NR667 CEA Final exam
Study online at https://quizlet.com/_jl887x
1. 1. Your 18-year-old patient has recently been diag- glomerulonephritis
nosed with streptococcal infection and has been suc-
cessfully treated with an appropriate antimicrobial
agent. They have no other noteworthy health histo-
ry, chronic illness or medications on record. They are
complaining today of hematuria, RBC cast on urinal-
ysis with microscopy have been identified during this
visit. Based on this finding you can make the diagnosis
of which of the following?
2. 2. As a prudent nurse practitioner, the diabetic, hyper- urinalysis with micro and
tensive patients you are seeing should be evaluated micro albumin
for early evidence of renal damage from both diabetes
and hypertension. Which of the following assessment
tools should the nurse practitioner order first for eval-
uation of early renal dysfunction secondary to dia-
betes or hypertension?
3. 3. Your patient presents with a new onset rapid heart maintain rate control and
rate that is irregularly irregular, heart rate 100, BP anticoagulation prior to
120/74, respiration 16 non-labored and an SpO2 is rhythm conversion
99%. They state this has been going on for a week or
so intermittently, but for the past four days straight it
hasn't stopped. Your first priority intervention for this
patient is to do which of the following?
4. 4. As a prudent nurse practitioner, you know that a CD4 count of 500
28-year-old male patient with HIV would be consid-
ered well managed when they have which of the fol-
lowing in addition to having undetectable or very low
viral copies?
, NR667 CEA Final exam
Study online at https://quizlet.com/_jl887x
5. 5. Your patient has expressed concern about a skin Seborrheic keratosis
lesion which you identify as a darkened, round, and
raised lesion. This benign lesion that appears like
"stuck on" to the skin. Which of the following lesions
best fits this description?
6. 6. You are treating a patient who has stopped taking Anasarca
their diuretic regimen against medical advice while
they were on vacation since it made them urinate too
frequently for their plans. Now they are 21 pounds
heavier than their baseline weight, have respiratory
crackles in bilateral bases, and have severe general-
ized lower extremity and truncal edema extending to
the sacrum and abdomen. On your documentation,
this is referred to as which of the following conditions?
7. 7. While evaluating a patient in your clinic for a routine Atelectasis
health visit, you auscultate crackles in the posterior
left lower lobe, have the patient cough, with follow-up
auscultation revealing clear breath sounds. Which one
of the following would you suspect?
8. 8. Gladys is a 72-year-old patient with a history of cold intolerance
anemia of chronic disease from kidney failure, dia-
betes mellitus, and hypothyroidism, presents today
with concerns her thyroid medication is not working
well enough. Her most recent labs reflect her TSH is
5.9 (normal range 0.5-5 uU/mL) and Free T4 is 0.3
ng/dL (normal range 0.8-2.8 ng/dL). Which one of the
following clinical signs and/or symptoms would you
expect a patient with these findings to present with?
9.
, NR667 CEA Final exam
Study online at https://quizlet.com/_jl887x
9. You are examining the mouth of a patient and ask cranial nerve XII (hy-
the patient to stick out their tongue and notice that poglossal nerve) lesion on
the tongue deviates by pointing to the left. Which one the left
of the following is the correct diagnosis of this finding?
10. 10. Your 31-year-old female patient states they are Enterococcus
experiencing lateral lower back pain and urinalysis
reveals bacteria in the urine, culture reveals gram
negative rods after 24 hours of growth. Which of the
following is least likely agent to cause her urinary tract
infection?
11. Marvin, your 47-year-old African American patient Lopressor
with a diagnosis of severe COPD and coronary artery
disease has been complaining of shortness of breath
and wheezing after initiation of a new medicine for
his coronary artery disease management. Given his
health history which of the following agents is consid-
ered the safest beta blocker for his CAD management?
12. Melissa, your 56-year-old Caucasian female patient Norvasc
presents with a health history of hypertension, mi-
graines, hyperlipidemia, seasonal depression and
obesity for a visit to establish care. She was without
any medical care for a long time and being newly
established to your clinic is prescribed aspirin 81 mg
daily, atorvastatin 40 mg daily, betide 10 mg daily,
lisinopril 20 mg daily, amlodipine 10 mg daily, and
Wellbutrin 300 mg daily as well as diet and exercise.
After the visit she calls your office nurse and states she
has been experiencing considerably lower extremity
edema and constipation since starting these med-
Study online at https://quizlet.com/_jl887x
1. 1. Your 18-year-old patient has recently been diag- glomerulonephritis
nosed with streptococcal infection and has been suc-
cessfully treated with an appropriate antimicrobial
agent. They have no other noteworthy health histo-
ry, chronic illness or medications on record. They are
complaining today of hematuria, RBC cast on urinal-
ysis with microscopy have been identified during this
visit. Based on this finding you can make the diagnosis
of which of the following?
2. 2. As a prudent nurse practitioner, the diabetic, hyper- urinalysis with micro and
tensive patients you are seeing should be evaluated micro albumin
for early evidence of renal damage from both diabetes
and hypertension. Which of the following assessment
tools should the nurse practitioner order first for eval-
uation of early renal dysfunction secondary to dia-
betes or hypertension?
3. 3. Your patient presents with a new onset rapid heart maintain rate control and
rate that is irregularly irregular, heart rate 100, BP anticoagulation prior to
120/74, respiration 16 non-labored and an SpO2 is rhythm conversion
99%. They state this has been going on for a week or
so intermittently, but for the past four days straight it
hasn't stopped. Your first priority intervention for this
patient is to do which of the following?
4. 4. As a prudent nurse practitioner, you know that a CD4 count of 500
28-year-old male patient with HIV would be consid-
ered well managed when they have which of the fol-
lowing in addition to having undetectable or very low
viral copies?
, NR667 CEA Final exam
Study online at https://quizlet.com/_jl887x
5. 5. Your patient has expressed concern about a skin Seborrheic keratosis
lesion which you identify as a darkened, round, and
raised lesion. This benign lesion that appears like
"stuck on" to the skin. Which of the following lesions
best fits this description?
6. 6. You are treating a patient who has stopped taking Anasarca
their diuretic regimen against medical advice while
they were on vacation since it made them urinate too
frequently for their plans. Now they are 21 pounds
heavier than their baseline weight, have respiratory
crackles in bilateral bases, and have severe general-
ized lower extremity and truncal edema extending to
the sacrum and abdomen. On your documentation,
this is referred to as which of the following conditions?
7. 7. While evaluating a patient in your clinic for a routine Atelectasis
health visit, you auscultate crackles in the posterior
left lower lobe, have the patient cough, with follow-up
auscultation revealing clear breath sounds. Which one
of the following would you suspect?
8. 8. Gladys is a 72-year-old patient with a history of cold intolerance
anemia of chronic disease from kidney failure, dia-
betes mellitus, and hypothyroidism, presents today
with concerns her thyroid medication is not working
well enough. Her most recent labs reflect her TSH is
5.9 (normal range 0.5-5 uU/mL) and Free T4 is 0.3
ng/dL (normal range 0.8-2.8 ng/dL). Which one of the
following clinical signs and/or symptoms would you
expect a patient with these findings to present with?
9.
, NR667 CEA Final exam
Study online at https://quizlet.com/_jl887x
9. You are examining the mouth of a patient and ask cranial nerve XII (hy-
the patient to stick out their tongue and notice that poglossal nerve) lesion on
the tongue deviates by pointing to the left. Which one the left
of the following is the correct diagnosis of this finding?
10. 10. Your 31-year-old female patient states they are Enterococcus
experiencing lateral lower back pain and urinalysis
reveals bacteria in the urine, culture reveals gram
negative rods after 24 hours of growth. Which of the
following is least likely agent to cause her urinary tract
infection?
11. Marvin, your 47-year-old African American patient Lopressor
with a diagnosis of severe COPD and coronary artery
disease has been complaining of shortness of breath
and wheezing after initiation of a new medicine for
his coronary artery disease management. Given his
health history which of the following agents is consid-
ered the safest beta blocker for his CAD management?
12. Melissa, your 56-year-old Caucasian female patient Norvasc
presents with a health history of hypertension, mi-
graines, hyperlipidemia, seasonal depression and
obesity for a visit to establish care. She was without
any medical care for a long time and being newly
established to your clinic is prescribed aspirin 81 mg
daily, atorvastatin 40 mg daily, betide 10 mg daily,
lisinopril 20 mg daily, amlodipine 10 mg daily, and
Wellbutrin 300 mg daily as well as diet and exercise.
After the visit she calls your office nurse and states she
has been experiencing considerably lower extremity
edema and constipation since starting these med-
