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1.A primary care NP prescribes levothyroxine for a patient to treat thyroid deficiency. When teaching this patient about the medication, the NP should: 2. An African-American patient is taking captopril (Capoten) 25 mg twice daily. When performing a physical examination, the primary care nurse practitioner (NP) learns that the patient continues to have blood pressure readings of 135/90 mm Hg. The NP should: 3. A primary care NP sees a patient who is about to take a cruise and reports havin...

A patient who has primary hyperlipidemia and who takes atorvastatin (Lipitor) continues to have LDL cholesterol of 140 mg/dL after 3 months of therapy. The primary care NP increases the dose from 10 mg daily to 20 mg daily. The patient reports headache and dizziness a few weeks after the dose increase. The NP should: 2. A patient who has hyperlipidemia has been taking atorvastatin (Lipitor) 60 mg daily for 6 months. The patient’s initial lipid profile showed LDL of 180 mg/dL, HDL of 45 mg/d...

1. Which portion of the physical examination is best done with the patient standing? spinal 2. To assess spinal levels L2, L3, and L4, which deep tendon reflex should be tested? patellar 3. To assess a cremasteric reflex, the examiner strokes the: 4. Which condition is considered progressive rather than reversible? 5. When palpating breast tissue, the examiner should use the 6. Palpation of a normal prostate in an older adult is likely to feel: 7. The difference in blood pressure readings ...

1. When endothelial cells are injured, what alteration contributes to atherosclerosis? 2. A patient has been diagnosed with an empyema. What does the healthcare professional tell the patient about this condition? 3. A patient has been admitted for a possible small intestinal obstruction. What is the first sign the healthcare professional assesses for that would indicate the presence of this condition? 4. Autocrine stimulation is the ability of cancer cells to do what? 5. A patient ha...

1. Before performing an abdominal examination, the examiner should: 2. Periods of silence during the interview can serve important purposes, such as: 3. Which of the following organs is part of the alimentary tract? 4. Mr. Marks is a 66-year-old patient who presents for a physical examination to the clinic. Which question has the most potential for exploring a patient's cultural beliefs related to a health problem? 5. Pigmented, raised, warty lesions over the face and trunk should b...

1. Ms. Jones is a 31-year-old female patient who presents for a routine physical examination. Which examination technique will be used first? 2. Mrs. Raymonds is a 24-year-old patient who has presented for a routine concern over her current weight. In your patient teaching with her, you explain the importance of macronutrients. Which of the following is a macronutrient? 3. Which is the best way to position a patient's neck for palpation of the thyroid? 4. After thorough inspection of t...

1. Which type of speculum should be used to examine a patient's tympanic membrane? 2. When palpating the abdomen, you should note whether the liver is enlarged in the: 3. Which question would be considered a leading question? 4. Which of the following is the most vital nutrient? 5. Mr. Franklin is speaking with you, the health care provider, about his respiratory problem. Mr. Franklin says, "I've had this cough for 3 days, and it's getting worse." You reply, "Tell me more about...

1. A professor has taught the students about the pathogenesis of abdominal pain. Which statement by a student indicates the professor needs to review the material? 2. Which cardiac chambers have the thinnest wall and why? 3. A healthcare provider notes that tapping the patient's facial nerve leads to lip twitching. What electrolyte value is correlated with this finding? 4. What is the cause of functional dysphagia? 5. Which gastric hormone inhibits acid and pepsinogen secretion, as ...

1. A Nurse Practitioner explains to a patient that nitroglycerin patches should be applied in the morning and removed in the evening. This medication schedule reduces the potential for 2. A 45-year-old man who is a construction worker has been diagnosed with hyperlipidemia and has been prescribed lovastatin. The nurse will advise the patient to 3. The most effective therapy for a patient who is H. pylori positive with a gastric ulcer is: 4. A patient with class-IV CHF has a medication ...

1. The majority of early pregnancy losses are due to: 2. Any woman with a complicated cystitis or symptoms of upper tract disease needs a urine culture and: 3. What is significant about cytomegalovirus (CMV)? 4. How can hormonal influences during pregnancy cause backache? 5. In the formula to estimate gestational age, woman are considered pregnant from: ___________________________ 6. What is considered to be a common trigger of psoriasis? 7. What is a contributor to the increased incidence...