WITH DETAILED EXPLANATIONS 2026
◉ A 28-year-old female is being evaluated for an acute onset of an
alteration in mentation. She complained of a stiff neck and persistent
headache. Vital signs are P 112, R 22 and regular, BP 144/88, SpO2
95%, and T 102.3°F (39°C). The healthcare provider should observe
for which complication?
Answer: Seizure
◉ Patients with a history of chronic bronchitis that present with
shortness of breath are likely to have which condition?
Answer: Pulmonary embolism
◉ What is the sign on the ECG that will indicate a patient is
experiencing hyperkalemia?
Answer: Peaked T waves
◉ Clinical reasoning requires the healthcare provider to:
Answer: Process relevant information, filter out irrelevant
information.
, ◉ A 24-year-old has completed a triathlon on a hot, humid day. The
athlete complains of a severe headache, muscle cramps, and
abdominal pain. As the patient history is obtained, the athlete
becomes lethargic. What underlying electrolyte disturbance should
the healthcare provider most likely suspect?
Answer: Hypocalcemia
◉ A patient with a history of Graves' disease presents with anxiety,
perfuse sweating, and a palpable goiter. Vitals are P 151, R 35 and
labored, BP 84/42. Which working diagnosis is most likely?
Answer: Thyrotoxicosis
◉ What component of a patient's past medical history is most
helpful in considering myocardial infarction as a working diagnosis?
Answer: Familial heart disease history
◉ Which component of the history is most crucial when assessing a
potential stroke patient?
Answer: Time of onset
◉ A patient has attempted suicide by ingesting ethylene glycol about
20 hours prior to arriving for treatment. Lung sounds reveal
bilateral crackles and respirations of 30 with symptoms of
pulmonary edema and cyanosis of the lips. The ECG reveals