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A patient who has primary hyperlipidemia and who takes atorvastatin (Lipitor) continues to have LDL cholesterol of 140 mg/dL after 3 months of therapy. The primary care NP increases the dose from 10 mg daily to 20 mg daily. The patient reports headache and dizziness a few weeks after the dose increase. The NP should: 2. A patient who has hyperlipidemia has been taking atorvastatin (Lipitor) 60 mg daily for 6 months. The patient’s initial lipid profile showed LDL of 180 mg/dL, HDL of 45 mg/d...

1. Which portion of the physical examination is best done with the patient standing? spinal 2. To assess spinal levels L2, L3, and L4, which deep tendon reflex should be tested? patellar 3. To assess a cremasteric reflex, the examiner strokes the: 4. Which condition is considered progressive rather than reversible? 5. When palpating breast tissue, the examiner should use the 6. Palpation of a normal prostate in an older adult is likely to feel: 7. The difference in blood pressure readings ...

1. When endothelial cells are injured, what alteration contributes to atherosclerosis? 2. A patient has been diagnosed with an empyema. What does the healthcare professional tell the patient about this condition? 3. A patient has been admitted for a possible small intestinal obstruction. What is the first sign the healthcare professional assesses for that would indicate the presence of this condition? 4. Autocrine stimulation is the ability of cancer cells to do what? 5. A patient ha...

1. Before performing an abdominal examination, the examiner should: 2. Periods of silence during the interview can serve important purposes, such as: 3. Which of the following organs is part of the alimentary tract? 4. Mr. Marks is a 66-year-old patient who presents for a physical examination to the clinic. Which question has the most potential for exploring a patient's cultural beliefs related to a health problem? 5. Pigmented, raised, warty lesions over the face and trunk should b...

1. Ms. Jones is a 31-year-old female patient who presents for a routine physical examination. Which examination technique will be used first? 2. Mrs. Raymonds is a 24-year-old patient who has presented for a routine concern over her current weight. In your patient teaching with her, you explain the importance of macronutrients. Which of the following is a macronutrient? 3. Which is the best way to position a patient's neck for palpation of the thyroid? 4. After thorough inspection of t...

1. Which type of speculum should be used to examine a patient's tympanic membrane? 2. When palpating the abdomen, you should note whether the liver is enlarged in the: 3. Which question would be considered a leading question? 4. Which of the following is the most vital nutrient? 5. Mr. Franklin is speaking with you, the health care provider, about his respiratory problem. Mr. Franklin says, "I've had this cough for 3 days, and it's getting worse." You reply, "Tell me more about...

1. A professor has taught the students about the pathogenesis of abdominal pain. Which statement by a student indicates the professor needs to review the material? 2. Which cardiac chambers have the thinnest wall and why? 3. A healthcare provider notes that tapping the patient's facial nerve leads to lip twitching. What electrolyte value is correlated with this finding? 4. What is the cause of functional dysphagia? 5. Which gastric hormone inhibits acid and pepsinogen secretion, as ...

1. A Nurse Practitioner explains to a patient that nitroglycerin patches should be applied in the morning and removed in the evening. This medication schedule reduces the potential for 2. A 45-year-old man who is a construction worker has been diagnosed with hyperlipidemia and has been prescribed lovastatin. The nurse will advise the patient to 3. The most effective therapy for a patient who is H. pylori positive with a gastric ulcer is: 4. A patient with class-IV CHF has a medication ...

1. The majority of early pregnancy losses are due to: 2. Any woman with a complicated cystitis or symptoms of upper tract disease needs a urine culture and: 3. What is significant about cytomegalovirus (CMV)? 4. How can hormonal influences during pregnancy cause backache? 5. In the formula to estimate gestational age, woman are considered pregnant from: ___________________________ 6. What is considered to be a common trigger of psoriasis? 7. What is a contributor to the increased incidence...

1. Cyclic mastalgia: 2. The possibility of cancer is associated with mastalgia when the pain: 3. Why is adenomyosis frequently underdiagnosed? 4. What is the current (2006) recommendation by the CDC regarding HIV testing? 5. What is the most common type of menstrual dysfunction related to hyperandrogenism? 6. Which one of the following statements about the subdermal progestin implant is false? 7. What is the most common symptom of vulvovaginal candidiasis? 8. What is the major source of n...

1. Cyclic mastalgia: 2. The possibility of cancer is associated with mastalgia when the pain: 3. Why is adenomyosis frequently underdiagnosed? 4. What is the current (2006) recommendation by the CDC regarding HIV testing? 5. What is the most common type of menstrual dysfunction related to hyperandrogenism? 6. Which one of the following statements about the subdermal progestin implant is false? 7. What is the most common symptom of vulvovaginal candidiasis? 8. What is the major source of n...

NURS 6551 Midterm Exam - Question and Answers 1. Who should be screened regularly for STIs? 2. All of the following diagnostic testing and procedures are now infrequently performed in clinical practice except: 3. Which organism causes 90% of vulvovaginal candidiasis episodes in women? 4. Which one of the following statements about the subdermal progestin implant is false? 5. What can bacterial vaginosis lead to? 6. What test should be ordered for a woman who is experiencing abnormal uterin...

1. A nurse practitioner orders 150 mg of oral fluconazole for a patient with vulvovaginal candidiasis. The patient should expect to take medication 2. A postmenopausal patient is prescribed bisphosphonates to treat osteoporosis. The nurse will instruct the patient to take the drug 3. When planning care for a patient who is receiving filgrastim (Neupogen) for a nonmyeloid malignancy, the nurse should formulate which of the following patient outcomes? (Select all that apply.) 4. A Nurse P...

1. Brandon is a non-compliant patient that presents to the clinic asking for help with his alcohol dependence. The PMHNP evaluates the patient and determines a long-acting injection that blocks the mu-receptors would be the best treatment option for Brandon. Which medication should the PMHNP prescribe? 2. Sandra complains of constipation after being on quetiapine (SEROQUEL) for several weeks. Constipation is likely caused by the binding of quetiapine (SEROQUEL) to which receptor? 3. Even t...

1. It is determined that a patient, who is in a hepatic coma, needs a laxative. Lactulose is prescribed. Which of the following should the nurse monitor to assess the efficacy of the lactulose therapy? 2. The Nurse Practitioner is prescribing Salmeterol (Serevent) inhaler for a patient with asthma. What instructions would be correct to provide the patient? 3. A 20-year-old woman calls the clinic at 5 PM and reports to the Nurse Practitioner that she forgot to take her morning dose of fexo...

1. A 3-year-old is making play cakes in a sandbox and is eating the play cakes. The sand was also being used by cats as a litter box and was contaminated with toxoplasmosis. Which of the following would most likely also be present? 2. An 8-year-old female presents with edema of the cutaneous and mucosal tissue layers. Her mother reports that the condition is recurrent and seems to occur more often during stressful situations. The child is diagnosed with hereditary angioedema. Which of the fol...

. In which demographic is depression twice as prevalent in girls as compared to boys? 2. Andrew is a 14-year-old male who is being managed for bipolar I disorder. He was started on lithium 6 weeks ago and has achieved a serum level of 1.1 mEq/L according to his most recent blood work. Andrew says he does not feel any different, but both his parents and teachers report improvement in his mood. He has been more stable, is getting along better with friends and siblings, and is even more interest...

NUR 634 Final Exam with Answers NUR 634 Final Exam Test Preparation Grand Canyon 1. You are examining an elderly man and notice the following: Decreased vibration sense in the feet and ankles, diminished gag reflex, right patellar reflex less than the left, and diminished abdominal reflexes. Which of these is abnormal? 2. A 68-year-old retired farmer presents to your office for evaluation of a skin lesion. On the right temporal area of the forehead, you see a flattened papule the same color a...

1. Examination of the patient in the lithotomy, or knee-chest, position includes: 2. To spread the breast tissue evenly over the chest wall, you should ask the woman to lie supine with: 3. An apical PMI palpated beyond the left fifth intercostal space may indicate: 4. Breath odors may clue the examiner to certain underlying metabolic conditions. The odor of ammonia on the breath may signify:ammonia-like suggests uremia, a renal condition; cinnamon- tuberculosis; musty fish or clover hep...

NURS 6521D/NURS 6521F/NURS 6521N Midterm Exam Winter 2019 (100/100) NURS-6521D-6/NURS-6521F-6/NURS-6521N-6-Advanced Pharmacology Winter 2019 Exam - Week 7 100 out of 100 points 1. A Nurse Practitioner explains to a patient that nitroglycerin patches should be applied in the morning and removed in the evening. This medication schedule reduces the potential for 2. Mr. Nguyen, age 71, will soon be discharged home from the hospital after a successful coronary artery bypass graft (CABG). D...