An adolescent male is suffering from severe, sudden pain in his genital region during
football practice. He is embarrassed to seek emergency treatment. However, he is
finding the pain unbearable. His coach appropriately recommends he seek emergency
treatment.
What is a plausible cause of the pain?
Testicular torsion
An advanced practice registered nurse (APRN) is evaluating a male patient. Findings
include a painless supraclavicular adenopathy, a nonproductive cough, fatigue, anorexia,
weight loss, fever, night sweats, pruritus, and the findings of Reed-Sternberg cells on a
lab microscopic exam.
Which disease should be suspected by the APRN?
, Hodgkin lymphoma
A patient is discussing symptoms of fibromyalgia with an advanced practice registered
nurse (APRN) and is worried about the effect of the condition on life. The APRN suggests
treatment to help control symptoms.
Which treatment should be recommended to this patient?
Antidepressants and acupuncture
A patient presents in the clinic with a chief complaint of numbness and tingling in the
hands and fingertips that is relieved by warmth. The patient reports fingers turning blue
and white and has no other medical history.
Which condition is the patient describing?
Raynaud disease
An advanced practice registered nurse (APRN) is working with a patient who has been
diagnosed with a benign tumor of the hypothalamus, decreasing hormone production.
The APRN is concerned about effects on renal function. Which renal effect should the
APRN anticipate?
, Increase in water excretion
An older adult patient presents with an exacerbation of chronic obstructive pulmonary
disease (COPD). An advanced practice registered nurse (APRN) notes that despite using
medications as prescribed, the patient feels much worse during these exacerbations than
in the past.
Which response should the APRN provide to this patient?
The effects of aging contribute to decreased lung function.
An advanced practice registered nurse (APRN) assesses a school-aged child with sepsis
who is experiencing new symptoms of hyperthermia, tachycardia, and tachypnea.
Which additional diagnosis should the APRN consider?
Systemic inflammatory response syndrome
A patient presents to an emergency department complaining of coughing, salty-tasting
skin, bulky stools, and frequent respiratory infections. On examination, an advanced
practice registered nurse (APRN) notes nasal polyps and a barrel chest. A diagnosis of
cystic fibrosis is confirmed.
What is the pathological mechanism of this disorder?
football practice. He is embarrassed to seek emergency treatment. However, he is
finding the pain unbearable. His coach appropriately recommends he seek emergency
treatment.
What is a plausible cause of the pain?
Testicular torsion
An advanced practice registered nurse (APRN) is evaluating a male patient. Findings
include a painless supraclavicular adenopathy, a nonproductive cough, fatigue, anorexia,
weight loss, fever, night sweats, pruritus, and the findings of Reed-Sternberg cells on a
lab microscopic exam.
Which disease should be suspected by the APRN?
, Hodgkin lymphoma
A patient is discussing symptoms of fibromyalgia with an advanced practice registered
nurse (APRN) and is worried about the effect of the condition on life. The APRN suggests
treatment to help control symptoms.
Which treatment should be recommended to this patient?
Antidepressants and acupuncture
A patient presents in the clinic with a chief complaint of numbness and tingling in the
hands and fingertips that is relieved by warmth. The patient reports fingers turning blue
and white and has no other medical history.
Which condition is the patient describing?
Raynaud disease
An advanced practice registered nurse (APRN) is working with a patient who has been
diagnosed with a benign tumor of the hypothalamus, decreasing hormone production.
The APRN is concerned about effects on renal function. Which renal effect should the
APRN anticipate?
, Increase in water excretion
An older adult patient presents with an exacerbation of chronic obstructive pulmonary
disease (COPD). An advanced practice registered nurse (APRN) notes that despite using
medications as prescribed, the patient feels much worse during these exacerbations than
in the past.
Which response should the APRN provide to this patient?
The effects of aging contribute to decreased lung function.
An advanced practice registered nurse (APRN) assesses a school-aged child with sepsis
who is experiencing new symptoms of hyperthermia, tachycardia, and tachypnea.
Which additional diagnosis should the APRN consider?
Systemic inflammatory response syndrome
A patient presents to an emergency department complaining of coughing, salty-tasting
skin, bulky stools, and frequent respiratory infections. On examination, an advanced
practice registered nurse (APRN) notes nasal polyps and a barrel chest. A diagnosis of
cystic fibrosis is confirmed.
What is the pathological mechanism of this disorder?
