When evaluating a 78- Examine the patient's ear canals
year-old man, the
PMHNP notices the
patient frequently leans
in with the right side of
his head and frequently
asks for things to be
repeated. His daughter
is very worried that he
has dementia or
depression because he
has also become
increasingly isolated, as
well as increasingly
irritable as he believes
people are yelling at him
out of frustration of not
being heard. The
daughter is tearful,
anxious, and frustrated.
What should the PMHNP
do first?
Order a CT scan of the
head
Separate the patient
from the daughter and
interview him alone
Examine the patient's
ear canals
Provide anticipatory
guidance regarding
aging parents to the
daughter
A 35-year-old man Explore the reason for not having had a physical in
diagnosed with bipolar so long
disorder mentions to his
PMHNP that he had felt
a lump on his left
testicle. He is concerned
he has not had a
physical exam in 10
years. What is the best
action by the PMHNP?
Explore the reason for
,not having had a
physical in so long
Refer him to his primary
care provider
Perform a urogenital
exam and order an
ultrasound
Refer him to urology
In observing the Watch and wait
appearance of the
patient with depression
and a history of systemic
lupus erythematosus,
the PMHNP notices a
lesion on the neck of the
patient about the size of
a pencil eraser, flush
with the skin, uniformly
colored, with discrete
borders, and consistent
texture. The PMHNP
should:
Refer the patient to
oncology
Watch and wait
Refer the patient to
rheumatology
Refer the patient to
dermatology
Which of the following The examiner palpates in the right upper
best represent the abdominal quadrant below the costal margin while
physical exam maneuver the patient breathes in. The test is positive if the
known as Murphy's examiner observes pain during inhalation.
sign?
Acute cholecystitis
While supine, ask the
patient to grasp her knee
while tucking 1 leg up to
the chest. A positive test
occurs when pain
, prohibits elevation of the
ipsilateral leg.
The examiner palpates
in the right upper
abdominal quadrant
below the costal margin
while the patient
breathes in. The test is
positive if the examiner
observes pain during
inhalation.
Press and palpate
deeply into the abdomen
and release quickly
observing for pain.
Ask the patient to bend
at the knees while
holding onto a rail,
observe for a loss of
balance.
What does the Murphy Cholecystitis
sign assess for
A 26-year-old man has EKG
been on an
antipsychotic. He
requires further titration
for control of symptoms.
Which of the following
tests should be
repeated?
EKG
Head CT scan
Liver function test
Urinalysis
Your client Jamie asks All of the above
you about a mole of her
forearm. You refer her to
dermatology. As an
APRN, you recognize
that cancerous moles
year-old man, the
PMHNP notices the
patient frequently leans
in with the right side of
his head and frequently
asks for things to be
repeated. His daughter
is very worried that he
has dementia or
depression because he
has also become
increasingly isolated, as
well as increasingly
irritable as he believes
people are yelling at him
out of frustration of not
being heard. The
daughter is tearful,
anxious, and frustrated.
What should the PMHNP
do first?
Order a CT scan of the
head
Separate the patient
from the daughter and
interview him alone
Examine the patient's
ear canals
Provide anticipatory
guidance regarding
aging parents to the
daughter
A 35-year-old man Explore the reason for not having had a physical in
diagnosed with bipolar so long
disorder mentions to his
PMHNP that he had felt
a lump on his left
testicle. He is concerned
he has not had a
physical exam in 10
years. What is the best
action by the PMHNP?
Explore the reason for
,not having had a
physical in so long
Refer him to his primary
care provider
Perform a urogenital
exam and order an
ultrasound
Refer him to urology
In observing the Watch and wait
appearance of the
patient with depression
and a history of systemic
lupus erythematosus,
the PMHNP notices a
lesion on the neck of the
patient about the size of
a pencil eraser, flush
with the skin, uniformly
colored, with discrete
borders, and consistent
texture. The PMHNP
should:
Refer the patient to
oncology
Watch and wait
Refer the patient to
rheumatology
Refer the patient to
dermatology
Which of the following The examiner palpates in the right upper
best represent the abdominal quadrant below the costal margin while
physical exam maneuver the patient breathes in. The test is positive if the
known as Murphy's examiner observes pain during inhalation.
sign?
Acute cholecystitis
While supine, ask the
patient to grasp her knee
while tucking 1 leg up to
the chest. A positive test
occurs when pain
, prohibits elevation of the
ipsilateral leg.
The examiner palpates
in the right upper
abdominal quadrant
below the costal margin
while the patient
breathes in. The test is
positive if the examiner
observes pain during
inhalation.
Press and palpate
deeply into the abdomen
and release quickly
observing for pain.
Ask the patient to bend
at the knees while
holding onto a rail,
observe for a loss of
balance.
What does the Murphy Cholecystitis
sign assess for
A 26-year-old man has EKG
been on an
antipsychotic. He
requires further titration
for control of symptoms.
Which of the following
tests should be
repeated?
EKG
Head CT scan
Liver function test
Urinalysis
Your client Jamie asks All of the above
you about a mole of her
forearm. You refer her to
dermatology. As an
APRN, you recognize
that cancerous moles
