NR 507 Final questions with verified answers
A 21-year-old patient reports to the primary care clinic complaining of urinary
urgency, frequency and burning. She also reports a small amount of vaginal
discharge that contains an odor. It is likely that the NP will perform a vaginal exam
at this visit. Ans✓✓✓ true
A 25 year- old female presents to the primary care office with urinary burning and
frequency for the last 3 days. She denies any fever, chills, back pain. Her
gynecological history is negative and reports no vaginal discharge. The only new
information reported is that she recently had sexual intercourse with a new male
partner.
The NP obtains a urinalysis and determines that the urine contains leukocytes,
RBCs, nitrites, and WBCs. No casts are identified. Based on symptom presentation
and UA results, the patient can be diagnosed with: Ans✓✓✓ cystitis
A 42-year-old female presents to the primary care clinic with a three- month
history of "feeling low", poor energy, inability to concentrate and irritability. She
is concerned about her loss of interest in her usual social activities of walking with
her friends and participating in her sewing group. She is especially concerned
about her recent 15-pound weight gain. Other reported symptoms are frequent
headaches, difficulty getting out of bed in the morning, and feeling worthless. She
denies suicide ideation. She reports a family history of depression (mother and
sister) and denies any consumption of drugs and alcohol. She is divorced and has
a grown son who lives approximately one hour away but rarely sees because of
his work schedule. The patient is interested in knowing if her symptoms are
related to depression.
Upon initial evaluation, the NP considers if the patient meets the criteria for MDD
by consulting the DS Ans✓✓✓ Depressed mood
Fatigue/loss of energy
Loss of interest/Anhedonia
,Feeling worthless or having excessive guilt
Insomnia or hypersomnia
Poor concentration
Recurrent thoughts of death, suicide, a suicide plan or attempt
Psychomotor agitation or retardation
A 45-year-old male presents to the primary care office with right flank pain that
he describes as unremitting; he also reports nausea and vomiting. The NP
performs an exam and observes him writhing in pain on the exam table with the
inability to find a comfortable position. He is afebrile, BP 156/88 mmHg and HR
106/min. Right flank is mildly tender on palpation. Abdominal exam is negative for
any abnormality. A urinalysis was performed and revealed 1+ blood. Urine
microscopy also revealed 10-20 RBCs per high-power field (hpf). A kidney stone is
suspected. The patient reports no prior history of a kidney stone. After providing
the patient an analgesic, where the patient reported mild relief, the NP had the
patient transferred to the emergency room for intravenous fluids, pain
management and further work-up for the kidney stone. Upon follow-up in the
office a week later, the patient reported that he was diagnosed with Ans✓✓✓
adequate hydration
balanced diet
A 54-year-old female reports to the primary care office with complaints of
frequent urination. She reports that she is "leaking" urine several times a day,
especially when she coughs, sneezes, or lifts a heavy object. She indicates that she
has not experienced any dysuria or any urgency. The NP looked at the patient's
previous urine culture obtained approximately 1 month ago and determined that
it was negative. Other than her urinary complaints, she is in otherwise good
health. BP 128/76; HR 78 bpm; T 98.6; Ht. 5'4"; Wt: 180lbs.; BMI 30.9. The NP
performs a physical exam and all findings are normal. The urinalysis obtained was
negative as well.
, Based on patient's symptoms and negative physical exam, she has a typical
1. blank.
The leaking occurs when the abdominal pressure increases during coughing,
sneezing, and lifting. We can rule out urge incontinence because the denied
urgency with her urination. We could not Ans✓✓✓ 1. stress incontinence
2. stress incontinence
A common organism that causes a urinary tract infection include: Ans✓✓✓
Staphylococcus saprophyticus.
E coli
A mood disorder is a mental illness that causes the individual to have dramatic
shifts in emotions, mood and energy levels. Ans✓✓✓ true
A panic attack involves a very stressful situation where the individual develops an
intense fear that something bad will happen. Ans✓✓✓ true
A pre-renal cause of acute renal failure is: Ans✓✓✓ hypotension
A sphincter malfunction that prevents urine from flowing out of the bladder
would most likely result in: Ans✓✓✓ overflow incontinence
A strong social network has been proven to lead to a better outcome for
individuals with MDD. Ans✓✓✓ true
A symptom of a lower urinary tract infection includes: Ans✓✓✓ urgency
A 21-year-old patient reports to the primary care clinic complaining of urinary
urgency, frequency and burning. She also reports a small amount of vaginal
discharge that contains an odor. It is likely that the NP will perform a vaginal exam
at this visit. Ans✓✓✓ true
A 25 year- old female presents to the primary care office with urinary burning and
frequency for the last 3 days. She denies any fever, chills, back pain. Her
gynecological history is negative and reports no vaginal discharge. The only new
information reported is that she recently had sexual intercourse with a new male
partner.
The NP obtains a urinalysis and determines that the urine contains leukocytes,
RBCs, nitrites, and WBCs. No casts are identified. Based on symptom presentation
and UA results, the patient can be diagnosed with: Ans✓✓✓ cystitis
A 42-year-old female presents to the primary care clinic with a three- month
history of "feeling low", poor energy, inability to concentrate and irritability. She
is concerned about her loss of interest in her usual social activities of walking with
her friends and participating in her sewing group. She is especially concerned
about her recent 15-pound weight gain. Other reported symptoms are frequent
headaches, difficulty getting out of bed in the morning, and feeling worthless. She
denies suicide ideation. She reports a family history of depression (mother and
sister) and denies any consumption of drugs and alcohol. She is divorced and has
a grown son who lives approximately one hour away but rarely sees because of
his work schedule. The patient is interested in knowing if her symptoms are
related to depression.
Upon initial evaluation, the NP considers if the patient meets the criteria for MDD
by consulting the DS Ans✓✓✓ Depressed mood
Fatigue/loss of energy
Loss of interest/Anhedonia
,Feeling worthless or having excessive guilt
Insomnia or hypersomnia
Poor concentration
Recurrent thoughts of death, suicide, a suicide plan or attempt
Psychomotor agitation or retardation
A 45-year-old male presents to the primary care office with right flank pain that
he describes as unremitting; he also reports nausea and vomiting. The NP
performs an exam and observes him writhing in pain on the exam table with the
inability to find a comfortable position. He is afebrile, BP 156/88 mmHg and HR
106/min. Right flank is mildly tender on palpation. Abdominal exam is negative for
any abnormality. A urinalysis was performed and revealed 1+ blood. Urine
microscopy also revealed 10-20 RBCs per high-power field (hpf). A kidney stone is
suspected. The patient reports no prior history of a kidney stone. After providing
the patient an analgesic, where the patient reported mild relief, the NP had the
patient transferred to the emergency room for intravenous fluids, pain
management and further work-up for the kidney stone. Upon follow-up in the
office a week later, the patient reported that he was diagnosed with Ans✓✓✓
adequate hydration
balanced diet
A 54-year-old female reports to the primary care office with complaints of
frequent urination. She reports that she is "leaking" urine several times a day,
especially when she coughs, sneezes, or lifts a heavy object. She indicates that she
has not experienced any dysuria or any urgency. The NP looked at the patient's
previous urine culture obtained approximately 1 month ago and determined that
it was negative. Other than her urinary complaints, she is in otherwise good
health. BP 128/76; HR 78 bpm; T 98.6; Ht. 5'4"; Wt: 180lbs.; BMI 30.9. The NP
performs a physical exam and all findings are normal. The urinalysis obtained was
negative as well.
, Based on patient's symptoms and negative physical exam, she has a typical
1. blank.
The leaking occurs when the abdominal pressure increases during coughing,
sneezing, and lifting. We can rule out urge incontinence because the denied
urgency with her urination. We could not Ans✓✓✓ 1. stress incontinence
2. stress incontinence
A common organism that causes a urinary tract infection include: Ans✓✓✓
Staphylococcus saprophyticus.
E coli
A mood disorder is a mental illness that causes the individual to have dramatic
shifts in emotions, mood and energy levels. Ans✓✓✓ true
A panic attack involves a very stressful situation where the individual develops an
intense fear that something bad will happen. Ans✓✓✓ true
A pre-renal cause of acute renal failure is: Ans✓✓✓ hypotension
A sphincter malfunction that prevents urine from flowing out of the bladder
would most likely result in: Ans✓✓✓ overflow incontinence
A strong social network has been proven to lead to a better outcome for
individuals with MDD. Ans✓✓✓ true
A symptom of a lower urinary tract infection includes: Ans✓✓✓ urgency
