Anna Academic Store

what brings you in today Answer-Reports difficulty sleeping and "feeling nervous" Why did you decide to seek treatment? Answer-Reports seeking treatment because she has an upcoming exam and feels "too foggy to study" how do you feel just before bed Answer-reports excessive worry and racing thoughts before bed "I'm sorry to hear about your trouble sleeping and stress. I'm glad you came in. Let me learn more about what you're experiencing, and I will try to help." Answer-Tina describ...

Health History Tips & Tricks: AnswerStudent: Hello! Answer-Diana Shadow: Hi. I'm Preceptor Diana. I will explain the details of this assignment and your objectives, just as a preceptor would in real life. Pay close attention to this information as it will help guide your exam. At the end of this prebrief, you will answer a short question about the upcoming assignment. During the simulation, you may return to these instructions at any time by scrolling to the top of your transcript. Student...

Inspect head and face Correct Answer- skull symmetry: symmetric facial feature symmetry: symmetric appearance: Papules, pustules, or comedones Inspect eyes and orbital area Correct Answer- orbital area: No visible abnormal findings sclera: White conjunctiva: Moist and pink conjunctival discharge: No discharge Inspect nasal cavities Correct Answer- color: Pink discharge: No discharge turbinate patency: Patent observations: No additional visible abnormal findings Inspect ears Correct An...

Which of the following is not a common cause of chronic renal failure? a. Polycystic kidney disease b. Type 1 diabetes c. Hypothyroidism Correct Answer- Hypothyroidism In clinical practice the NP notes an elevation in the creatinine clearance and understands that this lab test: a. Does not change with the aging process b. Is greater in women than in men c. Approximates the GFR Correct Answer- Approximates the GFR The NP is seeing an 80 YO patient and understands that which of the follow...

23-year-old, sexually active female who presents for her first pap smear. Her history includes no pregnancies. Her first intercourse was at age 14 and has had at least 10 sexual partners if not 12 partners since. Which conditions do you want to be alert for during her exam? Correct Answer- HPV 20-year-old, sexually active female seen in the clinic because her boyfriend was diagnosed with gonorrhea. What is the treatment of choice for gonorrhea? Correct Answer- ceftriaxone A 24-year-old fema...

A severely injured client is moved into an examination area of the emergency department. The family member who accompanied the client to the ED is screaming at the nurse, saying that someone better start doing something right away. What is the best response by the nurse? 1. "I need you to go to the waiting area. You can come back when you're more in control." 2. "I'm going to give you a few minutes alone so you can calm down." 3 "I can't think when you are yelling at me. Talk to me ...

Which individual is at greatest risk for the development of hypertension? A. 40 year-old Caucasian nurse B. 60 year-old Asian-American shop owner C. 45 year-old African-American attorney D. 55 year-old Hispanic teacher Correct Answer- C The incidence of hypertension is greater among African-Americans than other groups in the United States. The incidence among the Hispanic population is rising. A woman, who delivered five days ago and who had been diagnosed with pregnancy induced hyperten...

The nurse is reviewing the laboratory results for several clients. Which of the laboratory result indicates a client with partly compensated metabolic acidosis? Chloride 100 mEq/L (100 mmol/L) Sodium 130 mEq/L (130 mmol/L) Hemoglobin 15 g/dL (150 g//L) PaCO2 30 mm Hg Correct Answer- PaCO2 30 mm Hg The client is admitted to an ambulatory surgery center and undergoes a right inguinal orchiectomy. Which option is the priority before the client can be discharged to home? Able to ambulate in ...

what is the job of a neuron Correct Answer- to move an electrical signal from one place to another in order to send sensory messages throughout the body Which of the gated embedded proteins in Model 1 allow sodium ions ( O ) through the membrane? Correct Answer- gates A, B, D and F allow sodium ions through the membrane Which of the gated embedded proteins in Model 1 allow potassium ions ( triangles ) through the membrane? Correct Answer- Gates C, E, and G allow potassium ions through the m...

A circumscribed, elevated lesion, >1 cm I diameter and containing clear serous fluid is best described as Correct Answer- Bulla The history and physical of a client indicates paste occurrences of lichenification. The NP identifies this as: Correct Answer- Rough, thickened epidermis, accentuated skin markings On examination of a client's skin, the nurse practitioner finds a lesion that is about 0.75 cm in diameter, brown, and circumscribed. Correct term for this lesion is: Correct Answer...

For which one of the patients would a comprehensive health history be appropriate? Correct Answer- A new patient with the CC of "Im here to establish care" The components of a health history include all of the following except which one? Correct Answer- A. ROS B. Thorax and lungs C. Present Illness D. Personal and social items Answer is B thorax and lungs Is the following info subjective or objective? Mr. M has SOB that has persisted for the past 10 days; it is worse with activity and...

A 37-year-old nurse comes for evaluation of colicky right upper quadrant abdominal pain. The pain is associated with nausea and vomiting and occurs 1 to 2 hours after eating greasy foods. Which one of the following physical examination descriptions would be most consistent with the diagnosis of cholecystitis? A) Abdomen is soft, nontender, and nondistended, without hepatosplenomegaly or masses. B) Abdomen is soft and tender to palpation in the right lower quadrant, without rebound or guardi...

Appendicitis Correct Answer- 1. McBurney point tenderness 2. Rovsing sign 3. the psoas sign 4. the obturator sign --Appendicitis is twice as likely in the presence of RLQ tenderness, Rovsing sign, and the psoas sign --The pain of appendicitis classically begins near the umbilicus, then migrates to the RLQ. Older adults are less likely to report this pattern. --Localized tenderness anywhere in the RLQ, even in the right flank, suggests appendicitis. McBurney Point Correct Answer- 1. McBur...

Suspicious breast mass Correct Answer- -A mobile mass that becomes fixed when the arm relaxes is attached to the ribs and intercostal muscles; if fixed when the hand is pressed against the hip, it is attached to the pectoral fascia. -Hard irregular poorly circumscribed nodules, fixed to the skin or underlying tissues, strongly suggest cancer Risk for Breast cancer Correct Answer- --*Age* -family history of breast/ovarian CA - inherited genetic mutations, -personal history of breast cance...

Know that in a 47-year-old man ED is usually ___________ rather than testosterone Correct Answerpsychologic Erectile dysfunction may be from psychogenic causes, especially if Correct Answer- early morning erection is preserved. it may also reflect decreased testosterone, decreased blood flow in the hypogastric arterial system, impaired neural innervation, and diabetes When performing a breast exam, know what abnormal masses should do when the arm Correct Answermay be fixed to skin or underl...

A teenage girl has arrived complaining of pain in her left wrist. She was playing basketball when she fell and landed on her left hand. The FNP examined her hand and will expect a fracture if the girl complains: Correct Answer- Of sharp pain that increases with movement A patient has been diagnosed with osteoporosis and asked the FNP "what is osteoporosis?" The FNP explains to the patient that osteoporosis is defined as: Correct Answer- Loss of bone density Patient states, "I can hear a ...

When performing a physical assessment, the first technique the nurse will always use A. Palpation B. Inspection C. Percussion D. Auscultation Correct Answer- B. Inspection The nurse is preparing to perform a physical assessment. Which statement is true about the physical assessment? The inspection phase: A. Usually yields little information B. Takes time and reveals a surprising amount of information C. May be somewhat uncomfortable for the expert practitioner D. Requires a quick glanc...

Is your throat sore? Answer- Reports sore throat Is your throat itchy? Answer- Reports itchy throat Are your eyes itchy? Answer- Reports itchy eyes Do you have a runny nose? Answer- Reports runny nose How long has your throat been sore? Answer- began 1 week ago When did your nose start running? Answer- began 1 week ago When did your eyes start itching? Answer- began 1 week ago is the throat pain constant Answer- constant throat pain when does your throat pain feel the worst Answer- worse...

Which nursing action is the priority when administering chelation therapy for a toddler-age client? 1 Assessing vital signs 2 Monitoring urine output 3 Conducting a behavioral assessment 4 Providing education to reduce lead exposure Correct Answer- 2 A 67-year-old client has tested positive for influenza A. The client also has asthma. Which drug would the nurse recommend be avoided in this client? 1 Ribavirin 2 Zanamivir 3 Oseltamivir 4 Amantadine Correct Answer- 2 Which first line me...

Assess AP for a full minute; if its below 60 or above 100 then hold the drug. Correct Answer- What do you do before administering Digoxin? Postive & negative Correct Answer- Digoxin has a _______ inotrope &_________ chronotrope. Positive inotrope Correct Answer- increases force of contraction Negative chronotrope Correct Answer- decreases HR Digoxin toxicity Correct Answer- Lasix can cause hypokalemia, which can lead to what toxicity? dig toxicity Correct Answer- A client with longterm hx ...