NRNP 6531 Final Exam 2024 Verified
QUESTIONS AND DETAILED
CORRECT ANSWERS | A+ GRADE ~
WALDEN UNIVERSITY
Central obesity, "moon" face, and dorsocervical fat pad are associated
with:
- Metabolic syndrome
- Unilateral pheochromocytoma
- Cushing's syndrome
- None of the above Correct Answer C. Cushing's syndrome
An elderly man is started on lisinopril and hydrochlorhiazide for hypertension. Three days later, he returns to the office complaining of left great toe pain. On exam, the nurse practitioner notes an edematous, erythematous tender left great toe. The likely precipitant of this patient's
pain is:
- Trauma
- Tight shoes
- Arthritis flare
- Hydrochlorothiazide Correct Answer D. Hydrochlorothiazide
What conditions must be met for you to bill "incident to" the physician, receiving 100% reimbursement from Medicare?
You must initiate the plan of care for the patient
The physician must be on-site and engaged in patient care
- / 2
You must be employed as an independent contractor
You must be the main health care provider who sees the patient Correct Answer The physician must be on-site and engaged in patient care
Which of the following is not a common early sign of benign prostatic hyperplasia (BPH)?
- Nocturia
- Urgency incontinence
- Strong urinary stream flow
- Straining to void Correct Answer C. Strong urinary stream flow
Steve, age 69, has gastroesophageal reflux disease (GERD). When teaching him how to reduce his lower esophageal sphincter pressure, which substances do you recommend that he avoid?§ Food that is very hot or very cold § Fatty or fried foods § Peppermint or spearmint, including flavoring § Coffee, tea, and soft drinks that contain caffeine § Spicy, highly seasoned foods § Fried foodDT caffeine, chocolate and anticholinergics Correct Answer Peppermint or spearmint, including flavoring
A patient presents with dehydration, hypotension, and fever. Laboratory testing reveals hyponatremia, hyperkalemia, and hypoglycemia. These imbalances are corrected, but the patient returns 6 weeks later with the same symptoms of hyperpigmentation, weakness, anorexia, fatigue, and weight loss. What action(s) should the nurse practitioner take?
.A Obtain a thorough history and physical, and check serum cortisol and ACTH levels.
- Perform a diet history and check CBC and FBS.
- Provide nutritional guidance and have the patient return in one
month.
- Consult home health for intravenous administration Correct
Answer A. Obtain a thorough history and physical, and serum cortisol and ACTH levels
Which of the following is a potential acquired cause of thrombophilia?
- / 2