Exam (elaborations)
NRNP 6531 Primary Care of Adults Across the Lifespan Midterm Exam Spring 2023
1. What is the purpose of clinical research trials in the spectrum of translational research?
Examination of safety and effectiveness of various interventions
2. What is the purpose of Level II research?
To describe relationships among characteristics or variables
3. The care provided by APRNs ...
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WaldenNRNP6531PrimaryCareofAdultsAcrosstheLifespan
MidtermExamSpring2023
1.Whatisthepurposeofclinicalresearchtrialsinthespectrumoftranslationalresearch?
Examinationofsafetyandeffectivenessofvariousinterventions
2.WhatisthepurposeofLevelIIresearch?
Todescriberelationshipsamongcharacteristicsorvariables
3.ThecareprovidedbyAPRNsisnotlimitedbysettingbutbypatientcare
needs.
A.B.
4.APRNConsensusModel/LACEincludeallexcept:
A.Licensure
B.Accreditation
C.Certification
D.It’stheonethatstarswithanE(Education)
5.AllofthefollowingarecorequalitycompetenciesexpectedofAPRNsexcept:
A.Usesbestevidencetoimprovecare
B.Assumesadvancedleadershiprole
C.Appliesskillsinpeerreviewtopromotecultureofexcellence
D.
6.WhatwasanimportantfindingoftheAdvisoryBoardsurveyof2014aboutprimarycare
preferencesofpatients?
A.AssociationswithareahospitalsB.Costsofambulatorycare
C.Easeofaccesstocare.
D.Theratioofproviderstopatients
7.Toreduceadverseeventsassociatedwithcaretransitions,theCentersforMedicareand
MedicaidServicehaveimplementedwhichpolicy?
A.Mandatesforcommunicationamongprimarycaregiversandhospitalists
B.Penaltiesforfailuretoperformmedicationreconciliationsattimeofdischarge
C.Reductionofpaymentsforpatientsreadmittedwithin30daysafterdischarge
D.Requirementsforwrittendischargeinstructionsforpatientsandd.caregiversTrue
False
Evaluatesorganizationalstructurestoimprovedcare–Notsure?? 8.RulesproposedbythevariousStateBoardsofNursingmustbeapprovedbythestate
Legislatures.
A.True
B.False
9.Toreduceadverseeventsassociatedwithcaretransitions,theCentersforMedicareand
MedicaidServicehaveimplementedwhichpolicy?
10.WhatwasanimportantfindingoftheAdvisoryBoardsurveyof2014aboutprimarycare
preferencesofpatients?
11.TheConsensusModelforAPRNregulationconsistsofwhichofthefollowingroles?
A.CNM
B.CRNA
C.APN
D.CNS
EAlltheAbove
A,B&CF.only
12.InreviewingtheTotalPercentageofBodysurfaceareaforadultburnpatientseach,leg,
armandheadarenotedevaluatedat9%.
A.True
B.False
13.Whatistheinitialapproachwhenobtainingabiopsyofapotentialmalignantmelanoma
lesion?
A.Excisionalbiopsy
B.Punchbiopsy
C.Shavebiopsy
D.Wideexcision
14.WhichofthefollowingareindependentpracticecompetenciesforAPRNs?
A.Prescribesmedications
B.Functionsasanindependentpractitioner
C.Employsscreeninganddiagnosticstrategiestoarriveatdiagnoses D.
Manageshealth/illnessstrategiesofpatientsandfamiliesovertime.
E.AlltheAbove
F.A,C&Donly
15.Afemalepatientisdiagnosedwithandrogeneticalopecia.Whichmedicationwillthe
primaryhealthcareproviderprescribe?a.Anthralin
b.Cyclosporine
c.FinasteridedMinoxidil 16.Agnesisa72y/ograndmotherwhocomestotheclinicwithanacuteonsetofsevere
eyepain.Shehasbeenhavingheadaches,nauseaandvomiting,andseeinghalosaround
lights.Eyeexamrevealscuppingofopticnervethepupilisovalandthecorneaiscloudy.
Hermostlikelydiagnosisis:
17.Mikeyisa19y/omalewhoisbroughttotheclinicbecausehehasafever,sorethroat,
painonswallowingandmildlyenlargedsubmandibularnodes.Themostlikelydiagnosis
forMikeyis:
18.A50-year-old,previouslyhealthypatienthasdevelopedgastritis.Whatisthemostlikely
causeofthiscondition?
a.H.pyloriinfection
b.NSAIDuse
c.Parasiteinfestation
d.Viralgastroenteritis
19.Whichdiagnostictestwilltheprovidersafelyorderfora30-year-oldwomanreporting
rightupperquadrantabdominalpain,nausea,andvomiting?
a.Abdominalcomputedtomography(CT)withcontrast
b.Abdominalultrasound
c.Magneticresonanceimaging(MRI)oftheabdomen
20.Apatient,whofirstdevelopedacutediarrhea2weeksago,presentstoclinicreporting
profusewatery,bloodydiarrhealstools6to8timesdaily.Theprovidernotesatoxic
appearancewithmoderatedehydration.Whichtestisindicatedtodiagnosethis
problem? a.Qualitativeandquantitativefecalfat
b.Stoolcollectionfor24-hourstoolpH
c.StoolsampleforC.difficiletoxin
d.Wrightstainofstoolforwhitebloodcells
21.ApatientwithapositiveHbeAgindicatesthepatienthaschronicHepatitisB. A.
True
B.False
22.Classicpainofacutepancreatitisisseveremidgastricpainthatreferstothemidback.
A.TrueIthink B.False
23.Apatientwithhemoptysisandnoothersymptomshasanormalchestradiograph(CXR),
computedtomography(CT),andfiberopticbronchoscopystudies.Whatisthenext
actioninmanagingthispatient?
24.Jeremyisan18y/omalewhocomestotheclinicwithachiefcomplaintofperiumbilical
pain.Overthepast24hourshehashadboutsofnauseaanddiarrheaandpainat McBurney’spoint.Whichofthefollowingassessmentswouldaideinconfirming
Jeremy’sdiagnosis:
A.PsoasSign
B.ObturatorSign
C.Murphy’sSign
D.AlltheAbove
E.A&Bonly
25.Apatientdiagnosedwithcirrhosisdevelopsascites.Whichmedicationwillbeordered
initiallytoimprovesymptoms?
a.Cephalosporin
b.Furosemide
c.Lactulose
d.Spironolactone
26.Samisa19y/omalewhocomestotheclinicwithachiefcomplaintofseveralweeksof
fatigueandnon-productiveparoxysmalcoughing.Heinitiallyhadasorethroat,some
rhinitisandlow-gradefever.Hislikelydiagnosisis:
A.Bronchitis
B.AtypicalPneumonia(Walkingpneumonia)
C.AllergicRhinitis
D.Communityacquiredbacterialpneumonia
27.Samisa19y/omalewhocomestotheclinicwithachiefcomplaintofseveralweeksof
fatigueandnon-productiveparoxysmalcoughing.Heinitiallyhadasorethroat,some
rhinitisandlow-gradefever.PotentialorganismsthatmighthavecausedSam’s
conditionincludewhichofthefollowing:
A.Mycoplasmapneumoniae
B.Chlamydiapneumoniae
C.Legionellapneumonia
D.Alltheabove
E.Noneoftheabove
28.Martinisa73y/omalewhohasa50year/packhistoryofsmokingandcomestothe
clinicforhisannualphysical.Asyouareleadinghimbacktotheexamroomyounote
thathehasdyspneawithminimalcough,abarrelchest,andappearstohavelostweight
sincehislastvisit.Yourphysicalexamconfirmsa20lb.weightloss,andamore
noticeablepursedlipbreathing.Yourdiagnosisis:
A.ChronicBronchitis
B.Emphysema C.COPD
29.Mikeisa56y/omalewholivesinanabandonedbuilding.Withabout40otherstreet
people.Hecomestotheclinicwithasocialworkerwhodescribeshissymptomsas:a