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Sara is a 38 y/o multipara who is in her 6th–7th month of pregnancy with her fourth child.

NRNP-6568F/DRNP-6568/DRNP-6568F/NRNP-6568

NRNP6568 Synthesis in Advanced Nursing Practice Care of Patients in Family Care Settings

Week 4 Comprehensive Quiz

Question 1Sara is a 38 y/o multipara who is in her 6th–7th month of pregnancy with her fourth child. She has a new onset of vaginal bleeding that is worsened by intercourse. On external physical exam, you note that her uterus is soft and non-tender to palpation. The most likely diagnosis for this condition is:

 

Selected Answer:           

 

In Placental abruption

 

Placental abruption

 

Severe preeclampsia

 

 Placenta previa

 

None of the above

 

Question 2Sara is a 38 y/o multipara who is in her 6th–7th month of pregnancy with her fourth child. She has a new onset of vaginal bleeding that is worsened by intercourse. On external physical exam, you note that her uterus is soft and non-tender to palpation. Knowing that her cervix is not dilated, the most appropriate treatment would be:

 

Selected Answer:           

 

 Strict bedrest

 

An emergency room visit

 

 Hospitalization

 

All of the above

 

Question 3Martin is a 17 y/o male who comes to the clinic with the following chief complaint: “I have pain around my belly button and have had no appetite for the past 24 hours. I have had some nausea and have vomited three times. I have had a low-grade fever also.” During the clinical exam, the NP notices that Martin has some guarding and rebound tenderness in the RLQ. In the physical exam, the NP performs some abdominal maneuvers. What would be the most appropriate maneuvers for Martin’s symptomatology?

 

Selected Answer:           

 

 A, B  and C only

 

Psoas sign

 

Obturator sign

 

Rovsing’s sign

 

Murphy’s sign

 

A, B  and C only

 

All of the above

 

Question 4Andrew, a 41 y/o male resident of Oklahoma, presents to the clinic in July with the following symptoms: fever, chills, severe headache photophobia, and myalgia. He states that since his fever occurred 2 days ago, he now has this rash of petechiae on wrists, forearms, and ankles. The first line pharmacological treatment for Andrew would include:

 

Selected Answer:           

 

 Doxycycline

 

Chloramphenicol

 

Doxycycline

 

Ampicillin

 

Penicillin

 

Question 5Michael is 2 months old and his mother brings him to the clinic for his 2-month vaccinations. Which is the  combination of vaccines that he needs?

 

Selected Answer:           

 

 Hep B, DTaP, Hib, PCV

 

Hep A, Tdap, PCV, Polio

 

Hep B, Tdap, Hib, Hep A

 

 Hep B, DTaP, IPV

 

Question 6Jane is a 57 y/o female whose husband of 35 years just passed away in the past 6 months. Jane comes to the clinic and says: “I cry all the time. I can’t sleep, I have no energy, I have lost 20 pounds in the past 2 months, and I get easily agitated. What’s wrong with me?”

 

Selected Answer:           

 

 Major depression

 

Anxiety

 

Minor depression

 

 None of the above

 

Question 7Cellulitis is usually caused by a gram-negative bacterium.

 

Selected Answer:           

 

False

 

True

 

Question 8Martin is a 17y/o male who comes to the clinic with the following chief complaint: “I have pain around my belly button and have had no appetite for the past 24 hours. I have had some nausea and have vomited three times. I have had a low-grade fever also.” During the clinical exam, the NP notices that Martin has some guarding and rebound tenderness in the RLQ. The most likely diagnosis for this patient is:

 

Selected Answer:           

 

  Acute appendicitis

 

Cholecystitis

 

Acute diverticulosis

 

Acute pancreatitis

 

Question 9Adela is a 38 y/o overweight female who presents to the clinic with RUQ pain that occurs approximately 1 hour after eating a fatty meal. The most likely diagnosis for Adela is:

 

Selected Answer:           

 

 Acute cholecystitis

 

Acute pancreatitis

 

 Crohn’s disease

 

Ulcerative colitis

 

Question 10Andrew is a 37 y/o male who comes to the clinic with the following symptoms: insomnia, feelings of worthlessness, and being easily fatigued. Given his symptoms the most likely diagnosis would be:

 

Selected Answer:           

 

 Minor depression

 

Major depression

 

 Suicidal ideation

 

Anxiety

 

Question 11Carter, a 74 y/o male, comes for his annual physical exam and the NP notes that he has a very loud murmur with her scope off his chest, and that there is also an obvious thrill. This would describe which grade of murmur?

 

Selected Answer:           

 

 Grade 6

 

Grade III

 

Grade IV

 

Grade V

 

Grade 6

 

Question 12Andre is a 52 y/o construction worker who stayed home today because he was having severe chest pain. His wife calls the clinic and describes his symptoms as: squeezing chest tightness, with pain that radiates to the left side of his neck, jaw, and left arm. The NP’s immediate response should be to tell the wife:

 

Selected Answer:           

 

 Call 911 immediately.

 

Begin CPR and then call 911.

 

Have the wife drive the patient to the ER.

 

Call back if the intensity of the pain increases.

 

Question 13Diagnostic studies for Type II diabetes mellitus would include which of the following:

 

Selected Answer:           

 

 All of the above

 

HbA1C (>6.5%)

 

Fasting plasma glucose (= to or >126 mg/dL)

 

Random plasma glucose (>200 mg/dL)

 

All of the above

 

None of the above

 

Question 14Marty is an 18 y/o outdoorsman who loves hiking in the woods. Marty notes that he was hiking about 10 days ago, and now he has a red rash with a central clearing that looks like a target. The rash is rough and hot to the touch. He now has flu-like symptoms. The NP diagnoses this rash as:

 

Selected Answer:           

 

 Lyme disease

 

Eczema

 

Brown recluse spider bite

 

Lyme disease

 

Actinic keratosis

 

Question 15The CDC recommends that after a child receives a vaccine (s)he should be monitored for:

 

Selected Answer:           

 

 15 minutes

 

20 minutes

 

30 minutes

 

60 minutes

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