NR507 Midterm, NR 507 Final Exam
Questions and Answers
A 21-year-old patient reports to the primary care clinic complaining of
urinary urgency, frequency and burning. She also reports a small
amount of vaginal discharge that contains an odor. It is likely that the
NP will perform a vaginal exam at this visit. - ANSWER-true
.A 25 year- old female presents to the primary care office with urinary
burning and frequency for the last 3 days. She denies any fever, chills,
back pain. Her gynecological history is negative and reports no vaginal
discharge. The only new information reported is that she recently had
sexual intercourse with a new male partner.
The NP obtains a urinalysis and determines that the urine contains
leukocytes, RBCs, nitrites, and WBCs. No casts are identified. Based on
symptom presentation and UA results, the patient can be diagnosed
with: - ANSWER-cystitis
.A 42-year-old female presents to the primary care clinic with a three-
month history of "feeling low", poor energy, inability to concentrate
and irritability. She is concerned about her loss of interest in her usual
social activities of walking with her friends and participating in her
sewing group. She is especially concerned about her recent 15-pound
,weight gain. Other reported symptoms are frequent headaches,
difficulty getting out of bed in the morning, and feeling worthless. She
denies suicide ideation. She reports a family history of depression
(mother and sister) and denies any consumption of drugs and alcohol.
She is divorced and has a grown son who lives approximately one hour
away but rarely sees because of his work schedule. The patient is
interested in knowing if her symptoms are related to depression.
Upon initial evaluation, the NP considers if the patient meets the
criteria for MDD by consulting the DS - ANSWER-Depressed mood
Fatigue/loss of energy
Loss of interest/Anhedonia
Feeling worthless or having excessive guilt
Insomnia or hypersomnia
Poor concentration
Recurrent thoughts of death, suicide, a suicide plan or attempt
Psychomotor agitation or retardation
.A 45-year-old male presents to the primary care office with right flank
pain that he describes as unremitting; he also reports nausea and
vomiting. The NP performs an exam and observes him writhing in pain
on the exam table with the inability to find a comfortable position. He is
afebrile, BP 156/88 mmHg and HR 106/min. Right flank is mildly tender
on palpation. Abdominal exam is negative for any abnormality. A
urinalysis was performed and revealed 1+ blood. Urine microscopy also
revealed 10-20 RBCs per high-power field (hpf). A kidney stone is
suspected. The patient reports no prior history of a kidney stone. After
providing the patient an analgesic, where the patient reported mild
,relief, the NP had the patient transferred to the emergency room for
intravenous fluids, pain management and further work-up for the
kidney stone. Upon follow-up in the office a week later, the patient
reported that he was diagnosed with - ANSWER-adequate hydration
balanced diet
.A 54-year-old female reports to the primary care office with
complaints of frequent urination. She reports that she is "leaking" urine
several times a day, especially when she coughs, sneezes, or lifts a
heavy object. She indicates that she has not experienced any dysuria or
any urgency. The NP looked at the patient's previous urine culture
obtained approximately 1 month ago and determined that it was
negative. Other than her urinary complaints, she is in otherwise good
health. BP 128/76; HR 78 bpm; T 98.6; Ht. 5'4"; Wt: 180lbs.; BMI 30.9.
The NP performs a physical exam and all findings are normal. The
urinalysis obtained was negative as well.
Based on patient's symptoms and negative physical exam, she has a
typical
1. blank.
The leaking occurs when the abdominal pressure increases during
coughing, sneezing, and lifting. We can rule out urge incontinence
because the denied urgency with her urination. We could not -
ANSWER-1. stress incontinence
2. stress incontinence
.A common event during Cellular reproduction resulting in the Constant
occurrence of isolated Cancer cells - ANSWER-Cell transformation
, .A common organism that causes a urinary tract infection include: -
ANSWER-Staphylococcus saprophyticus.
E coli
.A deficiency of intrinsic factor will result in - ANSWER-Pernicious
anemia
.A lung volume measurement that indicates air trapping in a COPD
patient is : - ANSWER-Increase residual volume
.A mood disorder is a mental illness that causes the individual to have
dramatic shifts in emotions, mood and energy levels. - ANSWER-true
.A non - megaloblastic anemia would be caused by - ANSWER-Liver
disease
.A panic attack involves a very stressful situation where the individual
develops an intense fear that something bad will happen. - ANSWER-
true
.A patient with chronic bronchitis is at risk for developing pneumonia
due to : - ANSWER-Mucus plugs
Questions and Answers
A 21-year-old patient reports to the primary care clinic complaining of
urinary urgency, frequency and burning. She also reports a small
amount of vaginal discharge that contains an odor. It is likely that the
NP will perform a vaginal exam at this visit. - ANSWER-true
.A 25 year- old female presents to the primary care office with urinary
burning and frequency for the last 3 days. She denies any fever, chills,
back pain. Her gynecological history is negative and reports no vaginal
discharge. The only new information reported is that she recently had
sexual intercourse with a new male partner.
The NP obtains a urinalysis and determines that the urine contains
leukocytes, RBCs, nitrites, and WBCs. No casts are identified. Based on
symptom presentation and UA results, the patient can be diagnosed
with: - ANSWER-cystitis
.A 42-year-old female presents to the primary care clinic with a three-
month history of "feeling low", poor energy, inability to concentrate
and irritability. She is concerned about her loss of interest in her usual
social activities of walking with her friends and participating in her
sewing group. She is especially concerned about her recent 15-pound
,weight gain. Other reported symptoms are frequent headaches,
difficulty getting out of bed in the morning, and feeling worthless. She
denies suicide ideation. She reports a family history of depression
(mother and sister) and denies any consumption of drugs and alcohol.
She is divorced and has a grown son who lives approximately one hour
away but rarely sees because of his work schedule. The patient is
interested in knowing if her symptoms are related to depression.
Upon initial evaluation, the NP considers if the patient meets the
criteria for MDD by consulting the DS - ANSWER-Depressed mood
Fatigue/loss of energy
Loss of interest/Anhedonia
Feeling worthless or having excessive guilt
Insomnia or hypersomnia
Poor concentration
Recurrent thoughts of death, suicide, a suicide plan or attempt
Psychomotor agitation or retardation
.A 45-year-old male presents to the primary care office with right flank
pain that he describes as unremitting; he also reports nausea and
vomiting. The NP performs an exam and observes him writhing in pain
on the exam table with the inability to find a comfortable position. He is
afebrile, BP 156/88 mmHg and HR 106/min. Right flank is mildly tender
on palpation. Abdominal exam is negative for any abnormality. A
urinalysis was performed and revealed 1+ blood. Urine microscopy also
revealed 10-20 RBCs per high-power field (hpf). A kidney stone is
suspected. The patient reports no prior history of a kidney stone. After
providing the patient an analgesic, where the patient reported mild
,relief, the NP had the patient transferred to the emergency room for
intravenous fluids, pain management and further work-up for the
kidney stone. Upon follow-up in the office a week later, the patient
reported that he was diagnosed with - ANSWER-adequate hydration
balanced diet
.A 54-year-old female reports to the primary care office with
complaints of frequent urination. She reports that she is "leaking" urine
several times a day, especially when she coughs, sneezes, or lifts a
heavy object. She indicates that she has not experienced any dysuria or
any urgency. The NP looked at the patient's previous urine culture
obtained approximately 1 month ago and determined that it was
negative. Other than her urinary complaints, she is in otherwise good
health. BP 128/76; HR 78 bpm; T 98.6; Ht. 5'4"; Wt: 180lbs.; BMI 30.9.
The NP performs a physical exam and all findings are normal. The
urinalysis obtained was negative as well.
Based on patient's symptoms and negative physical exam, she has a
typical
1. blank.
The leaking occurs when the abdominal pressure increases during
coughing, sneezing, and lifting. We can rule out urge incontinence
because the denied urgency with her urination. We could not -
ANSWER-1. stress incontinence
2. stress incontinence
.A common event during Cellular reproduction resulting in the Constant
occurrence of isolated Cancer cells - ANSWER-Cell transformation
, .A common organism that causes a urinary tract infection include: -
ANSWER-Staphylococcus saprophyticus.
E coli
.A deficiency of intrinsic factor will result in - ANSWER-Pernicious
anemia
.A lung volume measurement that indicates air trapping in a COPD
patient is : - ANSWER-Increase residual volume
.A mood disorder is a mental illness that causes the individual to have
dramatic shifts in emotions, mood and energy levels. - ANSWER-true
.A non - megaloblastic anemia would be caused by - ANSWER-Liver
disease
.A panic attack involves a very stressful situation where the individual
develops an intense fear that something bad will happen. - ANSWER-
true
.A patient with chronic bronchitis is at risk for developing pneumonia
due to : - ANSWER-Mucus plugs
