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After skin cancer, breast cancer is the most common cancer in women.

NRNP-6568F/DRNP-6568/DRNP-6568F/NRNP-6568

NRNP6568 Synthesis in Advanced Nursing Practice Care of Patients in Family Care Settings

Week 8 Comprehensive Quiz

Question 1After skin cancer, breast cancer is the most common cancer in women.

 

Selected Answer:           

 

True

 

False

 

Question 2What is the earliest age at which one would not give DTap to a child but rather would give Td or Tdap?

 

Selected Answer:           

 

1 year old

 

2 years old

 

3 years old

 

 7 years old

 

Question 3Lactation mastitis typically occurs in which time frame:

 

Selected Answer:           

 

At 3 months after birth

 

At 6 months after birth

 

 Within the first 2 months after birth

 

None of the above

 

Question 4A first-time mother calls the clinic and states that she has sore nipples from breast feeding. The best advice you can give her is:

 

Selected Answer:           

 

Stop breast feeding

 

Supplement with formula

 

Alternate nipples

 

 It is a common problem but should resolve in 2 weeks.

 

Question 5Adam is a 10 y/o male who has Koplik’s spots inside the cheeks by the rear molars. The most likely diagnosis is:

 

Selected Answer:           

 

 Measles

 

Hand, foot, and mouth disease

 

Scarlet fever

 

Varicella

 

Question 6

 

0 out of 1 points

 

 

 

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. In treating Susan, the NP could use which of the following antibiotics?

 

Selected Answer:           

 

TMP-SMX

 

Nitrofurantoin

 

Cephalexin

 

A and C only

 

A & C only

 

Question 7In a pregnant woman, most of the weight gain occurs in which trimester?

 

Selected Answer:           

 

First trimester

 

Second trimester

 

 Third trimester

 

Fourth trimester

 

Question 8Sam 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:

 

Selected Answer:           

 

Mycoplasma pneumoniae

 

Chlamydia pneumoniae

 

Legionella pneumonia

 

 All of the above

 

None of the above

 

Question 9The positive signs of pregnancy include all the following except:

 

Selected Answer:           

 

Palpation of uterus by NP

 

Ultrasound and visualization of fetus

 

 Goodell’s sign (cervical softening at 4 weeks)

 

Fetal heart tones

 

Question 10Susan 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:

 

Selected Answer:           

 

Lower urinary tract infection

 

Abdominal virus

 

 Upper urinary tract infection

 

Sexually transmitted disease

 

Question 11Zina 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:

 

Selected Answer:           

 

 Halitosis

 

Peptic ulcer disease

 

 Gastroesophageal reflux disease (GERD)

 

A or B only

 

Question 12

 

Breast cancer in women is characterized by all of the following except:

 

Selected Answer:           

 

  Mobile mass on palpation

 

Mass is painless

 

Mass is typically found in the upper outer quadrant

 

Skin around breast is dimpled

 

Question 13

 

All of the following are presumptive signs of pregnancy except:

 

Selected Answer:           

 

Amenorrhea

 

 Chadwick’s sign (blue coloration of the uterus and vagina)

 

Breast changes

 

Fatigue

 

Question 14Susan 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:

 

Selected Answer:           

 

 Relapsing UTI

 

Recurring UTI

 

Persistent UTI

 

None of the above

 

Question 15At what age should a child be able to speak in full sentences using 3–5 words?

 

Selected Answer:           

 

1 y/o

 

2 y/o

 

 3 y/o

 

None of the above

 

Question 16Patients with bipolar disorder may have all the following except:

 

Selected Answer:           

 

 Delusions

 

 Hallucinations

 

  Lower rates of substance abuse

 

 A & B only

 

Question 17Danger signs of oral contraceptives include all the following except:

 

Selected Answer:           

 

Chest pain

 

Severe headache

 

 Weakness on both sides of the body

 

Visual changes in one eye

 

Question 18Artie 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.

 

Selected Answer:           

 

True

 

False

 

Question 19Zina 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?

 

Selected Answer:           

 

Stop smoking

 

Avoid ASA

 

Avoid alcohol

 

Avoid caffeine

 

All of the above

 

A, C, and D only

 

Question 20St. John’s Wart has all the following potential uses except:

 

Selected Answer:           

 

 Depression

 

 Menopausal symptoms

 

 Wound healing

 

  HIV/AIDS

 

Question 21Imaging, in relationship to UTIs, should be done in all the following except:

 

Selected Answer:           

 

Poor response to antibiotics

 

H/O of calculi

 

 On initial visit

 

Recurrent pyelonephritis

 

Question 22Zina 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:

 

Selected Answer:           

 

 Zantac

 

Pepcid

 

 NSAIDS

 

Prevacid

 

Question 23All of the following are in the LUQ of the abdomen except

 

Selected Answer:           

 

Stomach

 

 Sigmoid colon

 

Pancreas

 

Kidney (left)

 

Question 24Jeremy is suffering from chronic alcohol abuse. His symptoms include mental confusion, ataxia, stupor, and hypotension. The most likely diagnosis for these symptoms is:

 

Selected Answer:           

 

 Korsakoff’s syndrome

 

 Insomnia

 

 Anorexia nervosa

 

 Bipolar disorder

 

Question 25Which of the following can reduce breast cancer risk?

 

Selected Answer:           

 

 Healthy diet

 

Limiting ETOH intake

 

Stop smoking

 

Maintain normal body weight

 

 All of the above

 

A, B, & C only

 

Question 26The CDC recommends HPV vaccine for males until what age?

 

Selected Answer:           

 

 26 y/o

 

18 y/o

 

20 y/o

 

23 y/o

 

Question 27The most common method of contraception is:

 

Selected Answer:           

 

IUDs

 

Sterilization

 

Condoms

 

Diaphragms

 

Question 28At 12 weeks in a pregnancy the fundal height of the uterus should be:

 

Selected Answer:           

 

Above the symphysis pubis

 

Halfway between symphysis pubis and umbilicus

 

At level of umbilicus

 

Below symphysis pubis

 

Question 29Mark is a 2-month-old infant, and he should be able to do all the following tasks except:

 

Selected Answer:           

 

Follow objects past midline

 

Make gurgling sounds

 

 Rolling over

 

Lift head up 45 degrees

 

Question 30Drew is a 13 y/o male who presents to the clinic with testicular pain, nausea, vomiting, scrotal edema, and redness. You perform a urine analysis, which is negative. What is the most likely diagnosis?

 

Testicular cancer

 

 Testicular torsion

 

Hodgkin lymphoma

 

None of the above

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