NRNP 6531 Midterm Exam plus Knowledge Check
Question 1
The most common correlate(s) with chronic bronchitis and emphysema is(are):
Cigarette smoking
• Question 2
The most common cancer found on the auricle is:
Basal cell carcinoma • Question 3 Which of the following medication classes should be avoided in patients with acute or chronic bronchitis because it will contribute to ventilation-perfusion
mismatch in the patient?:
Antihistimines • Question 4 A 47 year old male patient presents to the clinic with a single episode of a moderate amount of bright red rectal bleeding. On examination, external
hemorrhoids are noted. How should the nurse practitioner proceed?:
Refer the patient for a barium enema and sigmoidoscopy.Question 5 1 / 3
Which of the following patient characteristics are associated with chronic
bronchitis?:
Overweight, cyanosis, and normal or slightly increased respiratory rate • Question 6 A 65-year-old female with a past medical history of hypertension, hyperlipidemia, and polymyalgia rheumatica presents to urgent care with new onset left lower quadrant pain. Her current medications include omeprazole 20 milligrams po daily, lisinopril 20 milligrams po daily, simvastatin 20 milligrams po daily, and prednisone 12 milligrams po daily. The nurse practitioner suspects acute diverticulitis and possibly an abscess. The most appropriate diagnostic test for
this patient at this time is:
CT scan • Question 7 A patient reports “something flew in my eye” about an hour ago while he was splitting logs.If there were a foreign body in his eye, the nurse practitioner would expect to find
all except:
Purulent drainage • Question 8 A 21 year old college student presents to the student health center with copious, markedly purulent discharge from her left eye. The nurse practitioner student
should suspect: 2 / 3
Gonococcal conjunctivitis
• Question 9 A 35 year old man presents with radicular pain followed by the appearance of grouped vesicles consisting of about 15 lesions across 3 different thoracic dermatomes. He complains of pain, burning, and itching. The nurse practitioner
should suspect:
Herpes zoster and consider that this patient may be immunocompromised Question 10
Which type of lung cancer has the poorest prognosis?:
Small cell carcinoma Question 11 An 83-year-old female presents to the office complaining of diarrhea for several days. She explains she has even had fecal incontinence one time. She describes loose stools 3–4 times a day for several weeks and denies fever, chills, pain,
recent antibiotic use. The history suggests that the patient has:
Chronic diarrhea
- / 3