Download NRNP 6568 Test Questions and Answers: Revision Guide and more Exams Nursing in PDF only on Docsity!
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• Question 2
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• Question 4
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NRNP 6568 TEST QUESTIONS ANSWERS 2023-2024 - REVISION
GUIDE
• Question 1
Release of information (ROI) to third parties requires authorization by the patient or his orher legal representative. True or False?
Selected
Answer: True
Answers:
True
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e
When giving patients written information, what is the suggested reading level for thathealth information?
Selected
Answer: 5th
grade
Answers: 10
th (^) gra de 7 th^ grade 1 st^ grade
5 th^ grade
An NP must have a DNP to prescribe controlled substances. True or False?
Selected
Answer: Fals
e
Answers: True
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e
DNP stands for Doctor of Nursing Profession
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• Question 3
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• Question^8
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• Question^9
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• Question 10
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Pag
happening with her son’s health. The provider begins to share medical information withmom. There is no signed HIPPA waiver in patients chart. This is not a HIPPA violation considering this is the patient’s mother,
Selected
Answer: Fals
e
Answers: True
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There are several titles for NPs, and some are based on the state requirement. What doesARNP stand for?
Selected
Answer: Advanced^ Registered
Nurse Practitioner
Answers: Adult^ Registered^ Nurse
Practitioner Advanced Registered Nurse Practitioner Acute Registered Nurse Practitioner Advanced Registered Nurse Provider If an NP is at a social gathering and someone casually asks his/her medical opinion, thatNP could be liable if something goes wrong. True or false?
Selected
Answer: True
Answers:
True
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e
Telemedicine is defined as
• Question 1
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• Question^2
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Selected
Answer: When^ care^ is^ provided^ remotely^ and^ the^ provider^ and^ patient^ are
not physically present with each other
Answers:
When care is provided remotely and the provider and patient are notphysically
present with each other
When care is provided remotely and the provider and patient arephysically present with each other Remote care that is challenging and only used for psychiatricpatients
Remote care provided to patients by providers and does not requireHIPPA
compliant video conferencing
What is it called when an NP bills for a higher level of visit than actually was conducted?
Selected
Answer: Upcoding
Answers: Billing
Productivity Upcoding Down coding The review of systems (ROS) is documented in the Physical Exam section of the visit.
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Answer: Fals
e
Answers: True
Fals
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• Question 8
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• Question 7
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• Question^9
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Answers:
True
Fals
e
If a patient is dismissed from a practice, it is important that certain rules are followed. A patient should be sent a dismissal letter by First Class mail with return receipt requested.What elements need to be included in the letter?
Selected
Answer: The last day the practitioner will be available to render medical care, which should
be at least 30 days; indication that med refills will be provided during this period;
alternative sources of medical care; how to obtain medical records
Answers:
The last day the practitioner will be available to render medical care, which
should be at least 30 days; indication that med refills will be provided during this
period; alternative sources of medical care; how to obtain medical records
The last day the practitioner will be available to render medical care, which can be immediately; referral information to another provider,and how to obtain medical records Notice of immediate discharge from the practitioners care, prescriptionsfor 30 days of their medications, and how to obtain medical records
The last day the practitioner will be available to render medical care, which should
be at least 60 days; indication that med refills will not be provided during this
period; referral to new provider; how to obtain medical records
There are (fill in a number) levels of evaluation/management visits.
Selected
Answer: four
Answers: thre
e four five six
• Question 10
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If an NP receives a letter from the Board of Nursing with concerns about a licenseissue, what should the NP do immediately?
Selected
Answer: Respond^ to^ the^ complaint^ to^ the^ Board^ of^ Nursing.^ Consider^ contacting
a lawyer
Answers: Contact^ his^ or^ her^ malpractice^ insurance^ carrier^ and^ a^ lawyer
Notify his or her employer
Respond to the complaint to the Board of Nursing. Consider contacting
a lawyer
Disregard the letter and wait for the formal complaint AMA stands for against medical advice.
Selected
Answer: True
Answers:
True
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• Question 1
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A 25 patient comes into clinic with white, cottage-cheese like lesions that are easilyremoved with a swab. The NP recognizes this to be:
Selected
Answer: Oral^ thrush
Answers: Oral
gonorrhea Oral chlamydia
• Question
watery discharge, unilateral, older children and adenopathywatery discharge, adults, unilateral, no adenopathy The NP recognizes common symptoms for allergic rhinitis include:
Selected
Answer: Runny^ nose^ and^ itchy^ eyes
Answers: Bloody^ nasal^ discharge
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• Question
Runny nose and itchy
eyes Purulent
nasaldischarge Cough and fever
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What is the most important way to control allergic rhinitis?
Selected
Answer: environmental control
Answers: Nasal^ saline
• Question
environmental control
Benadryl
Antihistamines
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A 15 year old child with sore throat comes to clinic and rapid strep is positive for strep.The NP will more than likely treat patient with:
Selected
Answer: All^ of^ the^ above
Answers: PCN^ V^500 mg^ bid^ x
days Salt water gargles
Throat lozenges
• Question
All of the above
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What differentiates chronic rhinosinusitis from allergic rhinitis.
Selected
Answer: Allergic^ rhinitis^ has^ an^ acute^ onset
Answers:
Allergic rhinitis has persistent nasal blockage Chronic rhinosinusitis is characterized by sneezing and watery eyes Allergic rhinitis has an acute onset Chronic rhinosinusitis typically has a positive family history of similarproblems.
• Question 8
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What is the recommended first-line antibiotic and dosage for children with acute otitis media?
Selected
Answer: amoxicillin^ 80-
mg/kg/day
Answers:
• Question
amoxicillin 80- mg/kg/day
Ceftin 90 mg/kg/day
Penicillin VK 10 mg/kg/day azithromycin 50 mg/kg/day
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What is normal intraocular pressure?
Selected
Answer: 10—20 mm hg
Answers: 5-8^ mm^ hg
2-4 mm hg
Selected
Answer: Atypical pneumonia (Walking
pneumonia) Answers: Bronchitis
• Question
Atypical pneumonia (Walking
pneumonia) Allergic rhinitis
Community acquired
bacterial pneumonia
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Which of the following insulins is a “rapid acting” insulin?
Selected
Answer: Humalog
Answers: Lantus
Humulin N
Humulin R
• Question
Humalog
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Diabetes mellitus causes both microvascular and macrovascular damage. All of
thefollowing are indications of microvascular damage except:
Selected
Answer: Atherosclerosis
Answers: Retinopathy
Nephropathy
Neuropathy
• Question
Atherosclerosis
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Jay is a 72 y/o male who comes to the clinic with the following chief complaint: “I have been feeling very tired recently and having trouble breathing when I go upstairs. I noticedthat my ankles and feet are swollen and I have been putting on weight.” The most likely diagnosis for this patient is:
Selected
Answer: Congestive^ heart^ failure^ (CHF)
Answers: Acute^ myocardial^ infarction^ (AMI)
Infective endocarditis
• Question
Congestive heart failure (CHF) Dissecting abdominal aortic aneurysm (AAA)
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Mickey is a 23 y/o male who comes to the clinic with the following complaints: abdominal
pain, chest pain, and seizures. In reviewing his record, the NP notices that this is his 20th
visit this year. Furthermore, he has had six exploratory surgeriesthat have discovered
nothing of consequence. His most likely diagnosis is:
Selected
Answer: Munchausen syndrome
Answers:
• Question 7
Munchausen syndrome
Schizophrenia
Posttraumatic syndrome
Anorexia nervosa
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Bupropion (Wellbutrin) is contraindicated in patients with anorexia/bulimia because
ofthe potential for increasing the seizure threshold.
Selected
Answer: True
Answers:
• Question 8
True
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e
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Martin is a 41 y/o male who comes to the clinic with the following symptoms: fever, chills,and malaise. On physical exam, the NP notes that he has a new murmur that was not present at his last visit and is aware that he has a prosthetic valve. He also has splinter hemorrhages on his nails, and petechiae on his palate. Based on these finding alone the NP arrives at the following presumed diagnosis:
Oral contraceptives can be started anytime in the menstrual
cycle. Selected
Answer: True
Answers:
True
Fals
e
• Question 12
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Jay is a 72 y/o male who comes to the clinic with the following chief complaint: “I have been feeling very tired recently and having trouble breathing when I go upstairs. I noticedthat my ankles and feet are swollen and I have been putting on weight.” Treatment for Jay’s diagnosis could include which of the following?
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Answer: A^ & C^ only
Answers: Diuretics
Calcium channelblockers Beta blockers
• Question 13
All of the aboveA & C only
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Which of the following glands is responsible for calcium balance in the body?
Selected
Answer: Parathyroid glands
Answers: Posterior pituitary
• Question 14
Parathyroid glands
Thyroid gland
Pineal gland
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Melanoma is the most common type of skin cancer.
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Answer: Fals
e
Answers: True
Fals
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• Question 15
All diastolic murmurs are abnormal.
Selected
Answer: True
Answers:
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True
Fals
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• Question 16
St. John’s Wart has all the following potential uses
except: Selected
Answer: HIV/AIDS
Answers: Depression
Menopausal
symptoms
Wound healing
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• Question 17
HIV/AIDS
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Angela is a 15 y/o who has a distorted perception of her body shape and size. She
iscurrently down to 96 lbs. with a BMI of 17. Your physical exam and history note that she
has lanugo, has not had a menses in 4 months, and has a daily history of vomiting and
taking laxatives. The most likely diagnosis is:
Selected
Answer: Anorexia nervosa
Answers: Schizophrenia
Posttraumatic stress disorder
(PTSD)
• Question 21
Strict bedrest
Hospitalization
All of the
above
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An S3 heart sound can be a normal finding in all the following except:
Selected
Answer: 40 year^ old
female
Answers: Well trained
athletes Pregnant womenChildren 40 year old
• Question 22
female
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Sara is a 38 y/o multipara who is in her 6th–7th month of pregnancy with her fourth child.
She has a new onset of vaginal bleeding that is worsened by intercourse. On external
physical exam, you note that her uterus is soft and non-tender to palpation.If Sara started
having uterine cramping, then the most appropriate immediate treatment would be:
Selected
Answer: Intravenous magnesium
Answers: Vaginal exam Ultrasound
of the uterusC-section
Intravenous magnesium
• Question 23
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Rescue drugs for patients with respiratory problems such as asthma or COPD
wouldinclude both SABAs and LABAs.
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Answer: Fals
e
Answers: True
Fals
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• Question 24
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Bonnie is a 76 y/o female patient who resides in a nursing home. She is currently ona 10-
day course of Clindamycin for a recurrent bacterial vaginal infection. She has started having
10– 15 watery stools per day. The best way to treat Bonnie’s diarrheais:
Selected
Answer: Discontinue her Clindamycin
Answers: Put her on an antidiarrheal
medication
Replace lost fluids with an IV
• Question 25
Discontinue her
Clindamycin Give her an
antacid
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Artie, a 36 y/o male, comes to the clinic with chief complaint of: intermittent flank oneside
flank pain. The pain is an 8 on a scale of 1–10, with 10 being the worst pain he has ever felt.
He states the pain lasts from 20–60 minutes and that he must either stand or walk when the
pain hits. He also notes that he has blood in his urine. All of the following could be risk
factors for Artie except:
Selected
Answer: A & B only
Answers: Family history of
identical condition
Low fluid
intake Gout
• Question 26
Arthritis
A & B only
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Antipsychotics lead to an increased risk of metabolic syndrome.
Selected
Answer: True