Codina Test 151-200

151.-The mother of a 4-week-old infant is concerned that her infant’s eyes are crossed for a few seconds occasionally. The nurse practitioner would: Recommend referral to a pediatric ophthalmologist. Advise the mother that this is a normal finding in infants up to 2 months of age. Recommend that multivitamin supplements be given to the infant daily. Educate her on how to patch the infant’s eye every 4 hours.

152.-All of the following are factors important in determining the peak expiratory flow volume except: Weight. Height. Age. Gender.

153.-You are reviewing a Pap smear report on a 25-year-old female. Which of the following cells should be on a Pap smear to be classified as a satisfactory specimen?. Clue cells and endometrial cells. Vaginal cells and cervical cells. Squamous epithelial cells and endocervical cells. Leukocytes and RBCs.

154.-When assessing a patient suspected of having vertigo, which description provided by the patient is most consistent with the diagnosis?. A sensation of imbalance while walking. A sensation of spinning or rotating. A sensation of “passing out”. A sensation of lightheadedness when changing positions from reclining to standing.

155.-A 56-year-old man complains of episodes of lancinating pain that shoots up to his right cheek when he eats or drinks. He has stopped drinking cold drinks because of the pain. Which of the following is most likely?. Trigeminal neuralgia. Cluster headache. Acute sinusitis. Sinus headache.

156.-What does a KOH (potassium hydroxide) prep help the nurse practitioner diagnose?. Herpes zoster infections. Yeast infections. Herpes simplex infections. Viral infections.

157.-All of the following are considered selective serotonin reuptake inhibitors (SSRIs) except: Imipramine (Elavil). Fluoxetine (Prozac). Sertraline (Zoloft). Paroxetine (Paxil CR).

158.-All of the following tests requires the patient’s voice to perform correctly except: Egophony. Tactile fremitus. Whispered pectoriloquy. Auscultation.

159.-While checking for the red reflex on a 3-year-old boy during a well child visit, a white reflection is seen on the child’s left pupil. Which of the following conditions should be ruled out?. Unilateral strabismus. Unilateral cataracts. Retinoblastoma of the left eye. Color blindness of the left eye.

160.-All of the following infections are reportable diseases except: Lyme disease. Gonorrhea. Nongonococcal urethritis. Syphilis.

161.-A menopausal woman with osteopenia is attending a dietary education class. Which of the following foods are recommended?. Yogurt and sardines. Spinach and red meat. Cheese and red meat. Low-fat cheese and whole grain.

162.-A patient who is on warfarin sodium (Coumadin) is advised to avoid eating large amounts of leafy green vegetables because: The high Vitamin K levels will increase bleeding time. They have too much ascorbic acid, which can interact with the medicine. The high fiber content will decrease the absorption of the Coumadin. The vitamins in the vegetables will bind and inactivate Coumadin.

163.-You are following up a 65-year-old male who has been on a new prescription of fluvastatin (Lescol) for 6 weeks. During a follow-up visit, he reports feeling extremely fatigued and having dark-colored urine. He denies any generalized muscle soreness. Which of the following is the most appropriate treatment plan?. Order a CBC with differential. Order a liver function profile. Recommend an increase in fluid intake and rest. Order urine for C&S test.

164.-Which of the following diagnoses is most likely in this patient?. Rhabdomyolysis. Acute drug-induced hepatitis. Acute mononucleosis. A major depressive episode.

165.-What would you advise him regarding his fluvastatin (Lescol) prescription?. Continue taking the medicine until the lab results are available. Take half the usual daily dose until the lab results are available. Take the medicine every other day instead of daily until the lab results are available. Stop taking the medicine until the lab results are available.

166.-All of the following children are within the parameters of normal growth and development for their age group except: A 2-month-old who coos and smiles. A 14-month-old who understands complex commands. A 20-month-old who can walk without support. A 3-year-old who can speak in three- to four-word sentences.

167.-You are reviewing the bilirubin level on a 3-day-old full-term neonate. You note that it is 10 mg/dL. The infant has a slight yellow color to his skin, mucous membranes, and sclera. The infant is feeding well, is not irritable, and has 8 to 10 wet diapers per day. Which of the following is a true statement?. Keep on monitoring the infant’s bilirubin level until it returns back to normal in about 1 week. Recommend that the infant be treated with phototherapy 10 minutes a day until the bilirubin level is back down to a normal range. Refer the infant to a neonatologist as soon as possible. Refer the infant to the neonatal intensive care unit.

168.-All of the following statements are correct regarding the Td vaccine except: Fever occurs in up to 80% of the patients. A possible side effect is induration on the injection site. The Td is given every 10 years. The DPT and DT should not be given beyond the seventh birthday.

169.-Which of the following is recommended by JNC 7 as first-line treatment for hypertension in patients with microalbuminuria?. Angiotensin-converting enzyme (ACE) inhibitors. Diuretics. Calcium channel blockers. Beta-blockers.

170.-A woman is being evaluated by the nurse practitioner for complaints of dyspareunia. A microscopy slide reveals a large number of atrophic squamous epithelial cells. The vaginal pH is 4.0. There are very few leukocytes and no RBCs are seen on the wet smear. Which of the following is most likely?. Atrophic vaginitis. Bacterial vaginosis. Trichomoniasis. This is a normal finding.

171.-A test called the visual fields by confrontation is used to evaluate for: Peripheral vision. Central distance vision. Narrow-angle glaucoma. Accommodation.

172.-The following skin findings are considered macules except: A freckle. Petechiae. Acne. A flat, 0.5-cm brown birthmark.

173.-Clara is a 20-year-old college student who reports to the student health clinic with a laceration in her left hand. She tells the nurse practitioner that she cut her hand while working in her garden. Her last Td booster was 5.5 years ago. Which of the following is correct?. Administer a booster dose of the Td vaccine. Administer the Td vaccine and the Td immunoglobulin (HyperTet). Administer Td immunoglobulin (HyperTet) only. She does not need any Td immunoglobulin (Hypertet) or a Td booster.

174.-The apex of the heart is located at: Second ICS (intercostals space) to the right of the sternal border. Second ICS to the left of the sternal border. The left lower sternal border. The left side of the sternum at the fifth ICS by the midclavicular line.

175.-Which of the following statements is false regarding jaundice in breastfed infants?. Breastfed infants have a higher incidence of hyperbilirubinemia compared with formula-fed infants. The mechanism of breast milk jaundice is still not known. Phytotherapy is usually not indicated for these infants. It usually starts in the first week of life.

176.-Koilonychia is associated with which of the following conditions?. Lead poisoning. Beta thalassemia trait. B12 deficiency anemia. Iron-deficiency anemia.

177.-Which of the following laboratory tests is positive in a large number of patients with systemic lupus erythematosus?. Antinuclear antibody (ANA). Rheumatoid factor. Antiparietal antibody. Immunoglobulin.

178.-All of the following are correct statements regarding the S3 component of the heart sound except: It occurs very early in diastole and is sometimes called an opening snap. It is a normal finding in some children, healthy young adults, and athletes. It can be a normal variant if heard in a person age 40 or older. It signifies CHF (congestive heart failure).

179.-A positive straight-leg raising test is indicative of which of the following?. Myasthenia gravis. Inflammation of the sciatic nerve/herniated disc. Multiple sclerosis. Parkinson’s disease.

180.-Which of the following would you recommend on an annual basis for an elderly type 2 diabetic?. Eye exam with an ophthalmologist. Follow-up visit with a urologist. Periodic visits to an optometrist. Colonoscopy.

181.-A 72-year-old female complains to you of a crusty and non-healing small ulcer on her upper lip that she has had for several years. Which of the following would you recommend?. Triamcinolone acetonide (Kenalog) cream BID for 2 weeks. Triple antibiotic ointment BID x 2 weeks. Hydrocortisone 1% cream BID for 2 weeks. The patient needs to be evaluated by a dermatologist.

182.-All of the following statements about phototherapy are correct except: Light from the blue to white spectrum is used. It is not always necessary to use a shield for the infant’s eyes. Unconjugated bilirubin in the skin is converted to a water-soluble nontoxic substance that is excreted in the bile. The infant’s eyes should be shielded.

183.-Heberden’s nodes are commonly found in which of the following diseases?. Rheumatoid arthritis. Degenerative joint disease. Psoriatic arthritis. Septic arthritis.

184.-The red blood cells in pernicious anemia will show: Microcytic and hypochromic cells. Microcytic and normochromic cells. Macrocytic and normochromic cells. Macrocytic and hypochromic cells.

185.-You notice a medium-pitched harsh systolic murmur during an episodic exam. It is best heard at the right upper border of the sternum. What is most likely?. Mitral stenosis. Aortic stenosis. Pulmonic stenosis. Tricuspid regurgitation.

186.-A small abscess on a hair follicle on the eyelid is called: Hordeolum. Pterygium. Pinguecula. Ptosis.

187.-Which of the following is indicated for the prophylactic treatment of migraine Headache?. Ibuprofen (Motrin). Naproxen sodium (Anaprox). Propranolol (Inderal). Sumatriptan (Imitrex).

188.-A 40-year-old male complains to the nurse practitioner of severe stabbing pains behind his left eye for the past 2 days. It is accompanied by some nasal congestion and rhinorrhea, which is clear in color. The patient denies pharyngitis and fever. Which of the following conditions is most likely?. Migraine headache with aura. Cluster headache. Tic douloureux. Cranial neuralgia.

189.-Ken has type 2 diabetes mellitus and a “sensitive stomach.” Which medication is least likely to cause him gastrointestinal distress?. Naproxen sodium (Anaprox). Aspirin (Bayer’s aspirin). Erythromycin (E-mycin). Sucralfate (Carafate).

190.-All of the following statements are true regarding domestic abuse except: There is no delay in seeking medical treatment. The pattern of injuries is inconsistent with the history reported. Injuries are usually in the “central” area of the body instead of the extremities. Pregnant women have a higher risk of domestic abuse.

191.-A new mother is breastfeeding her full-term 4-week-old infant. She wants to know whether she should give the infant vitamin supplements. The best advice is: Since she is breastfeeding, the infant does not need any vitamin supplements until he is at least 6 months of age. Breast milk gives the infant all the vitamins he needs until 12 months of age. Breastfed infants require iron and Vitamin D supplementation right away. Breastfed infants require iron and Vitamin E supplementation at 3 months of age.

192.-Beta thalassemia minor is considered a: A) Macrocytic anemia. B) Normocytic anemia. C) Microcytic anemia. D) Hemolytic anemia.

193.-Potential complications of mitral valve prolapse (MVP) include all of the following except: Severe mitral regurgitation. Endocarditis. Increased risk of stroke and TIA. Mitral stenosis.

194.-A new patient is complaining of severe pruritus that is worse at night. Several family members also have the same symptoms. Upon examination, areas of excoriated papules are noted on some of the interdigital webs of both hands and on the axillae. This finding is most consistent with: Contact dermatitis. Impetigo. Larva migrans. Scabies.

195.-An elderly woman with a history of rheumatoid arthritis reports to the nurse practitioner that she had been taking ibuprofen BID for many years. Which of the following organ systems has the highest risk of damage from chronic nonsteroidal anti-inflammatory drug (NSAID) use?. Cardiovascular system. Neurological system. Gastrointestinal system. Renal system.

196.-Ted, who is 15 years old, has just moved into the community and is staying in a foster home temporarily. There is no record of his immunizations. His foster mother wants him to be checked before he enters the local high school. Which of the following does this patient need?. Meningococcal. MMR. Tdap. All of the above.

197.-Which cranial nerve (CN) is being evaluated when patients are instructed to shrug their shoulders?. CN I. CN X. CN XI. CN XII.

198.-A lab technician has a 10.5-mm area of redness and indurations in his left forearm after getting a Mantoux test 72 hours ago. The last test, which was done 12 months ago, was negative. He denies cough, night sweats, and weight loss. What is the next best intervention?. Obtain a sputum culture and a chest x-ray. Obtain a chest x-ray. Obtain a sputum for C&S and an acid fast stain. Obtain a CBC and chest x-ray.

199.-Swim therapy for a 13-year-old with cerebral palsy is an example of: Primary prevention. Secondary prevention. Tertiary prevention. Health prevention.

200.-Which of the following individuals is most likely to be at higher risk for osteoporosis?. 70-year-old female of African ancestry who walks daily for exercise. 42-year-old obese woman from Cuba who has been taking prednisone 10 mg daily for the last 12 years to control her severe asthma. 55-year-old Caucasian female who is an aerobics instructor. 4-year-old Asian female who has been on high-dose steroids for 1 week.