Questions with Verified Rationalized Answers
100% Guarantee Pass score of 700 points
Consist of 150 Questions with Answers
hd hd hd hd hd
1. A 40-year-old woman with type 2 diabetes presents to the clinic with con-
hd hd hd hd hd hd hd hd hd hd hd hd
h d cerns of spiking blood sugar between lunch and dinner. She states she is on a ra
hd hd hd hd hd hd hd hd hd hd hd hd h d hd hd
pid-acting insulin sliding scale and long-hd hd hd hd hd
acting insulin.Which change should be implemented to help prevent or curb this
hd d
h hd h d hd hd hd hd hd hd hd hd hd
glycemic spike? hd
A.
Add a dose of mealtime insulin aspart (Novolog) at lunch
hd hd hd hd hd hd hd hd hd
B.
Add insulin detemir (Levemir) at night
hd hd hd hd hd
C.
Increase her insulin glargine (Lantus)
hd hd hd hd
D.
Prescribe a dose of neutral protamine Hagedorn insulin with dinner
hd hd hd hd hd hd hd hd hd
,Answer>Add a dose of mealtime insulin aspart (Novolog) at lunch
hd hd h d hd hd hd hd hd hd hd
Insulin aspart (Novolog) (A) is a rapid acting insulin that is commonly dosed with mea
hd hd hd hd hd hd hd hd hd hd hd hd hd h d
ls and as a sliding scale regimen based on a patient's glucose prior to eating (preprandi
hd hd hd hd hd hd hd hd hd hd hd hd hd hd h d
al).It is the appropriate insulin to add as a mealtime dose when patients experienceblo
h
d hd hd hd hd hd hd hd hd hd hd hd hd h d hd
odglucosespikesbetweenmealsbecauseofitsshort-acting proper-
hd hd hd hd hd hd hd hd hd
ties.Peak time action of insulin aspart is 2 hours with initial effect within the first 30
hd hd hd hd hd hd hd hd hd hd hd hd hd hd hd hd
minutes, making it an ideal choice to control expected postprandial glycemic spikes
hd hd hd hd hd hd hd hd hd hd hd
2. Which of the following conditions is associated with an increased risk for con
hd hd hd hd hd hd hd hd hd hd hd h d
ductive hearing loss? hd hd
A.
Acoustic neuroma hd
B.
Ménière disease hd
C.
Otitis media hd
D.
Presbycusis
Answer>Otitis media h
d hd
Causesofconductivehearinglossareotitismedia(C),otitisexterna,foreignobjects in th
h
d h
d hd hd h
d hd h
d hd hd h
d hd hd h d hd
e ear canal, impacted ear wax, tumors, congenital anomalies, discontinuity
hd hd hd hd hd hd hd hd hd
,of middle ear bones, cholesteatoma, and tympanic membrane rupture.Sound normall
hd hd hd hd hd hd hd hd hd h d
y travels down the ear canal to vibrate the eardrum (tympanic membrane). The eardr
hd hd hd hd hd hd hd hd hd hd hd h d hd
um is connected to three middle ear bones (malleus, incus, and stapes), which transmi
hd hd hd hd hd hd hd hd hd hd hd h d hd
t the sound into the inner ear (cochlea).The cochlea is the organ that changes sound vib
hd hd hd hd hd hd hd h
d hd hd hd hd hd h d hd hd
rations into a nerve signal that travels to the brain.The four types of hearing loss are cond
hd hd hd hd hd hd hd hd hd h
d hd hd h d hd hd hd hd
uctive, sensorineural, mixed, and retrocochlear.Conductive hearing loss occurs when
hd hd hd hd h
d h d hd hd hd hd
sound cannot effectively reach the inner ear due to issue in the outer ear and middle ea
hd hd hd hd hd hd hd hd hd h d hd hd hd hd hd hd
r.
3. A 23-year- hd
old patient who is pregnant at 28 weeks gestation presents to the clinicfora routin
hd hd hd hd hd hd hd hd hd hd hd h d hd hd hd
e prenatal checkup.Which fundal height measurement would warrant a more conc
hd hd d
h hd hd hd hd h d hd hd hd
lusive assessment with an ultrasound? hd hd hd hd
A.
26 cm hd
B.
29 cm
C.
30 cm
D.
31 cm
Answer>31 cm hd hd
, After 20 weeks gestation, the fundal height should be measured with a measuring tap
hd hd hd hd hd hd hd hd hd hd hd hd h d
e in centimeters and should match the gestational age.It can be > or < 2 centimeters an
hd hd hd hd hd hd hd hd hd hd hd hd hd hd hd h d hd
d still be within normal limits.A fundal height of 26-
hd hd hd hd hd h
d hd hd hd hd
30 cm is a normal finding in a patient who is 28 weeks gestation.A result of 31 cm (D) is
hd hd hd hd h d hd hd hd hd hd hd hd hd hd hd hd hd hd hd hd hd
larger than expected and should be further evaluated with an ultrasound.
hd h d hd hd hd hd hd hd hd hd
4. A 4-year- hd
old boy presents with ear pain and an erythematous, bulging tympanic membr
hd hd hd hd hd hd hd hd hd h d hd
ane on examination.The nurse practitioner diagnoses him with acute otitis me
hd hd d
h hd hd hd hd h d hd hd hd
dia.Which of the following are the three most common bacterial pathogens ass
d
h hd hd hd hd hd hd hd hd h d hd hd
ociated with acute otitis media in children? hd hd hd hd hd hd
A.
Moraxella catarrhalis, Staphylococcus aureus, Streptococcus pneumoniae
hd hd hd hd hd
B.
Nontypeable Haemophilus influenzae, Moraxella catarrhalis, Staphylococcus au hd hd hd hd hd h d
reus
C.
Nontypeable Haemophilus influenzae, Moraxella catarrhalis, Streptococcus pne hd hd hd hd hd h d
umoniae
D.
Nontypeable Haemophilus influenzae, Staphylococcus aureus, Streptococ- hd hd hd hd hd