NRNP 6531 Midterm Exam
NRNP 6531 Advanced Practice Care Adult across Life-Week 6 Midterm Exam
NRNP 6531 Midterm Exam Question 1                      1 pts
The Consensus Model is based on 4 elements known as the LACE regulatory model. All the following are components of that regulatory model except:
Group of answer choices
Licensure
Accreditation
Certification
Empanelment
 
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 5                             1 pts
The National Standards require a minimum of how many hours of direct patient care for APRNs?
Group of answer choices
400 hours
500 hours
600 Hours
700 hours
NRNP 6531 Midterm Exam
 
Question 6                              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? NRNP 6531 Midterm Exam
Group of answer choices
Yes
No
Question 7                    1 pts
The Consensus Model identifies 3 core courses that all ANPs must take. All the following are Advanced core courses except:
Group of answer choices
Public Health
Physiology
Pharmacology
Physical Assessment
 
Question 91 pts
What is the purpose of clinical research trials in the spectrum of translational research?
Group of answer choices
Adoption of interventions and clinical practices into routine clinical care
Determination of the basis of disease and various treatment options
Examination of safety and effectiveness of various interventions
Exploration of fundamental mechanisms of biology, disease, or behavior
 
Question 10                  1 pts
What is the purpose of Level II research?
Group of answer choices
To define characteristics of interest of groups of patients
To demonstrate the effectiveness of an intervention or treatment
To describe relationships among characteristics or variables
To evaluate the nature of relationships between two variables
NRNP 6531 Midterm Exam
 
Question 111 pts
When assisting with a skin biopsy of a patient suspected of having bullous pemphigoid (BP) lesions, what will the practitioner do?
Group of answer choices
Avoid contact with the infected lesions.
Elicit a positive Nikolsky sign to confirm the diagnosis.
Perform direct immunofluorescence microscopy.
Prevent spread of the lesions to other areas of the skin.
NRNP 6531 Midterm Exam
 
Question 12                   1 pts
All of the following are gram- positive bacteria than can cause cellulitis, except:
Group of answer choices
Staphylococcus aureus
Streptococci
Staphylococci
Salmonella
Question 131 pts
In reviewing the Total Percentage of Body surface area for adult burn patients each, leg, arm and head are noted evaluated at 9%.
Group of answer choices
True
False
 
Question 141 pts
The most common type of melanoma in African Americans and Asians is:
Group of answer choices
Basal Cell carcinoma
Actinic Keratosis
Acral Lentiginous Melanoma
Toxic Epidermal Necrolysis
 
Question 151 pts
A patient has acne and the provider notes lesions on half of the face, some nodules, and two scarred areas. Which treatment will be prescribed?
Group of answer choices
Oral clindamycin for 6 to 8 weeks
Oral isotretinoin
Topical benzoyl peroxide and clindamycin
Topical erythromycin
 
Question 151 pts
A patient has acne and the provider notes lesions on half of the face, some nodules, and two scarred areas. Which treatment will be prescribed?
Group of answer choices
Oral clindamycin for 6 to 8 weeks
Oral isotretinoin
Topical benzoyl peroxide and clindamycin
Topical erythromycin
 
Question 161 pts
A patient is newly diagnosed with bullous pemphigoid and has moderate to severe itching. The provider orders a topical corticosteroid will discuss which potential complication with this patient?
Group of answer choices
Bone marrow suppression
Developing systemic lesions
Secondary infection
Spread of disease to others
 
Question 171 pts
Chickenpox and shingles are cause by the different viruses.
Group of answer choices
True
False
 
 
Question 181 pts
A patient has actinic keratosis and the provider elects to use cryosurgery to remove the lesions. How will the provider administer this procedure?
Group of answer choices
Applying one or two freeze-thaw cycles to each lesion
Applying two or more freeze-thaw cycles to each lesion
Applying until the freeze spreads laterally 1 mm from the lesion edges
Applying until the freeze spreads laterally 4 mm from the lesion edges
 
Question 191 pts
A female patient is diagnosed with hidradenitis suppurativa and has multiple areas of swelling, pain, and erythema, along with several abscesses in the right femoral area. When counseling the patient about this disorder, the practitioner will include which information?
Group of answer choices
Antibiotic therapy is effective in clearing up the lesions.
It is often progressive with relapses and permanent scarring.
The condition is precipitated by depilatories and deodorants.
The lesions are infective, and the disease may be transmitted to others.
 
Question 201 pts
A flat nonpalpable lesion less than 1 cm in diameter identifies which type of primary skin lesion:
Group of answer choices
Papule
Macule
Plague
Bullae
 
Question 211 pts
Patty comes to the clinic with these soft fatty cystic lesions on her neck, trunk and arms. The most likely diagnosis is:
Group of answer choices
Nevi
Acanthosis Nigricans
Acrochordon
Cherry Angioma
 
Question 221 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 231 pts
Jake is a 66 y/o male who has a history of psoriasis. Recently he has noticed that new psoriatic plaques are forming over areas of skin trauma that occurred when he fell and had deep tissue injuries. This phenomenon is known as:
Group of answer choices
Koebner Phenomenon
Ashpitz Sign
Guttate phenomenon
None of the above.
NRNP 6531 Midterm Exam
 
Question 241 pts
An adult patient has been diagnosed with atopic dermatitis and seborrheic dermatitis with lesions on the forehead and along the scalp line. Which is correct when prescribing a corticosteroid medication to treat this condition?
Group of answer choices
Initiate treatment with 0.1% triamcinolone acetonide.
Monitor the patient closely for systemic adverse effects during use.
Place an occlusive dressing over the medication after application.
Prescribe 0.05% fluocinonide to apply liberally.
 
Question 251 pts
A patient has sustained a human bite on the hand during a fist fight. Which is especially concerning with this type of bite injury?
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 261 pts
Audrey is a 19 y/o female who comes to the clinic because she is recently having a hard time hearing in class. The NP examines her ears and notes that she has otitis media. In such a condition the Rinne Test would show which of the following results:
Group of answer choices
BC > AC
AC > BC
AC = BC
None of the above
 
Question 271 pts
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. The NP diagnoses Aaron’s condition as:
Group of answer choices
Common cold
Influenza
Sinusitis
Mumps
 
Question 281 pts
Which is the most common cause of orbital cellulitis in all age groups?
Group of answer choices
Bacteremic spread from remote infections
Inoculation from local trauma or bug bites
Local spread from the ethmoid sinus
Paranasal sinus inoculation
 
Question 291 pts
A female patient is diagnosed with androgenetic alopecia. Which medication will the primary health care provider prescribe?
Group of answer choices
Anthralin
Cyclosporine
Finasteride
Minoxidil
 
Question 301 pts
During an eye examination, the provider notes a red-light reflex in one eye but not the other. What is the significance of this finding? NRNP 6531 Midterm Exam
Group of answer choices
Normal physiologic variant
Ocular disease requiring referral
Potential infection in the “red” eye
Potential vision loss in one eye
 
Question 311 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
 
Question 321 pts
A patient comes to clinic with diffuse erythema in one eye without pain or history of trauma. The examination reveals a deep red, confluent hemorrhage in the conjunctiva of that eye. What is the most likely treatment for this condition?
Group of answer choices
Order lubricating drops or ointments.
Prescribe ophthalmic antibiotic drops.
Reassure the patient that this will resolve.
Refer to an ophthalmologist.
 
Question 331 pts
If the BC > AC then the person has a
Group of answer choices
Conductive hearing loss
Sensorineural hearing loss.
 
Question 341 pts
Audrey is a 19 y/o female who comes to the clinic because she is recently having a hard time hearing in class. The NP examines her ears and notes that she has otitis media.
In performing the Rinne test on Audrey the tuning fork would be placed on the:
Group of answer choices
Midline of forehead
Mastoid process
Temporal area of the head.
 
Question 351 pts
A patient experiencing chronically dry eyes reports having a foreign body sensation, burning, and itching. A Schirmer test is abnormal. What is the suspected cause of this patient’s symptoms based on this test finding?
Group of answer choices
Aqueous deficiency
Corneal abrasion
Evaporative disorder
Poor eyelid closure
 
Question 361 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? NRNP 6531 Midterm Exam
Group of answer choices
Referral to an ophthalmologist
Surgical incision and drainage
Systemic antibiotics
Warm compresses and massage of the lesion
 
Question 371 pts
Audrey is a 19 y/o female who comes to the clinic because she is recently having a hard time hearing in class. The NP examines her ears and notes that she has otitis media.
If the NP performed a Weber test on Audrey she would discover that there would be:
Group of answer choices
Lateralization to the good ear
Lateralization to the bad ear
Lateralization would be equal to either ear