NSG6001 week 2 quiz
A 55 year old patient has a blood pressure of 138/85 on three occasions. The patient
denies headaches, palpitations, snoring, muscle weakness, and nocturia and does not
take any medications. What will the provider do next to evaluate this patient? - ANS -
Order urinalysis, CBC, BUN, and creatinine
A 70-year-old male patient has an aortic aneurysm measuring 5.0cm. The patient has
poorly-controlled hypertension, and decompensated heart failure. What is the
recommendation for treatment for this patient? - ANS - Serial ultrasongraphic
surveillance of the aneurysm
A 75 year old patient reports pain and a feeling of tiredness in both legs that only
relieves after sitting for 30 minutes or more. What does the provider suspect as the
cause for these symptoms? - ANS - Cauda equina syndrome
A child has recurrent impaction of cerumen in both ears and the parent asks what can
be done to help prevent this. What will the provider recommend? - ANS - Clean the
outer ear and canal with a soft cloth
A patient has a cardiac murmur that peaks in midsystole and is best heard along the left
sternal border. The provider determines that the murmur decrease in intensity when the
patient changes from standing to squatting and increases in intensity with Valsalva
maneuver. Which cause will the provider suspect for this murmur? - ANS -
Hypertrophic cardiomyopathy
A patient has a cough and fever and the provider auscultates rales in both lungs that do
not clear with cough. The patient reports having a headache and sore throat prior to the
onset of coughing. A chest radiograph shows patchy, nonhomogeneous infiltrates.
Based on these findings, which organism is the most likely cause of the patient's
pneumonia? - ANS - Mycoplasma
A patient has gingival inflammation with several areas of ulceration and a small amount
of purulent discharge. What is required to diagnose this condition? - ANS - Physical
examination
, A patient has painful oral lesions and the provider notes several white, verrucous
lesions in clusters throughout the mouth. What is the recommended treatment for this
patient? - ANS - surgical excision
A patient is brought to an emergency department with symptoms of acute ST-segment
elevation MI (STEMI). The nearest hospital that can perform percutaneous coronary
intervention (PCI) is 3 hours away. What is the initial treatment for this patient? - ANS -
Initiate fibrinolytic treatment
A patient is seen in clinic for an asthma exacerbation. The provider administers three
nebulizer treatments with little improvement, noting a pulse oximetry reading of 90%
with 2 L of oxygen. A peak flow assessment is 70%. What is the next step in treating
this patient? - ANS - Admit to the hospital with specialist consultation
A patient reports abdominal and back pain with anorexia and nausea. During an exam,
the provider notes a pulsatile abdominal mass. What is the initial action? - ANS -
Ultrasound of the mass to determine size
A patient reports persistent nasal blockage, nasal discharge, and facial pain lasting on
the right side for the past 4 months. There is no history of sneezing or eye involvement.
The patient has a history of seasonal allergies ant takes a non-sedating antihistamine.
What does the provider suspect is the cause of these symptoms? - ANS - Chronic
rhinosinusitis
A patient who has asthma call the provider to report having a peak flow measure of
75%, shortness of breath, wheezing, and cough, and tells the provider that the
symptoms have not improved significantly after a dose of albuterol. The patient uses an
inhaled corticoseroid medication twice daily. What will the provider recommend? - ANS
- Administering two more dose of albuterol
A patient who has been diagnosed with heart failure for over a year reports being
comfortable while at rest and experiences palpitaitons and dyspnea when walking tothe
bathroom. Which classification of heart failure is appropriate based on these
symptoms? - ANS - Class II
A patient who has class II heart failure is taking an ACE inhibitor and reports a recurrent
cough that does not interfere with sleep or activity. What will the provider do intitaly to
manage this patient? - ANS - Provide reassurance that this is a benign side effect
A 55 year old patient has a blood pressure of 138/85 on three occasions. The patient
denies headaches, palpitations, snoring, muscle weakness, and nocturia and does not
take any medications. What will the provider do next to evaluate this patient? - ANS -
Order urinalysis, CBC, BUN, and creatinine
A 70-year-old male patient has an aortic aneurysm measuring 5.0cm. The patient has
poorly-controlled hypertension, and decompensated heart failure. What is the
recommendation for treatment for this patient? - ANS - Serial ultrasongraphic
surveillance of the aneurysm
A 75 year old patient reports pain and a feeling of tiredness in both legs that only
relieves after sitting for 30 minutes or more. What does the provider suspect as the
cause for these symptoms? - ANS - Cauda equina syndrome
A child has recurrent impaction of cerumen in both ears and the parent asks what can
be done to help prevent this. What will the provider recommend? - ANS - Clean the
outer ear and canal with a soft cloth
A patient has a cardiac murmur that peaks in midsystole and is best heard along the left
sternal border. The provider determines that the murmur decrease in intensity when the
patient changes from standing to squatting and increases in intensity with Valsalva
maneuver. Which cause will the provider suspect for this murmur? - ANS -
Hypertrophic cardiomyopathy
A patient has a cough and fever and the provider auscultates rales in both lungs that do
not clear with cough. The patient reports having a headache and sore throat prior to the
onset of coughing. A chest radiograph shows patchy, nonhomogeneous infiltrates.
Based on these findings, which organism is the most likely cause of the patient's
pneumonia? - ANS - Mycoplasma
A patient has gingival inflammation with several areas of ulceration and a small amount
of purulent discharge. What is required to diagnose this condition? - ANS - Physical
examination
, A patient has painful oral lesions and the provider notes several white, verrucous
lesions in clusters throughout the mouth. What is the recommended treatment for this
patient? - ANS - surgical excision
A patient is brought to an emergency department with symptoms of acute ST-segment
elevation MI (STEMI). The nearest hospital that can perform percutaneous coronary
intervention (PCI) is 3 hours away. What is the initial treatment for this patient? - ANS -
Initiate fibrinolytic treatment
A patient is seen in clinic for an asthma exacerbation. The provider administers three
nebulizer treatments with little improvement, noting a pulse oximetry reading of 90%
with 2 L of oxygen. A peak flow assessment is 70%. What is the next step in treating
this patient? - ANS - Admit to the hospital with specialist consultation
A patient reports abdominal and back pain with anorexia and nausea. During an exam,
the provider notes a pulsatile abdominal mass. What is the initial action? - ANS -
Ultrasound of the mass to determine size
A patient reports persistent nasal blockage, nasal discharge, and facial pain lasting on
the right side for the past 4 months. There is no history of sneezing or eye involvement.
The patient has a history of seasonal allergies ant takes a non-sedating antihistamine.
What does the provider suspect is the cause of these symptoms? - ANS - Chronic
rhinosinusitis
A patient who has asthma call the provider to report having a peak flow measure of
75%, shortness of breath, wheezing, and cough, and tells the provider that the
symptoms have not improved significantly after a dose of albuterol. The patient uses an
inhaled corticoseroid medication twice daily. What will the provider recommend? - ANS
- Administering two more dose of albuterol
A patient who has been diagnosed with heart failure for over a year reports being
comfortable while at rest and experiences palpitaitons and dyspnea when walking tothe
bathroom. Which classification of heart failure is appropriate based on these
symptoms? - ANS - Class II
A patient who has class II heart failure is taking an ACE inhibitor and reports a recurrent
cough that does not interfere with sleep or activity. What will the provider do intitaly to
manage this patient? - ANS - Provide reassurance that this is a benign side effect
