27 Dec A nurse practitioner diagnoses
When completing this quiz, did you comply with Walden University’s Code of Conduct including the expectations for academic integrity?
Your patient has an elevated mean cell volume (MCV). What should you be considering in terms of diagnosis?
A patient presenting for an annual physical exam has a BMI of 25 kg/m2 This patient would be classified as:
The most effective intervention(s) to prevent stroke is (are):
Which of the following physical modalities recommended for treatment of rheumatoid arthritis provides the most effective long term pain relief?
An 81-year-old female is diagnosed with type 2 diabetes. When considering drug therapy for this patient, the nurse practitioner is most concerned with which of the following side effects?
Martin is complaining of erectile dysfunction. He also has a condition that has reduced arterial blood flow to his penis. The most common cause of this condition is:
Prolonged PT suggests:
Diagnostic radiological studies are indicated for low back pain:
An elderly man is started on lisinopril and hydrochlorhiazide for hypertension. Three days later, he returns to the office complaining of left great toe pain. On exam, the nurse practitioner notes an edematous, erythematous tender left great toe. The likely precipitant of this patient’s pain is:
Which of the following is not a risk factor associated with the development of syndrome X and type 2 diabetes mellitus?
Maria, age 17, was raped when she was 13 year old. She is now experiencing sleeping problems, flashbacks, and depression. What is your initial diagnosis?
A patient exhibits extrapyramidal side effects of antipsychotic medications. Which of the following symptoms would lead you to look for another diagnosis?
Which of the following statements about multiple sclerosis (MS) is correct?
Which patient would benefit most from screening for type 2 diabetes?
Differential diagnosis of proteinuria includes which of the following?
A 75-year-old female is diagnosed with primary hyperparathyroidism and asks the nurse practitioner what the treatment for this disorder is. The nurse practitioner explains:
A middle-aged man presents to urgent care complaining of pain of the medial condyle of the lower humerus. The man works as a carpenter and describes a gradual onset of pain. On exam, the medial epicondyle is tender and pain is increased with flexion and pronation. Range of motion is full The most likely cause of this patient’s pain is:
What intervention does the American College of Rheumatology recommend as first line therapy for osteoarthritis?
The cardinal sign of infectious arthritis is:
Legal authority for advanced practice nursing rests with:
The nurse practitioner diagnoses epididymitis in a 24 year old sexually active male patient. The drug of choice for treatment of this patient is:
A patient has been taking fluoxetine (Prozac) since being diagnosed with major depression, first episode, 2 months ago. She reports considerable improvement in her symptoms and her intention to discontinue the medication. What should be the nurse practitioner’s recommendation?
Steve, age 69, has gastroesophageal reflux disease (GERD). When teaching him how to reduce his lower esophageal sphincter pressure, which substances do you recommend that he avoid?
Risk factors for prostate cancer include all of the following except:
An obese hyperlipidemic patient, newly diagnosed with type 2 diabetes mellitus, has fasting glucose values 180 to 250 mg/Dl. What is the most appropriate initial treatment to consider?
The primary goals of treatment for patients with alcohol abuse disorder are:
What is the most commonly abused substance?
Central obesity, “moon” face, and dorsocervical fat pad are associated with:
Reed-Sternberg B lymphocytes are associated with which of the following disorders:
Deficiency of which nutritional source usually presents with an insidious onset of paresthesias of the hands and feet that are usually painful?
The most commonly recommended method for prostate cancer screening in a 55 year old male is:
What is the most common cause of Cushing’s syndrome?
Urine cultures should be obtained for which of the following patients?
The cornerstone of treatment for stress fracture of the femur or metatarsal stress fracture is:
The 4 classic features of Parkinson’s disease are:
The correct treatment for ankle sprain during the first 48 hours after injury includes:
Martin, age 24, presents with an erythematous ear canal, pain, and a recent history of swimming. What do you suspect?
The nurse practitioner is following a child with juvenile rheumatoid arthritis (JRA) who has been previously diagnosed and is being managed for the disease by a pediatric rheumatologist. The mother asks for information about the child’s long term prognosis. What is the most appropriate reply?
Josh, age 22, is a stock boy and has an acute episode of low back pain. You order and NSAID and tell him which of the following?
The initial clinical sign of Dupuytren’s contracture is:
A patient presents with dehydration, hypotension, and fever. Laboratory testing reveals hyponatremia, hyperkalemia, and hypoglycemia. These imbalances are corrected, but the patient returns 6 weeks later with the same symptoms of hyperpigmentation, weakness, anorexia, fatigue, and weight loss. What action(s) should the nurse practitioner take?
In which of the following presentations is further diagnostic testing not warranted?
A 27 year old female patient with epilepsy is well controlled with phenytoin (Dilantin). She requests information about contraception. The nurse practitioner should instruct her that while taking phenytoin:
A patient complains of generalized joint pain and stiffness associated with activity and relieved with rest. This patient history is consistent with which of the following disorders?
Beth, age 49, comes in with low back pain. An x-ray of the lumbosacral spine is within normal limits. Which of the following diagnoses do you explore further?
The intervention known to be most effective in the treatment of severe depression, with or without psychosis, is:
Establishment of a definitive diagnosis of osteomyelitis requires:
Dave, age 38, states that he thinks he has an ear infection because he just flew back from a business trip and feels unusual pressure in his ear. You diagnose barotrauma. What is your next action?
Successful management of a patient with attention deficit hyperactivity disorder (ADHD) may be achieved with:
A 15 year-old female patient is 5 feet tall and weighs 85 pounds. You suspect anorexia and know that the best initial approach is to:
Diagnostic confirmation of acute leukemia is based on:
What conditions must be met for you to bill “incident to” the physician, receiving 100% reimbursement from Medicare?
Potential causes of septic arthritis include which of the following?
What diabetic complications result from hyperglycemia?
Hypertension resistant to treatment
A patient taking levothyroxine is being over-replaced. What condition is he at risk for?
Which of the following patients most warrants screening for hypothyroidism?
You have a new patient that presents with generalized lymphadenopathy. You know that this is indicative of:
A typical description of a tension headache is:
What is the first symptom seen in the majority of patients with Parkinson’s disease?
A 26 year old female presents with elbow pain that is described as aching and burning. There is point tenderness along the lateral aspect of the elbow and painful passive flexion and extension. She reports she has been playing tennis almost daily for the past month. The most likely diagnosis is:
The most effective treatment of non-infectious bursitis includes:
Which of the following medications increase the risk for metabolic syndrome?
Which history is commonly found in a patient with glomerulonephritis?
Warfarin (Coumadin) is prescribed for a frail, elderly male with new onset atrial fibrillation. The goal INR for this patient should be:
Other than smoking cessation, which of the following slows the progression of COPD in smokers?
The hallmark of neurofibromatosis (von Recklinghausen’s disease) present in almost 100% of patients is:
The organism most often associated with prostatitis is:
Potential causes of hypocalcemia include which of the following?
A patient has been diagnosed with generalized anxiety disorder (GAD). Which of the following medications may be used to treat generalized anxiety disorder?
The most common cause of elevated liver function tests is:
A 28-year-old female presents to the office requesting testing for diagnosis of hereditary thrombophilia. Her father recently had a deep vein thrombosis and she is concerned about her risk factors. The nurse practitioner explains that:
Which is the most common cause of end-stage renal disease in the United States?
A diabetic patient is taking low-dose enalapril for hypertension. A record of the patient’s blood pressure over 4 weeks ranges from 130 to 142 mmHg systolic and 75 to 85 mmHg diastolic. How should the nurse practitioner respond?
A patient has just been diagnosed with Bell’s palsy. He is understandably upset and has questions about the prognosis. You response should be:
Major depression occurs most often in which of the following conditions?
At what age is screening most likely to detect scoliosis?
A 20 year old male patient complains of “scrotal swelling.” He states his scrotum feels heavy, but denies pain. On examination, the nurse practitioner notes transillumination of the scrotum. What is the most likely diagnosis?
Sam, age 67, is a diabetic with worsening renal function. He has frequent hypoglycemic episodes, which he believes means that his diabetes is getting “better.” How do you respond?
Which of the following set of symptoms should raise suspicion of a brain tumor?
What is the first step in the treatment of uric acid kidney stones?
A 35 year old male presents with a complaint of low pelvic pain, dysuria, hesitancy, urgency, and reduced force of stream. The nurse practitioner suspects acute bacterial prostatitis. Which of the following specimens would be least helpful for diagnosis?
A 72 year old female patient reports a 6 month history of gradually progressive swollen and painful distal interphalangeal (DIP) joints of one hand. She has no systemic symptoms but the erythrocyte sedimentation rate (ESR), antinuclear antibody (ANA), and rheumatoid factor (RF) are all minimally elevated. What is the most likely diagnosis?
How do you respond when Jessica, age 42, asks you what constitutes a good minimum cardiovascular workout?
The most reliable diagnostic indicator of gout is:
What information should patients with diabetes and their families receive about hypoglycemia?
Martin, a 58 year old male with diabetes, is at your office for his diabetes follow up. On examining his feet with monofilament, you discover that he has developed decreased sensation in both feet. There are no open areas or signs of infection on his feet. What health teaching should Martin receive today regarding the care if his feet?
Microalbuminuria is a measure of:
Sally, a computer programmer, has just been given a new diagnosis of carpal tunnel syndrome. Your next step is to:
A 63-year-old man presents to the office with hematuria, hesitancy, and dribbling. Digital rectal exam (DRE) reveals a moderately enlarged prostate that is smooth. The PSA is 1.2. What is the most appropriate management strategy for you to follow at this time?
The best test to determine microalbuminuria to assist in the diagnosis of diabetic neuropathy:
Which factors are associated with high risk for foot complications in a patient with diabetes mellitus?
Poorly controlled lipids
After treating a patient for Helicobacter pylori infection, what test do you order to see if it has been cured?
A 14 year old female cheerleader reports gradual and progressive dull anterior knee pain, exacerbated by kneeling. The nurse practitioner notes swelling and point tenderness at the tibial tuberosity. X-ray is negative. What is the most likely diagnosis?
A patient has been diagnosed with hypothyroidism and thyroid hormone replacement therapy is prescribed. How long should the nurse practitioner wait before checking the patient’s TSH?
A 32 year old male patient complains of urinary frequency and burning on urination for 3 days. Urinalysis reveals bacteriuria. He denies any past history of urinary tract infection. The initial treatment should be:
A 25 year old overweight patient presents with a complaint of dull achiness in his groin and history of a palpable lump in his scrotum that “comes and goes”. On physical examination, the nurse practitioner does not detect a scrotal mass. There is no tenderness, edema, or erythema of the scrotum, the scrotum does not transilluminate. What is the most likely diagnosis?
Which of the following is the most common cause of low back pain?
A nurse practitioner diagnoses a 60 year old male with balanitis. Which disease is commonly associated with balanitis?
Which of the following characteristics are associated with prepatellar bursitis?
Our website has a team of professional writers who can help you write any of your homework. They will write your papers from scratch. We also have a team of editors just to make sure all papers are of HIGH QUALITY & PLAGIARISM FREE. To make an Order you only need to click Ask A Question and we will direct you to our Order Page at WriteEdu. Then fill Our Order Form with all your assignment instructions. Select your deadline and pay for your paper. You will get it few hours before your set deadline.
Do you need help with this question?
Get assignment help from WriteEdu.com Paper Writing Website and forget about your problems.
WriteEdu provides custom & cheap essay writing 100% original, plagiarism free essays, assignments & dissertations.
With an exceptional team of professional academic experts in a wide range of subjects, we can guarantee you an unrivaled quality of custom-written papers.
Chat with us today! We are always waiting to answer all your questions.