Update) FNP Capstone Practicum
and Intensive | Questions with Verified Answers|
100% Correct | Grade A – Chamberlain.
Question:
Marvin, your 47-year-old African American patient with a diagnosis of
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severe COPD and coronary artery disease has been complaining of
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shortness of breath and wheezing after initiation of a new medicine for his
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coronary artery disease management. Given his health history which of
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the following agents is considered the safest beta blocker for his CAD
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management??
Answer:
Lopressor
Question:
Melissa, your 56-year-old Caucasian female patient presents with a health
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history of hypertension, migraines, hyperlipidemia, seasonal depression
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and obesity for a visit to establish care. She was without any medical care
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for a long time and being newly established to your clinic is prescribed
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aspirin 81 mg daily, atorvastatin 40 mg daily, betide 10 mg daily, lisinopril
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20 mg daily, amlodipine 10 mg daily, and Wellbutrin 300 mg daily as well
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as diet and exercise. After the visit she calls your office nurse and states
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she has been experiencing considerably lower extremity edema and
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,constipation since starting these medicines after your visit. Which of the
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pharmacology agents she is prescribed is most likely the common cause
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of the side effects??
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Answer:
Norvasc
Question:
Sarah, a 28-year-old female patient presented to your clinic with wheezing
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and despite being treated with nebulized medication is not having any
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relief. You believe she is experiencing status asthmaticus. As a prudent
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nurse practitioner, you recall that she may benefit from IM injection of
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which of the following agents??
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Answer:
Terbutaline
Question:
Your 72-year-old female patient with a pertinent medical history of
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coronary artery bypass graft and aortic valve replacement seven years ago
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with a porcine bioprosthetic valve has been previously stable on their
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medical regimen. Today she complains of near syncope when standing,
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which she states has been getting worse over the past six months but
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failed to tell anyone as she felt it was just part of natural aging and taking
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medications. Your workup should include evaluation of which of the
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following potential cardiac complications??
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Answer:
,Bioprosthetic aortic valve stenosis i,- i,- i,-
Question:
During a post hospital discharge visit you notice a 71-year-old female
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patient has been diagnosed with a new murmur found by the hospitalist
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during their recent hospitalization for CHF exacerbation. In evaluating the
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patient during which phase of the cardiac cycle would you anticipate
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auscultation of a S3 or S4 sound?? i,- i,- i,- i,- i,- i,-
Answer:
S3 in systole while S4 is diastole
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Question:
While assessing the 19-year-old patient for a new onset cough the nurse
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practitioner may inspect, auscultate, palpate and/or percuss. How does
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performing percussion of the thoracic assist the provider in doing the
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physical examination?? i,-
Answer:
To identify if underlying tissue are air filled, fluid filled or consolidated
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Question:
While examining a 53-year-old female patient you auscultate abnormal
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breath sounds over all fields and now assess transmission of voice sounds
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, by having the patient say "EE" while auscultating the chest with the
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diaphragm of your stethoscope. Normally you should hear a muffled "E"
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sound, however you heard a nasally "A" sound. What will you document is
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present??
Answer:
Positive egophony i,-
Question:
Your patient with a suspected diagnosis of COPD has been seen by
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pulmonology and has undergone a pulmonary function test with i,- i,- i,- i,- i,- i,- i,- i,- i,-
spirometry. As the patient's primary health care provider you have been
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asked to explain the findings of the PFT to the patient in a follow-up visit.
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The patient asks what the study was evaluating. Please describe the
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pulmonary function test to the patient and more useful terms. You state
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that the large inspiration of air to the furthest extent they could
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reasonably accomplish followed by a full exhalation is referred to as which
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of the following measurements during the PFT??
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Answer:
Forced vital capacity i,- i,-
Question:
Your newly established patient states in the past year they have
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progressively developed a noticeable bump on their neck and when asked
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about symptoms they report feeling very anxious, have developed a
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tremor and are commonly feeling palpitations in their chest. On
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