WITH VERIFIED ANSWERS; 100%
CORRECT; GRADE A
. A young adult patient presents to the clinic with reports
of back pain, postural imbalance, difficulty walking, and
pain that radiates down the legs for the last 6 months.
Which diagnostic test would the nurse practitioner initially
order to investigate the etiology of this patient's
symptoms?
a) MRI
b) CT without contrast
c) Spinal x-ray
d) CT with contrast - correct answer- C) Spinal
x-ray
- This type of x-ray would be ordered first to confirm the
diagnosis of scoliosis or other spinal deformities and begin
determining the cause of the patient's symptoms.
,A spinal x-ray can help guide the nurse practitioner in
which imaging will be needed next to develop a more
thorough treatment plan.
A 30-year-old male patient presents to the clinic for
evaluation of a lesion on his left arm that has been
present for five days with no improvement.
On exam, a 1.5 cm area of skin with erythema and edema
is warm and tender to the touch, with no drainage or pus
present.
Vital signs are within normal limits, the rest of the physical
exam is unremarkable, and there are no known
medication allergies.
Based on the exam findings, which is the best treatment
plan?
a) Treat for a local reaction to an insect bite with an
antihistamine
b) Treat for non-purulent cellulitis with cephalexin
(Keflex).
c) Treat Lyme disease with doxycycline (Vibramycin)
,d) Treat for herpes zoster with an antiviral - correct
answer- B) Treat for non-purulent cellulitis with
cephalexin (Keflex).
- The patient's exam findings are consistent with non-
purulent cellulitis. First-line treatment for non-purulent
cellulitis is cephalexin (Keflex) (Spelman, & Baddour,
2021).
A 32-year-old patient with a BMI of 23 has been using
depot medroxyprogesterone acetate (Depo-Provera) and
recently received their injection.
They would like to start conceiving in the next three
months. The nurse practitioner educates the patient on
the average timeline of the return of fertility.
Which statement is most appropriate?
a) "It is reasonable to have a delay in your return to
fertility for up to one year or longer."
b) "Your fertility will return more rapidly after
discontinuing injections if you gain weight."
, c) "You will have an immediate return to fertility after
three months since you just received a shot."
d) "You will likely have an immediate return to fertility as
soon as you lose some weight and have a healthy BMI." -
correct answer- A) "It is reasonable to have a
delay in your return to fertility for up to one year or
longer."
- Depot medroxyprogesterone acetate (Depo-Provera)
generally delays fertility for 5-7 months but may take over
18 months.
A 34-week pregnant patient presents to the emergency
room with sudden onset of abdominal pain and vaginal
bleeding.
Which condition is most likely?
a) placental abruption
b) ectopic pregnancy
c) Miscarriage