NR667 CEA Final exam | Chamberlain University-Illinois | Questions with 100%
Verified Answers | Latest Update
Question: 1. Your 18-year-old patient has recently been diagnosed with
streptococcal infection and has been successfully treated with an
appropriate antimicrobial agent. They have no other noteworthy health
history, chronic illness or medications on record. They are complaining
today of hematuria, RBC cast on urinalysis with microscopy have been
identified during this visit. Based on this finding you can make the
diagnosis of which of the following?
Answer:
glomerulonephritis
Question: 2. As a prudent nurse practitioner, the diabetic, hypertensive
patients you are seeing should be evaluated for early evidence of renal
damage from both diabetes and hypertension. Which of the following
assessment tools should the nurse practitioner order first for evaluation
of early renal dysfunction secondary to diabetes or hypertension?
Answer:
urinalysis with micro and micro albumin
Question: 3. Your patient presents with a new onset rapid heart rate that
is irregularly irregular, heart rate 100, BP 120/74, respiration 16
non-labored and an SpO2 is 99%. They state this has been going on for
a week or so intermittently, but for the past four days straight it hasn't
stopped. Your first priority intervention for this patient is to do which of
the following?
Answer:
maintain rate control and anticoagulation prior to rhythm conversion
Question: 4. As a prudent nurse practitioner, you know that a 28-year-
old male patient with HIV would be considered well managed when
they have which of the following in addition to having undetectable or
very low viral copies?
Answer:
CD4 count of 500
,Question: 5. Your patient has expressed concern about a skin lesion
which you identify as a darkened, round, and raised lesion. This benign
lesion that appears like "stuck on" to the skin. Which of the following
lesions best fits this description?
Answer:
Seborrheic keratosis
Question: 6. You are treating a patient who has stopped taking their
diuretic regimen against medical advice while they were on vacation
since it made them urinate too frequently for their plans. Now they are
21 pounds heavier than their baseline weight, have respiratory crackles
in bilateral bases, and have severe generalized lower extremity and
truncal edema extending to the sacrum and abdomen. On your
documentation, this is referred to as which of the following conditions?
Answer:
Anasarca
Question: 7. While evaluating a patient in your clinic for a routine
health
visit, you auscultate crackles in the posterior left lower lobe, have the
patient cough, with follow-up auscultation revealing clear breath
sounds. Which one of the following would you suspect?
Answer:
Atelectasis
Question: 8. Gladys is a 72-year-old patient with a history of anemia of
chronic disease from kidney failure, diabetes mellitus, and
hypothyroidism, presents today with concerns her thyroid medication is
not working well enough. Her most recent labs reflect her TSH is 5.9
(normal range 0.5-5 uU/mL) and Free T4 is 0.3 ng/dL (normal range
0.8-2.8 ng/dL). Which one of the following clinical signs and/or
symptoms would you expect a patient with these findings to present
with?
Answer:
cold intolerance
, Question: 9. You are examining the mouth of a patient and ask the
patient
to stick out their tongue and notice that the tongue deviates by pointing
to the left. Which one of the following is the correct diagnosis of this
finding?
Answer:
cranial nerve XII (hypoglossal nerve) lesion on the left
Question: 10. Your 31-year-old female patient states they are
experiencing lateral lower back pain and urinalysis reveals bacteria in
the urine, culture reveals gram negative rods after 24 hours of growth.
Which of the following is least likely agent to cause her urinary tract
infection?
Answer:
Enterococcus
Question: Marvin, your 47-year-old African American patient with a
diagnosis of severe COPD and coronary artery disease has been
complaining of shortness of breath and wheezing after initiation of a
new medicine for his coronary artery disease management. Given his
health history which of the following agents is considered the safest beta
blocker for his CAD management?
Answer:
Lopressor
Question: Melissa, your 56-year-old Caucasian female patient presents
with a health history of hypertension, migraines, hyperlipidemia,
seasonal depression and obesity for a visit to establish care. She was
without any medical care for a long time and being newly established to
your clinic is prescribed aspirin 81 mg daily, atorvastatin 40 mg daily,
betide 10 mg daily, lisinopril 20 mg daily, amlodipine 10 mg daily, and
Wellbutrin 300 mg daily as well as diet and exercise. After the visit she
calls your office nurse and states she has been experiencing
considerably lower extremity edema and constipation since starting
these medicines after your visit. Which of the pharmacology agents she
is prescribed is most likely the common cause of the side effects?
Answer:
Norvasc
Verified Answers | Latest Update
Question: 1. Your 18-year-old patient has recently been diagnosed with
streptococcal infection and has been successfully treated with an
appropriate antimicrobial agent. They have no other noteworthy health
history, chronic illness or medications on record. They are complaining
today of hematuria, RBC cast on urinalysis with microscopy have been
identified during this visit. Based on this finding you can make the
diagnosis of which of the following?
Answer:
glomerulonephritis
Question: 2. As a prudent nurse practitioner, the diabetic, hypertensive
patients you are seeing should be evaluated for early evidence of renal
damage from both diabetes and hypertension. Which of the following
assessment tools should the nurse practitioner order first for evaluation
of early renal dysfunction secondary to diabetes or hypertension?
Answer:
urinalysis with micro and micro albumin
Question: 3. Your patient presents with a new onset rapid heart rate that
is irregularly irregular, heart rate 100, BP 120/74, respiration 16
non-labored and an SpO2 is 99%. They state this has been going on for
a week or so intermittently, but for the past four days straight it hasn't
stopped. Your first priority intervention for this patient is to do which of
the following?
Answer:
maintain rate control and anticoagulation prior to rhythm conversion
Question: 4. As a prudent nurse practitioner, you know that a 28-year-
old male patient with HIV would be considered well managed when
they have which of the following in addition to having undetectable or
very low viral copies?
Answer:
CD4 count of 500
,Question: 5. Your patient has expressed concern about a skin lesion
which you identify as a darkened, round, and raised lesion. This benign
lesion that appears like "stuck on" to the skin. Which of the following
lesions best fits this description?
Answer:
Seborrheic keratosis
Question: 6. You are treating a patient who has stopped taking their
diuretic regimen against medical advice while they were on vacation
since it made them urinate too frequently for their plans. Now they are
21 pounds heavier than their baseline weight, have respiratory crackles
in bilateral bases, and have severe generalized lower extremity and
truncal edema extending to the sacrum and abdomen. On your
documentation, this is referred to as which of the following conditions?
Answer:
Anasarca
Question: 7. While evaluating a patient in your clinic for a routine
health
visit, you auscultate crackles in the posterior left lower lobe, have the
patient cough, with follow-up auscultation revealing clear breath
sounds. Which one of the following would you suspect?
Answer:
Atelectasis
Question: 8. Gladys is a 72-year-old patient with a history of anemia of
chronic disease from kidney failure, diabetes mellitus, and
hypothyroidism, presents today with concerns her thyroid medication is
not working well enough. Her most recent labs reflect her TSH is 5.9
(normal range 0.5-5 uU/mL) and Free T4 is 0.3 ng/dL (normal range
0.8-2.8 ng/dL). Which one of the following clinical signs and/or
symptoms would you expect a patient with these findings to present
with?
Answer:
cold intolerance
, Question: 9. You are examining the mouth of a patient and ask the
patient
to stick out their tongue and notice that the tongue deviates by pointing
to the left. Which one of the following is the correct diagnosis of this
finding?
Answer:
cranial nerve XII (hypoglossal nerve) lesion on the left
Question: 10. Your 31-year-old female patient states they are
experiencing lateral lower back pain and urinalysis reveals bacteria in
the urine, culture reveals gram negative rods after 24 hours of growth.
Which of the following is least likely agent to cause her urinary tract
infection?
Answer:
Enterococcus
Question: Marvin, your 47-year-old African American patient with a
diagnosis of severe COPD and coronary artery disease has been
complaining of shortness of breath and wheezing after initiation of a
new medicine for his coronary artery disease management. Given his
health history which of the following agents is considered the safest beta
blocker for his CAD management?
Answer:
Lopressor
Question: Melissa, your 56-year-old Caucasian female patient presents
with a health history of hypertension, migraines, hyperlipidemia,
seasonal depression and obesity for a visit to establish care. She was
without any medical care for a long time and being newly established to
your clinic is prescribed aspirin 81 mg daily, atorvastatin 40 mg daily,
betide 10 mg daily, lisinopril 20 mg daily, amlodipine 10 mg daily, and
Wellbutrin 300 mg daily as well as diet and exercise. After the visit she
calls your office nurse and states she has been experiencing
considerably lower extremity edema and constipation since starting
these medicines after your visit. Which of the pharmacology agents she
is prescribed is most likely the common cause of the side effects?
Answer:
Norvasc
