-Artie is a 21 y/o male who comes to the clinic with a chiefcomplaint of paroxysmal coughing witho

-Artie is a 21 y/o male who comes to the clinic with a chiefcomplaint of paroxysmal coughing without an apparent cause. He states that this has been going on for about 15 days. He initially had a mild fever and a runny nose. His most likely diagnosis is: Pertussis Atypical pneumonia CAP Common cold  2. Jeremy is suffering from chronic alcohol abuse. His symptoms include mental confusion, ataxia, stupor, and hypotension. The most likely diagnosis for these symptoms is:  Korsakoff’s syndrome  Insomnia  Anorexia nervosa  Bipolar disorder   3.Susan is a 29 y/o female who comes to the clinic with a 3-day history of fever, chills, nausea, vomiting, and flank pain. During the visit, the NP does a urine dipstick and discover that Susan is positive for nitrites, leukocytes, and >10 WBCs. The physical exam reveals a CVA tenderness. Within 2 weeks, Susan returns to the clinic and a culture of her urine shows she has the same bacteria as when the NP first saw her. This would be referred to as: Relapsing UTI Recurring UTI Persistent UTI None of the above   4.Archie is a 19 y/o male who comes to the clinic with his significant other because of recent outbursts and then long periods of mood changes that cycle between mania and depression. His most likely diagnosis is: Major depression Bipolar depression Minor depression None of the above   5.All of the following are characteristics of Kleinfelter syndrome in a male except: Small testicles Wide hips Decreased body and facial hair Small stature  6.imaging, in relationship to UTIs, should be done in all the following except: Poor response to antibiotics H/O of calculi On initial visit Recurrent pyelonephritis  7. Zina is a 34 y/o female who comes to the clinic with a chief complaint of 3 years of chronic heartburn. She states that she gets it after eating tacos and bacon. She has tried to self-medicate with OTC antacids with no improvement. In the exam, the NP notices a sour odor on Zina’s breath, thinning tooth enamel, and a chronic red throat. Medications to assist Zina would include all the following except: Zantac Pepcid NSAIDS Prevacid  8. St. John’s Wart has all the following potential uses except:  Depression  Menopausal symptoms  Wound healing  HIV/AIDSst.   9. The most common side effects of giving SSRIs to depressed patients include:  Diarrhea  Nausea and vomiting  Sexual dysfunction  All of the above  10. Zina is a 34 y/o female who comes to the clinic with a chief complaint of 3 years of chronic heartburn. She states that she gets it after eating tacos and bacon. She has tried to self-medicate with OTC antacids with no improvement. In the exam, the NP notices a sour odor on Zina’s breath, thinning tooth enamel, and a chronic red throat. The most likely diagnosis is: Halitosis Peptic ulcer disease Gastroesophageal reflux disease (GERD) A or B only  11. Artie is a 21 y/o male who comes to the clinic with a chief complaint of paroxysmal coughing without an apparent cause. He states that this has been going on for about 15 days. He initially had a mild fever and a runny nose. First-line treatment for Artie would include macrolides. True  False  12. Which of the following can reduce breast cancer risk? Healthy diet Limiting ETOH intake Stop smoking Maintain normal body weight All of the above A, B, & C only  13. What is the earliest age at which one would not give DTap to a child but rather would give Td or Tdap? 1 year old 2 years old 3 years old 7 years old  14. The positive signs of pregnancy include all the following except: Palpation of uterus by NP Ultrasound and visualization of fetus Goodell’s sign (cervical softening at 4 weeks) Fetal heart tones  15. Sam is a 19 y/o male who comes to the clinic with a chief complaint of several weeks of fatigue and non-productive paroxysmal coughing. He initially had a sore throat, some rhinitis, and low-grade fever. Potential organisms that might have caused Sam’s condition include which of the following: Mycoplasma pneumoniae Chlamydia pneumoniae Legionella pneumonia All of the above None of the above   16. All of the following are in the LUQ of the abdomen except Stomach Sigmoid colon Pancreas Kidney (left)  17. All of the following are presumptive signs of pregnancy except: Amenorrhea Chadwick’s sign (blue coloration of the uterus and vagina) Breast changes Fatigue   18. At what age should a child be able to speak in full sentences using 3-5 words? 1 y/o 2 y/o 3 y/o None of the above  19. Zina is a 34 y/o female who comes to the clinic with a chief complaint of 3 years of chronic heartburn. She states that she gets it after eating tacos and bacon. She has tried to self-medicate with OTC antacids with no improvement. In the exam, the NP notices a sour odor on Zina’s breath, thinning tooth enamel, and a chronic red throat. Some lifestyle changes to treat Zina’s condition would include which of the following?  Stop smoking  Avoid ASA  Avoid alcohol  Avoid caffeine  All of the above  A, C, and D only  20. The most common method of contraception is:  IUDs  Sterilization  Condoms  Diaphragms  21. Sam is a 19 y/o male who comes to the clinic with a chief complaint of several weeks of fatigue and non-productive paroxysmal coughing. He initially had a sore throat, some rhinitis, and low-grade fever. Treatment of Sam’s condition includes which of the following: Doxycycline Azithromycin Tessalon Perles All of the above A & B only  22. A first-time mother calls the clinic and states that she has sore nipples from breast feeding. The best advice you can give her is: Stop breast feeding Supplement with formula Alternate nipples It is a common problem but should resolve in 2 weeks.       23. After skin cancer, breast cancer is the most common cancer in women. True  False   24. Mark is a 2-month-old infant, and he should be able to do all the following tasks except:  Follow objects past midline  Make gurgling sounds  Rolling over   Lift head up 45 degrees   25. Breast cancer in women is characterized by all of the following except: Mobile mass on palpation Mass is painless Mass is typically found in the upper outer quadrant Skin around breast is dimpled 26. Adam is a 10 y/o male who has Koplik’s spots inside the cheeks by the rear molars. The most likely diagnosis is: Measles Hand, foot, and mouth disease Scarlet fever Varicella 27. At 12 weeks in a pregnancy the fundal height of the uterus should be:  Above the symphysis pubis  Halfway between symphysis pubis and umbilicus  At level of umbilicus  Below symphysis pubis   28. Susan is a 29 y/o female who comes to the clinic with a 3-day history of fever, chills, nausea, vomiting, and flank pain. During the visit, the NP does a urine dipstick and discover that Susan is positive for nitrites, leukocytes, and >10 WBCs. The physical exam reveals a CVA tenderness. Her most likely diagnosis is: Lower urinary tract infection Abdominal virus Upper urinary tract infection Sexually transmitted disease   29. Patients with bipolar disorder may have all the following except:  Delusions  Hallucinations  Lower rates of substance abuse  A & B only   30. Lactation mastitis typically occurs in which time frame: At 3 months after birth At 6 months after birth Within the first 2 months after birth None of the above Health Science Science Nursing NRNP 6531 Share QuestionEmailCopy link Comments (0)

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