D118: Unit 3 Quiz and D.F.A. 1 || All Answers are Valid.
During a routine wellness exam, the primary care nurse practitioner notes an irregular radial
pulse and irregular heart sounds. The patient's vital signs are: BP 126/84, HR 105, RR 16, T
98.8°F (37.1°C).
What should the nurse practitioner do next? correct answers Order a STAT ECG
Physical signs indicate potential atrial fibrillation in a hemodynamically stable patient. ECG
should be ordered to diagnose atrial fibrillation and rule out other cardiac arrhythmias
A young adult patient is being treated for hypertension and is noted to have a resting blood
pressure of 135/88 mm Hg just after finishing a meal. After standing, the patient has a blood
pressure of 115/70 mm Hg.
What is the likely cause of this change in blood pressure? correct answers Antihypertensive
medications
Meds used to treat HTN may cause orthostatic hypotension
A patient reports using artificial tears for comfort because of burning and itching in both eyes,
but reports worsening symptoms. The primary care provider notes redness and discharge along
the eyelid margins with clear conjunctivae.
What is the recommended treatment? correct answers Compresses, lid scrubs, and antibiotic
ointment
Patient has symptoms of blepharitis without conjunctivitis. Initial treatment involves lid hygiene
and antibiotic ointment may be applied after lid scrubs
A patient reports ear pain and difficulty hearing. An otoscopic examination reveals a small tear in
the tympanic membrane of the affected ear with purulent discharge.
What is the initial treatment for this patient? correct answers Prescribe antibiotic ear drops
Perforation is most likely due to infection and should be treated with antibiotic ear drops
, Refer to otolaryngologist if small tear in TM does not heal
A patient has a sore throat, a temperature of 101.3°F (38.5°C), tonsillar exudates, and cervical
lymphadenopathy.
What will the primary care provider do next to manage this patient's symptoms? correct answers
Perform a rapid antigen detection test
Performed initially to determine whether group A b-hemolytic streptococcus GAS is present
A patient who was initially treated as an outpatient for pneumonia and then hospitalized for two
weeks after no improvement continues to show no improvement after several antibiotic regimens
have been attempted.
What is the next step in managing this patient? correct answers Perform a diagnostic
bronchoscopy
Patients who do not respond to antibiotic therapy may have opportunistic fungal or other
infections, bronchogenic carcinoma, or other diseases
Which symptoms exhibited by a patient with abdominal pain are suggestive of appendicitis?
correct answers Pain with low-grade fever
Abdominal rigidity along with pain
Pain occurring prior to nausea and vomiting
Pain normally precedes other symptoms and when the symptoms occur in any other order,
diagnosis of appendicitis should be questioned
During a routine wellness exam, the primary care nurse practitioner notes an irregular radial
pulse and irregular heart sounds. The patient's vital signs are: BP 126/84, HR 105, RR 16, T
98.8°F (37.1°C).
What should the nurse practitioner do next? correct answers Order a STAT ECG
Physical signs indicate potential atrial fibrillation in a hemodynamically stable patient. ECG
should be ordered to diagnose atrial fibrillation and rule out other cardiac arrhythmias
A young adult patient is being treated for hypertension and is noted to have a resting blood
pressure of 135/88 mm Hg just after finishing a meal. After standing, the patient has a blood
pressure of 115/70 mm Hg.
What is the likely cause of this change in blood pressure? correct answers Antihypertensive
medications
Meds used to treat HTN may cause orthostatic hypotension
A patient reports using artificial tears for comfort because of burning and itching in both eyes,
but reports worsening symptoms. The primary care provider notes redness and discharge along
the eyelid margins with clear conjunctivae.
What is the recommended treatment? correct answers Compresses, lid scrubs, and antibiotic
ointment
Patient has symptoms of blepharitis without conjunctivitis. Initial treatment involves lid hygiene
and antibiotic ointment may be applied after lid scrubs
A patient reports ear pain and difficulty hearing. An otoscopic examination reveals a small tear in
the tympanic membrane of the affected ear with purulent discharge.
What is the initial treatment for this patient? correct answers Prescribe antibiotic ear drops
Perforation is most likely due to infection and should be treated with antibiotic ear drops
, Refer to otolaryngologist if small tear in TM does not heal
A patient has a sore throat, a temperature of 101.3°F (38.5°C), tonsillar exudates, and cervical
lymphadenopathy.
What will the primary care provider do next to manage this patient's symptoms? correct answers
Perform a rapid antigen detection test
Performed initially to determine whether group A b-hemolytic streptococcus GAS is present
A patient who was initially treated as an outpatient for pneumonia and then hospitalized for two
weeks after no improvement continues to show no improvement after several antibiotic regimens
have been attempted.
What is the next step in managing this patient? correct answers Perform a diagnostic
bronchoscopy
Patients who do not respond to antibiotic therapy may have opportunistic fungal or other
infections, bronchogenic carcinoma, or other diseases
Which symptoms exhibited by a patient with abdominal pain are suggestive of appendicitis?
correct answers Pain with low-grade fever
Abdominal rigidity along with pain
Pain occurring prior to nausea and vomiting
Pain normally precedes other symptoms and when the symptoms occur in any other order,
diagnosis of appendicitis should be questioned
