Chamberlain Prediagnostic NR607 Questions and
Answers 100% Verified
Question:
A 52-year-old obese man with type 2 diabetes reports dozing off while driving, watching TV,
or reading, with increased apathy and fatigue. The PMHNP ordered a sleep study, which
revealed 10 episodes of apnea lasting 15 to 20 seconds each per hour of sleep. Based on
these findings, what should the PMHNP prescribe for his condition? -Referral to
otolaryngology for rhinoplasty -Antidepressant medications -Referral to otolaryngology for
uvuloplasty -Continuous positive airway pressure
Answer:
Continuous positive airway pressure
Question:
Which of the following is an indication for monitoring of serum drug levels? -Smoking
cessation -New diagnosis of hyperlipidemia -Resolution of symptoms -New diagnosis of
diabetes
Answer:
Smoking cessation
,Question:
Your client Jamie asks you about a mole of her forearm. You refer her to dermatology. As an
APRN, you recognize that cancerous moles can be detected on exam. Which of the following
would not be of concern? -A mole that is not elevated -All of the above -A dark mole -A mole
that is 5 mm in size
Answer:
All of the above Recall the ABCDE acronym. Concerning moles are asymmetric, have
irregular borders, have color variation, a diameter > 6mm and elevated moles.
Question:
A 42-year-old female recalls a brief episode of chest tightness with no radiation or chest wall
injury during her new taekwondo martial arts class. This pain subsided during "the cool down
period" of her class. Which of the following is most likely given her presentation? -Pericarditis
-Acute myocardial infarction -Hiatal hernia -Angina pectoris
Answer:
Angina pectoris Chest pain with activity and relieved at rest in a middle-aged adult should
prompt concern for myocardial ischemia. Although acute myocardial infarction is a possibility,
it is less likely given the scenario mentioned above.
,Question:
Gloria is a 68-year-old female with a chronic history of severe anxiety disorder presents with
mild shortness of breath, fine crackles in the right lower lobe with auscultation and a
nonproductive cough. She recently "ran out of pills". Which medication omission most likely
lead to her current presenting symptoms? -Metoprolol -Lorazepam -Furosemide -Metformin
Answer:
Furosemide Furosemide or Lasix is a diuretic utilized in the management of heart failure.
Although anxiety can produce shortness of breath, one would not expect fine crackles on
exam unless additional comorbidity exists.
Question:
The S2 heart sound is a result of what? -Closure of the semilunar valves -Opening of the
semilunar valves -Closure of the atrioventricular valves -Opening of the atrioventricular
valves
Answer:
Closure of the semilunar valves The closure of the semilunar valves results in the second
heart sound. The semilunar valves are the aortic and pulmonary valves.
Question:
A systematic inquiry that elaborates on the chief complaint while eliciting pertinent positive
and pertinent negative factors from the history is known as: -Diagnostic formulation -The
mental status exam -Physical exam -Review of systems
Answer:
Review of systems
, Question:
A 21-year-old man had his first drink at his birthday party with friends last night. He
presented the following morning to the emergency department with psychomotor agitation,
cognitive impairment, depressed mood, flat affect, and anhedonia. His heart rate is 110, his
blood pressure is 90/60, and he complains of abdominal pain. He received 2 L of normal
saline IV and is referred to psychiatry for evaluation of mood disorder. Which of the following
tests should the consulting PMHNP order given these symptoms? -Urinalysis
-Acetaminophen level -Urinary porphobilinogen -Blood alcohol level
Answer:
Urinary porphobilinogen
Question:
A 35-year-old man diagnosed with bipolar disorder mentions to his PMHNP that he had felt a
lump on his left testicle. He is concerned he has not had a physical exam in 10 years. What
is the best action by the PMHNP? -Perform a urogenital exam and order an ultrasound
-Refer him to his primary care provider -Refer him to urology -Explore the reason for not
having had a physical in so long
Answer:
Explore the reason for not having had a physical in so long
Answers 100% Verified
Question:
A 52-year-old obese man with type 2 diabetes reports dozing off while driving, watching TV,
or reading, with increased apathy and fatigue. The PMHNP ordered a sleep study, which
revealed 10 episodes of apnea lasting 15 to 20 seconds each per hour of sleep. Based on
these findings, what should the PMHNP prescribe for his condition? -Referral to
otolaryngology for rhinoplasty -Antidepressant medications -Referral to otolaryngology for
uvuloplasty -Continuous positive airway pressure
Answer:
Continuous positive airway pressure
Question:
Which of the following is an indication for monitoring of serum drug levels? -Smoking
cessation -New diagnosis of hyperlipidemia -Resolution of symptoms -New diagnosis of
diabetes
Answer:
Smoking cessation
,Question:
Your client Jamie asks you about a mole of her forearm. You refer her to dermatology. As an
APRN, you recognize that cancerous moles can be detected on exam. Which of the following
would not be of concern? -A mole that is not elevated -All of the above -A dark mole -A mole
that is 5 mm in size
Answer:
All of the above Recall the ABCDE acronym. Concerning moles are asymmetric, have
irregular borders, have color variation, a diameter > 6mm and elevated moles.
Question:
A 42-year-old female recalls a brief episode of chest tightness with no radiation or chest wall
injury during her new taekwondo martial arts class. This pain subsided during "the cool down
period" of her class. Which of the following is most likely given her presentation? -Pericarditis
-Acute myocardial infarction -Hiatal hernia -Angina pectoris
Answer:
Angina pectoris Chest pain with activity and relieved at rest in a middle-aged adult should
prompt concern for myocardial ischemia. Although acute myocardial infarction is a possibility,
it is less likely given the scenario mentioned above.
,Question:
Gloria is a 68-year-old female with a chronic history of severe anxiety disorder presents with
mild shortness of breath, fine crackles in the right lower lobe with auscultation and a
nonproductive cough. She recently "ran out of pills". Which medication omission most likely
lead to her current presenting symptoms? -Metoprolol -Lorazepam -Furosemide -Metformin
Answer:
Furosemide Furosemide or Lasix is a diuretic utilized in the management of heart failure.
Although anxiety can produce shortness of breath, one would not expect fine crackles on
exam unless additional comorbidity exists.
Question:
The S2 heart sound is a result of what? -Closure of the semilunar valves -Opening of the
semilunar valves -Closure of the atrioventricular valves -Opening of the atrioventricular
valves
Answer:
Closure of the semilunar valves The closure of the semilunar valves results in the second
heart sound. The semilunar valves are the aortic and pulmonary valves.
Question:
A systematic inquiry that elaborates on the chief complaint while eliciting pertinent positive
and pertinent negative factors from the history is known as: -Diagnostic formulation -The
mental status exam -Physical exam -Review of systems
Answer:
Review of systems
, Question:
A 21-year-old man had his first drink at his birthday party with friends last night. He
presented the following morning to the emergency department with psychomotor agitation,
cognitive impairment, depressed mood, flat affect, and anhedonia. His heart rate is 110, his
blood pressure is 90/60, and he complains of abdominal pain. He received 2 L of normal
saline IV and is referred to psychiatry for evaluation of mood disorder. Which of the following
tests should the consulting PMHNP order given these symptoms? -Urinalysis
-Acetaminophen level -Urinary porphobilinogen -Blood alcohol level
Answer:
Urinary porphobilinogen
Question:
A 35-year-old man diagnosed with bipolar disorder mentions to his PMHNP that he had felt a
lump on his left testicle. He is concerned he has not had a physical exam in 10 years. What
is the best action by the PMHNP? -Perform a urogenital exam and order an ultrasound
-Refer him to his primary care provider -Refer him to urology -Explore the reason for not
having had a physical in so long
Answer:
Explore the reason for not having had a physical in so long
