NRNP 6531 STUDY GUIDE WITH COMPLETE
ELABORATION BASED ON FINAL EXAM
An 80-year-old man with hypertension and hyperlipidemia presents with
complaints of the rapid onset of severe low-back pain accompanied by abdominal
pain that is gradually worsening. The patient appears pale and complains that he
does not feel well. During the abdominal exam, the nurse practitioner detects a soft
pulsatile mass just above the umbilicus as she palpates this area with her hand.
Which of the following conditions is most likely?
answers: Abdominal aortic aneurysm
Which of the following laboratory test is sensitive for evaluating the renal function
answers: Estimated glomerular filtration rate (eGFR)
Which of the following groups has been recommended to be screened for thyroid
disease?
answers: Women aged 50 years or older
All of the following patients should be screened for diabetes mellitus except:
answers: A 30-year-old White man with hypertension
A 40-year-old White woman with a body mass index (BMI) of 32 complains of
colicky pain in the right upper quadrant of her abdomen that gets worse if she eats
fried food. During the physical exam, the nurse practitioner presses deeply on the
left lower quadrant of the abdomen and the patient complains of pain on the right
side of the lower abdomen. What is the name of this finding?
, answers: Rovsing's sign
Which of the following symptoms characterize this disorder?
answers: 1.Ritualistic behaviors that the patient feels compelled to repeat.
2. increased axiety when attempting to ignore or suppress the repetitive behaviors.
3.frequent intrusive and repetive thoughts and impluses
All the above
Which of the following medications is indicated for the treatment of obsessive-
compulsive disorder?
answers: Paroxetine (paxil CR)
Which of the following conditions is most likely?
answers: Injury to the meniscus of the right knee
Which of the following actions is the best course for patient?
answers: Refer him to an orthopedic specialist
The patient's symptoms are highly suggestive of what condition?
answers:
A 55-year-old male patient describes an episode of chest tightness in his substernal
area that radiated to his back while he was jogging. It was relieved immediately
when he stopped.
ELABORATION BASED ON FINAL EXAM
An 80-year-old man with hypertension and hyperlipidemia presents with
complaints of the rapid onset of severe low-back pain accompanied by abdominal
pain that is gradually worsening. The patient appears pale and complains that he
does not feel well. During the abdominal exam, the nurse practitioner detects a soft
pulsatile mass just above the umbilicus as she palpates this area with her hand.
Which of the following conditions is most likely?
answers: Abdominal aortic aneurysm
Which of the following laboratory test is sensitive for evaluating the renal function
answers: Estimated glomerular filtration rate (eGFR)
Which of the following groups has been recommended to be screened for thyroid
disease?
answers: Women aged 50 years or older
All of the following patients should be screened for diabetes mellitus except:
answers: A 30-year-old White man with hypertension
A 40-year-old White woman with a body mass index (BMI) of 32 complains of
colicky pain in the right upper quadrant of her abdomen that gets worse if she eats
fried food. During the physical exam, the nurse practitioner presses deeply on the
left lower quadrant of the abdomen and the patient complains of pain on the right
side of the lower abdomen. What is the name of this finding?
, answers: Rovsing's sign
Which of the following symptoms characterize this disorder?
answers: 1.Ritualistic behaviors that the patient feels compelled to repeat.
2. increased axiety when attempting to ignore or suppress the repetitive behaviors.
3.frequent intrusive and repetive thoughts and impluses
All the above
Which of the following medications is indicated for the treatment of obsessive-
compulsive disorder?
answers: Paroxetine (paxil CR)
Which of the following conditions is most likely?
answers: Injury to the meniscus of the right knee
Which of the following actions is the best course for patient?
answers: Refer him to an orthopedic specialist
The patient's symptoms are highly suggestive of what condition?
answers:
A 55-year-old male patient describes an episode of chest tightness in his substernal
area that radiated to his back while he was jogging. It was relieved immediately
when he stopped.
