1. Your 18-year-old pa ent has recently been diagnosed with streptococcal infec on and has
been successfully treated with an appropriate an microbial agent. They have no other
noteworthy health history, chronic illness or medica ons on record. They are complaining today
of hematuria, RBC cast on urinalysis with microscopy have been iden fied during this visit.
Based on this finding you can make the diagnosis of which of the following? -correct answers
glomerulonephri s
2. As a prudent nurse prac oner, the diabe c, hypertensive pa ents 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 prac oner order first for evalua on of early
renal dysfunc on secondary to diabetes or hypertension? -correct answers urinalysis with micro
and micro albumin
3. Your pa ent presents with a new onset rapid heart rate that is irregularly irregular, heart rate
100, BP 120/74, respira on 16 non-labored and an SpO2 is 99%. They state this has been going
on for a week or so intermi ently, but for the past four days straight it hasn't stopped. Your first
priority interven on for this pa ent is to do which of the following? -correct answers maintain
rate control and an coagula on prior to rhythm conversion
4. As a prudent nurse prac oner, you know that a 28-year-old male pa ent with HIV would be
considered well managed when they have which of the following in addi on to having
undetectable or very low viral copies? -correct answers CD4 count of 500
5. Your pa ent has expressed concern about a skin lesion which you iden fy 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 descrip on? -correct answers Seborrheic keratosis
, 6. You are trea ng a pa ent who has stopped taking their diure c regimen against medical
advice while they were on vaca on 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 documenta on, this is referred to as which of the following
condi ons? -correct answers Anasarca
7. While evalua ng a pa ent in your clinic for a rou ne health visit, you auscultate crackles in
the posterior le lower lobe, have the pa ent cough, with follow-up ausculta on revealing clear
breath sounds. Which one of the following would you suspect? -correct answers Atelectasis
8. Gladys is a 72-year-old pa ent with a history of anemia of chronic disease from kidney failure,
diabetes mellitus, and hypothyroidism, presents today with concerns her thyroid medica on 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 pa ent with these findings to present with? -
correct answers cold intolerance
9. You are examining the mouth of a pa ent and ask the pa ent to s ck out their tongue and
no ce that the tongue deviates by poin ng to the le . Which one of the following is the correct
diagnosis of this finding? -correct answers cranial nerve XII (hypoglossal nerve) lesion on the le
10. Your 31-year-old female pa ent states they are experiencing lateral lower back pain and
urinalysis reveals bacteria in the urine, culture reveals gram nega ve rods a er 24 hours of
growth. Which of the following is least likely agent to cause her urinary tract infec on? -correct
answers Enterococcus
Marvin, your 47-year-old African American pa ent with a diagnosis of severe COPD and
coronary artery disease has been complaining of shortness of breath and wheezing a er
ini a on of a new medicine for his coronary artery disease management. Given his health
history which of the following agents is considered the safest beta blocker for his CAD
management? -correct answers Lopressor
been successfully treated with an appropriate an microbial agent. They have no other
noteworthy health history, chronic illness or medica ons on record. They are complaining today
of hematuria, RBC cast on urinalysis with microscopy have been iden fied during this visit.
Based on this finding you can make the diagnosis of which of the following? -correct answers
glomerulonephri s
2. As a prudent nurse prac oner, the diabe c, hypertensive pa ents 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 prac oner order first for evalua on of early
renal dysfunc on secondary to diabetes or hypertension? -correct answers urinalysis with micro
and micro albumin
3. Your pa ent presents with a new onset rapid heart rate that is irregularly irregular, heart rate
100, BP 120/74, respira on 16 non-labored and an SpO2 is 99%. They state this has been going
on for a week or so intermi ently, but for the past four days straight it hasn't stopped. Your first
priority interven on for this pa ent is to do which of the following? -correct answers maintain
rate control and an coagula on prior to rhythm conversion
4. As a prudent nurse prac oner, you know that a 28-year-old male pa ent with HIV would be
considered well managed when they have which of the following in addi on to having
undetectable or very low viral copies? -correct answers CD4 count of 500
5. Your pa ent has expressed concern about a skin lesion which you iden fy 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 descrip on? -correct answers Seborrheic keratosis
, 6. You are trea ng a pa ent who has stopped taking their diure c regimen against medical
advice while they were on vaca on 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 documenta on, this is referred to as which of the following
condi ons? -correct answers Anasarca
7. While evalua ng a pa ent in your clinic for a rou ne health visit, you auscultate crackles in
the posterior le lower lobe, have the pa ent cough, with follow-up ausculta on revealing clear
breath sounds. Which one of the following would you suspect? -correct answers Atelectasis
8. Gladys is a 72-year-old pa ent with a history of anemia of chronic disease from kidney failure,
diabetes mellitus, and hypothyroidism, presents today with concerns her thyroid medica on 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 pa ent with these findings to present with? -
correct answers cold intolerance
9. You are examining the mouth of a pa ent and ask the pa ent to s ck out their tongue and
no ce that the tongue deviates by poin ng to the le . Which one of the following is the correct
diagnosis of this finding? -correct answers cranial nerve XII (hypoglossal nerve) lesion on the le
10. Your 31-year-old female pa ent states they are experiencing lateral lower back pain and
urinalysis reveals bacteria in the urine, culture reveals gram nega ve rods a er 24 hours of
growth. Which of the following is least likely agent to cause her urinary tract infec on? -correct
answers Enterococcus
Marvin, your 47-year-old African American pa ent with a diagnosis of severe COPD and
coronary artery disease has been complaining of shortness of breath and wheezing a er
ini a on of a new medicine for his coronary artery disease management. Given his health
history which of the following agents is considered the safest beta blocker for his CAD
management? -correct answers Lopressor
