NRNP 6531 Module 1: Advanced Nursing Practice Competencies, Integumentary, and HEENT Conditions

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.


Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the 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


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


A decongestant nasal spray



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?






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?


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


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?



Herpes zoster



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


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?


Diabetes mellitus


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:



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


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


Trauma or inflammation

A dietary change


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?


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:


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?


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?




Retinal detachment


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?


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


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.”


“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


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



Oral cancer