QUESTIONS WITH CORRECTANSWERS 2026. b b b b
When evaluating a 78-year- b b b
old man, the PMHNP notices the patient frequently leans in with the right side of hisFhead and frequently asks
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for things to be repeated. His daughter is very worried that he has dementia or depression because he has
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also become increasingly isolated, as well as increasingly irritable as he believes people are yelling at him out
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of frustration of not being heard. The daughter is tearful, anxious, and frustrated. WhatFshould the PMHNP do
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first?
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Order a CT scan of the head b b b b b b
Separate the patient from the daughter and interview him alone Examine
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b the patient's ear canals
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Provide anticipatory guidance regarding aging parents to the daughter - correct answer- Examine
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the patient's ear canals
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A 35-year-
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old man diagnosed with bipolar disorder mentions to his PMHNP thatFhe had felt a lump on his left testicl
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e. He is concerned he has not had a physical exam in 10 years. What is the best action by the PMHNP?
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Explore the reason for not having had a physical in so long Refer
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b him to his primary care provider
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Perform a urogenital exam and order an ultrasound b b b b b b b
Refer him to urology - correct answer-Explore the reason for not having had a physical in so long
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In observing the appearance of the patientFwith depression and a history of systemicFlupus erythematosu s,
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the PMHNP notices a lesion on the neck of the patient about the size of a pencil eraser, flush with the s kin,
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uniformly colored, with discrete borders, and consistent texture. The PMHNP should:
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Refer the patient to oncology b b b b
b Watch and wait b b
Refer the patient to rheumatologyb b b b
Refer the patient to dermatology - correct answer-Watch and wait
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, Which of the followingbest represent the physical exammaneuver known as Murphy's sign?
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While supine, ask the patient to grasp her knee while tucking 1 legFup to the chest. A positive test occurs when
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pain prohibits elevation of the ipsilateral leg.
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The examiner palpates in the right upper abdominal quadrant below the costal margin while the patient
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breathesFin. The test is positive if the examiner observes pain during inhalation.
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Press and palpate deeply into the abdomen and release quickly observing for pain.
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Ask the patient to bend at the knees while holding onto a rail, observe for a loss of balance. - correct
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answer-
b
The examiner palpates in the right upper abdominal quadrant below the costal margin while the patient breathes
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in. The test is positive if the examiner observes pain during inhalation.
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Acute cholecystitis b
WhatFdoesthe Murphy sign assess for - correct answer-Cholecystitis b b b b b b b b
AF26-year-
old man has been on an antipsychotic. He requires further titration for control of symptoms. Which of the
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followingFtests should be repeated?
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EKG
Head CT scan b b
Liver functiontest b b
Urinalysis - correct answer-EKG b b b
Your client Jamie asks you about a mole of her forearm. You refer her to dermatology. As an APRN, you re cognize
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that cancerous moles can be detected on exam. Which of the following would not be of concern?
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A mole that is not elevated
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