CHAMBERLAIN PREDIAGNOSTIC NR607

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CHAMBERLAIN PREDIAGNOSTIC NR607

CORRECT SOLUTIONS.

A 52-year-old obese man with type 2 diabetes reports dozing off while driving, watching TV, or reading, with increased apathy and fatigue. The PMHNP ordered a sleep study, which revealed 10 episodes of apnea lasting 15 to 20 seconds each per hour of sleep. Based on these findings, what should the PMHNP prescribe for his condition?

-Referral to otolaryngology for rhinoplasty -Antidepressant medications -Referral to otolaryngology for uvuloplasty -Continuous positive airway pressure - correct answer- Continuous positive airway pressure

Which of the following is an indication for monitoring of serum drug levels?

-Smoking cessation -New diagnosis of hyperlipidemia -Resolution of symptoms -New diagnosis of diabetes - correct answer- Smoking cessation 1 / 4

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Your client Jamie asks you about a mole of her forearm. You refer her to dermatology. As an APRN, you recognize that cancerous moles can be detected on exam. Which of the following would not be of concern?

-A mole that is not elevated -All of the above -A dark mole -A mole that is 5 mm in size - correct answer- All of the above

Recall the ABCDE acronym. Concerning moles are asymmetric, have irregular borders, have color variation, a diameter > 6mm and elevated moles.

A 42-year-old female recalls a brief episode of chest tightness with no radiation or chest wall injury during her new taekwondo martial arts class. This pain subsided during "the cool down period" of her class. Which of the following is most likely given her presentation?

-Pericarditis -Acute myocardial infarction -Hiatal hernia -Angina pectoris - correct answer- Angina pectoris 2 / 4

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Chest pain with activity and relieved at rest in a middle-aged adult should prompt concern for myocardial ischemia. Although acute myocardial infarction is a possibility, it is less likely given the scenario mentioned above.

Gloria is a 68-year-old female with a chronic history of severe anxiety disorder presents with mild shortness of breath, fine crackles in the right lower lobe with auscultation and a nonproductive cough. She recently "ran out of pills". Which medication omission most likely lead to her current presenting symptoms?

-Metoprolol -Lorazepam -Furosemide -Metformin - correct answer- Furosemide

Furosemide or Lasix is a diuretic utilized in the management of heart failure. Although anxiety can produce shortness of breath, one would not expect fine crackles on exam unless additional comorbidity exists.

The S2 heart sound is a result of what?

-Closure of the semilunar valves 3 / 4

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-Opening of the semilunar valves -Closure of the atrioventricular valves -Opening of the atrioventricular valves - correct answer- Closure of the semilunar valves

The closure of the semilunar valves results in the second heart sound. The semilunar valves are the aortic and pulmonary valves.

A systematic inquiry that elaborates on the chief complaint while eliciting pertinent positive and pertinent negative factors

from the history is known as:

-Diagnostic formulation -The mental status exam -Physical exam -Review of systems - correct answer- Review of systems

A 21-year-old man had his first drink at his birthday party with friends last night. He presented the following morning to the emergency department with psychomotor agitation, cognitive impairment, depressed mood, flat affect, and anhedonia. His heart rate is 110, his blood pressure is 90/60, and he complains of abdominal pain. He received 2 L of normal saline IV and is referred to psychiatry for evaluation of mood disorder. Which of the following tests should the consulting PMHNP order given these symptoms?

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