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.
Resources
Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.
WEEKLY RESOURCES
By Day 7
Complete and submit your Knowledge Check.
This quiz was locked Mar 19 at 10:59pm.
Attempt History
AttemptTimeScoreLATESTAttempt 14,691 minutes20 out of 20
Score for this quiz: 20 out of 20
Submitted Mar 17 at 5:12am
This attempt took 4,691 minutes.
Question 1
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 2
1 / 1 pts
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?
An antihistamine intranasal spray
Correct!
A decongestant nasal spray
Ipratropium
Omalizumab
Question 3
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 4
1 / 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!
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 5
1 / 1 pts
What conditions must be met for you to bill “incident to” the physician, receiving 100% reimbursement from Medicare?
You must initiate the plan of care for the patient
Correct!
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 6
1 / 1 pts
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?
Varicella
Correct!
Herpes zoster
Syphilis
Rubella
Question 7
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 8
1 / 1 pts
Which of the following is a predisposing condition for furunculosis?
Correct!
Diabetes mellitus
Hypertension
Peripheral vascular disease
Chronic fatigue syndrome
Question 9
1 / 1 pts
If a patient presents with a deep aching, red eye and there is no discharge, you should suspect:
Correct!
Iritis
Allergic conjunctivitis
Viral conjunctivitis
Bacterial conjunctivitis
Question 10
1 / 1 pts
The Centor criteria for diagnosis of Group A B-hemolytic streptococcus includes which of the following?
A. Fever history
B. Tender, swollen anterior cervical lymph nodes
C. Positive rapid antigen detection test
Correct!
D. A and B only
E. A, B, and C
Question 11
1 / 1 pts
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:
Sex hormones
Correct!
Trauma or inflammation
A dietary change
Scurvy
Question 12
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 13
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
Maintain aggressive hypertension therapy
Stick to a low-fat, low-sodium diet
Continue with his exercise program
Question 14
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!
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 15
1 / 1 pts
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?
Cataracts
Glaucoma
Correct!
Retinal detachment
Iritis
Question 16
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 17
1 / 1 pts
Which of the following statements about malignant melanomas is true?
They usually occur in older adult males
The patient has no family history of melanoma
They are common in blacks
Correct!
The prognosis is directly related to the thickness of the lesion
Question 18
1 / 1 pts
A 55 year old man is diagnosed with basal cell carcinoma. The nurse practitioner correctly tells him:
“It is the most common cause of death in patients with skin cancer.”
Correct!
“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 19
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 20
1 / 1 pts
Stacy, age 27, states that she has painless, white, slightly raised patches in her mouth. They are probably caused by:
Herpes simplex
Aphthous ulcers
Correct!
Candidiasis
Oral cancer
