NURS 6531 Final Exam 2022
Exam solutions, with updated resources for 2022 Exams
Question 1
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
Answer: C. Cushing’s syndrome
Question 2
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 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
Answer: D. Hydrochlorothiazide
Question 3
What is the most effective treatment of non-infectious bursitis includes?
Answer: Conservative treatment includes rest, cold and heat treatments, elevation,
administration of nonsteroidal anti-inflammatory drugs (NSAIDs), bursal aspiration, and
intrabursal steroid injections
Question 4
What conditions must be met for you to bill “incident to” the physician, receiving 100%
reimbursement from Medicare?
Answer: • The physician must be on-site and engaged in patient care
• 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
Question 5
Which of the following is not a risk factor associated with the development of syndrome X and
type 2 diabetes mellitus?
Answer: The metabolic syndrome refers to the co-occurrence of several known cardiovascular
risk factors, including insulin resistance, obesity, atherogenic dyslipidemia and hypertension.
Question 6
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
Answer: C. Strong urinary stream flow
Question 7
Steve, age 69, has gastroesophageal reflux disease (GERD). When teaching him how to reduce
his lower esophageal sphincter pressure, which substances do you recommend that he avoid?
Answer: • Food that is very hot or very cold
• Fatty or fried foods
• Peppermint or spearmint, including flavoring
• Coffee, tea, and soft drinks that contain caffeine
• Spicy, highly seasoned foods
• Fried food DT caffeine, chocolate and anticholinergics
Question 8
Which drug category contains the drugs that are the first line Gold standard therapy for COPD?
Answer: Beta antagonist
Question 9
The most commonly recommended pharmacological treatment regimen for low back pain (LBP)
is:
Answer: Nsaid
Question 10
Which of the following is not appropriate suppression therapy for chronic bacterial prostatitis?
Answer: Erythromycin
Question 11
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
Answer: A. Obtain a thorough history and physical, and check serum cortisol and ACTH levels.
Question 12
You are assessing a patient after a sports injury to his right knee. You elicit a positive
anterior/posterior drawer sign. This test indicates an injury to the: he
A. lateral meniscus
B. cruciate ligament
C. medial meniscus
D. collateral ligament.
Answer: B. cruciate ligament
Question 13
A 32 year old female patient presents with fever, chills, right flank pain, right costovertebral
angle tenderness, and hematuria. Her urinalysis is positive for leukocytes and red blood cells.
The nurse practitioner diagnoses pyelonephritis. The most appropriate management is:
Answer: Include 500 mg of oral ciprofloxacin (Cipro) twice per day for seven days; 1,000 mg of
extended-release ciprofloxacin once per day for seven days; or 750 mg of levofloxacin
(Levaquin) once per day for five days.
