2
NR 607 Chamberlain Pre-diagnostic Exam with verified
|| || || || || || ||
detailed answers ||
A 52-year-old obese man with type 2 diabetes reports dozing off while driving, watching TV, or
|| || || || || || || || || || || || || || || ||
reading, with increased apathy and fatigue. The PMHNP ordered a sleep study, which revealed 10
|| || || || || || || || || || || || || || ||
episodes of apnea lasting 15 to 20 seconds each per hour of sleep. Based on these findings, what
|| || || || || || || || || || || || || || || || || ||
should the PMHNP prescribe for his condition?
|| || || || || ||
-Referral to otolaryngology for rhinoplasty || || || ||
-Antidepressant medications ||
-Referral to otolaryngology for uvuloplasty || || || ||
-Continuous positive airway pressure - ✔✔Continuous positive airway pressure || || || || || || || ||
Which of the following is an indication for monitoring of serum drug levels?
|| || || || || || || || || || || ||
-Smoking cessation ||
-New diagnosis of hyperlipidemia
|| || ||
-Resolution of symptoms || ||
-New diagnosis of diabetes - ✔✔Smoking cessation
|| || || || || ||
Your client Jamie asks you about a mole of her forearm. You refer her to dermatology. As an
|| || || || || || || || || || || || || || || || || ||
APRN, you recognize that cancerous moles can be detected on exam. Which of the following
|| || || || || || || || || || || || || || ||
would not be of concern? || || || ||
-A mole that is not elevated
|| || || || ||
-All of the above
|| || ||
-A dark mole
|| ||
-A mole that is 5 mm in size - ✔✔All of the above
|| || || || || || || || || || || ||
,2
Recall the ABCDE acronym. Concerning moles are asymmetric, have irregular borders, have
|| || || || || || || || || || || ||
color variation, a diameter > 6mm and elevated moles.
|| || || || || || || ||
A 42-year-old female recalls a brief episode of chest tightness with no radiation or chest wall
|| || || || || || || || || || || || || || || ||
injury during her new taekwondo martial arts class. This pain subsided during "the cool down
|| || || || || || || || || || || || || || ||
period" of her class. Which of the following is most likely given her presentation?
|| || || || || || || || || || || || ||
-Pericarditis
-Acute myocardial infarction || ||
-Hiatal hernia ||
-Angina pectoris - ✔✔Angina pectoris || || || ||
Chest pain with activity and relieved at rest in a middle-aged adult should prompt concern for
|| || || || || || || || || || || || || || || ||
myocardial ischemia. Although acute myocardial infarction is a possibility, it is less likely given
|| || || || || || || || || || || || || ||
the scenario mentioned above.
|| || ||
Gloria is a 68-year-old female with a chronic history of severe anxiety disorder presents with mild
|| || || || || || || || || || || || || || ||
shortness of breath, fine crackles in the right lower lobe with auscultation and a nonproductive
|| || || || || || || || || || || || || || || ||
cough. She recently "ran out of pills". Which medication omission most likely lead to her current
|| || || || || || || || || || || || || || || ||
presenting symptoms? ||
-Metoprolol
-Lorazepam
-Furosemide
-Metformin - ✔✔Furosemide || ||
Furosemide or Lasix is a diuretic utilized in the management of heart failure. Although anxiety
|| || || || || || || || || || || || || || ||
can produce shortness of breath, one would not expect fine crackles on exam unless additional
|| || || || || || || || || || || || || || ||
comorbidity exists. ||
, 2
The S2 heart sound is a result of what?
|| || || || || || || ||
-Closure of the semilunar valves || || || ||
-Opening of the semilunar valves || || || ||
-Closure of the atrioventricular valves
|| || || ||
-Opening of the atrioventricular valves - ✔✔Closure of the semilunar valves
|| || || || || || || || || ||
The closure of the semilunar valves results in the second heart sound. The semilunar valves are
|| || || || || || || || || || || || || || || ||
the aortic and pulmonary valves.
|| || || ||
A systematic inquiry that elaborates on the chief complaint while eliciting pertinent positive and
|| || || || || || || || || || || || || ||
pertinent negative factors from the history is known as:
|| || || || || || || ||
-Diagnostic formulation ||
-The mental status exam || || ||
-Physical exam ||
-Review of systems - ✔✔Review of systems
|| || || || || ||
A 21-year-old man had his first drink at his birthday party with friends last night. He presented the
|| || || || || || || || || || || || || || || || ||
following morning to the emergency department with psychomotor agitation, cognitive
|| || || || || || || || || || ||
impairment, depressed mood, flat affect, and anhedonia. His heart rate is 110, his blood pressure
|| || || || || || || || || || || || || || ||
is 90/60, and he complains of abdominal pain. He received 2 L of normal saline IV and is referred
|| || || || || || || || || || || || || || || || || || ||
to psychiatry for evaluation of mood disorder. Which of the following tests should the consulting
|| || || || || || || || || || || || || || ||
PMHNP order given these symptoms? || || || ||
-Urinalysis
-Acetaminophen level ||
-Urinary porphobilinogen ||
NR 607 Chamberlain Pre-diagnostic Exam with verified
|| || || || || || ||
detailed answers ||
A 52-year-old obese man with type 2 diabetes reports dozing off while driving, watching TV, or
|| || || || || || || || || || || || || || || ||
reading, with increased apathy and fatigue. The PMHNP ordered a sleep study, which revealed 10
|| || || || || || || || || || || || || || ||
episodes of apnea lasting 15 to 20 seconds each per hour of sleep. Based on these findings, what
|| || || || || || || || || || || || || || || || || ||
should the PMHNP prescribe for his condition?
|| || || || || ||
-Referral to otolaryngology for rhinoplasty || || || ||
-Antidepressant medications ||
-Referral to otolaryngology for uvuloplasty || || || ||
-Continuous positive airway pressure - ✔✔Continuous positive airway pressure || || || || || || || ||
Which of the following is an indication for monitoring of serum drug levels?
|| || || || || || || || || || || ||
-Smoking cessation ||
-New diagnosis of hyperlipidemia
|| || ||
-Resolution of symptoms || ||
-New diagnosis of diabetes - ✔✔Smoking cessation
|| || || || || ||
Your client Jamie asks you about a mole of her forearm. You refer her to dermatology. As an
|| || || || || || || || || || || || || || || || || ||
APRN, you recognize that cancerous moles can be detected on exam. Which of the following
|| || || || || || || || || || || || || || ||
would not be of concern? || || || ||
-A mole that is not elevated
|| || || || ||
-All of the above
|| || ||
-A dark mole
|| ||
-A mole that is 5 mm in size - ✔✔All of the above
|| || || || || || || || || || || ||
,2
Recall the ABCDE acronym. Concerning moles are asymmetric, have irregular borders, have
|| || || || || || || || || || || ||
color variation, a diameter > 6mm and elevated moles.
|| || || || || || || ||
A 42-year-old female recalls a brief episode of chest tightness with no radiation or chest wall
|| || || || || || || || || || || || || || || ||
injury during her new taekwondo martial arts class. This pain subsided during "the cool down
|| || || || || || || || || || || || || || ||
period" of her class. Which of the following is most likely given her presentation?
|| || || || || || || || || || || || ||
-Pericarditis
-Acute myocardial infarction || ||
-Hiatal hernia ||
-Angina pectoris - ✔✔Angina pectoris || || || ||
Chest pain with activity and relieved at rest in a middle-aged adult should prompt concern for
|| || || || || || || || || || || || || || || ||
myocardial ischemia. Although acute myocardial infarction is a possibility, it is less likely given
|| || || || || || || || || || || || || ||
the scenario mentioned above.
|| || ||
Gloria is a 68-year-old female with a chronic history of severe anxiety disorder presents with mild
|| || || || || || || || || || || || || || ||
shortness of breath, fine crackles in the right lower lobe with auscultation and a nonproductive
|| || || || || || || || || || || || || || || ||
cough. She recently "ran out of pills". Which medication omission most likely lead to her current
|| || || || || || || || || || || || || || || ||
presenting symptoms? ||
-Metoprolol
-Lorazepam
-Furosemide
-Metformin - ✔✔Furosemide || ||
Furosemide or Lasix is a diuretic utilized in the management of heart failure. Although anxiety
|| || || || || || || || || || || || || || ||
can produce shortness of breath, one would not expect fine crackles on exam unless additional
|| || || || || || || || || || || || || || ||
comorbidity exists. ||
, 2
The S2 heart sound is a result of what?
|| || || || || || || ||
-Closure of the semilunar valves || || || ||
-Opening of the semilunar valves || || || ||
-Closure of the atrioventricular valves
|| || || ||
-Opening of the atrioventricular valves - ✔✔Closure of the semilunar valves
|| || || || || || || || || ||
The closure of the semilunar valves results in the second heart sound. The semilunar valves are
|| || || || || || || || || || || || || || || ||
the aortic and pulmonary valves.
|| || || ||
A systematic inquiry that elaborates on the chief complaint while eliciting pertinent positive and
|| || || || || || || || || || || || || ||
pertinent negative factors from the history is known as:
|| || || || || || || ||
-Diagnostic formulation ||
-The mental status exam || || ||
-Physical exam ||
-Review of systems - ✔✔Review of systems
|| || || || || ||
A 21-year-old man had his first drink at his birthday party with friends last night. He presented the
|| || || || || || || || || || || || || || || || ||
following morning to the emergency department with psychomotor agitation, cognitive
|| || || || || || || || || || ||
impairment, depressed mood, flat affect, and anhedonia. His heart rate is 110, his blood pressure
|| || || || || || || || || || || || || || ||
is 90/60, and he complains of abdominal pain. He received 2 L of normal saline IV and is referred
|| || || || || || || || || || || || || || || || || || ||
to psychiatry for evaluation of mood disorder. Which of the following tests should the consulting
|| || || || || || || || || || || || || || ||
PMHNP order given these symptoms? || || || ||
-Urinalysis
-Acetaminophen level ||
-Urinary porphobilinogen ||
