Academic- 3Ps Assessment- Pathophysiology, Pharmacology, and Physical Assessment Exam Questions With Revised Correct Detailed Answers |ALREADY GRADED A+ PASS > > BRAND NEW VERSION!!
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Course
3p
Institution
3p
Academic- 3Ps Assessment-
Pathophysiology, Pharmacology, and
Physical Assessment Exam Questions
With Revised Correct Detailed Answers
|ALREADY GRADED A+ PASS >
> BRAND NEW VERSION!!
1) The NP is examining a 49-year-old man with a 25 pack-year smoking history,
type 2 diabetes m...
Academic- 3Ps Assessment-
Pathophysiology, Pharmacology, and
Physical Assessment Exam Questions
With Revised Correct Detailed Answers
|ALREADY GRADED A+ PASS >
> BRAND NEW VERSION!!
1) The NP is examining a 49-year-old man with a 25 pack-year smoking history,
type 2 diabetes mellitus, and hypertension that is difficult to control. He is not
under any distress and confirms that he is taking his medications as prescribed.
The NP notices a whooshing sound when the stethoscope is placed over the
abdomen at the midclavicular line parallel to the antecubital fossa. This most
likely indicates:
- ANSWER Renal artery stenosis.
2) A 71-year-old man with COPD has been managed with the long-acting beta-
adrenergic agonist salmeterol. Today he presents for an acute care visit stating
his cough is getting worse. He always has mucus production, but now it is much
thicker and more voluminous. Which medication must be included in the plan of
care?
- ANSWER A long-acting muscarinic antagonist
3) While evaluating a 21-year-old female with a chief complaint of headache,
the nurse practitioner considers migraine the leading differential after the
patient reports which of the following symptoms?
- ANSWER Unilateral, pulsating headache
,4) An NP is seeing a pregnant patient who complains of itching on her palms and
“little red lines popping up” in random places. The NP considers:
- ANSWER These are normal symptoms related to decreased systemic
vascular resistance resulting in peripheral vasodilation.
5) A male patient presents to the office for the evaluation of “palpitations” that
are accompanied by episodes of feeling lightheaded. He denies any cardiac
history and reports taking hydrochlorothiazide 25 mg daily. Cardiac auscultation
is within normal limits, and a 12-lead ECG demonstrates no rhythm
abnormalities or chronic changes. A metabolic panel reveals a serum K+ of 2.8
mEq/L. The NP recognizes that Mr. Kevin is likely having runs of ventricular
tachycardia due to:
- ANSWER Altered resting membrane potential
6) When providing patient education to a new patient regarding the
pharmacodynamics of atorvastatin, which information should be included?
- ANSWER It blocks the rate limiting step of cholesterol synthesis
7) When providing patient education to a new patient regarding the
pharmacodynamics of atorvastatin, which information should be included?
- ANSWER It blocks the rate limiting step of cholesterol synthesis
8) An 81-year-old patient who lives alone presents for a “checkup.” She is
overweight and doesn't have healthy lifestyle habits. She takes a "blood
pressure pill" and a "pill for sugar" that her primary care provider gives her. She
says her medications haven't changed in years. On physical exam her lower
extremities are hyperpigmented and she has a papular rash on both calves and
shins. She has onychomycosis on all toenails. Her blood pressure is 149/95 mm
Hg. A metabolic panel reveals a blood sugar of 545 mg/dL and eGFR of 27
ml/min (stage IV CKD). What should the NP administer first to this patient?
- ANSWER Insulin
9) A 58-year-old female with a history of an intracerebral hemorrhage is taking
warfarin and requires treatment with metronidazole. The NP should consider
the following adjustment to the therapy?
, - ANSWER Decrease warfarin dose by 25% during antimicrobial therapy
10) A new NP is performing a speculum exam and cannot visualize the cervix.
The appropriate corrective technique is to:
- ANSWER Withdrawal slightly and then re-advance at a slightly downward
angle as far as it will go.
11) A 67-year-old man with a history of cirrhosis of the liver presents with
complaints of abdominal pain, bloating, and dyspnea. Suspecting ascites, which
of the following techniques should be employed during the physical
examination? (Select two correct answers)
- ANSWER Testing for shifting dullness
- ANSWER Testing for fluid wave
12) Which of the following best describes the slowing of the heart rate caused
by the activation of the parasympathetic nervous system?
- ANSWER Hyperpolarizing the resting potential
13) A 39-year-old female is being seen for follow-up treatment of
gastroesophageal disease with a proton pump inhibitor. She is taking it every
morning with breakfast but continues to have symptoms. When should the
patient take this medication?
- ANSWER At least 30 minutes before breakfast
14) A 17-year-old female is evaluated for a constant sense of pressure and
problems hearing in her right ear. During physical examination the NP
appreciates air-fluid levels in both ears, but the right is worse than the left. A
Weber test lateralizes to the right ear. The NP expects what is most likely in the
patient’s history?
- ANSWER Report of seasonal allergy exacerbation.
15) A 47-year-old male with a history of depression presents to the office
reporting that he stopped taking his fluoxetine after a "couple of embarrassing
nights" where he was unable to get an erection with his wife. He finds this
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