KnowledgeBase

1. Question:A Nurse Practitioner will monitor which of the following when assigned to a patient taking allopurinol for chronic gout who visits the clinic every 2 months? 2. Question:A 66-year-old woman has experienced a significant decline in her quality of life as a result of worsening rheumatoid arthritis. Her physician has prescribed etanercept and the APRN is responsible for facilitating this new aspect of the patient's drug regimen. This will involve the administration of 3. Question:Mr....

1. Question: A Nurse Practitioner is caring for a patient who is diabetic and has been diagnosed with hypertension. An angiotensin-converting enzyme inhibitor, captopril, has been prescribed for her. Which of the following should the Nurse Practitioner assess before beginning drug therapy? 2. Question: A common side effect of metformin (Glucophage) therapy is: 3. Question: A female patient, age 36, is prescribed inhaled corticosteroid (ICS) for daily use. Which of the following adverse effect...

1. Question: The anticoagulant drug that acts as a vitamin K antagonist is: 2. Question: What is a serious side effect of ibuprofen in the older adult patient? 3. Question: A Nurse Practitioner is conducting an assessment of a patient who has recently had several changes made to her drug regimen. What assessment question most directly addresses the safety implications of the patient's drug regimen? 4. Question: Which can elevate theophylline levels? 5. Question: Which of the following can ...

1. Question: A patient comes to the clinic asking for help to quit drinking alcohol. She has a 21-year history of heavy drinking and is worried about developing cirrhosis of the liver. The patient agrees to take disulfiram (Antabuse). The nurse will teach the patient that the combination of alcohol and Antabuse will cause which of the following? 2. Question: You decide to start your pt, Ms. Rodrigues, on spironolactone (Aldactone) 50 mg PO daily. As the NP, you will instruct the patient to cal...

1. Question: A 75-year-old male patient diagnosed with Alzheimer’s disease presents with agitation and aggressive behavior. The PMHNP determines which of the following to be the best treatment option? 2. Question: All drugs that lead to addiction increase __________________in the ventral striatum, which is also called the _______________. 3. Question: The PMHNP is attempting to treat a patient’s chronic pain by having the agent bind the open channel conformation of VSCCs to block those cha...

1) Q: Which portion of the physical examination is best done with the patient standing? 2) Q: To assess spinal levels L2, L3, and L4, which deep tendon reflex should be tested? 3) Q: Nerves that arise from the brain rather than the spinal cord are called: 4) Q: While interviewing a 70-year-old female clinic patient, she tells you that she takes ginkgo biloba and St. John's wort. You make a short note to check for results of the: 5) Q: The finger-to-nose test allows assessment of: 6) Q...

1) Q: During percussion, a dull tone is expected to be heard over: 2) Q: Your patient is complaining of acute, intense sharp epigastric pain that radiates to the back and left scapula with nausea and vomiting. Based on this 3) Q: As you explain your patient's condition to her husband, you notice that he is leaning toward you and pointedly blinking his eyes. Knowing that he is from England, your most appropriate response to this behavior is to: 4) Q: As part of your health promotion educa...

1) Q: During chest assessment, you note the patient's voice quality while auscultating the lung fields. The voice sound is intensified, there is a nasal quality to the voice, and the e's sound like a s. This sound is indicative of: 2) Q: As Mr. B. enters the room, you observe that his gait is wide based and he staggers from side to side while swaying his trunk. You would document Mr. B.'s pattern as: 3) Q: Diabetic peripheral neuropathy will likely produce: 4) Q: Montgomery tubercles a...

1) Q: Inspection of the abdomen should begin with the patient supine and the examiner: 2) Q: When you are questioning a patient regarding alcohol intake, she tells you that she is only a social drinker. Which initial response is appropriate? 3) Q: 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? 4) Q: Mr. Jones...

1) Q: Which of the following statements is true regarding the examination of peripheral arteries? 2) Q: The reliability of health-related findings and observations is the responsibility of the: 3) Q: When palpating breast tissue, the examiner should use the _____ at each site. 4) Q: Temporalis and masseter muscles are evaluated by: 5) Q: The strength of the trapezius muscle is evaluated by having the patient: 6) Q: An ophthalmoscopic eye examination involves: 7) Q: To assess a cremasteric ...

1) Q: Which of the following formats would be used for visits that address problems not yet identified in the problem-oriented medical record (POMR)? 2) Q: Percussing at the right midclavicular line, below the umbilicus, and continuing upward is the correct technique for locating the: 3) Q: Mr. Sanchez is a 45-year-old gentleman who has presented to the office for a physical examination to establish a new primary care health care provider. Which of the following describes a physical, not a ...

1) Q: To perform the Rinne test, place the tuning fork on the: 2) Q: You are examining a pregnant patient and have noted a vascular lesion. When you blanche over the vascular lesion, the site blanches and refills evenly from the center outward. The nurse documents this lesion as a: 3) Q: When palpating the abdomen, you should note whether the liver is enlarged in the: 4) Q: Mr. Kevin Marks is a new health care provider. What is the best method to develop cultural competence? 5) Q: The re...

1) Q: One of the most important aspects to consider in the orthopedic screening examination is: 2) Q: A 12-year-old boy relates that his left scrotum has a soft swollen mass. The scrotum is not painful upon palpation. The left inguinal canal is without masses. The mass does transilluminate with a penlight. This collection of symptoms is consistent with: 3) Q: Loss of immediate and recent memory with retention of remote memory suggests: 4) Q: The rectal past medical history of all patients...

1) Q: Mr. Kevin Marks is a new health care provider. What is the best method to develop cultural competence? 2) Q: To perform the Rinne test, place the tuning fork on the: 3) Q: Mr. Abdul is a 40-year-old Middle Eastern man who presents to the office for a first visit with the complaint of new abdominal pain. You are concerned about violating a cultural prohibition when you prepare to do his rectal examination. The best tactic would be to: 4) Q: When communicating with older children and ...

1) Q: When completing this exam, did you comply with Walden University's Code of Conduct including the expectations for academic integrity? 2) Q: Breath sounds normally heard over the trachea are called: 3) Q: A 23-year-old white woman has come to the clinic because she has missed two menstrual periods. She states that her breasts have enlarged and that her nipples have turned a darker color. Your further response to this finding is to: 4) Q: Throughout the history and physical examinati...

1) Q: Unusual white areas on the skin may be due to: 2) Q: Mrs. Leonard brings her newborn infant into the pediatrician's office for a first well-baby visit. As the health care provider, you teach her that newborns are more vulnerable to hypothermia due to: 3) Q: Your patient is complaining of acute, intense sharp epigastric pain that radiates to the back and left scapula with nausea and vomiting. Based on this history, your prioritized physical examination should be to: 4) Q: Mr. Abdul ...

1) Q: The reliability of health-related findings and observations is the responsibility of the: 2) Q: Inquiry about nocturnal muscle spasms would be most significant when taking the musculoskeletal history of: 3) Q: As Mr. B. enters the room, you observe that his gait is wide based and he staggers from side to side while swaying his trunk. You would document Mr. B.'s pattern as: 4) Q: When palpating joints, crepitus may occur when: 5) Q: A grade IV mitral regurgitation murmur would: 6...

1) Q: Which of the following statements is true regarding the examination of peripheral arteries? 2) Q: To hear diastolic heart sounds, you should ask patients to: 3) Q: Inquiry about nocturnal muscle spasms would be most significant when taking the musculoskeletal history of: 4) Q: It is especially important to test for ankle clonus if: 5) Q: You are interviewing a 20-year-old patient with a new-onset psychotic disorder. The patient is apathetic and has disturbed thoughts and language ...

1) Q: Unusual white areas on the skin may be due to: 2) Q: Mrs. Leonard brings her newborn infant into the pediatrician's office for a first well-baby visit. As the health care provider, you teach her that newborns are more vulnerable to hypothermia due to: 3) Q: Your patient is complaining of acute, intense sharp epigastric pain that radiates to the back and left scapula with nausea and vomiting. Based on this history, your prioritized physical examination should be to: 4) Q: Mr. Abdul ...

1) Q: The reliability of health-related findings and observations is the responsibility of the: 2) Q: Inquiry about nocturnal muscle spasms would be most significant when taking the musculoskeletal history of: 3) Q: As Mr. B. enters the room, you observe that his gait is wide based and he staggers from side to side while swaying his trunk. You would document Mr. B.'s pattern as: 4) Q: When palpating joints, crepitus may occur when: 5) Q: A grade IV mitral regurgitation murmur would: 6...