NSG 6001 Week 4
A 15- year old client comes in with acute abdominal pain. When taking his history the nurse
practitioner finds that he fell off his bike this morning and has vomited. Upon closer examination
the NP determines his pain is localized to the left groin and testicle. He is afebrile and reports no
dysuria. The most likely differential diagnosis is: - ANS - Testicular torsin
A 63-year old presents to you with hematuria, hesitancy and dribbling. Digital rectal examination
(DRE) reveals a moderately enlarged prostate that is smooth. The client's prostate specific
antigen (PSA) is 1.2. What is the most appropriate management strategy for the provider to
follow at this time? - ANS - Prescribe and alpha adrenergic blocker
A 70 year old male reports urinary hesitancy, post void dribbling, and a diminished urine stream.
A digital rectal exam reveals an enlarged prostate gland that feels rubbery and smooth. Which
tests will the primary care provider order based on these findings? - ANS - Urinalysis and
serum creatinine
A client is pregnant and has been taking the same levothyroxine medication for years. What
might the provider expect to do with the levothyroxine medication? - ANS - Increase the
dosage while pregnant
A high school athlete is brought to the emergency department after collapsing during outdoor
practice on a hot day. The patient is weak, irritable, and confused. Serum NA is 152 mEq/ml and
has dry mucous membranes and tachycardia. What is the initial approach for rehydration in this
patient? - ANS - Intravenous fluid resuscitation with an isotonic solution.
A male patient reports nocturia and daytime urinary frequency and urgency without changes in
the force of the urine stream. What is the likely cause of this? - ANS - UTI
A patient exhibits visual field defect, ataxia, and dysarthria and complains of a mild headache. A
family member reports that the symptoms began several hours prior. An examination reveals
normal range of motion in the neck. What type of cerebrovascular event is most likely. - ANS -
Ischemic stroke.
A patient has recurrent cluster headaches and asks about abortive therapy. Which therapy is
effective for the majority of patients with cluster headaches. - ANS - Oxygen
A patient has thyroid nodules and the provider suspects thyroid cancer. To evaluate thyroid
nodules for potential malignancy, which test is performed? - ANS - Thyroid ultrasound.
A 15- year old client comes in with acute abdominal pain. When taking his history the nurse
practitioner finds that he fell off his bike this morning and has vomited. Upon closer examination
the NP determines his pain is localized to the left groin and testicle. He is afebrile and reports no
dysuria. The most likely differential diagnosis is: - ANS - Testicular torsin
A 63-year old presents to you with hematuria, hesitancy and dribbling. Digital rectal examination
(DRE) reveals a moderately enlarged prostate that is smooth. The client's prostate specific
antigen (PSA) is 1.2. What is the most appropriate management strategy for the provider to
follow at this time? - ANS - Prescribe and alpha adrenergic blocker
A 70 year old male reports urinary hesitancy, post void dribbling, and a diminished urine stream.
A digital rectal exam reveals an enlarged prostate gland that feels rubbery and smooth. Which
tests will the primary care provider order based on these findings? - ANS - Urinalysis and
serum creatinine
A client is pregnant and has been taking the same levothyroxine medication for years. What
might the provider expect to do with the levothyroxine medication? - ANS - Increase the
dosage while pregnant
A high school athlete is brought to the emergency department after collapsing during outdoor
practice on a hot day. The patient is weak, irritable, and confused. Serum NA is 152 mEq/ml and
has dry mucous membranes and tachycardia. What is the initial approach for rehydration in this
patient? - ANS - Intravenous fluid resuscitation with an isotonic solution.
A male patient reports nocturia and daytime urinary frequency and urgency without changes in
the force of the urine stream. What is the likely cause of this? - ANS - UTI
A patient exhibits visual field defect, ataxia, and dysarthria and complains of a mild headache. A
family member reports that the symptoms began several hours prior. An examination reveals
normal range of motion in the neck. What type of cerebrovascular event is most likely. - ANS -
Ischemic stroke.
A patient has recurrent cluster headaches and asks about abortive therapy. Which therapy is
effective for the majority of patients with cluster headaches. - ANS - Oxygen
A patient has thyroid nodules and the provider suspects thyroid cancer. To evaluate thyroid
nodules for potential malignancy, which test is performed? - ANS - Thyroid ultrasound.
