100% correct answers for a
guaranteed A+ pass
1 Marvin, your 47-year-old African American patient with a diagnosis of
severe COPD and coronary artery disease has been complaining of shortness
of breath and wheezing after initiation of a new medicine for his coronary
artery disease management. Given his health history which of the following
agents is considered the safest beta blocker for his CAD management?
Lopressor
2 Melissa, your 56-year-old Caucasian female patient presents with a health
history of hypertension, migraines, hyperlipidemia, seasonal depression and
obesity for a visit to establish care. She was without any medical care for a
long time and being newly established to your clinic is prescribed aspirin 81
mg daily, atorvastatin 40 mg daily, betide 10 mg daily, lisinopril 20 mg daily,
amlodipine 10 mg daily, and Wellbutrin 300 mg daily as well as diet and
exercise. After the visit she calls your office nurse and states she has been
experiencing considerably lower extremity edema and constipation since
starting these medicines after your visit. Which of the pharmacology agents
she is prescribed is most likely the common cause of the side effects?
Norvasc
3 Sarah, a 28-year-old female patient presented to your clinic with wheezing
and despite being treated with nebulized medication is not having any relief.
You believe she is experiencing status asthmaticus. As a prudent nurse
,practitioner, you recall that she may benefit from IM injection of which of the
following agents?
Terbutaline
4 Your 72-year-old female patient with a pertinent medical history of
coronary artery bypass graft and aortic valve replacement seven years ago
with a porcine bioprosthetic valve has been previously stable on their
medical regimen. Today she complains of near syncope when standing,
which she states has been getting worse over the past six months but failed
to tell anyone as she felt it was just part of natural aging and taking
medications. Your workup should include evaluation of which of the following
potential cardiac complications?
Bioprosthetic aortic valve stenosis
5 During a post hospital discharge visit you notice a 71-year-old female
patient has been diagnosed with a new murmur found by the hospitalist
during their recent hospitalization for CHF exacerbation. In evaluating the
patient during which phase of the cardiac cycle would you anticipate
auscultation of a S3 or S4 sound?
S3 in systole while S4 is diastole
6. Your 18-year-old patient has recently been diagnosed with streptococcal
infection and has been successfully treated with an appropriate antimicrobial
agent. They have no other noteworthy health history, chronic illness or
medications on record. They are complaining today of hematuria, RBC cast
on urinalysis with microscopy have been identified during this visit. Based on
this finding you can make the diagnosis of which of the following?
glomerulonephritis
, 7. As a prudent nurse practitioner, the diabetic, hypertensive patients you
are seeing should be evaluated for early evidence of renal damage from both
diabetes and hypertension. Which of the following assessment tools should
the nurse practitioner order first for evaluation of early renal dysfunction
secondary to diabetes or hypertension?
urinalysis with micro and micro albumin
8. Your patient presents with a new onset rapid heart rate that is irregularly
irregular, heart rate 100, BP 120/74, respiration 16 non-labored and an SpO2
is 99%. They state this has been going on for a week or so intermittently, but
for the past four days straight it hasn't stopped. Your first priority
intervention for this patient is to do which of the following?
maintain rate control and anticoagulation prior to rhythm conversion
9. As a prudent nurse practitioner, you know that a 28-year-old male patient
with HIV would be considered well managed when they have which of the
following in addition to having undetectable or very low viral copies?
CD4 count of 500
10. Your patient has expressed concern about a skin lesion which you identify
as a darkened, round, and raised lesion. This benign lesion that appears like
"stuck on" to the skin. Which of the following lesions best fits this
description?
Seborrheic keratosis