ANSWERS
The nurse practitioner is assessing a 12-week pregnant female who presents to the clinic with
continuing nausea and vomiting. The patient has not used any therapies for her symptoms. The
patient usually vomits once in the morning and once at night. She is able to eat and drink
throughout the day without vomiting. The nurse practitioner orders:
Vitamin B6 25mg PO every 8 hours prn
The most common sign of cervical cancer is:
A. molluscum contagiosum.
B. itching in the vaginal area.
C. postcoital bleeding.
D. strong odor from vaginal discharge.
C
The patient is exhibiting a productive cough and a low-grade fever. Chest X-ray on PA view
shows a left lower chest area of consolidation adjacent to the left border of the heart
approximately 2 rib spaces above the costophrenic angle. The lateral x-ray view shows this
lesion absent of the window posterior to the cardiac silhouette. Which is the most likely location
of this area of focal consolidation?
A. Left upper lobe lingula
B. Left upper lobe apex
C. Left lower lobe
,D. Right middle lobe
A
An adult male presents for re-evaluation of his asthma control. Last month, his asthma regimen
was increased to a low dose inhaled corticosteroid and short acting beta agonist as needed. He
states that he uses his rescue inhaler one time a week and has awoken with asthma symptoms
once in the last month. His peak flow is in the green zone. The most appropriate plan for this
patient is to:
continue on current therapy
A 65-year-old man with a history of chronic obstructive pulmonary disease (COPD) presents
with increased shortness of breath, wheezing, and a productive cough. On auscultation, you
hear decreased breath sounds and wheezes. What is the most appropriate initial management?
A. Short-acting beta-agonists
B. Inhaled corticosteroids
C. Antibiotics
D. Oral corticosteroid
A
Which type of pneumothorax puts pressure on the mediastinum and shifts the heart and
collapses the inferior vena cava?
A. Tension pneumothorax
B. Hemopneumothorax
,C. Spontaneous pneumothorax
D. Simple pneumothorax
A
A 40-year-old man presents with chronic cough, night sweats, and unintentional weight loss. He
has a history of recent travel to a country with a high prevalence of tuberculosis. On physical
examination, he has dullness to percussion and decreased breath sounds in the right upper
lobe. What is the most appropriate initial test to confirm the diagnosis?
A. Sputum culture for acid-fast bacilli
B. Chest X-ray
C. CT scan of the chest
D. Pulmonary function tests
A
A geriatric female presents with 48 hours of regional burning pain on the right side of the ribs.
The nurse practitioner starts drug treatment with:
A. Acyclovir (Zovirax)
B. Gabapentin (Neurontin)
C. Carbamazepine (Tegretol)
D. Naproxin (Naprosyn
A
, Your patient with a family history of lung disease presents to urgent care with a diagnosis of
shortness of breath. Which screening test is commonly used to evaluate the lung for nodules?
A. Low dose screening CT
B. CT with contrast
C. Thoracic ultrasound
D. CA-125
A
A patient with acute hyperventilation is at risk for which of the following acid base
derangements?
A. Respiratory alkalosis
B. Respiratory acidosis
C. Metabolic alkalosis
D. Metabolic acidosis
A
Your patient who has undergone right upper lobectomy for stage II adenocarcinoma does not
have any nodes positive for metastasis on pathology. Which of the following stages is ruled out
by the absence of positive lymph nodes?
A. Stage III
B. Stage I
C. Stage II