DRNP-6531 – Module 1 – Advanced Nursing Practice Competencies, Integumentary, and HEENT Conditions
In this exercise, you will complete a 10- question Knowledge Check to gauge your understanding of this module’s content. Please note that this is a formative practice to help you better prepare for your Midterm and Final Exam as well as your Nurse Practitioner (NP) certification exam. The questions in this Knowledge Check are related to the topics from Weeks 1, 2, and 3 Topics include:
Nursing competencies
Billing and coding
Integumentary conditions
HEENT conditions
It is in your best interest to take your time, do your best, and answer each question to the best of your ability.
By Day 7
Complete and submit your Knowledge Check.
Question 1
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?
Group of answer choices
- Tinea cruris; treat with a topical antifungal cream
- Eczema; treat with a topical steroid
- Scabies; treat with permethrin cream
- Syphilis; treat with penicillin
Question 2
Which of the following is a predisposing condition for furunculosis?
Group of answer choices
- Diabetes mellitus
- Hypertension
- Peripheral vascular disease
- Chronic fatigue syndrome
Question 3
A 55 year old man is diagnosed with basal cell carcinoma. The nurse practitioner correctly tells him:
Group of answer choices
- “It is the most common cause of death in patients with skin cancer.”
- “It can be cured with surgical excision or radiation therapy.”
- “It is a slow growing skin cancer that rarely undergoes malignant changes.”
- “It can be cured using 5-flurouracil cream twice daily for 2 to 4 weeks.”
Question 4
Marvin has sudden eye redness that occurred after a strenuous coughing episode. You diagnose a subconjunctival hemorrhage. Your next step is to
Group of answer choices
- Refer him to an ophthalmologist
- Order antibiotics
- Do nothing other than provide reassurance
- Consult with your collaborating physician
Question 5
Which of the following statements about malignant melanomas is true?
Group of answer choices
- They usually occur in older adult male
- The patient has no family history of melanoma
- They are common in blacks
- The prognosis is directly related to the thickness of the lesion
Question 6
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?
Group of answer choices
- Once all the vesicles are crusted over
- When the rash is entirely gone
- Once you have been on medication for at least 48 hours
- Now, as long as you stay away from children and pregnant women
Question 7
If a patient presents with a deep aching, red eye and there is no discharge, you should suspect:
Group of answer choices
- Iritis
- Allergic conjunctivitis
- Viral conjunctivitis
- Bacterial conjunctivitis
Question 8
Carl, age 78, is brought to the office by his son, who states that his father has been unable to see clearly since last night. Carl reports that his vision is “like looking through a veil.” He also sees floaters and flashing lights but is not having any pain. What do you suspect?
Group of answer choices
- Cataracts
- Glaucoma
- Retinal detachment
- Iritis
Question 9
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?
Group of answer choices
- 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.
- Prescribe a prescription strength antifungal/steroid combination cream. Monitor for a secondary bacterial infection.
Question 10
Stacy, age 27, states that she has painless, white, slightly raised patches in her mouth. They are probably caused by:
Group of answer choices
- Herpes simplex
- Aphthous ulcers
- Candidiasis
- Oral cancer
Question 11
What conditions must be met for you to bill “incident to” the physician, receiving 100% reimbursement from Medicare?
Group of answer choices
- 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 12
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?
Group of answer choices
- 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
- 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 13
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:
Group of answer choices
- Quit smoking
- Maintain aggressive hypertension therapy
- Stick to a low-fat, low-sodium diet
- Continue with his exercise program
Question 14
Sylvia, age 83, presents with a 3 day history of pain and burning in the left forehead. This morning she noticed a rash with erythematous papules in that site. What do you suspect?
Group of answer choices
- Varicella
- Herpes zoster
- Syphilis
- Rubella
Question 15
Janine, age 29, has numerous transient lesions that come and go, and she is diagnosed with urticaria. What do you order?
Group of answer choices
- Aspirin
- NSAIDs
- Opioids
- Antihistamines
Question 16
Sarah has allergic rhinitis and is currently being bothered by nasal congestion. Which of the following meds ordered for allergic rhinitis would be most appropriate?
Group of answer choices
- An antihistamine intranasal spray
- A decongestant nasal spray
- Ipratropium
- Omalizumab
Question 17
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?
Group of answer choices
- Pharmacological therapy
- A labyrinthectomy
- A vestibular neurectomy
- Wearing an earplug in the ear with the most hearing loss
Question 18
The Centor criteria for diagnosis of Group A B-hemolytic streptococcus includes which of the following?
Group of answer choices
- Fever history
- Tender, swollen anterior cervical lymph nodes
- Positive rapid antigen detection test
- A and B only
- A, B, and C
Question 19
Your well-nourished 75-year-old patient has come into the office for a physical exam and states that she recently had two nosebleeds. She does not take any anticoagulants, and you have ruled out any coagulopathies. The most likely cause of these nosebleeds is:
Group of answer choices
- Sex hormones
- Trauma or inflammation
- A dietary change
- Scurvy
Question 20
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?
Group of answer choices
- Any recent trauma
- Difficulty swallowing
- Stiffness in the right shoulder
- Change in sleeping habits