Exam (elaborations)
Final exam nov 15, 2023 NRNP 6531|Already Graded A+
Final exam nov 15, 2023 NRNP 6531|Already Graded A+
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Final exam nov 15, 2023 NRNP 6531|Already Graded A+A 13-year-old girl has a throat culture that is positive for strep throat. She reports that
her younger brother was recently diagnosed with strep throat and treated. The patient
has a severe allergy to penicillin and reports that erythromycin makes her very
nauseated. Which of the following antibiotics is the best choice? - ANSAzithromycin
(Zithromax)
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 cervical motion
tenderness is positive. Which test should the nurse practitioner order initially? -
ANSUrine pregnancy test
A 25-year-old woman's last menstrual period was 6 weeks ago. She is complaining of
nausea with vomiting in the morning and fatigue. Her breasts feel bloated. The nurse
practitioner suspects that she is pregnant. Her symptoms would be considered: -
ANSPresumptive signs of pregnancy
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? - ANSRaynaud's
phenomenon
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? - ANSRovsing's sign
A 44-year-old woman who is undergoing treatment for infertility complains of not having
had a menstrual period for a few months. The night before, she started spotting and is
now having cramp-like pains in her pelvic area. Her blood pressure (BP) is 160/80
mmHg, pulse is 110 beats/min, and she is afebrile. Her labs reveal mild anemia with
mild leukocytosis. On pelvic exam, the uterine fundus is noted to be above the
symphysis pubis. The cervical os is dilated at 3 cm. Which of the following is most
likely? - ANSInevitable abortion
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? - ANSConsult
ith a cardiologist for further evaluation
, Final exam nov 15, 2023 NRNP 6531|Already Graded A+
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. - ANSAngina pectoris
A 67-year-old woman with a 30-pack-year history of smoking presents for a routine
annual physical examination. She complains of being easily short of breath and is
frequently fatigued. Physical examination reveals diminished breath sounds,
hyperresonance, and hypertrophied respiratory accessory muscles. Her complete blood
count (CBC) results reveal that her hematocrit level is elevated. Her pulmonary function
test (PFT) results show increased total lung capacity. What is the most likely diagnosis
for this patient? - ANSChronic obstructive pulmonary disease (COPD)
A 70-year-old man with open-angle glaucoma is prescribed Betimol (timolol) ophthalmic
drops. All of the following are contraindications to Betimol ophthalmic drops except: -
ANSMigraine headaches
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? - ANSPolymyalogia rheumatic (PMR)
A faun tail nevus is a sign of which of the following? - ANSSpina bifida
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: - ANSThese fractures always require surgical
intervention to stabilize the joint
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? - ANSVit D drops
A new patient who is a 40-year-old female postal worker is being evaluated for
complaints of a new-onset erythematous rash on both cheeks and the bridge of the
nose, accompanied by fatigue. She reports a history of Hashimoto's thyroiditis and is
currently being treated with Synthroid 1.25 mg daily. Which of the following conditions is
most likely? - ANSLupus erythematosus
A nurse practitioner's right to practice is regulated under: - ANSThe board of nursing
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