Final exam nov 15, 2021 NRNP 6531 QUESTION AND ANSWER 2023/2024

An 80-year-old man with hypertension and hyperlipidemia presents with complaints of the rapid onset of severe low-back pain accompanied by abdominal pain that is gradually worsening. The patient appears pale and complains that he does not feel well. During the abdominal exam, the nurse practitioner detects a soft pulsatile mass just above the umbilicus as she palpates this area with her hand. Which of the following conditions is most likely? - ANSWERAbdominal aortic aneurysm Which of the following laboratory test is sensitive for evaluating the renal function - ANSWEREstimated glomerular filtration rate (eGFR) Which of the following groups has been recommended to be screened for thyroid disease? - ANSWERWomen aged 50 years or older All of the following patients should be screened for diabetes mellitus except: - ANSWERA 30-year-old White man with hypertension A 40-year-old White woman with a body mass index (BMI) of 32 complains of colicky pain in the right upper quadrant of her abdomen that gets worse if she eats fried food. During the physical exam, the nurse practitioner presses deeply on the left lower quadrant of the abdomen and the patient complains of pain on the right side of the lower abdomen. What is the name of this finding? - ANSWERRovsing's sign Which of the following symptoms characterize this disorder? - ANSWER1.Ritualistic behaviors that the patient feels compelled to repeat. 2. increased axiety when attempting to ignore or suppress the repetitive behaviors. ent intrusive and repetive thoughts and impluses All the above Which of the following medications is indicated for the treatment of obsessive-compulsive disorder? - ANSWERParoxetine (paxil CR) Which of the following conditions is most likely? - ANSWERInjury to the meniscus of the right knee Which of the following actions is the best course for patient? - ANSWERRefer him to an orthopedic specialist The patient's symptoms are highly suggestive of what condition? - ANSWER A 55-year-old male patient describes an episode of chest tightness in his substernal area that radiated to his back while he was jogging. It was relieved immediately when he stopped. - ANSWERAngina pectoris A 55-year-old male patient describes an episode of chest tightness in his substernal area that radiated to his back while he was jogging. It was relieved immediately when he stopped. Which of the following would you recommend to this 55-year-old patient? - ANSWERConsult ith a cardiologist for further evaluation A faun tail nevus is a sign of which of the following? - ANSWERSpina bifida A new mother is planning to breastfeed her newborn infant for at least 6 months. She wants to know whether she should give the infant vitamins. Which of the following vitamin supplements is recommended by the American Academy of Pediatrics (APA) during the first few days of life? - ANSWERVit D drops An asthmatic exacerbation is characterized by all of the following symptoms except: - ANSWERChronic coughing A 76-year-old woman reports that for the previous 4 months, she has noticed severe stiffness and aching in her neck and both shoulders and hips that is worsened by movement. She reports having a difficult time getting out of bed because of the severe stiffness and pain. It is difficult for her to put on a jacket or blouse or to fasten her bra. Along with these symptoms, she also has a low-grade fever, fatigue, loss of appetite, and weight loss. Starting yesterday, the vision in her right eye has progressively worsened. She has annual eye exams and denies that she has glaucoma. Which of the following conditions is most likely? - ANSWERPolymyalogia rheumatic (PMR) A 28-year-old woman with a history of hypothyroidism presents to an urgent care clinic complaining of numbness and tingling in the fingertips of both her hands for several hours. On examination, both radial pulses are at +2 and equal bilaterally. The patient reports that over the past few months she has had identical episodes, each lasting several hours. During these episodes, the skin changes color from blue to white, and then to dark red. Eventually, it returns to normal and the tingling and numbness disappear. Which of the following conditions is best described? - ANSWERRaynaud's phenomenon A fracture on the navicular area of the wrist is usually caused by falling forward and landing on the hands. The affected wrist is hyperextended to break the fall. The nurse practitioner is aware that all of the following statements are true regarding a fracture of the scaphoid bone of the wrist except: - ANSWERThese fractures always require surgical intervention to stabilize the joint Glucosamine sulfate is a natural supplement that is used for which of the following conditions? -