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A compilation of questions and answers for the nrnp 6531 final exams at walden university. It covers a wide range of topics related to nursing practice, including acute and chronic conditions, diagnostic testing, and treatment options. Designed to help students prepare for their final exams by providing a comprehensive overview of key concepts and clinical scenarios.
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- Question
Ye s
Ye s No
- Question 2 The most common cancer found on the auricle is:
Basal cell carcinoma Squamous cell carcinoma Acral- lentiginous melanoma
- 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?
Underwei ght, pink skin, and increased respirator y rate
Overweight, pink skin, and normal or slightly increased respiratory rate Normal weight, cyanosis, and greatly 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:
Erythrocyte sedimentation rate Abdominal ultrasound 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:
drainage Tearing Photophobia
- Question
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:
conjunctivitis
conjunctivitis Common pink eye Gonococcal conjunctivitis Allergic 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:
analgesic, and a topical cortisone cream
antiviral agent A complicated case of shingles and prescribe acyclovir, an analgesic, and a topical cortisone cream Herpes zoster and consider that this patient may be immunocompromised
A recurrence of chickenpox and treat the patient’s symptoms
- Question 10
scale. What do you suspect?
lupus erythematosu s
Relapsing polychondritis Lymphocytoma cutis Systemic lupus erythematosu s
- Question 13
Antibiotic administration has been demonstrated to be of little benefit to the treatment of which of the following disease processes?
Acute bronchitis Bacterial pneumonia Acute exacerbation of chronic bronchitis
- Question 14
Lisa, age 49, has daily symptoms of asthma. She uses her inhaled short-acting beta- agonist daily. Her exacerbations affect her activities and they occur at least twice weekly and may last for days. She is affected more than once weekly during the night with an exacerbation. Which category of asthma severity is Lisa in?
Moderate persistent
- Question 15
Which of the following is the most appropriate therapeutic regimen for an adult patient with no known allergies diagnosed with group A B-hemolytic strep?
Penicillin V 500 milligrams PO every 8 hours for 10 days Ampicillin 250 milligrams PO twice a day for 10 days Clarithromycin 500 milligrams po daily for 7 days None of the above
- Question 16
A cashier complains of dull ache and pressure sensation in her lower legs. It is relieved by leg elevation. She occasionally has edema in her lower legs at the end of the day. What is the most likely cause of these problems?
insufficienc y
heart failure Varicose veins Deep vein thrombosi s Arterial insufficiency
- Question 17 Which statement below is correct about pertussis?
t is
Diverticul o sis Diverticula
Diverticulit is Diverticul u m
- Question 20
Sylvia, age 83, presents with a 3 day history of pain and burning in the left forehead. This morning she noticed a rash with erythematous papules in that site. What do you suspect?
Herpe s zoster
Herpe s zoster Syphilis Rubella
- Question 21
A 33-year-old female is admitted with acute pancreatitis. The nurse practitioner knows that the most common cause of pancreatitis is:
Medicati o ns
Gallston e s
When a patient presents with symptoms of acute gallbladder disease, what is the appropriate nurse practitioner action?
Order an abdominal ultrasound Refer the patient to a surgeon for evaluation Prescribe pain medication
- Question 23 A false-positive result with the fecal occult blood test can result from:
before testing
of vitamin C a high dietary intake of rare cooked beef a colonic neoplasm that is not bleeding stool that has been stored before testing
- Question 24
A 76-year-old male complains of weight loss, nausea, vomiting, abdominal cramping and pain. Physical findings include an abdominal mass and stool positive for occult blood. The nurse practitioner pain suspects a tumor in the small intestine. The best diagnostic test for this patient is: