Nrnp6531 week 11 final exam
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Central obesity, "moon" face, and dorsocervical fat pad are associated with:
A. Metabolic syndrome
B. Unilateral pheochromocytoma
C. Cushing's syndrome
D. None of the above✔✔✔✔ANS➖C. Cushing's syndrome
An elderly man is started on lisinopril and hydrochlorhiazide for hypertension.
Three days later, he returns to the office complaining of left great toe pain. On
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exam, the nurse practitioner notes an edematous, erythematous tender left great
toe. The likely precipitant of this patient's pain is:
A. Trauma
B. Tight shoes
C. Arthritis flare
D. Hydrochlorothiazide✔✔✔✔ANS➖D. Hydrochlorothiazide
What conditions must be met for you to bill "incident to" the physician, receiving
100% reimbursement from Medicare?
You must initiate the plan of care for the patient
The physician must be on-site and engaged in patient care
You must be employed as an independent contractor
You must be the main health care provider who sees the patient✔✔✔✔ANS➖The
physician must be on-site and engaged in patient care
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Which of the following is not a common early sign of benign prostatic hyperplasia
(BPH)?
A. Nocturia
B. Urgency incontinence
C. Strong urinary stream flow
D. Straining to void✔✔✔✔ANS➖C. Strong urinary stream flow
A patient presents with dehydration, hypotension, and fever. Laboratory testing
reveals hyponatremia, hyperkalemia, and hypoglycemia. These imbalances are
corrected, but the patient returns 6 weeks later with the same symptoms of
hyperpigmentation, weakness, anorexia, fatigue, and weight loss. What action(s)
should the nurse practitioner take?
.A Obtain a thorough history and physical, and check serum cortisol and ACTH
levels.
B. Perform a diet history and check CBC and FBS.
C. Provide nutritional guidance and have the patient return in one month.
D. Consult home health for intravenous administration✔✔✔✔ANS➖A. Obtain a
thorough history and physical, and serum cortisol and ACTH levels
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Which of the following is a potential acquired cause of thrombophilia?
A. Homocysteinuria
B. Protein C deficiency
C. Factor V Leiden
D. Antiphospholipid antibodies✔✔✔✔ANS➖D. Antiphospholipid antibodies
A patient is coming in to see you at your urgent care with vague symptoms. You
note that she has been at your urgent care multiple times over the last several
weeks complaining of vague symptoms. You note that she seems to respond poorly
to medical treatment that has been given to her. What should be considered when
obtaining a history from her?
Physical abuse or depression
Anemia or depression
Hepatitis or HIV
Depression or HIV✔✔✔✔ANS➖Physical abuse or depression
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