NRNP-6531 module 1 Knowledge Check: advanced nursing practice competencies, integumentary, and HEENT conditions
NRNP-6531 module 1 Knowledge Check: advanced nursing practice competencies, integumentary, and HEENT conditions
Question 1
1 / 1 pts
Janine, age 29, has numerous transient lesions that come and go, and she is diagnosed with urticaria. What do you order?
Aspirin
NSAIDs
Opioids
Correct!
Antihistamines
Question 2
1 / 1 pts
Larry, age 66, is a smoker with hyperlipidemia and hypertension. He is 6 months post-MI. To prevent reinfarction, the most important behavior change that he can make is to:
Correct!
Quit smoking
PLACE YOUR ORDER HERE
Maintain aggressive hypertension therapy
Stick to a low-fat, low-sodium diet
Continue with his exercise program
Question 3
1 / 1 pts
Harvey has had Meniere’s disease for several years. He has some hearing loss but now has persistent vertigo. What treatment might be instituted to relieve the vertigo?
Pharmacological therapy
A labyrinthectomy
Correct!
A vestibular neurectomy
Wearing an earplug in the ear with the most hearing loss
Question 4
1 / 1 pts
A 19 year old basketball player complains of itching in the crural folds, buttocks, and upper thighs. The lesions are well demarcated and are half-moon shaped. The area is red, irritated, and there are small breaks in the skin from scratching. What is this patient’s diagnosis and how should it be treated?
Correct!
Tinea cruris; treat with a topical antifungal cream
Eczema; treat with a topical steroid
Scabies; treat with permethrin cream
Syphilis; treat with penicillin
Question 5
0 / 1 pts
A 45 year old with diabetes has had itching and burning lesions between her toes for 2 months. Scrapings of the lesions confirm the diagnosis tinea pedis. What is the best initial treatment option for this patient?
Correct Answer
Prescribe an antifungal powder for application between her toes and in her shoes and a topical prescription strength antifungal cream for other affected areas. Monitor for a secondary bacterial infection.
Prescribe an oral antifungal for 4 to 12 weeks. Monitor BUN and creatinine at 1 week, 2 weeks, and every month thereafter.
Prescribe an oral antifungal for 4 to 12 weeks. Monitor liver enzymes, BUN, and creatnine at 1 week, 2 weeks, and every month thereafter. NRNP-6531 module 1 Knowledge Check: advanced nursing practice competencies, integumentary, and HEENT conditions
You Answered
Prescribe a prescription strength antifungal/steroid combination cream. Monitor for a secondary bacterial infection.
Question 6
1 / 1 pts
Medicare is a federal program administered by the Centers for Medicare and Medicaid Services (CMS). The CMS has developed guidelines for Evaluation and Management coding, which all providers are expected to follow when coding patient visits for reimbursement. Which of the following is an important consideration regarding billing practices?
It is important to “undercode” so that one does not get charged with Medicare fraud
The practice of “overcoding” is essential in this age of decreasing reimbursements
Correct!
Failing to bill for billable services will lead to unnecessarily low revenues
Time spent with the patient is a very important determinant of billing
Question 7
1 / 1 pts
A patient comes in complaining of 1 week of pain in the posterior neck with difficulty turning the head to the right. What additional history is needed?
Correct!
Any recent trauma
Difficulty swallowing
Stiffness in the right shoulder
Change in sleeping habits
Question 8
1 / 1 pts
The Centor criteria for diagnosis of Group A B-hemolytic streptococcus includes which of the following?
Fever history
Tender, swollen anterior cervical lymph nodes
Positive rapid antigen detection test
Correct!
A and B only
A, B, and C
Question 9
1 / 1 pts
Marvin has sudden eye redness that occurred after a strenuous coughing episode. You diagnose a subconjunctival hemorrhage. Your next step is to
Refer him to an ophthalmologist
Order antibiotics
Correct!
Do nothing other than provide reassurance
Consult with your collaborating physician
Question 10
1 / 1 pts
Your 31-year-old patient, whose varicella rash just erupted yesterday, asks you when she can go back to work. What do you tell her?
Correct!
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