Nr 667/Nr 667 Chamberlain CEA Final Exam
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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
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
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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
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
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
6. You are treating a patient who has stopped taking their
diuretic regimen against medical advice while they were on
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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
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
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