Family Nurse Practitioner Q&A Save
Flashcards Assessment
Terms in this set (45)
A 12-year-old girl is complaining C. Acute sinusitis.
of a 2-week history of facial Signs and symptoms of acute sinusitis include headaches, facial
pressure that worsens when she pain that worsens with bending over, eye/ear pressure and pain,
bends over. She complains of aching in upper jaw/teeth, reduced smell and taste, cough
tooth pain in her upper molars (especially at night due to the nasal drainage), sore throat, bad
on the right side of her face. On breath, and fatigue.
physical exam, her lung and
heart sounds are normal. Which
of the following is the most
likely diagnosis?
A. An acute dental abscess
B. Chronic sinusitis
C. Acute sinusitis
D. Severe allergic rhinitis
,A 20-year-old Asian man A. Refer him to an orthopedic specialist.
reports pain in his right knee Referral to orthopedics is advised for evaluation of the need for
after twisting it while playing treatment and surgery (arthroscopic repair). If the tear is minor
soccer. The injured knee locks and the pain and other symptoms resolve quickly, muscle-
up when he attempts to strengthening exercises may be all that is needed to recover
straighten his leg. Which of the fully. In this case, a patient is usually referred to physical therapy.
following actions is the best A large meniscus tear that causes symptoms or mechanical
course for this patient? problems with the function of the knee joint may require
A. Refer him to an orthopedic arthroscopic surgery for repair.
specialist
B. Refer him to a chiropractor
C. Advise him that the clicking
noise will resolve within 2 to 4
weeks
D. Advise him to use an elastic
bandage wrap during the first 2
weeks for knee support and to
see you again for reevaluation.
A 22-year-old sexually active C. Urine Pregnancy Test
woman is complaining of The patient's history of amenorrhea and new onset of bloody
amenorrhea and new-onset vaginal spotting combined with positive physical findings of left
bloody vaginal spotting. On adnexal tenderness and cervical motion tenderness are highly
examination, her left adnexa is suggestive of an ectopic pregnancy rather than pelvic
tender and cervical motion inflammatory disease (PID). Refer this patient to the emergency
tenderness is positive. Which department if ectopic pregnancy is suspected. The presence of
test should the nurse amenorrhea should be treated as a pregnancy until proven
practitioner order initially? otherwise.
A. Flat plate of the abdomen
B. Complete blood count (CBC)
with with cell differential.
C. Urine pregnancy test.
D. pelvic ultrasound.
, A 30-year-old chef complains A. Obtain a complete and through history
of pruritic hives over her chest Before prescribing medications, a through history must be
and arms, but denies difficulty obtained to determine possible causes of hives. The patient
swallowing or breathing. She denied difficulty with swallowing and breathing, so there was no
reports a family history of medical emergency that would require calling 911.
allergic rhinitis and asthma.
Which of the following
interventions is most
appropriate?
A. Obtain a complete and
thorough history
B. Recommend an oral
antihistamine such as
diphenhydramine 25 mg po QID
C. Give an injection of
epinephrine 1:1000
intramuscularly STAT.
D. Call 911
Flashcards Assessment
Terms in this set (45)
A 12-year-old girl is complaining C. Acute sinusitis.
of a 2-week history of facial Signs and symptoms of acute sinusitis include headaches, facial
pressure that worsens when she pain that worsens with bending over, eye/ear pressure and pain,
bends over. She complains of aching in upper jaw/teeth, reduced smell and taste, cough
tooth pain in her upper molars (especially at night due to the nasal drainage), sore throat, bad
on the right side of her face. On breath, and fatigue.
physical exam, her lung and
heart sounds are normal. Which
of the following is the most
likely diagnosis?
A. An acute dental abscess
B. Chronic sinusitis
C. Acute sinusitis
D. Severe allergic rhinitis
,A 20-year-old Asian man A. Refer him to an orthopedic specialist.
reports pain in his right knee Referral to orthopedics is advised for evaluation of the need for
after twisting it while playing treatment and surgery (arthroscopic repair). If the tear is minor
soccer. The injured knee locks and the pain and other symptoms resolve quickly, muscle-
up when he attempts to strengthening exercises may be all that is needed to recover
straighten his leg. Which of the fully. In this case, a patient is usually referred to physical therapy.
following actions is the best A large meniscus tear that causes symptoms or mechanical
course for this patient? problems with the function of the knee joint may require
A. Refer him to an orthopedic arthroscopic surgery for repair.
specialist
B. Refer him to a chiropractor
C. Advise him that the clicking
noise will resolve within 2 to 4
weeks
D. Advise him to use an elastic
bandage wrap during the first 2
weeks for knee support and to
see you again for reevaluation.
A 22-year-old sexually active C. Urine Pregnancy Test
woman is complaining of The patient's history of amenorrhea and new onset of bloody
amenorrhea and new-onset vaginal spotting combined with positive physical findings of left
bloody vaginal spotting. On adnexal tenderness and cervical motion tenderness are highly
examination, her left adnexa is suggestive of an ectopic pregnancy rather than pelvic
tender and cervical motion inflammatory disease (PID). Refer this patient to the emergency
tenderness is positive. Which department if ectopic pregnancy is suspected. The presence of
test should the nurse amenorrhea should be treated as a pregnancy until proven
practitioner order initially? otherwise.
A. Flat plate of the abdomen
B. Complete blood count (CBC)
with with cell differential.
C. Urine pregnancy test.
D. pelvic ultrasound.
, A 30-year-old chef complains A. Obtain a complete and through history
of pruritic hives over her chest Before prescribing medications, a through history must be
and arms, but denies difficulty obtained to determine possible causes of hives. The patient
swallowing or breathing. She denied difficulty with swallowing and breathing, so there was no
reports a family history of medical emergency that would require calling 911.
allergic rhinitis and asthma.
Which of the following
interventions is most
appropriate?
A. Obtain a complete and
thorough history
B. Recommend an oral
antihistamine such as
diphenhydramine 25 mg po QID
C. Give an injection of
epinephrine 1:1000
intramuscularly STAT.
D. Call 911
