Final Exam Questions and Answers

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NRNP-6565 Final Exam Questions and Answers
Question 1
The Influenza vaccine should be given annually. True or False?

True

False

Question 2
A 32 y/o female comes to the clinic for what she describes as “a dark-colored urine.” During the exam, the NP uses a urine dipstick to test for blood in the urine. Since the result had so many false negative and false positive indicators, the next step would be: NRNP-6565 Final Exam Questions and Answers

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Urinalysis with microscopy
Urine culture
Referral to urologist
Cystoscopic examination of bladder

Question 3
A 35 year-old woman is seen with complaints of vaginal itching, burning, and discharge.  On potassium hydroxide (KOH) wet mount of vaginal discharge, the clinician notices hyphae.  Which of the following treatments would be appropriate?

Estrogen vaginal cream
Metronidazole
Doxycycline
Fluconazole

Question 4
A 32 y/o female comes to the clinic for what she describes as “a dark-colored urine.” During the exam, the NP uses a urine dipstick to test for blood in the urine. In reading the results, he/she discovers the following false negative readings characterized by all the following except:

High concentration of ascorbic acid
Dehydration
High specific gravity
Prolonged exposure of dipstick to air before testing

Question 5
Hemoglobin A1C is the average glucose level of what length of time?

1 month
2 months
3 months
4 months

Question 7
A 36-year-old reports to clinic with complaints of a cough for over 2 weeks. The patient has a history of asthma. The patient is wheezing and has a fever. The patient O2 sat is 95%. You would expect the NP to treat the patient with NRNP-6565 Final Exam Questions and Answers

a. Nebulizer treatment, inhaler, steroid, and antibiotic
b. Refer for emergency hospitalization
c. Nebulizer treatment only
d. IV steroid only

Question 18
Bupropion (Wellbutrin) is contraindicated in patients with anorexia/bulimia because of the potential for increasing the seizure threshold.

True

False

Question 19
Patients with bipolar disorder may have all the following except:

Delusions
Hallucinations
Lower rates of substance abuse
A & B only

Question 55
Bacterial vaginosis has all the following signs/symptoms except:

Fish-like odor
Milk-like discharge
Non-itchy vulva
Red vulvovaginal

Question 56
The NP recognizes that the increased presence of which of the following ina  urinalysis indicates the presence of bacteria or protein, which is seen in severe renal disease and could also indicate urinary calculi?

Crystals
Nitrates
Casts
Ketones

Question 57
A 25-year-old patient states that he is on an HMO plan. The nurse practitioner (NP) stands for

a. Home Management Organizations
b. Health Management Organizations
c. Health Movement Organizations
d. Health Maintenance Organizations

Question 58
Mr. Reynolds is a 66 year old male who is a Pastor of a church. He informs you that he has just returned from a 6 month missionary trip to South Africa.  He reports unremitting cough, hemoptysis, and an unintentional weight loss of 10 pounds over the last month.  These symptoms should prompt the clinician to suspect:

Malaria
Tuberculosis
Legionnaires’ Disease
Pneumonia

Question 59
Hillary is an 18 y/o Caucasian who comes to the clinic with a chief complaint of hirsutism, acne, and amenorrhea. Her most likely diagnosis is:

Polycystic ovary syndrome (PCOS)
Ovarian cancer
Hyperprolactinemia
Pregnancy

Question 60
Abby is a 63 y/o patient who is known to have atrial fibrillation and has been on Coumadin for 2 years. Her INR is 2.4. This ratio is considered:

Normal
High
Low

Question 61
As the NP prepares to manage a patient with Anemia, the NP knows that The pathophysiological hallmark of Anemia of Chronic Disease is:

Depleted iron stores
Chronic uncorrectable bleeding
Impaired ability to use iron stores
Reduced intestinal absorption of iron

Question 65
The ANA Code of Ethics for Nurses contains

a. State laws and regulations for practice
b. The goals, values and ethical precepts that direct the profession of nursing
c. Liaison language between the patient and organization
d. Negotiable language NRNP-6565 Final Exam Questions and Answers

Question 66
pylori is a common cause of both duodenal and gastric ulcers.
True

False

Question 74
Mr. Johnson is a 50 year old male who is a truck driver. He presents with concerns of possible kidney stones. Common symptoms of kidney stones include all of the following except:

marked febrile response
pink, red, or brown urine
sharp pain in the back or lower abdomen
pain while urinating NRNP-6565 Final Exam Questions and Answers