NURS 6531 Combined midterm and final review

NURS 6531 Combined midterm and final review Latest Update - Actual Exam 700 Questions and 100% Verified Correct Answers Guaranteed A+

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:

Testicular torsion Varicocele Chronic orchitis Chronic epididymitis - CORRECT ANSWER: Varicocele 1 / 4

Palpation of varicose veins, described as "a bag of worms", is a classic symptom of varicocele.

• 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:

Urinary tract infection Acute bacterial prostatitis Nonbacterial prostatitis Chronic bacterial prostatitis - CORRECT ANSWER: Acute bacterial prostatitis 2 / 4

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

• left meniscal tear.
• left anterior cruciate ligament (ACL) tear.
• 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 3 / 4

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?

Trimethoprim-sulfamethoxazole Cephalexin Nitrofurantoin

Ampicillin - CORRECT ANSWER: Trimethoprim-sulfamethoxazole

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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