NURSING 201 EXAM QUESTIONS AND ANSWERS 100%CORRECT VERIFIED SOLUTIONS

QUESTION 1 Joan is a 39 y/o female who presents to the clinic with a chief complaint of: 3-day history of fever (101 F degrees), chills, n & v, and flank pain. During the physical exam, the NP notices that Joan has CVA tenderness. In a urine check, the NP notes that she has many leukocytes, hematuria, WBC casts, and mild proteinuria. Complications for Joan would include all the following except: a) Shock b) Renal failure c) Gram-positive septicemia d) None of the above QUESTION 2 Sierra, a 42 y/o female, comes to the clinic to follow up on some lab work that was drawn at her last visit. Her labs showed a low TSH and an increase in both her serum free T4 and T3. Sierra's most likely diagnosis is: a) Hypothyroidism b) Primary hyperthyroidism (Graves' disease) c) Primary hyperparathyroidism d) None of the above QUESTION 3 Susan is a 29 y/o female who comes to the clinic with a 3-day history of fever, chills, nausea, vomiting, and flank pain. During the visit, the NP does a urine dipstick and discover that Susan is positive for nitrites, leukocytes, and >10 WBCs. The physical exam reveals a CVA tenderness. Within 2 weeks, Susan returns to the clinic and a culture of her urine shows she has the same bacteria as when the NP first saw her. This would be referred to as: a) Relapsing UTI b) Recurring UTI c) Persistent UTI d) None of the above QUESTION 4 Juan, an 82 y/o male, is brought to the clinic by his daughter with sudden LLQ pain, nausea, vomiting, diarrhea, or constipation. The patient has a temperature of 100.4 and reports blood in stool. Juan's most likely diagnosis is: a) PUD b) Acute diverticulitis c) Acute pancreatitis d) Hepatitis QUESTION 5 Martin is a 73 y/o male who has a 50 pack/year history of smoking and comes to the clinic for his annual physical. As you are leading him back to the exam room you note that he has dyspnea with minimal cough, a barrel chest, and appears to have lost weight since his last visit. Your physical exam confirms a 20 lb. weight loss and more noticeable pursed lip breathing. Given Martin's condition, the first line treatment would be all the following except: a) Albuterol b) Salmeterol c) Levalbuterol d) Metaproterenol QUESTION 6 Wen is a 48 y/o female who comes to the clinic with fatigue, weight gain, cold intolerance, constipation, and menstrual abnormalities. The NP orders a TSH and free serum T4 and thyroid peroxidase antibody (TPO). The TSH is 6.0 mU/L, the T4 is low, and the TPO is high. Her most likely diagnosis is: a) Hyperthyroidism b) Hyperparathyroidism c) Hashimoto's thyroiditis d) None of the above QUESTION 8 Risk factors for Alcohol Use Disorder include which of the following? a) Family history b) Stressful life events c) Low socioeconomic status d) All of the above e) A & B only QUESTION 9 Scott is a 16 y/o male who presents to the clinic with a tender testicular mass, but no pain. He has previously been diagnosed with cryptorchidism. His most likely diagnosis is: a) Testicular torsion b)Testicular cancer c) Hodgkin lymphoma d) A & B only QUESTION 10 Diagnostic studies for Type II diabetes mellitus would include which of the following? a) HbA1C (>6.5%) b) Fasting plasma glucose (= to or >126 mg/dL) c) Random plasma glucose (>200 mg/dL) d) All of the above e) None of the above