3+ Increased
 4+ Bounding pulse

 Palpated femoral arteries
1 of 1 point

Right: Vibration (1/4 point)

 No thrill
 Thrill

Right: Amplitude (1/4 point)

 0 Absent
 1+ Diminished or barely palpable
 2+ Expected
 3+ Increased
 4+ Bounding pulse

Left: Vibration (1/4 point)

 No thrill
 Thrill

Left: Amplitude (1/4 point)

 0 Absent
 1+ Diminished or barely palpable
 2+ Expected
 3+ Increased
 4+ Bounding pulse

 Palpated popliteal arteries
0.5 of 1 point

Right: Vibration (1/4 point)

 No thrill
 Thrill

Right: Amplitude (No point)

 0 Absent
 1+ Diminished or barely palpable
 2+ Expected
 3+ Increased
 4+ Bounding pulse

Left: Vibration (1/4 point)

 No thrill
 Thrill

Left: Amplitude (No point)

 0 Absent
 1+ Diminished or barely palpable
 2+ Expected
 3+ Increased
 4+ Bounding pulse

 Palpated tibial arteries
1 of 1 point

Right: Vibration (1/4 point)

 No thrill
 Thrill

Right: Amplitude (1/4 point)

 0 Absent
 1+ Diminished or barely palpable
 2+ Expected
 3+ Increased
 4+ Bounding pulse

Left: Vibration (1/4 point)

 No thrill
 Thrill

Left: Amplitude (1/4 point)

 0 Absent
 1+ Diminished or barely palpable
 2+ Expected
 3+ Increased
 4+ Bounding pulse

 Palpated dorsalis pedis arteries
1 of 1 point

Right: Vibration (1/4 point)

 No thrill
 Thrill

Right: Amplitude (1/4 point)

 0 Absent
 1+ Diminished or barely palpable
 2+ Expected
 3+ Increased
 4+ Bounding pulse

Left: Vibration (1/4 point)

 No thrill
 Thrill

Left: Amplitude (1/4 point)

 0 Absent
 1+ Diminished or barely palpable
 2+ Expected
 3+ Increased
 4+ Bounding pulse

 Palpated abdomen – light
1 of 1 point

Tenderness (1/3 point)

 None reported
 Tenderness reported

Location Of Tenderness (1/3 point)

 No quadrants tender
 Right upper quadrant
 Right lower quadrant
 Left upper quadrant
 Left lower quadrant

Observations (1/3 point)

 No additional observations
 Masses
 Guarding
 Distension
 Muscle resistance
 Rigidity

 Palpated abdomen – deep
1 of 1 point

Presence Of Unexpected Mass (1/2 point)

 No palpable mass
 Palpable mass

Location Of Mass (1/2 point)

 No palpable mass
 Right upper quadrant
 Right lower quadrant
 Left upper quadrant
 Left lower quadrant
 Around umbilicus

 Palpated liver
1 of 1 point

Detection (1/1 point)

 Not palpable
 Palpable

 Palpated spleen
1 of 1 point

Detection (1/1 point)

 Not palpable
 Palpable

 Palpated kidneys
1 of 1 point

Right (1/2 point)

 Not palpable
 Palpable

Left (1/2 point)

 Not palpable
 Palpable

 Tested skin turgor
1 of 1 point

Observations (1/1 point)

 No tenting
 Tenting

 Auscultated organs
1 of 1 point

Liver (1/2 point)

 No friction rub
 Audible friction rub

Spleen (1/2 point)

 No friction rub
 Audible friction rub

 Percussed abdomen
1 of 1 point

Observations (1/1 point)

 All areas generally tympanic
 Some areas dull, some tympanic
 Some areas resonant
Objective Data – Brian foster chest pain shadow health assessment

 Percussed spleen
1 of 1 point

Spleen (1/1 point)

 Tympany
 Dullness

 Percussed liver
1 of 1 point

Liver Span (1/1 point)

 Smaller than 6 cm
 Between 6 and 12 cm
 Greater than 12 cm

 Performed EKG
1 of 1 point

Sinus Rhythm (1/2 point)

 Regular
 Irregular

St Changes (1/2 point)

 No ST elevation
 ST elevation present
Objective Data – Brian foster chest pain shadow health assessment


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