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Student: Hello! - Ans-Diana Shadow: Hi. I'm Preceptor Diana. I will explain the details of this assignment and your objectives, just as a preceptor would in real life. Pay close attention to this information as it will help guide your exam. At the end of this prebrief, you will answer a short question about the upcoming assignment. During the simulation, you may return to these instructions at any time by scrolling to the top of your transcript. Student: What is the situation? - Ans-Diana ...

As the only lifeguard performing CPR on a & year old child, you would perform cycles of: - Ans-30 chest compressions and 2 ventilations Which of the following would you identify as the universal sign that a conscious person is choking? - AnsClutching the throat The patron asks, "Should we move them to the first aid room?" What should you do next? - Ans-Tell the patron the victim should not be moved since there is no immediate danger. How can you best protect yourself from possible bloodbo...

Which of the following is not a common cause of chronic renal failure? a. Polycystic kidney disease b. Type 1 diabetes c. Hypothyroidism Correct Answer- Hypothyroidism In clinical practice the NP notes an elevation in the creatinine clearance and understands that this lab test: a. Does not change with the aging process b. Is greater in women than in men c. Approximates the GFR Correct Answer- Approximates the GFR The NP is seeing an 80 YO patient and understands that which of the follow...

if rapid strep test is negative what is the first thing you should do? Correct Answer- send out culture when examining lab from a person with mono what would the NP expect to find? Correct AnswerLymphocytosis EBV is transmitted through which route? Correct Answer- oral pharyngeal secretions (saliva) Sx of mono usually present how many days after initially infected? Correct Answer- 30-50 days if a pt is being treated for strep and tells you he or she has allergy to PCN what class of med to av...

Sensitivity Correct Answer- Number of people who test positive. A test with a high sensitivity will rule _______ (in/out)? Correct Answer- IN Specificity Correct Answer- Number of people who test negative. A test with a high specificity will rule _____(in/out)? Correct Answer- OUT If 100 patients known to have a colon cancer were tested, and 43 tested positive, what percentage would be the sensitivity of the test? Correct Answer- 43% Do we rule out a disease with high sensitivity or high s...

For which one of the patients would a comprehensive health history be appropriate? Correct Answer- A new patient with the CC of "Im here to establish care" The components of a health history include all of the following except which one? Correct Answer- A. ROS B. Thorax and lungs C. Present Illness D. Personal and social items Answer is B thorax and lungs Is the following info subjective or objective? Mr. M has SOB that has persisted for the past 10 days; it is worse with activity and...

A 37-year-old nurse comes for evaluation of colicky right upper quadrant abdominal pain. The pain is associated with nausea and vomiting and occurs 1 to 2 hours after eating greasy foods. Which one of the following physical examination descriptions would be most consistent with the diagnosis of cholecystitis? A) Abdomen is soft, nontender, and nondistended, without hepatosplenomegaly or masses. B) Abdomen is soft and tender to palpation in the right lower quadrant, without rebound or guardi...

When performing a physical assessment, the first technique the nurse will always use A. Palpation B. Inspection C. Percussion D. Auscultation Correct Answer- B. Inspection The nurse is preparing to perform a physical assessment. Which statement is true about the physical assessment? The inspection phase: A. Usually yields little information B. Takes time and reveals a surprising amount of information C. May be somewhat uncomfortable for the expert practitioner D. Requires a quick glanc...

A circumscribed, elevated lesion, >1 cm I diameter and containing clear serous fluid is best described as Correct Answer- Bulla The history and physical of a client indicates paste occurrences of lichenification. The NP identifies this as: Correct Answer- Rough, thickened epidermis, accentuated skin markings On examination of a client's skin, the nurse practitioner finds a lesion that is about 0.75 cm in diameter, brown, and circumscribed. Correct term for this lesion is: Correct Answer...

A teenage girl has arrived complaining of pain in her left wrist. She was playing basketball when she fell and landed on her left hand. The FNP examined her hand and will expect a fracture if the girl complains: Correct Answer- Of sharp pain that increases with movement A patient has been diagnosed with osteoporosis and asked the FNP "what is osteoporosis?" The FNP explains to the patient that osteoporosis is defined as: Correct Answer- Loss of bone density Patient states, "I can hear a ...