NRNP 6531 Final Exam 2023 ~
WALDEN UNIVERSITY
An 80-year-old man with hypertension and hyperlipidemia presents with complaints of the rapid onset of severe low-back pain accompanied by abdominal pain that is gradually worsening. The patient appears pale and complains that he does not feel well. During the abdominal exam, the nurse practitioner detects a soft pulsatile mass just above the umbilicus as she palpates this area with her hand. Which of the following conditions is most likely? Correct Answer Abdominal aortic aneurysm
Which of the following laboratory test is sensitive for evaluating the renal function Correct Answer Estimated glomerular filtration rate (eGFR)
Which of the following groups has been recommended to be screened for thyroid disease? Correct Answer Women aged 50 years or older
All of the following patients should be screened for diabetes mellitus
except: Correct Answer A 30-year-old White man with hypertension
A 40-year-old White woman with a body mass index (BMI) of 32 complains of colicky pain in the right upper quadrant of her abdomen that gets worse if she eats fried food. During the physical exam, the nurse practitioner presses deeply on the left lower quadrant of the abdomen and the patient complains of pain on the right side of the lower abdomen. What is the name of this finding? Correct Answer Rovsing's sign
Which of the following symptoms characterize this disorder? Correct Answer 1.Ritualistic behaviors that the patient feels compelled to repeat.
- increased axiety when attempting to ignore or suppress the repetitive
behaviors.
3.frequent intrusive and repetive thoughts and impluses All the above
Which of the following medications is indicated for the treatment of obsessive-compulsive disorder? Correct Answer Paroxetine (paxil
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Which of the following conditions is most likely? Correct Answer Injury to the meniscus of the right knee
Which of the following actions is the best course for patient? Correct Answer Refer him to an orthopedic specialist
The patient's symptoms are highly suggestive of what condition?Correct Answer
A 55-year-old male patient describes an episode of chest tightness in his substernal area that radiated to his back while he was jogging. It was relieved immediately when he stopped. Correct Answer Angina pectoris
A 55-year-old male patient describes an episode of chest tightness in his substernal area that radiated to his back while he was jogging. It was relieved immediately when he stopped.Which of the following would you recommend to this 55-year-old patient?Correct Answer Consult ith a cardiologist for further evaluation
A faun tail nevus is a sign of which of the following? Correct Answer Spina bifida
A new mother is planning to breastfeed her newborn infant for at least 6 months. She wants to know whether she should give the infant vitamins.Which of the following vitamin supplements is recommended by the American Academy of Pediatrics (APA) during the first few days of life?Correct Answer Vit D drops
An asthmatic exacerbation is characterized by all of the following
symptoms except: Correct Answer Chronic coughing
A 76-year-old woman reports that for the previous 4 months, she has noticed severe stiffness and aching in her neck and both shoulders and hips that is worsened by movement. She reports having a difficult time getting out of bed because of the severe stiffness and pain. It is difficult for her to put on a jacket or blouse or to fasten her bra. Along with these symptoms, she also has a low-grade fever, fatigue, loss of appetite, and weight loss. Starting yesterday, the vision in her right eye has progressively worsened. She has annual eye exams and denies that she has glaucoma. Which of the following conditions is most likely? Correct Answer Polymyalogia rheumatic (PMR)
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