FINAL EXAM , 2024/2025 NRNP 6531 EXAM QUESTION AND ANSWER UPDATED 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 pa

FINAL EXAM , 2024/2025 NRNP 6531 EXAM QUESTION AND ANSWER UPDATED 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? ANSWER - Abdominal aortic aneurysm Which of the following laboratory test is sensitive for evaluating the renal function ANSWER - Estimated glomerular filtration rate (eGFR) Which of the following groups has been recommended to be screened for thyroid disease? ANSWER - Women aged 50 years or older All of the following patients should be screened for diabetes mellitus except: ANSWER - A 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? ANSWER - Rovsing's sign ESTUDY Which of the following symptoms characterize this disorder? ANSWER - 1.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? ANSWER - Paroxetine (paxil CR) Which of the following conditions is most likely? ANSWER - Injury to the meniscus of the right knee Which of the following actions is the best course for patient? ANSWER - Refer 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. ESTUDY ANSWER - Angina 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? ANSWER - Consult ith a cardiologist for further evaluation A faun tail nevus is a sign of which of the following? ANSWER - Spina 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? ANSWER - Vit D drops An asthmatic exacerbation is characterized by all of the following symptoms except: ANSWER - Chronic 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