UNIT 6 CMN 577 QUESTIONS
When should a breast exam start in the adolescent female? - CORRECT
ANSWER-when breast buds appear
A 56-year-old African American male with established hypertension presents to
your clinic with complaints of sudden severe headache, blurred vision, diculty
concentrating, and nausea. He reports that he ran out of his amlodipine a few
days ago and hasn't had time to rell it. On exam, you note he is very restless, has
bilateral optic disc edema, proteinuria, hematuria, and his blood pressure is
205/130 mmHg. Your next action is to: - CORRECT ANSWER-Facilitate
emergency transport to a nearby hospital, so he can be monitored and treated
for a hypertensive emergency.
Autism screening should be performed at what ages: - CORRECT ANSWER-At
18 and 24 months
A 26-year-old female presents to your clinic for a blood pressure check. Her
blood pressure today is 151/98. Last week it was 149/101. Two weeks ago, her
blood pressure was 163/110. The patient has otherwise been healthy. She does
not smoke, has a normal BMI, and doesn't take any medications besides a
prenatal multivitamin. Your plan of care includes: - CORRECT
ANSWER-Screening for causes of secondary hypertension.
Select the statement that would best describe Urinary tract infection in children. -
CORRECT ANSWER-E. Coli is the most common offending organism to cause
urinary tract infection in
children.
A 50-year-old male patient who was recently prescribed with Atorvastatin asked
the Nurse Practitioner on what side effects are expected while talking the
medicine. The Nurse Practitioner response would be: - CORRECT
ANSWER-"The most common side effects of statins are muscle aches and mild
GI effects".
, 55y/o AAF presented to clinic for a routine follow up. She denies any complaints
today and her medical hx includes CAD/DM/Hyperlipidemia. Based on this
patient's medical history, which class of medications would you prescribe to
reduce her risk for cardiovascular event? - CORRECT ANSWER-Ace Inhibitor
3 y/o WF arrives to clinic in acute respiratory distress. Patient has a loud barking
cough with sternal retractions and stridor noted on physical exam. No wheezing
nor drooling observed. Mother denies nausea/vomiting/fever and patient is
afebrile at today's visit. This patient is exhibiting typical features of: - CORRECT
ANSWER-Viral Croup
An 82-year-old male presents with a 4-day history of fever, nonproductive cough,
and dyspnea. He has a 48-pack year smoking history but is no longer smoking.
He states he thinks his sinus infection from 6 weeks ago "wont got away"
although he completed his antibiotics. On exam, the nurse practitioner hears
rhonchi in the right lower lobe. The nurse practitioner orders a chest x-ray that
reveals right lower lobe consolidation. Which medication is appropriate for the
nurse practitioner to prescribe this patient? - CORRECT ANSWER-levaquin
An 8-year-old obese male presents to the clinic because his mother and his
teacher are concerned that he may have ADHD. Per the mother's report, the
patient is unable to sit still at school and is frequently in trouble for talking and
being off task. Regarding his sleep habits, his mother describes loud snoring and
nightly interruptions in sleep. Based on his mother's report, the nurse
practitioners primary concern should be: - CORRECT ANSWER-Obstructive
Sleep Apnea
The NP is educating her 32-year-old female patient on available treatments for
high LDL cholesterol. The NP informs the patient that the only safe medication to
lower LDL cholesterol in pregnancy is: - CORRECT ANSWER-Bile-acid binding
resin, example: cholestyramine
The NP knows that care of the patient with tetralogy of Fallot (ToF) includes all of
the
following, except
a) Assessing pulses in both arms
b) Performing an annual ECG
When should a breast exam start in the adolescent female? - CORRECT
ANSWER-when breast buds appear
A 56-year-old African American male with established hypertension presents to
your clinic with complaints of sudden severe headache, blurred vision, diculty
concentrating, and nausea. He reports that he ran out of his amlodipine a few
days ago and hasn't had time to rell it. On exam, you note he is very restless, has
bilateral optic disc edema, proteinuria, hematuria, and his blood pressure is
205/130 mmHg. Your next action is to: - CORRECT ANSWER-Facilitate
emergency transport to a nearby hospital, so he can be monitored and treated
for a hypertensive emergency.
Autism screening should be performed at what ages: - CORRECT ANSWER-At
18 and 24 months
A 26-year-old female presents to your clinic for a blood pressure check. Her
blood pressure today is 151/98. Last week it was 149/101. Two weeks ago, her
blood pressure was 163/110. The patient has otherwise been healthy. She does
not smoke, has a normal BMI, and doesn't take any medications besides a
prenatal multivitamin. Your plan of care includes: - CORRECT
ANSWER-Screening for causes of secondary hypertension.
Select the statement that would best describe Urinary tract infection in children. -
CORRECT ANSWER-E. Coli is the most common offending organism to cause
urinary tract infection in
children.
A 50-year-old male patient who was recently prescribed with Atorvastatin asked
the Nurse Practitioner on what side effects are expected while talking the
medicine. The Nurse Practitioner response would be: - CORRECT
ANSWER-"The most common side effects of statins are muscle aches and mild
GI effects".
, 55y/o AAF presented to clinic for a routine follow up. She denies any complaints
today and her medical hx includes CAD/DM/Hyperlipidemia. Based on this
patient's medical history, which class of medications would you prescribe to
reduce her risk for cardiovascular event? - CORRECT ANSWER-Ace Inhibitor
3 y/o WF arrives to clinic in acute respiratory distress. Patient has a loud barking
cough with sternal retractions and stridor noted on physical exam. No wheezing
nor drooling observed. Mother denies nausea/vomiting/fever and patient is
afebrile at today's visit. This patient is exhibiting typical features of: - CORRECT
ANSWER-Viral Croup
An 82-year-old male presents with a 4-day history of fever, nonproductive cough,
and dyspnea. He has a 48-pack year smoking history but is no longer smoking.
He states he thinks his sinus infection from 6 weeks ago "wont got away"
although he completed his antibiotics. On exam, the nurse practitioner hears
rhonchi in the right lower lobe. The nurse practitioner orders a chest x-ray that
reveals right lower lobe consolidation. Which medication is appropriate for the
nurse practitioner to prescribe this patient? - CORRECT ANSWER-levaquin
An 8-year-old obese male presents to the clinic because his mother and his
teacher are concerned that he may have ADHD. Per the mother's report, the
patient is unable to sit still at school and is frequently in trouble for talking and
being off task. Regarding his sleep habits, his mother describes loud snoring and
nightly interruptions in sleep. Based on his mother's report, the nurse
practitioners primary concern should be: - CORRECT ANSWER-Obstructive
Sleep Apnea
The NP is educating her 32-year-old female patient on available treatments for
high LDL cholesterol. The NP informs the patient that the only safe medication to
lower LDL cholesterol in pregnancy is: - CORRECT ANSWER-Bile-acid binding
resin, example: cholestyramine
The NP knows that care of the patient with tetralogy of Fallot (ToF) includes all of
the
following, except
a) Assessing pulses in both arms
b) Performing an annual ECG
