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NRNP 6531 FINAL EXAM 2025/ACTUAL EXAM WITH 100% CORRECT ANSWERS AND RATIONALES
Typology: Exams
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First you should auscultate c
1.In the assessment for peripheral vascular disorders, the clinician should begin withwhich
of the following after the general history and physical examination?
arotids then palpate then inspect fingers/nail beds
CT and angiography are for when surgical intervention is necessary USis
best initial screening
family should be taught the importance of follow-up and the management of whichof the
following? Select all that apply.
4.AAA is mostly atherosclerotic in nature, but can also be caused by trauma, infection,
and inflammation. Which of the following is a true statement regarding the tendency to
screening test?
d mobility
cancer
develop AAA? Select all that apply.
AAA is the 13th leading cause of death in the United States.
extremity. The initial diagnosis is acute arterial ischemia. Aside from pain, which other
symptoms may arise from this diagnosis? Select all that apply.
nce
history of multiple pregnancies and surgeries, and has a sedentary lifestyle.
Which of the following may be possible contributing factors to her diagnosis given
her history? Select all that apply.
6.antihypertensive agents should be used to rapidly and consistently maintain blood
pressure in the mean arterial pressure ranges? Select all that apply.
Select all that apply.
state of malnourishment of the bo
apply.
per day.
diarrhea (CDAD). As she discusses her condition with her nurse practitioner, she askshow
she obtained this disease. The nurse practitioner tells her which of the following?Select all
that apply.
community.
synagogue exposure.
dy. 5. The source of CDAD is currently unknown.
Avoid caffeine and acidic foods. ---CORRECT ANSWER--- 2, 3, 5
(IBS-D) for over 10 years. She has tried various treatments with minimal effectiveness.
She asks the nurse practitioner if there is anything else that might be helpful to control
this diarrhea. The nurse practitioner suggests which of the following? Select any that
Eluxadoline (Viberzi) ---CORRECT ANSWER--- Mu/Kappa opioid receptor agonist and
delta opioid receptor antagonist in the gut used to treat IBS prone diarrhea
pyrosis, hoarseness, chronic cough, and atypical chest pain. The nurse practitioner
suspects gastroesophageal reflux disease (GERD). As home-going instructions are
developed, the nurse practitioner includes which of the following? Select any that apply.
slight discoloration of his skin. The nurse practitioner conducts a history and physical
examination and orders which of the following to rule out cancer of the liver? Select all
that apply.
550 mg PO BID
Rifaximin (Xifaxan) ---CORRECT ANSWER --------- Inhibit bacterial RNA synthesis by
binding to bacterial DNA- dependent RNA polymerase.
200mg PO TID X 3 days
for liver damage.
ent.
for over 10 years. He still suffers from fatigue, abdominal pain, and an enlarged liver. The
nurse practitioner discusses which of the following home-care plansto assist him in
adjusting to his disease? Select all that apply.
radial scar ---CORRECT ANSWER--- complex sclerosing lesion of the breast tissue -
increase cancer risk
Papilloma ---CORRECT ANSWER--- A benign, superficial, wartlike growth on the
epithelial tissue or elsewhere in the body - increases cancer risk
the
affect future cancer risk?
diagnosed with endometrial cancer. Other than gender and age, which of the following can
be contributing factors in the development of endometrial cancer? Select all that
apply.
Lynch syndrome ---CORRECT ANSWER--- autosomal dominant mutation that can
cause colorectal cancer ovarian cancer and endometrial cancer
asks why such detail is necessary. Which of the following is the nurse practitioner's best
response?
practitioner assesses which of the following? Select all that apply.
right arm sufficiently. The nurse practitioner tells him that she will perform a physical
examination and order tests to rule out which of the following?
shoulder and goes to the urgent care center to be seen by his nurse practitioner. The
nurse practitioner asks which of the following questions? Select all that apply.
that apply.
complaints of a low-grade fever and pain in her lower leg that is aggravated by
movement. Which early treatment does the nurse practitioner implement? Select all that
apply.
sses.
with a nurse practitioner for diagnosis and treatment. The nurse practitioner conducts an
examination and interview about the patient's ADLs and how this pain and swelling
inhibits her activity. Which of the following diagnostic tests will be ordered? Select all
What is anti-CCP? ---CORRECT ANSWER--- Anti-citrullinated protein antibody
Autoantibodies that are directed against peptides and proteins that are citrullinated. They
are present in the majority of patients with rheumatoid arthritis. Greater specificity and
sensitivity than RF
foot. She asks the nurse practitioner if this is normal for older people. The nurse
practitioner explains that this appears to be gout, and gives her what information?
Select all that apply.
body
position and involuntary movements. Which of the following should be included in the
assessment of motor function? Select all that apply.
nurse practitioner who specializes in geriatric issues. On completing the interview and
examination, the nurse practitioner tells Mrs. Borden that she will order a blood laboratory
specimen for thyroid function and pancreatic function. Mrs. Borden asks what the reason is.
Which of the following is the nurse practitioner's best response?
with the diagnosis of a patient who just came in. Mr. Barn is 76 years old and complainsof
abdominal pain, and his serum amylase and lipase are three times the normal limit. The
nurse practitioner confirms pancreatitis, as this meets which criteria?
Balthazar (2002) is the only scoring system to use evidence of necrotic pancreas as
criteria.
To rate severity, it uses prognostic signs (a score of 3 or higher on the Ranson criteriaand an
8 or higher on the APACHE II) and presence of local pancreatic necrosis, peripancreatic
fluid collection, etc. and organ failure.
The Atlanta classification is both used to diagnose acute pancreatitis and rate the severity
of pancreatitis. Diagnosis is made based on the Atlanta classification when twoof three
criteria are met: abdominal pain consistent with acute pancreatitis, laboratory
or gallstones.
c.
every year.
(BMI) will tell if he is a type 1 or type 2 diabeti
following? Select all that apply.
Although he is under 65 years old, the nurse practitioner teaches him which of the
abnormalities (serum amylase and lipase three times the normal limit or higher), and
imaging findings consistent with acute pancreatitis.
The Ranson criteria was the first system and remains the best known and most widely
used, but has drawbacks in that it requires 2 days' worth of objective measures for the total
score, 5, to be obtained on the first day and evaluated within 48 hours of the onset of pain.
In addition, sensitivity is only 73% and 77% to predict mortality, and the threshold for
abnormal values depends on whether the pancreatitis is caused by alcohol
pancreatitis. Which of the following findings would confirm her suspicions? Select all
that apply. 1.
Trypsinogen activation peptide (TAP).
An abdominal x-ray.
amount three times the normal.
not think 5 is correct)
emergency room. The general work-up showed that his blood glucose was 300 mg/dl. He
denied knowing that his sugar was so high. He did report frequency of urination and
polyphagia. On further examination, the nurse practitioner asked about family history, and
he identified that his mother and grandfather both had adult-onset diabetes.
the only cause of diabetes. Which of the following is the nurse practitioner's reply?
Select all that apply.
GFR and kidney disease staging ---CORRECT ANSWER--- Stage I: GFR < or =
90mL/min with other evidence of kidney damage
Stage II: GFR 89 - 60, Kidney damage with mild loss of function Stage
IIIa: GFR 59 - 45, mild to moderate loss of kidney function Stage IIIb:
GFR 44 - 30, moderate to severe loss of kidney functionStage IV: GFR 29
Stage V: GFR < 15, kidney failure
. Hematological and immune systems disorders are sometimes complicated because
the
manifestations may appear in different organ systems. A complete detailed history,
diagnostic testing, and which of the following must be performed for diagnosis?
following should be tested to assess for blood loss or blood cell destruction?
Ellen is a 57 - year-old woman diagnosed with iron-deficiency anemia (IDA). Her
physician orders further diagnostic tests to rule out which of the following?
Which of the following conditions has the presentation of increased platelet destruction
by the
immune system?
Jonathan was brought in to urgent care by his mother for symptoms of pain, frequent
nosebleeds, weakness, and shortness of breath. Complete blood count (CBC) with
The treatment of acute lymphoblastic leukemia (ALL) consists of the control of bone
marrow and systemic disease. Which of the following therapies eliminates any leukemic
cells that may remain? 1. Consolidation therapy
Acute myeloid leukemia (AML) is a rare and diverse group of diseases. Which of the
following statements is true regarding AML?
IDA is multifactorial and is common in men 65 years and older. Patients present
symptoms of nonspecific fatigue and/or weakness, dizziness, and shortness of breath.
Which of the following are the contributing factors for IDA in older adults? Select all that
apply.
differential and platelet count and a comprehensive chemistry panel were done. From
which of the following conditions may Jonathan be suffering?
Which of the following medical providers is responsible for the early components of
diagnostic work-up?
Tanya came in for an office visit due to recurrent epistaxis. She also has a diagnosis of
systemic lupus erythematosus. CBC with peripheral blood smear was performed and
confirmed that she has idiopathic thrombocytopenic purpura (ITP). Which of the
following is true relating to the condition of ITP? Select all that apply.
he body by metabolism and excretion.
from t
Which of the following is most affected by pharmacokinetic change?
Pharmacokinetics ---CORRECT ANSWER---
A patient is started on a low dose of a drug for safety but is never advanced to a
therapeutic
dose while another drug is added. Which of the following does this describe?
It is important to know the pharmacodynamic influences of the drug. Which of the
following statements are true regarding pharmacodynamics? Select all that apply. 1.
A drug's pharmacodynamics describes the effect at the site of action.
A drug's pharmacodynamics describes the time and intensity of the drug effect.
Pain is categorized into different types. Which of the following type of pain originates in
the thoracic, abdominal, and pelvic viscera and presents diffused pain that oftenradiates?
Which of the following is true regarding STOPP/START criteria for prescribing
medications? Select all that apply.
e.
active.
even at an older ag
A gerontological patient is being examined for a report of pain in the shoulder. The nurse
practitioner completes a thorough systemic examination because:
When a patient is seen by a nurse practitioner, the care plan is developed keepingwhich of
the following objectives in mind?
Nutrition counseling is part of health promotion. The nurse practitioner considers a teaching
plan that includes which of the following information? Select all that apply.
A major concern for older adults is safety. The nurse practitioner addresses safety
issues when assessing the following. Select all that apply.
Albert is 72 years old and complains of burning upon urination. He has recently returned
from a vacation to another country. The nurse practitioner conducts a physical examination
and observes that there is a white discharge from his penis. What does thenurse practitioner
include in the treatment plan? Select all that apply.
Select all that apply.
physical activities and cognitive changes?
With the recognition that baby boomers will increase the over 65 population
exponentially, guidelines for increasing physical activity in older adults have been issued.
Which of the following programs is dedicated to health promotion in older
adults? Select all that apply.
Healthy People 2020 initiative
aid
Which of the following may be included in the healthy lifestyle counseling during the
initial
Welcome to Medicare visit? Select all that apply.
Incorporating exercise into patients' lifestyles can be effectively achieved by including
which of the following in your discussions with patients? Select all that apply.
exercise.
Mr. Fekjar is diagnosed with unstable angina. Which of the following is a
contraindication for exercise therapy and prevents patients from joining an exercise
program?
The goal of increasing physical activity is to promote a healthy lifestyle. Which of the
Steven is a 65-year-old male diagnosed with Parkinson's disease. He is taking anti-
Parkinson's drugs, calcium supplements, and NSAIDs for his joint pain. Which of the
following conditions could be caused by his medications?
Mr. Thomas noticed tremors in his right hand 2 years ago and attributed this to hiselbow
injury from a fall. The tremors have gradually worsened, and he now has tremors underhis
lip,
some gait problems, and occasional stomach spasms. His wife has recently noticed
these things and suggested he have a medical consultation. Which of the following
reasons might Mr. Thomas have had for ignoring these symptoms? Select all that
apply.
following options help reduce the risk of injuries? Select all that apply.
health goals.
symptoms.
Tina is a 60 - year-old female presenting symptoms of coughing, shortness of breath, and
purulent sputum. She is being treated with antibiotics, use of a nebulizer, and oral
steroids.
Which of the following conditions could be her diagnosis?
After examining Adam, who is 79 years old, the nurse practitioner uses which of the
following criteria to adjust Adam's medications? Select all that apply.