.png){kind=logo}
1. A 45-year-old male patient presents to the FNP with complaints
of chest pain, shortness of breath, and palpitations for the past
two days. He has a history of hypertension, diabetes, and
smoking. He denies any fever, cough, or abdominal pain. What is
the most appropriate initial action by the FNP?
A) Order an electrocardiogram (ECG) and cardiac enzymes
B) Refer the patient to a cardiologist
C) Prescribe a beta-blocker and a statin
D) Perform a physical examination and a health history
Answer: A
Rationale: The patient has signs and symptoms of acute coronary
syndrome (ACS), which is a medical emergency that requires
prompt diagnosis and treatment. The FNP should order an ECG
and cardiac enzymes to confirm the diagnosis and assess the
severity of the condition. Referring the patient to a cardiologist,
prescribing medications, or performing a physical examination
and a health history are not immediate priorities in this situation.
2. A 32-year-old female patient visits the FNP for a routine
wellness check-up. She has no current health problems or
complaints. She works as a teacher and has two children aged 6
and 8. She reports that she exercises regularly, eats a balanced
diet, and does not smoke or drink alcohol. What is the most
appropriate preventive service that the FNP should offer to this
patient?
A) Pap smear
B) Mammogram
C) Colonoscopy
D) Bone density scan
.png)