D118: Unit 6 Study Guide OA || with Certified Answers.
A patient presents to the clinic with left ankle pain after rolling their ankle when trying to kick a
ball during a soccer game. Upon examination, the advanced practice registered nurse (APRN)
notes pain with movement and swelling. The patient is diagnosed with a minor left ankle sprain.
Which treatment should the APRN prescribe first for this patient? correct answers Elastic wrap
A patient seeks medical attention for fatigue, sleep disturbances, and vague symptoms of pain.
The advanced practice registered nurse (APRN) assesses the patient with the fibromyalgia
criteria and finds that the patient meets the conditions for the health problem.
Which medication should the APRN prescribe to help this patient with sleep? correct answers
Trazodone (Desyrel)
An advanced practice registered nurse (APRN) is assessing a patient who presents with a small
draining wound in the left foot. The patient was previously treated with six weeks of intravenous
antibiotic therapy for osteomyelitis of the right foot. The patient wants to know why the new
wound occurred.
How should the APRN respond to this question? correct answers "This type of infection may
occasionally recur"
A patient is following up with the advanced practice registered nurse (APRN) for large, painless
nodules over the metacarpophalangeal joints. The patient has a history of three prior gout attacks
and takes Allopurinol (Aloprim).
Which referral should the APRN make for this patient? correct answers Rheumatology
A patient presents to an advanced practice registered nurse (APRN). Symptoms include
generalized stiffness with painful, tender, and swollen joints. These symptoms started two
months before and involved bilateral upper and lower limbs.
Which diagnostic studies should the APRN order for this patient? correct answers Erythocyte
sedimentation rate (ESR)
A patient with a history of frostbite presents to an advanced practice registered nurse (APRN)
with three fingers that are white in color and numb. The patient's vital signs are normal, and the
, pain is rated as a zero. While the APRN examines the patient, the fingers change to blue and then
to red.
Which recommendation should the APRN make for this patient? correct answers Limit exposure
to cold temperatures
A 75-year-old patient is referred to the endocrinologist's office with complaints of increasing
weakness to the arms and legs over the past several months. The patient also reports losing
interest in activities that were previously enjoyed and slow weight gain. Upon examination, the
advanced practice registered nurse (APRN) noted multiple bruises to the arms and legs, thin skin,
and slightly protruding abdomen coinciding with the weight gain.
Which diagnostic study should the APRN order for this patient? correct answers ACTH
A 55-year-old patient presents to the advanced practice registered nurse (APRN) about
increasing headaches over the course of the past several months. The patient has been taking
over-the-counter (OTC) medications to relieve the headaches, but the headaches are becoming
more severe and the OTCs are not working. The patient also reports profuse sweating even
without physical activity, increasing weakness, and shakiness of the hands. Upon examination,
the APRN notes the patient's blood pressure is 152/94.
Which condition should the APRN assess for this patient? correct answers Pheochromocytoma
A patient with a history of multiple sclerosis presents to an advanced practice registered nurse
(APRN) in the emergency department with complaints of urinary hesitancy, urgency, and
frequent incontinence.
Which treatment regimen should the APRN prescribe for this patient? correct answers Alpha
blockers
A 60-year-old patient is seeing an advanced practice registered nurse (APRN) for complaints of
tremors in the right hand. The patient notices this most when their hand is relaxed, and it resolves
when they are working on the keyboard. The patient also has difficulty starting voluntary
movements, and their gait is slower and described as shuffling.
Which neurodegenerative diagnosis should the APRN suspect? correct answers Parkinson's
disease
A patient presents to the clinic with left ankle pain after rolling their ankle when trying to kick a
ball during a soccer game. Upon examination, the advanced practice registered nurse (APRN)
notes pain with movement and swelling. The patient is diagnosed with a minor left ankle sprain.
Which treatment should the APRN prescribe first for this patient? correct answers Elastic wrap
A patient seeks medical attention for fatigue, sleep disturbances, and vague symptoms of pain.
The advanced practice registered nurse (APRN) assesses the patient with the fibromyalgia
criteria and finds that the patient meets the conditions for the health problem.
Which medication should the APRN prescribe to help this patient with sleep? correct answers
Trazodone (Desyrel)
An advanced practice registered nurse (APRN) is assessing a patient who presents with a small
draining wound in the left foot. The patient was previously treated with six weeks of intravenous
antibiotic therapy for osteomyelitis of the right foot. The patient wants to know why the new
wound occurred.
How should the APRN respond to this question? correct answers "This type of infection may
occasionally recur"
A patient is following up with the advanced practice registered nurse (APRN) for large, painless
nodules over the metacarpophalangeal joints. The patient has a history of three prior gout attacks
and takes Allopurinol (Aloprim).
Which referral should the APRN make for this patient? correct answers Rheumatology
A patient presents to an advanced practice registered nurse (APRN). Symptoms include
generalized stiffness with painful, tender, and swollen joints. These symptoms started two
months before and involved bilateral upper and lower limbs.
Which diagnostic studies should the APRN order for this patient? correct answers Erythocyte
sedimentation rate (ESR)
A patient with a history of frostbite presents to an advanced practice registered nurse (APRN)
with three fingers that are white in color and numb. The patient's vital signs are normal, and the
, pain is rated as a zero. While the APRN examines the patient, the fingers change to blue and then
to red.
Which recommendation should the APRN make for this patient? correct answers Limit exposure
to cold temperatures
A 75-year-old patient is referred to the endocrinologist's office with complaints of increasing
weakness to the arms and legs over the past several months. The patient also reports losing
interest in activities that were previously enjoyed and slow weight gain. Upon examination, the
advanced practice registered nurse (APRN) noted multiple bruises to the arms and legs, thin skin,
and slightly protruding abdomen coinciding with the weight gain.
Which diagnostic study should the APRN order for this patient? correct answers ACTH
A 55-year-old patient presents to the advanced practice registered nurse (APRN) about
increasing headaches over the course of the past several months. The patient has been taking
over-the-counter (OTC) medications to relieve the headaches, but the headaches are becoming
more severe and the OTCs are not working. The patient also reports profuse sweating even
without physical activity, increasing weakness, and shakiness of the hands. Upon examination,
the APRN notes the patient's blood pressure is 152/94.
Which condition should the APRN assess for this patient? correct answers Pheochromocytoma
A patient with a history of multiple sclerosis presents to an advanced practice registered nurse
(APRN) in the emergency department with complaints of urinary hesitancy, urgency, and
frequent incontinence.
Which treatment regimen should the APRN prescribe for this patient? correct answers Alpha
blockers
A 60-year-old patient is seeing an advanced practice registered nurse (APRN) for complaints of
tremors in the right hand. The patient notices this most when their hand is relaxed, and it resolves
when they are working on the keyboard. The patient also has difficulty starting voluntary
movements, and their gait is slower and described as shuffling.
Which neurodegenerative diagnosis should the APRN suspect? correct answers Parkinson's
disease
