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D120| Objective Assessment
1 of 60
Term
An 82-year-old patient comes to a clinic for routine care. The patient
lives alone and has no family living close by.
Which topic should the advanced practice registered nurse (APRN)
discuss as part of the plan of care for this patient?
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Invoking durable power of attorney
Reviewing advance directives
for healthcare
Instituting clinical case review Moving into a nursing home
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, 2 of 60
Term
An advanced practice registered nurse (APRN) is caring for a woman
who is six-months pregnant. The patient is complaining of dysuria and
frequency. A urine dip suggests a urinary tract infection.
Which plan of care should the APRN use for this patient?
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Prescribe a topical antifungal cream Advise increased fluid intake only
Monitor symptoms without Treat with an appropriate
medication antibiotic
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3 of 60
Term
A patient receiving antenatal care for a first pregnancy returns for
another visit at 20-weeks gestation. The advanced practice registered
nurse (APRN) notes that all diagnostic tests indicate the patient is
experiencing intrauterine growth restriction and makes
recommendations to improve the growth of the fetus.
Which recommendation should the APRN make to this patient?
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Stop smoking Start a walking program
Follow a westernized diet Eat a high-protein diet
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4 of 60
Term
A patient presents to an advanced practice registered nurse (APRN)
for a prenatal check-up. The APRN completes an assessment and notes
the following:
-B/P 132/78
-pulse 84
-respirations 22
-glucose 105 mg/dL
-protein 9.5 g/dL
-creatinine 20 mg/kg/day
-creatinine clearance 100ml/min
Which lab test is of concern?
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Protein Pap smear
, Echocardiogram Stop smoking
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5 of 60
Term
A patient presents to the primary clinic complaining of a foul smelling
vaginal discharge that worsens before menses and after intercourse.
The advanced practice registered nurse (APRN) assesses the patient's
diagnostic tests which reveals a vaginal pH >4.5, positive whiff test, and
clue cells on wet prep. A diagnosis of bacterial vaginosis is confirmed.
Which treatment regimen should the APRN use with this patient?
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Prescribe a short-acting opioid using Metronidazole 500 mg PO bid
the lowest dose for seven days
Consult with an endocrinologist Stop smoking
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6 of 60
Term