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Mark, age 54, is a smoker with diabetes mellitus. He has just been diagnosed as hypertensive.
Which of the following drugs has the potential to cause the development of bronchial asthma
and inhibit gluconeogenesis? - correct answer Beta Blockers
Mike a 58 yr old african american man, has just been diagnosed with hypertension (HTN) His
A1C is 5.8%. Which of the following classifications of medication s. would you start him on? -
correct answer Calcium channel blocker and a thiazide type diuretic.
Mike a 43 yr black man who just moved into the area, comes into the clinic for a new client
visit. he brings his medical records from his previous health care provider. The records show a
blood pressure of 140/104 mmHg on 2 separate occasions. Recent labs tests are normal. A
recent ECG shows normal sinus rhythm with left ventricular hypertrophy. He denies any
medical problems and tells you the has never been dx with HTN. He is not taking any
medications, does not smoke and drinks about 2 beers a day. he is currently unemployed. His
blood pressure today is 150/110 mmHG. Your next step would be to: - correct answer Begin
drug therapy with chlorothialidone 25 mg.
A 57 yr African American man with newly diagnosed HTN presents to your primary care clinic
for medication management. Today his blood pressure reads 145/95. He denies HA, blurred
vision, chest pain, and SOB. Which med would you start him on? - correct answer Amlodipine
What is the most important question to ask when a client presents with chest pain? - correct
answer What was the time of the onset of pain?
Mona, a 51 yr has a cardiovascular disease but has a low density lipoprotein cholesterol level of
less tahn 100 mg/dl. She is slightly overweight, what is crucial to do for her today? - correct
answer Begin Mona on a statin
Which of the following patients should not be started on medication to decrease their
cholesterol? - correct answer A healthy 34 yr old male with low density lipoprotein cholesterol
of 120
Mike a 34 year old is modifying his diet to try to lose weight but after 3 mo, he has not lost any
weight even though he has complied with his diet plan. A follow up lipid profile reveals the
following. Total cholesterol 238/ triglecerides 100, HDL 28, LDL 190. What would you
recommend? - correct answer start statin
A 73-year-old female with a past medical hx of tobacco use, stage 3CKD, MI, and HLD comes in
c/o bilateral lower extremity swelling and intermittent pain with ambulation, both of which are
present most of the time but do slightly improve with long periods of elevation. However,
when. placing the extremities in a dependent position again, they remain pale and dusky. The
pt has bilateral 2+ lowe extremity edema, Her lower extremeties are also cool to the touch,
with decreased sensation bilaterally. The pt has 2+ posterior tibialis pulses bilaterally. What is
the standard for dx this pt. - correct answer Ankle brachial index.
,NURS 620 test 2 2025 LATEST UPDATED | COMPREHENSIVE QUESTIONS WITH 100% RATED ANSWERS
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You are starting Rose, a 63 Yr, on a statin as she had a stroke rently and has peripheral vascular
dz (PVD). Which is your drug of choice? - correct answer Atorvastatin
A 35 year old is seen. in the clinic with abd pain. Which of the following could be included in the
exam? - correct answer Pelvic exam
A pt is seen with c/o diarrhea. Which of the following should be included in the patients
differential diagnosis? - correct answer Gastroenteritis.
Which of the following pts should be referred to a hepatogist - correct answer Patient with
persistent elevation of HBsAg
Which of the following is most effective in a diagnosing acute appendicitis? - correct answer Hx
and physical
A 29 year old is seen in the office with complaints of pain in his chest and belly He quit smoking
6 mo ago. He has been suffering the pain for 2 weeks and gets temporary relief from alka
seltzer and pepto bismol. The burning pain wakes him at night and radiates up to his chest.
Which factor favors a diagnosis of gastric ulcer? - correct answer His use of alka seltzer
A patient comes to the office complaining of constipation. The patient lists all of the following
medications. Which drug could be responsible for the constipation? - correct answer Pepto-
Bismol.
Which of the following is true of appendicitis? - correct answer If appendicitis occurs in infants,
it is associated with higher morbidity.
A pt presents with bright yellow sclera, during the hx you anticipate the pt will have all of the
following except: - correct answer Weight gain
A pt presents with signs of dysphagia. Her daughter states that this has been going on for
several weeks and she is choking on her food a lot and has trouble swallowing liquids. She
states the choking is causing her to inhale food and liquids. You know where to begin the
physical exam because the most likely cause of this new onset dysphagia is: - correct answer *
Neurological
The NP suspects a patient has a peptic ulcer. which of the following items on the hx would lead
the NP to this conclusion? - correct answer Cigarette smoking
Ryan age 47, comes in with low back pain. An xray of the lumbosacral spine is within normal
limits. Which of the following diagnoses do you explore further? - correct answer Herniated
nucleus pulosus
You are assessing Rocky age 17, after a football injury to his right knee. You elicit a positive
anterior posterior drawer sign. This test indicates an injury to the: - correct answer Cruciate
ligament
, NURS 620 test 2 2025 LATEST UPDATED | COMPREHENSIVE QUESTIONS WITH 100% RATED ANSWERS
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During the assessment of a client's foot, the nurse practitioner notes that the foot is in
alignment with the long axis of the lower leg, and that weight bearing falls on the middle of the
foot from the heel, along the midfoot, to between the second and third toes. These findings
best describe? - correct answer A normal foot
An NP is trying to distinguish between an articular and a nonarticular musculoskeletal
complaint in a 25-year-old patient complaining of pain in the elbow area. Which of the
following would characterize nonarticular bursities? - correct answer Point or focal tenderness.
The NP suspects a herniated disk in a 75 year old patient. The NP elevates the patients affected
leg when she is in the supine position, and it elicits back and sciatic nerve pain, which indicates
a positive test. This is known as which test or sign? - correct answer Straight leg raise test.
The valgus stress test, varus stress test, lachman's test and thumb sign are all considered
standard tests to check the integrity of the ligaments of the knee. Which test would the NP
choose to assess the anterior cruciate ligament (ACL), which is the most commonly involved
structure in severe knee injury? - correct answer lachman's test.
A 14 yr obese (BMI) above the 95th percentile boy reports low grade left knee pain for the past
2 months. he denies antecedent trauma but admits to frequent horseplay with his friends. The
pain has progressively worsened and he is now unable to bear weight at all on his left leg. His
current complaints include left groin, thigh and medial knee pain and tenderness. His
examination demonstrates negative drawer, lachman and McMurray tests: left hip with
decreased internal rotation and abduction; and external hip rotation with knee flexion Based on
the above scenario, the NP should suspect? - correct answer A slipped capital femoral epiphysis
(SCFE)
Gadville, age 44, a golf pro, has had a chronic back pain for many years .His workup reveals that
it is not the result of a degenerative disk problem. His back goes out about twice per year and
he is out of work for about a week each time. Which of the following should the NP advise him
to do? - correct answer Begin a planned exercise program to strengthen back muscles.
Upon assessment, the NP notes unilateral back pain of acute onset that increases when
standing and bending. A straight leg raise test is negative. The most likely diagnosis is? - correct
answer Muscle strain.
A 55 year old patient presents with complaints of paresthesia in the lower lateral arm, thumb,
and middle finger. The nerve roots most commonly related to these symptoms are C5-C6. the
most likely Diagnosis would be - correct answer Cervical radiculopathy.
Mr Y is a 30 year old man with low back pain that has lasted for 6 days. He felt well until 1 week
ago, when he helped his girlfriend move into her third floor apartment. Although he felt fine
while helping her, the next day he woke up with diffuse pain across his lower back and buttocks
(nonspecific mechanical back pain). he spent that day lying on the floor, with some
improvement. Ibuprofen has helped somewhat. he feels better when he is in bed and had