N675 FINAL EXAM ACUTE CARE EXAM 1
QUESTIONS WITH VERIFIED ANSWERS
LATEST UPDATE 2024/2025 BEST EXAM
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Acute Care Exam 1
Week 1 – EENT
14-year-old girl with amenorrhea as tested for pregnancy and has a positive
result. The patient tells a nurse practitioner that she is seriously considering
terminating the pregnancy. She tells the NP that shewants to be referred to a
Planned Parenthood clinic. The NP's personal believes in religious beliefs are
pro-life. Which with the following is the best action for the NP?
NP should excuse herself from
the case NP should refer patient
to an obstetrician
NP should advise patient that a peer who is working with NP can help answer the
patient's questionsmore thoroughly
NP should tell the patient about her personal believes and advise her against
getting an abortion
In general, discussing personal beliefs are considered unprofessional
behavior. respecting thepatient's right to choose is an example of
supporting patient of autonomy
A female patient is coming to your clinic complaining of nausea. You go to urine
pregnancy test and it isnegative, however the patient still thinks she is pregnant.
You know that since she has been contemplating pregnancy, she should initiate
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,folic acid...
In the third trimester
At the diagnosis of
pregnancyIn the
second trimester
Now
Folic acid has been found to significantly decrease the incidence of neural
tube defects. It should be supplemented at a dosage of 0.4 mg daily for all
women of childbearing age beforebecoming pregnant.
A patient has sore throat, a temperature of 38.5° C, tonsillar exudates, and cervical
lymphadenopathy.What will the provider do next to manage this patient’s
symptoms?
Prescribe empiric penicillin
Perform a rapid antigen
detection testRefer to an
otolaryngologist
Order an antistreptolysin O titer
A 61 year old male presents with a 12 hour history of extremely painful left red
eye. The patient complains of blurred vision, haloes around lights, and vomiting.
It began yesterday evening. On exam, the eye is red, tender and inflamed. The
cornea is hazy and pupil reacts poorly to light. The most likelydiagnosis in this
patient is:
Macular
degeneration
Acute angle
glaucoma
Increased intracranial
pressureDetached
cornea
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A patient has recurrent epistaxis without localized signs of irritation. Which
laboratory tests may beperformed to evaluate this condition? (Select all that apply.)
CBC with platelets
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, BUN and
creatininePT
and PTT
Liver function
testsPT/INR
A patient reports a feeling of fullness and pain in both ears and the practitioner
elicits exquisite painwhen manipulating the external ear structures. What is the
likely diagnosis?
Chronic otitis
externaAcute
otitis externa
Otitis media with
effusionAcute otitis
media
Patient has been diagnosed with acute rhinosinusitis. Symptoms began 3 days
ago. Based on the mostlikely etiology, how should this patient be managed?
Azithromycin and
decongestant
Decongestant and
analgesic Levofloxacin
Amoxicillin with clavulanate
The vast majority of rhinosinusitis is of viral etiology, antibiotics would
not be helpful and would only lead to continued antibacterial resistance.
If symptoms persist for longer than 10days, reevaluation is necessary with
possible antibiotics at that time
A 20-year-old male of Hispanic descent who reports a history of a cold that
resolved 2 weeks ago exceptfor a dry cough and pain over his right cheek that
worsens when he bends down. The patient denies fever. The patient tells you
that he is very allergic to Keflex and erythromycin. Vital signs are stable except