1. Mr. A, experienced a brief onset of right sided weakness, slurred speech
and confusion yesterday. The symptoms have resolved and the CT is
normal. What is the next step of the plan for Mr. A?
a. assure the patient that he will not experience the symptoms again
b. identify modifiable cardiovascular risk factors
c. order ASA 81mg stat
d. order a stat EEG and administer O2 by mask - ANS -b. identify
modifiable cardiovascular risk factors
2. A 56-year old male patient screened for diabetes has a fasting plasma
glucose level of 96mg/dl. The nurse practitioner management plan
includes:
a. repeat fasting plasma glucose in three years
b. prescribe Metformin 500mg po BID
c. repeat fasting plasma glucose in one year
d. refer to ophthalmology for eye exam - ANS -a. repeat fasting plasma
glucose in three years
,3. RW, a 57 year old native American female, presents to the office. RW states
she feels irritable and has difficulty concentrating as well as fallingn asleep
and staying aleep. She states she is worried about her finances, her
husband has just lost his job. The NP diagnoses anxiety. The NP
prescribes a first line treatment which is
a. Diazepam
b. Clonazepam
c. Ariprprazole
d. Paroxetine - ANS -d. Paroxetine
4. The most common sustained rhythmic disorder, which consists of
fibrillatory p waves is:
a. AV block
b. atrial tachycardia
c. atrial fibrillation
d. atrial flutter - ANS -c. atrial fibrillation
5. According to the Sexually presentation, atrophic vaginitis
a. the symptomsm are the same for each woman
, b. creates a more acidic vaginal environment
c. is a contributing factor for frequent urinary tract infections
d. is not treated with vaginal lubricants - ANS -c. is a contributing factor
for frequent urinary tract infections
6. Which of the following is the most appropriate screening tool for delirium?
a. St Louis University Mental Status Exam (SLUMS)
b. Montreal Cognitive Assessment
c. Lawton Scale of instrumental Activities of Daily Living
d. Confusion Assessment Model - ANS -d. Confusion Assessment Model
7. A drug that can be used to treat two very common symptoms in a dying
patient (pain and dyspnea_ is:
a. lorazepam
b. Gabapentin
c. Methadone
d. Morphine - ANS -d. Morphine
8. Which of the following would you recommend annually for the elderly type
2 diabetic?
, a. periodic visits to a gastroenterologist
b. colonoscopy
c. follow up with a urologist
d. eye exam with an opthlamologist - ANS -d. eye exam with an
opthlamologist
9. Which characteristic of delerium helps to distinguish it from dementia?
10. a, short term memory impairment
11. b. personality changes
12. c. acute onset
13. d. impaired attention - ANS -c. acute onset
14. The majority of patients enrolled in hospice care die:
a. in the hospital
b. in an inpatient hospice facility
c. in a nursing home
d. at home - ANS -d. at home
15. A middle aged patient has been diagnosed with Parkinson's disease. What
influences the nurse practitioners descision to begin pharmacological
treatment for this patient?
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