NURS 6531 Combined midterm and final review
Latest Update 2024-2025 Actual Exam 700
Questions and 100% Verified Correct Answers
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14-year-old girl with amenorrhea was tested for pregnancy and has a positive result.
The patient tells a nurse practitioner that she is seriously considering terminating the
pregnancy. She tells the NP that she wants to be referred to a Planned Parenthood
clinic. The NP's personal believes in religious beliefs are pro-life. Which with the
following is the best action for the NP?
NP should excuse herself from the case
NP should tell the patient about her personal believes and advise her against getting an
abortion
NP should advise patient that a peer who is working with NP can help answer the
patient's questions more thoroughly
NP should refer patient to an obstetrician - CORRECT ANSWER: NP should advise
patient that a peer who is working with NP can help answer the patient's questions more
thoroughly
In general, discussing personal beliefs are considered unprofessional behavior.
respecting the patient's right to choose is an example of supporting patient of autonomy
17-year-old boy reports feeling something on his left scrotum. On palpation, soft and
movable blood vessels that feel like "a bag of worms" are noted underneath the scrotal
skin. The testicle is not swollen or reddened. The most likely diagnosis is:
,Palpation of varicose veins, described as "a bag of worms", is a
classic symptom of varicocele.
4 days ago, 79-year-old female lost her husband of 55 years. She presents today with
her daughter because she believes that she is "going crazy." She reports that she often
hears her husbands voice though she realizes that he has died. She has not slept well
since his death and hasn't been eating much. She has taken her usual medications for
hypertension, osteoporosis, osteoarthritis, and hypothyroidism. She has no history of
psychiatric illness. Should the NP manage this?
Tell her that this is a normal response and will resolve
Prescribe a benzodiazepine for relief of anxiety
Encourage her daughter to consider assisted living placement
Prescribe an antidepressant and follow-up in one to 2 weeks - CORRECT ANSWER:
Tell her that this is a normal response and will resolve
This imagined hearing or seeing of the deceased person is referred to
as "searching behavior" and is not indicative of a psychiatric illness. It
is a common response after the death of a lot of the 1, especially after
55 years of marriage. This patient and her daughter should be
educated regarding the stages of grief and a variable length of each
of those stages.
50-year-old male comes to in see the nurse practitioner for evaluation. He complains of
fever, chills, pelvic pain, dysuria. He should be diagnosed with:
,Acute bacterial prostatitis should always be considered first in male
patient to present with these symptoms. Chronic bacterial prostatitis
presents with a more subtle presentation. UTIs far less common in
men than women and is usually associated with anal intercourse or
being uncircumcised. Nonbacterial prostatitis presents like chronic
prostatitis except urine and prostate secretion cultures are negative.
A 13-year-old obese (BMI greater than 95%)
boy reports low-grade left knee pain for the
past 2 months. He denies antecedent trauma
but admits to frequent " horseplay " with his
friends. The pain has progressively worsened,
and he is now unable to bear weight at all on
his left leg. His current complaints include
left groin, thigh, and medial knee pain and
tenderness. His examination demonstrates
negative drawer, Lachman, and McMurray
tests; left hip with decreased internal rotation
and abduction; and knee flexion causing
external hip rotation. Based on the above
scenario, you suspect
A. left meniscal tear.
B. left anterior cruciate ligament (ACL) tear.
C. slipped capital femoral epiphysis (SCFE).
D. Osgood-Schlatter disease. - CORRECT ANSWER: Answer C
Slipped capital femoral epiphysis (SCFE) is a
displacement of the femoral head relative to the
, femoral neck that occurs through the physis (growth
plate) of the femur
A 16 year old male presents with mild sore throat, fever, fatigue, posterior cervical
adenopathy, and palatine petechiae. Without a definitive diagnosis for this patient, what
drug would be least appropriate to prescribe?
Ibuprofen
Erythromycin
Amoxicillin
Acetaminophen - CORRECT ANSWER: Amoxicillin
A 16-year-old female patient is being treated for her first UTI. She had an
allergic reaction with hives after taking sulfa as a child. Which of the following antibiotics
would be contraindicated?
A 19-year-old student who is on prescription combined oral contraceptive pills is being
seen for lower GI pain. The nurse practitioner has obtained a Pap smear and is about to
perform the bimanual exam. She gently remove the plastic speculum from the vagina.
While the NP is performing the bimanual vaginal exam, the patient complaints of slight
discomfort during palpation of the ovaries. Which with the following is a true statement?
The fallopian tubes and ovaries are not sensitive to light or deep palpation
The ovaries are sensitive to deep palpation but they should not be painful.
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