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FAMILY NURSE PRACTITIONER STUDY QNS & PRACTICUM VERSION 1 2026/2027 (14pages)

EXAMS AND CERTIFICATIONS May 11, 2024
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Skip to Page 4 for single Questions and Answers) Practicum Question (Answered): Select a patient who you saw at your practicum site during the last 3 weeks. With this patient in mind, consider the following: Subjective: What details did the patient provide regarding his or her personal and medical history? Objective: What observations did you make during the physical assessment? Include pertinent positive and negative physical exam findings. Describe whether the patient presented with any morbidities and psychosocial issues. Assessment: What were your differential diagnoses? Provide a minimum of three possible diagnoses. List them from highest priority to lowest priority and include their ICD-10 code for the diagnosis. What was your primary diagnosis and why? Plan: What was your plan for diagnostics and primary diagnosis? What was your plan for treatment and management? Include pharmacologic and nonpharmacologic treatments, alternative therapies, and follow-up parameters, as well as a rationale for this treatment and management plan. Reflection notes: What was your “aha” moment? What would you do differently in a similar patient evaluation? Answer: I saw a 65-year-old male patient at the cardiology clinic for a routine follow-up. He had a history of hypertension, hyperlipidemia, and coronary artery disease. He had undergone a coronary artery bypass graft surgery two years ago and was taking aspirin, atorvastatin, and metoprolol. He reported no chest pain, dyspnea, or palpitations. He smoked half a pack of cigarettes per day and had a sedentary lifestyle. During the physical assessment, I noted that his blood pressure was 150/90 mmHg, his pulse was 72 beats per minute, and his respiratory rate was 16 breaths per minute. His oxygen saturation was 97% on room air. His chest auscultation revealed normal heart sounds and no murmurs, rubs, or gallops. His lungs were clear to auscultation bilaterally. His abdomen was soft and non-


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FAMILY NURSE PRACTITIONER STUDY QNS & PRACTICUM VERSION 1 2026/2027 (14pages)

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