MIDTERM
EXAM
QUESTIONS
AND ANSWERS
I. A 60-year-old woman presents with a chief complaint of uncomfortable breathing
on exertion. She has had a minimally productive cough for several years that does
not bother her. On further questioning, she states that her breathing gets much
worse when she lies down. The most likely cause of her dyspnea is:
Cardiac
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MIDTERM
EXAM
QUESTIONS
AND ANSWERS
II. A 68-year-old male presents with a chief complaint of episodes of lightheadedness
or dizziness. He states that sweating, tachycardia, and some hand trembling are
often associated with these episodes. Which one of the following questions should
you ask to help confirm the diagnosis?
Are these symptoms related to eating?
III. A 68-year-old male presents with a chief complaint of episodic dizziness. Although
not dizzy at present, he states that he has noted onset of dizzy episodes when he
rolls over in bed and occasionally when he turns his head rapidly. Episodes last
about 3 minutes. The most likely diagnosis is:
Benign positional vertigo
IV. A 75-year old resident in the nursing home has end stage dementia and experiences
a 10- pound weight loss over the course of 2 months. The resident has become
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MIDTERM
EXAM
QUESTIONS
AND ANSWERS
increasingly difficult to feed and often spits out food, pockets food, and frequently
drools. The family is concerned about the resident's nutritional status. What is the
initial action of the nurse practitioner?