1. 3 y/o WF arrives to health center in acute breathing misery. Patient has a loud barking
cough with sternal retractions and stridor noted on physical exam. No wheezing nor
drooling located. Mother denies nausea/vomiting/fever and patient is afebrile at
contemporary visit. This patient is exhibiting traditional capabilities of: - ANS-Viral Croup
2. 55y/o AAF offered to medical institution for a routine follow up. She denies any court
cases these days and her clinical hx includes CAD/DM/Hyperlipidemia. Based on this
affected person's medical history, which elegance of medications would you prescribe to
lessen her threat for cardiovascular event? - ANS-Ace Inhibitor
3. A 16 yr vintage woman presents to the clinic for an annual examination. She reports that
she is sexually lively, however does not want her parents to know. Her parents are not
with her for the visit nowadays. She reports to you that her last sex associate she did not
use a condom, and she has been having expanded vaginal discharge and burning
sensation while she urinates. What are the tips for screening for STIs in sexually active
ladies? - ANS-Annual screenings are encouraged for sexually energetic girls 25 y.O. Or
more youthful for
4. chlamydia and gonorrhea
5. A 16 yr old sexually active girl affords into the fitness branch for her annual properly
examination. With an basically everyday examination which of the subsequent STD
screenings will no longer be a part of the yearly screening for this patient: - ANS-Syphilis
6. A 26-year-antique lady provides for your medical institution for a blood strain check. Her
blood stress today is 151/98. Last week it was 149/101. Two weeks ago, her blood
pressure became 163/one hundred ten. The patient has otherwise been healthful. She
does no longer smoke, has a everyday BMI, and does not take any medications except
a prenatal multivitamin. Your plan of care includes: - ANS-Screening for causes of
secondary hypertension.
7. A 28-yr-old Hispanic female in her first trimester provides to the sanatorium with mixed
hyperlipidemia. There are several options for pharmacological remedy. As the company
you understand that numerous medications could have benecial consequences on lipid
control however __________ is the simplest lipid editing medicine considered secure in
pregnancy. - ANS-Bile-Acid-Binding Resins
8. A four-week-vintage untimely infant born at 33 weeks is added to the health center for a
1-month visit. The mom tells the FNP that her infant doesn't seem to be growing. She
tells the FNP her baby struggles to breathe when feeding and is often sweaty. Physical
exam well-knownshows bounding pulses and a continuous system-like murmur placed
on the left 2d intercostal space. The FNP acknowledges those are signs and signs of a
patent ductus arteriosus (PDA). What medication may be given to doubtlessly near the
PDA? - ANS-Indomethacin
9. A forty two-12 months-antique Caucasian male comes for your medical institution these
days to set up care. He has lately been discharged from the sanatorium following a
, NSTEMI. When reviewing his medicinal drug listing, you recognize that placing him on
Rosuvastatin (Crestor) is a form of ____________ prevention - ANS-Tertiary
10. A forty seven- year-vintage African American woman provides to the health center with a
records of Diabetes mellitus kind 2 and dyslipidemia. Current LDL stage of 147 and HDL
stage of 45. As a provider you know that there are several measures similarly to statin
remedy used to lessen LDL degrees. The following are effective measures to either
decrease LDL or increase HDL levels (which could subsequently lower LDL ranges) -
ANS-Controlling high blood pressure
11. Smoking cessation
12. Modest alcohol use (1-2 ounces/day)
13. A 50-yr antique Caucasian male provides with a chief complaint of chest tightness and
pain even as mowing his yard for the beyond 5 months. The discomfort is relieved with
rest, is brief in duration (lasting <3minutes), and is usually felt in the back of the left to
mid sternal location. This patient is most likely to be recognized with which of the
following: - ANS-Chronic stable angina pectoris
14. A 50-12 months-antique male affected person who was currently prescribed with
Atorvastatin asked the Nurse Practitioner on what aspect effects are expected at the
same time as speaking the medicine. The Nurse Practitioner reaction would be: -
ANS-"The maximum not unusual facet outcomes of statins are muscle aches and mild
GI consequences".
15. A fifty six-year-antique African American male with set up hypertension offers in your
hospital with complaints of sudden excessive headache, blurred imaginative and
prescient, diculty concentrating, and nausea. He reports that he ran out of his amlodipine
a few days ago and hasn't had time to rell it. On examination, you be aware he may be
very restless, has bilateral optic disc edema, proteinuria, hematuria, and his blood stress
is 205/a hundred thirty mmHg. Your subsequent action is to: - ANS-Facilitate emergency
delivery to a nearby hospital, so he can be monitored and handled
16. for a hypertensive emergency.
17. A seventy four-year-vintage male arrives on the health center, febrile at 102.5° F, with
chills and dysuria for the past days. Physical examination famous suprapubic pain with
palpation and a really gentle virtual rectal exam. The FNP suspects acute bacterial
prostatitis. Each of the following laboratory checks can be used to aid this diagnosis -
ANS-Urinalysis
18. Complete blood matter (CBC)
19. Urine subculture
20. Prostatic secretions are accumulated post prostatic massage, which is contraindicated
with acute bacterial prostatitis as this could result in septicemia. A cautiously executed
virtual rectal exam is suggested. With acute bacterial prostatitis, a urinalysis can show
pyuria, bacteriuria, and/or hematuria; a CBC can reveal leukocytosis and there can be a
shift to the left, indicating an increase in immature white blood cells; a urine tradition
species the target organism. Each of these remaining labs may be used to support the
intense bacterial prostatitis diagnosis.
21. A two months antique is being visible at some stage in a nicely go to, mother reports
infant obtained a Hep B vaccine at delivery. With basically normal well examination, FNP
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