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1.Your patient with a suspected diagnosis of COPD has been seen by pulmonology and has undergone a
pulmonary function test with spirometry. As the patient's primary health care provider you have been
asked to explain the findings of the PFT to the patient in a follow-up visit. The patient asks what the
study was evaluating. Please describe the pulmonary function test to the patient and more useful terms.
You state that the large inspiration of air to the furthest extent they could reasonably accomplish
followed by a full exhalation is referred to as which of the following measurements during the PFT? -
correct answer Forced vital capacity
2. Your 18-year-old patient has recently been diagnosed with streptococcal infection and has been
successfully treated with an appropriate antimicrobial agent. They have no other noteworthy health
history, chronic illness or medications on record. They are complaining today of hematuria, RBC cast on
urinalysis with microscopy have been identified during this visit. Based on this finding you can make the
diagnosis of which of the following? - correct answer glomerulonephritis
3.As a prudent nurse practitioner, the diabetic, hypertensive patients 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 practitioner order first for evaluation of early renal
dysfunction secondary to diabetes or hypertension? - correct answer urinalysis with micro and micro
albumin
4. Your patient presents with a new onset rapid heart rate that is irregularly irregular, heart rate 100, BP
120/74, respiration 16 non-labored and an SpO2 is 99%. They state this has been going on for a week or
so intermittently, but for the past four days straight it hasn't stopped. Your first priority intervention for
this patient is to do which of the following? - correct answer maintain rate control and anticoagulation
prior to rhythm conversion
5. As a prudent nurse practitioner, you know that a 28-year-old male patient with HIV would be
considered well managed when they have which of the following in addition to having undetectable or
very low viral copies? - correct answer CD4 count of 500
, 6. Your patient has expressed concern about a skin lesion which you identify 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 description? - correct answer Seborrheic keratosis
7. You are treating a patient who has stopped taking their diuretic regimen against medical advice while
they were on vacation 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
documentation, this is referred to as which of the following conditions? - correct answer Anasarca
8. While evaluating a patient in your clinic for a routine health visit, you auscultate crackles in the
posterior left lower lobe, have the patient cough, with follow-up auscultation revealing clear breath
sounds. Which one of the following would you suspect? - correct answer Atelectasis
9. Gladys is a 72-year-old patient with a history of anemia of chronic disease from kidney failure,
diabetes mellitus, and hypothyroidism, presents today with concerns her thyroid medication 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 patient with these findings to present with? - correct answer cold intolerance
10. You are examining the mouth of a patient and ask the patient to stick out their tongue and notice
that the tongue deviates by pointing to the left. Which one of the following is the correct diagnosis of
this finding? - correct answer cranial nerve XII (hypoglossal nerve) lesion on the left
11. Your 31-year-old female patient states they are experiencing lateral lower back pain and urinalysis
reveals bacteria in the urine, culture reveals gram negative rods after 24 hours of growth. Which of the
following is least likely agent to cause her urinary tract infection? - correct answer Enterococcus
12.Marvin, your 47-year-old African American patient with a diagnosis of severe COPD and coronary
artery disease has been complaining of shortness of breath and wheezing after initiation 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 answer Lopressor
13.Melissa, your 56-year-old Caucasian female patient presents with a health history of hypertension,
migraines, hyperlipidemia, seasonal depression and obesity for a visit to establish care. She was without
any medical care for a long time and being newly established to your clinic is prescribed aspirin 81 mg
daily, atorvastatin 40 mg daily, betide 10 mg daily, lisinopril 20 mg daily, amlodipine 10 mg daily, and