A 74-year-old bus driver is delivered to the hospital via emergency transport after an
astute passenger noted that the patient exhibited drooping facial features and slurred
speech. The patient was diagnosed rapidly with ischemic (nonhemorrhagic) stroke,
and urgent intervention lead to a near complete recovery from his symptoms. The
astute passenger was thanked and congratulated for recognizing the signs of acute
stroke; this individual credited this recognition to a public safety awareness campaign
that outlined the critical public health need to recognize strokes early. Which of the
following statements is true for risks and rapid recognition of suspected strokes?
a. Atrial fibrillation is not a risk factor for ischemic stroke in individuals age ≥75 years.
b. Hypertension is the leading risk factor for both ischemic and hemorrhagic stroke.
c. Obesity with normal glucose tolerance is not a risk factor for stroke.
,d. Transient ischemic attacks (TIAs) that resolve within in 1 hour confer a 5% risk of
death from stroke within the next 12 months.
e. Due to increasing public awareness, the median time for arrival to care for
suspected stroke is <3 hours.
Give this one a try later!
b. Hypertension is the leading risk factor for both ischemic and
hemorrhagic stroke.
A new mother brings in her 6-month-old baby for not being able to keep his eyes
together when looking to the left. On examination, both of his eyes appear in
alignment (conjugate) when looking to the right. However, when looking to the left,
the baby's left eye stays in the forward gaze position, while the right continues on
with full adduction to the left. The eyes appear to be out of alignment (dysconjugate).
Which cranial nerve (CN) is responsible for the dysfunction in looking left?
a. Right oculomotor nerve (CN III)
b. Right trochlear nerve (CN IV)
c. Right abducens nerve (CN VI)
d. Left oculomotor nerve (CN III)
e. Left trochlear nerve (CN IV)
f. Left abducens nerve (CN VI)
Give this one a try later!
f. Left abducens nerve (CN VI)
Dawn is a 55-year-old woman who comes in today for her yearly wellness
examination. You carefully perform the rectal examination in the lithotomy position
and feel a mass against the bowel wall which is firm and immobile. Which of the
following is most likely?
,-Rectal cancer
-Valve of Houston
-Anal Fissure
-Hemorrhoid
Give this one a try later!
?-Rectal cancer
Victor, a 55-year-old male, presents with a chief complaint of abdominal pain. Select
the top four questions the NP should ask the client related to the chief complaint.
"Can you point to the area that is causing the pain?"
"How would you rate your pain on a scale of 1-10?"
"Is there any pattern to your nausea and vomiting?"
"When did the pain in your abdomen start?"
"Does anything make the pain better or worse?"
Give this one a try later!
"Can you point to the area that is causing the pain?"
"How would you rate your pain on a scale of 1-10?"
"When did the pain in your abdomen start?"
"Does anything make the pain better or worse?"
The NP diagnoses the client with acute pancreatitis. Which ICD-10-CM Diagnosis
Code should the NP select?
K85.20 alcohol-induced acute pancreatitis without necrosis or infection
K85.2 alcohol-induced acute pancreatitis
K85 acute pancreatitis
K85.9 acute pancreatitis, unspecified
, Give this one a try later!
K85.20 alcohol-induced acute pancreatitis without necrosis or infection
A 29-year-old G2P1 presents to the clinic after a positive home pregnancy test. She
confides at the appointment that her male partner has become increasingly abusive
lately and once struck her while she was holding her older child. How should she be
counseled?
a. Ask that she bring the partner to all appointments so that he can be included in
decisions and thus feel less threatened and less likely to harm the patient again.
b. Reassure her that no matter what she reveals, all information she discloses will be
kept strictly confidential.
c. Ask open-ended questions, allow her to make decisions that she feels are best for
herself given the circumstance, and provide immediate or long-term referrals to
domestic violence resources.
d. Reassure her that she is safe as very few pregnant women are hurt or murdered by
their partners, who generally become less violent during the vulnerable period of
pregnancy.
e. Demand that she leaves the partner immediately and threaten to withhold care if
she does not comply.
Give this one a try later!
c. Ask open-ended questions, allow her to make decisions that she feels
are best for herself given the circumstance, and provide immediate or
long-term referrals to domestic violence resources.
The NP is testing the function of cranial nerve XI. Which of these best describes the
response the NP should expect if the nerve is intact?
-Moves the head and shoulders against resistance with equal strength
-Demonstrates ability to hear normal conversation
astute passenger noted that the patient exhibited drooping facial features and slurred
speech. The patient was diagnosed rapidly with ischemic (nonhemorrhagic) stroke,
and urgent intervention lead to a near complete recovery from his symptoms. The
astute passenger was thanked and congratulated for recognizing the signs of acute
stroke; this individual credited this recognition to a public safety awareness campaign
that outlined the critical public health need to recognize strokes early. Which of the
following statements is true for risks and rapid recognition of suspected strokes?
a. Atrial fibrillation is not a risk factor for ischemic stroke in individuals age ≥75 years.
b. Hypertension is the leading risk factor for both ischemic and hemorrhagic stroke.
c. Obesity with normal glucose tolerance is not a risk factor for stroke.
,d. Transient ischemic attacks (TIAs) that resolve within in 1 hour confer a 5% risk of
death from stroke within the next 12 months.
e. Due to increasing public awareness, the median time for arrival to care for
suspected stroke is <3 hours.
Give this one a try later!
b. Hypertension is the leading risk factor for both ischemic and
hemorrhagic stroke.
A new mother brings in her 6-month-old baby for not being able to keep his eyes
together when looking to the left. On examination, both of his eyes appear in
alignment (conjugate) when looking to the right. However, when looking to the left,
the baby's left eye stays in the forward gaze position, while the right continues on
with full adduction to the left. The eyes appear to be out of alignment (dysconjugate).
Which cranial nerve (CN) is responsible for the dysfunction in looking left?
a. Right oculomotor nerve (CN III)
b. Right trochlear nerve (CN IV)
c. Right abducens nerve (CN VI)
d. Left oculomotor nerve (CN III)
e. Left trochlear nerve (CN IV)
f. Left abducens nerve (CN VI)
Give this one a try later!
f. Left abducens nerve (CN VI)
Dawn is a 55-year-old woman who comes in today for her yearly wellness
examination. You carefully perform the rectal examination in the lithotomy position
and feel a mass against the bowel wall which is firm and immobile. Which of the
following is most likely?
,-Rectal cancer
-Valve of Houston
-Anal Fissure
-Hemorrhoid
Give this one a try later!
?-Rectal cancer
Victor, a 55-year-old male, presents with a chief complaint of abdominal pain. Select
the top four questions the NP should ask the client related to the chief complaint.
"Can you point to the area that is causing the pain?"
"How would you rate your pain on a scale of 1-10?"
"Is there any pattern to your nausea and vomiting?"
"When did the pain in your abdomen start?"
"Does anything make the pain better or worse?"
Give this one a try later!
"Can you point to the area that is causing the pain?"
"How would you rate your pain on a scale of 1-10?"
"When did the pain in your abdomen start?"
"Does anything make the pain better or worse?"
The NP diagnoses the client with acute pancreatitis. Which ICD-10-CM Diagnosis
Code should the NP select?
K85.20 alcohol-induced acute pancreatitis without necrosis or infection
K85.2 alcohol-induced acute pancreatitis
K85 acute pancreatitis
K85.9 acute pancreatitis, unspecified
, Give this one a try later!
K85.20 alcohol-induced acute pancreatitis without necrosis or infection
A 29-year-old G2P1 presents to the clinic after a positive home pregnancy test. She
confides at the appointment that her male partner has become increasingly abusive
lately and once struck her while she was holding her older child. How should she be
counseled?
a. Ask that she bring the partner to all appointments so that he can be included in
decisions and thus feel less threatened and less likely to harm the patient again.
b. Reassure her that no matter what she reveals, all information she discloses will be
kept strictly confidential.
c. Ask open-ended questions, allow her to make decisions that she feels are best for
herself given the circumstance, and provide immediate or long-term referrals to
domestic violence resources.
d. Reassure her that she is safe as very few pregnant women are hurt or murdered by
their partners, who generally become less violent during the vulnerable period of
pregnancy.
e. Demand that she leaves the partner immediately and threaten to withhold care if
she does not comply.
Give this one a try later!
c. Ask open-ended questions, allow her to make decisions that she feels
are best for herself given the circumstance, and provide immediate or
long-term referrals to domestic violence resources.
The NP is testing the function of cranial nerve XI. Which of these best describes the
response the NP should expect if the nerve is intact?
-Moves the head and shoulders against resistance with equal strength
-Demonstrates ability to hear normal conversation
