NRNP 6568_quiz_7

Question 1 Andrew is a 37 y/o male who comes to the clinic with the following symptoms: insomnia, feelings of worthlessness, and being easily fatigued. Given his symptoms the most likely diagnosis would be: Selected Answer: Minor depression Answers: Major depression Minor depression Suicidal ideation Anxiety  Question 2 1 out of 1 points Which vaccine is required at birth of a newborn? Selected Answer: Hepatitis B Answers: Hepatitis A Hepatitis B DTAP Tdap  Question 3 1 out of 1 points Andrew, a 41 y/o male resident of Oklahoma, presents to the clinic in July with the following symptoms: fever, chills, severe headache photophobia, and myalgia. He states that since his fever occurred 2 days ago, he now has this rash of petechiae on wrists, forearms, and ankles. The first line pharmacological treatment for Andrew would include: Selected Answer: Doxycycline Answers: Chlorampheni col Doxycycline Ampicillin Penicillin  Question 4 1 out of 1 points Jane is a 57 y/o female whose husband of 35 years just passed away in the past 6 months. Jane comes to the clinic and says: “I cry all the time. I can’t sleep, I have no energy, I have lost 20 pounds in the past 2 months, and I get easily agitated. What’s wrong with me?” Selected Answer: Major depression Answers: Anxiety Minor depression Major depression None of the above  Question 5 0 out of 1 points Ann is a primigravida in her 35th week of pregnancy and presents to the clinic with severe recurrent headaches, blurred vision, pitting edema, and right upper quadrant pain. Additionally, she has oliguria, nausea, and vomiting. Her urine protein is 1+. Her most likely diagnosis is: Selected Answer: Hemolysis, elevated liver enzymes, and low platelets (HEELP) syndrome Answers: Placentia previa Hemolysis, elevated liver enzymes, and low platelets (HEELP) syndrome Placental abruption Severe preeclampsia  Question 6 1 out of 1 points Jay is a 72 y/o male who comes to the clinic with the following chief complaint: “I have been feeling very tired recently and having trouble breathing when I go upstairs. I noticed that my ankles and feet are swollen and I have been putting on weight.” The most likely diagnosis for this patient is: Selected Answer: Congestive heart failure (CHF) Answers: Acute myocardial infarction (AMI) Infective endocarditis Congestive heart failure (CHF) Dissecting abdominal aortic aneurysm (AAA)  Question 7 1 out of 1 points Adela is a 38 y/o overweight female who presents to the clinic with RUQ pain that occurs approximately 1 hour after eating a fatty meal. The most likely diagnosis for Adela is: Selected Answer: Acute cholecystitis Answers: Acute pancreatitis Acute cholecystitis Crohn’s disease Ulcerative colitis  Question 8 1 out of 1 points Cellulitis is usually caused by a gram-negative bacterium. Selected Answer: Fals e Answers: True Fals e  Question 9 1 out of 1 points Martin is a 17y/o male who comes to the clinic with the following chief complaint: “I have pain around my belly button and have had no appetite for the past 24 hours. I have had some nausea and have vomited three times. I have had a low-grade fever also.” During the clinical exam, the NP notices that Martin has some guarding and rebound tenderness in the RLQ. The most likely diagnosis for this patient is: Selected Answer: Acute appendicitis Answers: Acute appendicitis Cholecystitis Acute diverticulosis Acute pancreatitis  Question 10 1 out of 1 points Amanda was out hiking with her boyfriend in the woods. When she gets home, she notices that she has an inflammatory skin reaction caused by something she picked up in the woods. The next day she sees bright red pruritic lesions on her lower extremities that are moist and painful. Treatment for Amanda’s condition would include which of the following? Selected Answer: All of the above Answers: Topical steroids Triamcinolone Calamine lotion Oatmeal baths (Aveeno) All of the above All of the above except D