NRNP 6531 Final Exam (Answered) Complete Solution
An 80-year-old man with hypertension and hyperlipidemia presents with complaints of the rapid onset of severe low-back pain accompanied by abdominal pain that is gradually worsening. The patient appears pale and complains that he does not feel well...
nrnp 6531 final exam answered complete solution an 80 year old man with hypertension and hyperlipidemia presents with complaints of the rapid onset of severe low back pain accompanied by abdominal p
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NRNP 6531 Final Exam (Answered) Complete
Solution
An 80-year-old man with hypertension and hyperlipidemia presents with
complaints of the rapid onset of severe low-back pain accompanied by abdominal
pain that is gradually worsening. The patient appears pale and complains that he
does not feel well. During the abdominal exam, the nurse practitioner detects a
soft pulsatile mass just above the umbilicus as she palpates this area with her
hand. Which of the following conditions is most likely?
Abdominal aortic aneurysm
Which of the following laboratory test is sensitive for evaluating the renal
function
Estimated glomerular filtration rate (eGFR)
Which of the following groups has been recommended to be screened for thyroid
disease?
Women aged 50 years or older
All of the following patients should be screened for diabetes mellitus except:
A 30-year-old White man with hypertension
A 40-year-old White woman with a body mass index (BMI) of 32 complains of
colicky pain in the right upper quadrant of her abdomen that gets worse if she
eats fried food. During the physical exam, the nurse practitioner presses deeply
on the left lower quadrant of the abdomen and the patient complains of pain on
the right side of the lower abdomen. What is the name of this finding?
Rovsing's sign
Which of the following symptoms characterize this disorder?
1.Ritualistic behaviors that the patient feels compelled to repeat.
2. increased axiety when attempting to ignore or suppress the repetitive behaviors.
3.frequent intrusive and repetive thoughts and impluses
All the above
Which of the following medications is indicated for the treatment of obsessive-
compulsive disorder?
Paroxetine (paxil CR)
Which of the following conditions is most likely?
Injury to the meniscus of the right knee
Which of the following actions is the best course for patient?
Refer him to an orthopedic specialist
The patient's symptoms are highly suggestive of what condition?
A 55-year-old male patient describes an episode of chest tightness in his
substernal area that radiated to his back while he was jogging. It was relieved
immediately when he stopped.
Angina pectoris
A 55-year-old male patient describes an episode of chest tightness in his
substernal area that radiated to his back while he was jogging. It was relieved
immediately when he stopped.
Which of the following would you recommend to this 55-year-old patient?
, Consult ith a cardiologist for further evaluation
A faun tail nevus is a sign of which of the following?
Spina bifida
A new mother is planning to breastfeed 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) during the first few days of life?
Vit D drops
An asthmatic exacerbation is characterized by all of the following symptoms
except:
Chronic coughing
A 76-year-old woman reports that for the previous 4 months, she has noticed
severe stiffness and aching in her neck and both shoulders and hips that is
worsened by movement. She reports having a difficult time getting out of bed
because of the severe stiffness and pain. It is difficult for her to put on a jacket or
blouse or to fasten her bra. Along with these symptoms, she also has a low-grade
fever, fatigue, loss of appetite, and weight loss. Starting yesterday, the vision in
her right eye has progressively worsened. She has annual eye exams and denies
that she has glaucoma. Which of the following conditions is most likely?
Polymyalogia rheumatic (PMR)
A 28-year-old woman with a history of hypothyroidism presents to an urgent care
clinic complaining of numbness and tingling in the fingertips of both her hands
for several hours. On examination, both radial pulses are at +2 and equal
bilaterally. The patient reports that over the past few months she has had
identical episodes, each lasting several hours. During these episodes, the skin
changes color from blue to white, and then to dark red. Eventually, it returns to
normal and the tingling and numbness disappear. Which of the following
conditions is best described?
Raynaud's phenomenon
A fracture on the navicular area of the wrist is usually caused by falling forward
and landing on the hands. The affected wrist is hyperextended to break the fall.
The nurse practitioner is aware that all of the following statements are true
regarding a fracture of the scaphoid bone of the wrist except:
These fractures always require surgical intervention to stabilize the joint
Glucosamine sulfate is a natural supplement that is used for which of the
following conditions?
Osteoarthritis
The best form of aerobic exercise for a patient with severe rheumatoid arthritis is:
Swimming
The nurse practitioner examines a 4-week-old boy whose mother reports that he
has cried for at least 3 hours a day at the same time of day since birth. What is
the main goal in the clinical evaluation of this infant?
Rule out any physiological cause for the crying spells
A 22-year-old sexually active woman is complaining of amenorrhea and new-
onset bloody vaginal spotting. On examination, her left adnexa is tender and
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