CHAMBERLAIN PREDIAGNOSTIC NR607
ADVANCED QUESTIONS AND REVIEWED
CORRECT ANSWERS
Continuous positive airway pressure - answer ✔✔-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
Smoking cessation - answer ✔✔-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
All of the above
Recall the ABCDE acronym. Concerning moles are asymmetric, have irregular borders, have color
variation, a diameter > 6mm and elevated moles. - answer ✔✔-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
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. - answer ✔✔-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
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. - answer ✔✔-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
, 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. - answer ✔✔-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
Review of systems - answer ✔✔-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
Urinary porphobilinogen - answer ✔✔-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
ADVANCED QUESTIONS AND REVIEWED
CORRECT ANSWERS
Continuous positive airway pressure - answer ✔✔-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
Smoking cessation - answer ✔✔-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
All of the above
Recall the ABCDE acronym. Concerning moles are asymmetric, have irregular borders, have color
variation, a diameter > 6mm and elevated moles. - answer ✔✔-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
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. - answer ✔✔-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
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. - answer ✔✔-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
, 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. - answer ✔✔-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
Review of systems - answer ✔✔-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
Urinary porphobilinogen - answer ✔✔-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
