NRNP 6531 Week 8: Knowledge Check Quiz – assignmenthandlers
NRNP 6531 Week 8: Knowledge Check Quiz
Score for this quiz: 20 out of 20
This attempt took 37 minutes.
Which of the following is not appropriate suppression therapy for chronic bacterial prostatitis?
Nitrofurantoin 100 mg qd
What is the most common cause of Cushing’s syndrome?
Excessive ACTH production
NRNP 6531 Week 8: Knowledge Check Quiz
Administration of a glucocorticoid or ACTH
Pituitary adenoma or a non-pituitary ACTH-producing tumor
Autonomous cortisol production from adrenal tissue
Diagnostic confirmation of acute leukemia is based on:
Bone marrow aspiration and biopsy
Of the following choices, the least likely cause of cough is:
Gastroesophageal reflux
After thorough history, physical examination, and laboratory tests, a patient is diagnosed with irritable bowel syndrome (IBS). Which of the following initial treatment plans is currently considered most effective? NRNP 6531 Week 8: Knowledge Check Quiz
A low fat, tyramine-free, caffeine-free, high fiber diet, along with a daily diary, and attention to psychosocial factors.
Referral to a gastroenterologist for colonoscopy.
Treatment with a selective serotonin reuptake inhibitor (SSRI) such as fluoxetine (Prozac) or sertraline (Zoloft).
Antibiotics, nutritional support, and high fiber diet.
A patient has been diagnosed with hypothyroidism and thyroid hormone replacement therapy is prescribed. How long should the nurse practitioner wait before checking the patient’s TSH?
Reed-Sternberg B lymphocytes are associated with which of the following disorders:
Non Hodgkin’s lymphoma
Myelodysplastic syndromes
A 20 year old male patient complains of “scrotal swelling.” He states his scrotum feels heavy, but denies pain. On examination, the nurse practitioner notes transillumination of the scrotum. What is the most likely diagnosis?
Indirect inguinal hernia
The most commonly recommended method for prostate cancer screening in a 55 year old male is:
Digital rectal examination (DRE) plus prostate specific antigen (PSA)
Prostate specific antigen (PSA) alone
Transrectal ultrasound (TRUS) alone
Prostate specific antigen (PSA) and transrectal ultrasound (TRUS)
Which of the following patients most warrants screening for hypothyroidism?
A young adult female with postpartum depression lasting 2 weeks.
A patient taking thyroid replacement preparation.
A 40 year old male with unexplained tremors.
An elderly female with recent onset of mental dysfunction.
Microalbuminuria is a measure of:
Total urinary protein.
Late renal compromise in a diabetic patient.
Early glycemic abnormality.
Protein lost into the urine.
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?
Before initiating an HMG CoA-reductase inhibitor for hyperlipidemia, the nurse practitioner orders liver function studies. The patient’s aminotransferase (ALT) is elevated. What laboratory test(s) should be ordered?
Serologic markers for hepatitis
Serum cholesterol with HDL and LDL
Which of the following is not a common early sign of benign prostatic hyperplasia (BPH)?
Difficulty initiating a urine stream
Increased force of urine flow
John, age 33, has a total cholesterol level of 188 mg/dL. How often should he be screened for hypercholesterolemia?
Whenever blood work is done
The nurse practitioner diagnoses epididymitis in a 24 year old sexually active male patient. The drug of choice for treatment of this patient is:
Oral ciprofloxacin (Cipro)
Oral doxycycline (Virbamycin) plus intramuscular ceftriaxone
Oral trimethoprim-sulfamethoxazole (Bactrim DS)
Intramuscular penicillin
The National Cholesterol Education Program’s Adult Treatment Panel III recommends that the goal for low density lipoproteins in high risk patients be less than:
Which of the following are classic features of ulcerative colitis?
Right lower quadrant pain, frequently accompanied by a palpable mass, fever, and leukocytosis.
Painful hematemesis, occasionally accompanied by melena.
Rapidly progressive dysphagia with ingestion of solid foods, anorexia, and weight loss out of proportion to the dysphagia.
Remissions and exacerbations of bloody diarrhea, tenesmus, fecal incontinence, abdominal pain and weight loss.
A patient presents with classic symptoms of gastroesophageal reflux disease (GERD). He is instructed on life style modifications and drug therapy for 8 weeks. Three months later he returns, reporting that he was “fine” as long as he took the medication. The most appropriate next step is:
Referral for surgical intervention such as a partial or complete fundoplication
Dependent upon how sever the practitioner believes the condition
To repeat the 8 week course of drug therapy while continuing lifestyle modifications
Investigation with endoscopy, manometry, and/or pH testing
Which of the following is not a risk factor associated with the development of syndrome X and type 2 diabetes mellitus?
Hypertriglyceridemia and low high-density lipoprotein (HDL)
Gestational diabetes and polycystic ovarian syndrome
Hispanic, African-American, Native-American, and Pacific Islander ethnicity
