QuestioNs aNd CoRReCt detailed aNsweRs |alReady
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RW, a 57 year old native American female, presents to the office. RW states she feels irritable and has
difficulty concentrating as well as fallingn asleep and staying aleep. She states she is worried about her
finances, her husband has just lost his job. The NP diagnoses anxiety. The NP prescribes a first line
treatment which is
a. Diazepam
b. Clonazepam
c. Ariprprazole
d. Paroxetine - detailed aNsweR-d. Paroxetine
The most common sustained rhythmic disorder, which consists of fibrillatory p waves is:
a. AV block
b. atrial tachycardia
c. atrial fibrillation
d. atrial flutter - detailed aNsweR-c. atrial fibrillation
According to the Sexually presentation, atrophic vaginitis
a. the symptomsm are the same for each woman
b. creates a more acidic vaginal environment
c. is a contributing factor for frequent urinary tract infections
d. is not treated with vaginal lubricants - detailed aNsweR-c. is a contributing factor for frequent
urinary tract infections
,Mr. A, experienced a brief onset of right sided weakness, slurred speech and confusion yesterday. The
symptoms have resolved and the CT is normal. What is the next step of the plan for Mr. A?
a. assure the patient that he will not experience the symptoms again
b. identify modifiable cardiovascular risk factors
c. order ASA 81mg stat
d. order a stat EEG and administer O2 by mask - detailed aNsweR-b. identify modifiable
cardiovascular risk factors
A 56-year old male patient screened for diabetes has a fasting plasma glucose level of 96mg/dl. The
nurse practitioner management plan includes:
a. repeat fasting plasma glucose in three years
b. prescribe Metformin 500mg po BID
c. repeat fasting plasma glucose in one year
d. refer to ophthalmology for eye exam - detailed aNsweR-a. repeat fasting plasma glucose in three
years
Which of the following is the most appropriate screening tool for delirium?
a. St Louis University Mental Status Exam (SLUMS)
b. Montreal Cognitive Assessment
c. Lawton Scale of instrumental Activities of Daily Living
d. Confusion Assessment Model - detailed aNsweR-d. Confusion Assessment Model
A drug that can be used to treat two very common symptoms in a dying patient (pain and dyspnea_ is:
a. lorazepam
b. Gabapentin
c. Methadone
, d. Morphine - detailed aNsweR-d. Morphine
Which of the following would you recommend annually for the elderly type 2 diabetic?
a. periodic visits to a gastroenterologist
b. colonoscopy
c. follow up with a urologist
d. eye exam with an opthlamologist - detailed aNsweR-d. eye exam with an opthlamologist
Which characteristic of delerium helps to distinguish it from dementia?
a, short term memory impairment
b. personality changes
c. acute onset
d. impaired attention - detailed aNsweR-c. acute onset
The majority of patients enrolled in hospice care die:
a. in the hospital
b. in an inpatient hospice facility
c. in a nursing home
d. at home - detailed aNsweR-d. at home
A middle aged patient has been diagnosed with Parkinson's disease. What influences the nurse
practitioners descision to begin pharmacological treatment for this patient?
a. medications initiated at first sign of unilateral involvement
b. gait instability requiring the use of a cane
c. intentional tremors