Codina Test 601-642

601.-The gold-standard test for visualizing a torn meniscus or joint abnormalities is the: Computed tomography (CT) scan. Magnetic resonance imaging (MRI) scan. X-ray with special views of the affected knee. Lachman’s maneuver.

602.-What is the best description of Cullen’s sign?. The onset of hyperactive bowel sound before the onset of ileus. A reddish-purple discoloration that is located on the flank area. A bluish discoloration or bruising that is located on the umbilical area. The acute-onset subcutaneous bleeding seen during acute pancreatitis.

603.-Glucosamine sulfate is a natural supplement that is used for which of the following conditions?. Rheumatoid arthritis. Osteoarthritis. Osteoporosis. Metabolic syndrome.

604.-A charitable foundation plans to build a community youth center in a large urban area with a history of gang violence. What type of health prevention activity is being done in this area?. Primary prevention. Secondary prevention. Tertiary prevention. Health prevention.

605.-The bacille Calmette-Guerin (BCG) vaccine is used to immunize a person against which of the following?. Enterobiasis. Tuberculosis. Anthrax. Smallpox.

606.-An 13-year-old girl is brought in by the mother because her daughter is complaining of vaginal discharge and pain. The mother tells the nurse practitioner that her daughter is not sexually active yet. The mother is divorced and lives with her boyfriend and works full time. During the exam, the nurse practitioner notes that the vaginal introitus is red, with tears and a torn hymen. The cervix is covered with green discharge. The nurse practitioner suspects that the child has been sexually abused by the mother’s boyfriend. What is the best action for the nurse practitioner to take?. Ask the mother questions about her boyfriend’s behaviors. Advise the mother to watch how her boyfriend interacts with her daughter and to call within 1 week to discuss his behavior with her. Advise the mother that you suspect that her daughter has been sexually abused and that she is legally required to report the case to the child protection program. Report the child abuse to the local police department.

607.-A 75-year-old woman presents complaining of a soft lump on her abdomen that is located on the periumbilical area. She tells the nurse practitioner that she does not know how long she has had the lump or whether it has changed in size or shape. She denies abdominal pain, problems with defecation, loss of appetite, weight loss, or trauma. When performing an abdominal exam, what is the best method to differentiate between an abdominal wall mass and an intra-abdominal mass?. Palpate the abdominal wall while the patient is relaxed. Instruct the patient to lift her head off the table while tensing her abdominal muscles to visualize any masses and then palpate the abdominal wall. Instruct the patient to lie still for few seconds while you palpate the abdominal wall. Palpate the abdomen deeply, then release the palpating hand quickly.

608.-Which of the following structures of the eyes is responsible for color vision?. Rods. Macula. Cones. Pupils.

609.-A new patient is being interviewed by the nurse practitioner. The patient reports that she had a gastrectomy procedure 5 years ago to treat severe obesity. Currently, her BMI is 25 and the patient denies complications from the procedure. The nurse practitioner is aware that the patient is at higher risk for which of the following disorders?. Folate deficiency anemia. B12-deficiency anemia. Iron-deficiency anemia. Normocytic anemia.

610.-What is the most common type of skin cancer?. Basal cell skin cancer. Squamous cell skin cancer. Melanoma. Actinic keratosis.

611. What is the median?. It is the number that occurs the most frequently. It is the middle number in a group of numbers. It is the average number in a group of numbers. It a measure of central tendency.

612.-Grey-Turner’s sign is highly suggestive of which of the following conditions?. Acute pancreatitis. Acute appendicitis. Acute diverticulitis. Gastric cancer.

613.-A nurse practitioner is writing a referral for a middle-aged diabetic who has an A1cof 8.5% despite being on 3 antidiabetic medications. She is referring the patient to an endocrinologist. What type of relationship exists between the nurse practitioner and the endocrinologist?. Consultative relationship. Collaborative relationship. Referral relationship. Formal relationship.

614.-Which bacterium is the most common pathogen seen in otitis externa infections?. Pseudomonas aeroginosa. Streptococcus pyogenes. Haemophilus influenza. Moraxella catarrhalis.

615.-The Patient Protection and Affordable Care Act is President Obama’s plan for national insurance coverage. All of the following are true statements about this law except: Preexisting health conditions will be covered immediately. The health plan will start to be effective in the year 2013. Young adults up to the age of 26 years who live with their parents will be covered under their parents’ health insurance plan. The health insurance plan mandates will fi ne employers who choose not to participate in the national health insurance plan.

616.-All of the following are considered instrumental activities of daily living (IADLs) except: Grocery shopping. Managing one’s finances. Grooming and hygiene. Using a telephone and a computer.

617.-The Rinne and the Weber tests are used to assess which of the following cranial nerve(s)?. Cranial nerves 3, 4, and 6. Cranial nerve 7. Cranial nerve 8. Cranial nerves 9 and 10.

618.-A 68-year-old woman complains of leaking a small amount of urine whenever she sneezes, laughs, and/or strains. The problem has been present for many months. The patient denies dysuria, frequency, and nocturia. The urine dipstick test is negative for white blood cells, red blood cells, ketones, and urobilinogen. What is the name of this condition?. Urge incontinence. Overflow incontinence. Urinary incontinence. Stress incontinence.

619.-Medicare Part D will reimburse for which of the following services?. Preventive health care such as routine Pap smears and physical exams. Prescription drugs. Alcohol misuse/abuse counseling. Over-the-counter drugs and vitamins.

620.-A 35-year-old woman is complaining of gradual weight gain, lack of energy, and amenorrhea. The urine pregnancy test is negative. The CBC shows a hemoglobin of 13.5 g and MCV 84. The nurse practitioner suspects that the patient may have hypothyroidism. The TSH is 10 mU/L. Which of the following is the next step in the evaluation?. Check the thyroid profile. Check the total T3 and T4 levels. Check for antithyroid peroxidase antibodies. Recheck the TSH in 4 to 6 months.

621.-During a routine physical exam on an 82-year-old, the nurse practitioner palpates an irregular mass on the midabdomen that is not tender and is about 2 cm in size. Which of the following is the best initial imaging test to further evaluate the abdominal mass?. CT scan of the abdomen. KUB study. Abdominal ultrasound. MRI of the abdomen.

622.-A research participant tells the nurse practitioner that he wants to withdraw from the study. Regarding this case, the nurse practitioner is aware that all research study consent forms should contain which of the following information?. The patient’s demographic information. The possible risks of the study. Information that a research subject can voluntarily withdraw from the study at any time without any penalties or adverse consequences. The benefits from the study.

623.-All of the following factors are associated with a higher risk of osteopenia and osteoporosis except: Excessive alcohol intake and cigarette smoking. Asian or Caucasian ancestry. Estrogen and progesterone deficiency. Older age.

624.-A skilled nursing facility (SNF) can provide all of the following except: Physical therapy and other types of rehabilitation. Skilled nursing care and medical care. Reimbursement by Medicare. Provision of custodial care.

625.-All of the following are classified as activities of daily living (ADLs) except: Ability to feed self (self-feeding). Ability to manage bladder and bowel elimination. Personal hygiene and grooming. Grocery shopping.

626.-A positive psoas and obturator sign is highly suggestive of which of the following conditions?. Ectopic pregnancy. Acute appendicitis. Peritonitis. Abdominal aortic aneurysm.

627.-All of the following are true statements about sexuality in the older adult except: Erectile dysfunction is very common. It may take longer to become aroused. Frail elderly are not interested in sexuality anymore. Dyspareunia is a common symptom of atrophic vaginitis.

628.-Which of the following drugs is most likely to cause sexual dysfunction in males?. SSRIs. ACE inhibitors. Amphetamines. Atypical antidepressants.

629.-Which of the following drugs is classified as a 5-alpha reductase inhibitor?. Terazosin (Hytrin). Tamsulosin (Flomax). Finasteride (Proscar). Sildenafil (Viagra).

630.-One of the developmental milestones for this age group is the ability to draw a stick figure “person” with 2 to 3 separate body parts. What is the age group that this finding is associated with?. 3 year old. 4-year-old. 5-year-old. 6-year-old.

631.-When does an infant triple its birth weight?. 3 months. 6 months. 12 months. 15 months.

632.-A new mother is planning on breastfeeding her newborn infant for at least 6 months. She wants to know whether she should give the infant vitamins. Which of the following vitamin supplements is recommended by the American Academy of Pediatrics (APA) latest guideline during the first few days of life?. Vitamin D drops. Multi vitamin drops. It is not necessary to give breastfed infants vitamin supplements because breast milk contains enough vitamins and minerals that are necessary for the infant’s growth and development. Folic acid drops.

633.-A sexually active 16-year-old female is brought in by her mother for a physical exam. During the exam, the nurse practitioner notices some bruises on both breasts. All of the following are important areas to evaluate in this patient during this visit except: Depression. Tanner stage. Sexual history. STDs.

634.-The mother of a 12-month-old infant reports to the nurse practitioner that her child had a high fever for several days, which spontaneously resolved. After the fever resolved, the child developed a maculopapular rash. Which of the following is the most likely diagnosis?. Fifth disease (erythema infectiosum). Roséola infantum (exanthema subitum). Varicella. Infantile maculopapular rashes.

635.-A 13-year-old male is brought in by his mother for a physical exam. During the genital exam, the nurse practitioner notices that the patient is at Tanner Stage II. Which of the following is the best description of this Tanner stage?. The penis is growing more in length than in width and the testicles become larger with darker scrotal skin and the pubic hair is starting to curl. The penis is growing more in width than in length with darker scrotal skin and more numerous pubic hairs that are darker, curly, and coarser. The testicles become larger, and the skin of the scrotum starts to become darker with straight, fine, countable hairs on the genitals and the axilla. The testicles, penile width and length are all developing quickly.

636.-An 8-year-old is seen as a walk-in appointment by the nurse practitioner. The mother reports that her child has been febrile for 2 days and is not eating well due to painful sores inside the child’s mouth. The child’s temperature is 101 degrees Fahrenheit, the pulse is 88 beats/minute, and the respirations are at 14 breaths per minute. During the physical examination, the nurse practitioner notices several small blisters and shallow ulcers on the child’s pharynx and the oral mucosa. The child has small round red rashes on both palms and soles. Which of the following conditions is most likely?. Herpes simplex infection. Hand, foot, and mouth disease (HFMD). Varicella infection. Secondary syphilis infection.

637.-According to Erik Erikson, adolescents are at what psychosocial developmental stage?. Autonomy vs. shame. Industry vs. inferiority. Identity vs. role confusion. Intimacy vs. isolation.

638.-At what age can a child ride a bicycle?. 2 to 3 years of age. 3 to 4 years of age. 4 to 5 years of age. 5 to 6 years of age.

639.-When an infant is found to have tufts of fine dark hair on the sacrum, which of the following tests is recommended?. An ultrasound of the sacrum. A plain radiograph of the lumbo sacral spine. No imaging test is necessary. Genetic testing.

640.-All of the following are true statements about the human papilloma virus vaccine (Gardasil) except: The Centers for Disease Control and Prevention (CDC) recommends the first dose at age 11 to 12 years. The CDC does not recommend the HPV vaccine for males. The vaccine is not complete until a total of 3 doses have been administered. The minimum age the vaccine can be given is 9 years.

641.-According to DSM-5, all of the following are some of the criteria that must be present to diagnose a child with autistic disorder. Which of the following criterion is incorrect?. Onset of symptoms before age 3 years. Lack of social interaction or social reciprocity. Stereotyped and repetitive movements such as hand flapping. Depressed affect.

642.-An adolescent male presents to the nurse practitioner for a wellness exam. The patient’s face is long and narrow with a prominent forehead and chin, and he has large ears. The mother reports that her son has intellectual disabilities and autistic disorder. Which of the following conditions is being described?. Fragile X disorder. Marfan’s syndrome. Turner’s syndrome. Down syndrome.