CMN 577 FINAL LATEST ACTUAL EXAM

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CMN 577 FINAL LATEST / ACTUAL EXAM

QUESTIONS WITH 100% CORRECT VERIFIED

ANSWERS/ RATED A+

When assessing a patient with signs of hypocalcemia you tap their facial nerve and notice the facial muscles contract in response to the tapping. This test is known as the: - Correct Answer - Chvostek sign

A young male patient is brought into the ER due to acute onset of altered mental status.Ambulance driver reports that the patient had confusion on their arrival, and he has become more lethargic on the ride to the ER. Ambulance driver also reports that the patient is a frequent patient of theirs due to drug use. On arrival, respiratory rate is 8, and he is lethargic. Labs are obtained, and the lab results show a low arterial pH, increased PCo2, and HCO3 is elevated. What is the probable diagnosis and treatment for this patient? - Correct Answer - Respiratory Acidosis due to opioid overdose; Administer trial of Naloxone IV.

13 year old Jessica presents to the Emergency Department with her mother, stating that she cannot breathe, can't feel her fingers and thinks she is having a panic attack. Vital signs are: T-98.9, HR-115, RR-32, BP-136/90, O2-100% RA. ABG results were pH 7.47, pCO2 25, HCO3 21. What is the likely cause for her respiratory alkalosis? - Correct Answer - Hyperventilation*

A 13 y.o male with a medical history of intermittent asthma presents to the clinic c/o of the following: symptoms that last 3 days/week, minor limitation in normal activity, and waking up at least once/week for the past month. The pt. states he has been using his PRN SABA at least once a day, 3 days during the week. Keeping these symptoms in mind, what classification of asthma severity should the NP recognize this as to best tailor treatment? - Correct Answer - Mild

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pg. 2 A 34 year old female with no known past medical history presents to your clinic with a complaint of fever, non-productive cough and shortness of breath. After a workup she is diagnosed with bacterial pneumonia. She has no recent history of hospitalization or antimicrobial use. What is the most common causative agent of her pneumonia? - Correct Answer - Streptococcus pneumoniae

A 47-year-old woman presents to your clinic after feeling a "lump" in her left breast. After your physical examination, you did not palpate any masses or lesions in either the left or right breast. The patient is worried that it may be breast cancer. Which imaging study do you order first? - Correct Answer - Ultrasound and mammography *

A 35-year-old patient is in your clinic today because she recently found a small mass after noticing slight tenderness to the breast. Now, the mass cannot be palpated. She is currently having her menstrual cycle. What do you suspect? - Correct Answer - A Fibrocystic condition. *

Your non-pregnant and non-lactating female patient comes to your clinic with complaints of milky discharge from both breasts that has occurred intermittently for the past two weeks. What labs will be helpful in ruling out certain conditions in this patient? - Correct Answer - TSH and Prolactin*

A 30-year-old female presents to the clinic for a Well Woman's exam and requests more information about available options for contraception. In deciding which contraceptive types are appropriate for this patient, all the following are relative contraindications to

use of oral contraceptives except: - Correct Answer - Migraine with aura *

A 45-year-old female reports to clinic for her yearly wellness exam. During the exam she states that her grandmother had breast cancer and she is wanting to know the risk factors for breast cancer. As her family care provider, you know that which of the following is a risk factor for breast cancer? - Correct Answer - Family history of breast cancer*

Your 18 year old male patient was diagnosed with asthma three years ago and was prescribed an albuterol inhaler. Today he presents to your clinic reporting worsening symptoms over the past two weeks. He reports having to use his inhaler about three times weekly. He also reports that he is awakened by symptoms about every week. 2 / 3

pg. 3 What is the best treatment plan for this patient? - Correct Answer - Add a low dose Fluticasone MDI to the patients current regimen

Your patient was diagnosed with mild persistent asthma last year. She is currently taking budesonide 180 mcg inhalation daily. She is complaining of symptoms at least 3 days a week, wakening up 2x/week due to her asthma, and some limitation with her daily activity. She reports she has used her albuterol inhaler 4 times this week. What medication(s), if any, would you consider adding to her regimen? - Correct Answer - Formoterol 20 mcg inhaled every 12 hours

Jeff, a 65-year-old male, presents to the clinic for evaluation of a productive cough, and shortness of breath with exertion increasing over the last 2 weeks. VS are 140/89, 99, 20, O2 sats 95%. PMHX is HTN, Obesity, and a 1 pack a day smoker for over 25 years.What is the most likely diagnosis that a novice NP would anticipate? - Correct Answer - COPD

A 55-year male comes in wheezing, with a dry cough, respiratory rate 35 bpm, and nasal flaring. He is alert and oriented but appears irritable. For 3 days, he has had chest tightness, shortness of breath at rest, and having to take pauses when using simple words. What type of pulmonary disorder and level of severity is this patient experiencing? - Correct Answer - Asthma, Severe Exacerbation

A 65-year-old male comes in coughing, and you notice his thick, tan sputum. His nailbeds are cyanotic with clubbing, he has 2+ edema bilaterally, and he's rhonchus on auscultation. On chart review, his BMI is 48, HGB 18, and paCO2 is 55. What pulmonary disorder and ventilation-perfusion results would you suspect? - Correct Answer - Bronchitis (Blue Bloater); Increase perfusion to low V/Q areas

The strongest predisposing factor of asthma is - Correct Answer - Atopy (genetic tendency to develop allergic diseases)

A 58-year-old male presents for his annual physical. He states that he is very concerned about developing dementia and is wondering about risk factors that he may have. You tell him that these may include all the following except: - Correct Answer - Male gender

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