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QUESTION 1
Joan is a 39 y/o female who presents to the clinic with a chief complaint of: 3-day history of fever (101 F degrees), chills, n & v, and flank pain. During the physical exam, the NP notices that Joan has CVA tenderness. In a urine check, the NP notes that she has many leukocytes, hematuria, WBC casts, and mild proteinuria. Complications for Joan would include all the following except: a) Shock b) Renal failure c) Gram-positive septicemia d) None of the above QUESTION 2 Sierra, a 42 y/o female, comes to the clinic to follow up on some lab work that was drawn at her last visit. Her labs showed a low TSH and an increase in both her serum free T4 and T3. Sierra's most likely diagnosis is: a) Hypothyroidism b) Primary hyperthyroidism (Graves' disease) c) Primary hyperparathyroidism
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d) None of the above QUESTION 3 Susan is a 29 y/o female who comes to the clinic with a 3-day history of fever, chills, nausea, vomiting, and flank pain. During the visit, the NP does a urine dipstick and discover that Susan is positive for nitrites, leukocytes, and >10 WBCs. The physical exam reveals a CVA tenderness. Within 2 weeks, Susan returns to the clinic and a culture of her urine shows she has the same bacteria as when the NP first saw her. This would be referred to as: a) Relapsing UTI b) Recurring UTI c) Persistent UTI d) None of the above QUESTION 4 Juan, an 82 y/o male, is brought to the clinic by his daughter with sudden LLQ pain, nausea, vomiting, diarrhea, or constipation. The patient has a temperature of 100.4 and reports blood in stool. Juan's most likely diagnosis is:
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gain, cold intolerance, constipation, and menstrual abnormalities. The NP orders a TSH and free serum T4 and thyroid peroxidase antibody (TPO). The TSH is 6.0 mU/L, the T4 is low, and the TPO is high. Her most likely diagnosis is: a) Hyperthyroidism b) Hyperparathyroidism c) Hashimoto's thyroiditis d) None of the above QUESTION 7 Mark is a 2-month-old infant, and he should be able to do all the following tasks except: a) Follow objects past midline b) Make gurgling sounds c) Bring hands to mouth d) Lift head up 45 degrees QUESTION 8 Risk factors for Alcohol Use Disorder include which of the following? a) Family history
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b) Stressful life events c) Low socioeconomic status d) All of the above e) A & B only QUESTION 9 Scott is a 16 y/o male who presents to the clinic with a tender testicular mass, but no pain. He has previously been diagnosed with cryptorchidism. His most likely diagnosis is: a) Testicular torsion b)Testicular cancer c) Hodgkin lymphoma d) A & B only QUESTION 10 Diagnostic studies for Type II diabetes mellitus would include which of the following? a) HbA1C (>6.5%) b) Fasting plasma glucose (= to or >126 mg/dL)
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b) 24 hours of birth c) 36 hours of birth d) 48 hours of birth QUESTION 13 The preferred test for oral glucose tolerance test (OGTT) in a pregnant woman is: a) 100 g b) 75 g c) 50 g d) 25 g QUESTION 14
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Continuous antibiotic prophylaxis with which antibiotic is the most effective mode of treating UTIs: a) TMP-SMX b) Nitrofurantoin c) Cephalexin d) Ciprofloxacin QUESTION 15 All of the following are presumptive signs of pregnancy except: a) Amenorrhea b) Chadwick's sign (blue coloration of the uterus and vagina) c) Breast changes d) Fatigue QUESTION 16 The parents of Joshua want to be able to follow their son's growth and development patterns and ask you for a recommendation on which of the following standards would be most appropriate. You would recommend: a) Newborn Behavioral Assessment Scale
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c) Radioactive iodine d) All of the above e) A & B only QUESTION 19 Jay is a 72 y/o male who comes to the clinic with the following chief complaint: "I have been feeling very tired recently and having trouble breathing when I go upstairs. I noticed that my ankles and feet are swollen and I have been putting on weight." The most likely diagnosis for this patient is: a) Acute myocardial infarction (AMI)
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b) Infective endocarditis c) Congestive heart failure (CHF) d) Dissecting abdominal aortic aneurysm (AAA) QUESTION 20 Sara is a 38 y/o multipara who is in her 6th-7th month of pregnancy with her fourth child. She has a new onset of vaginal bleeding that is worsened by intercourse. On external physical exam, you note that her uterus is soft and non-tender to palpation. If Sara started having uterine cramping, then the most appropriate immediate treatment would be: a) Vaginal exam b) Ultrasound of the uterus c) C-section d) Intravenous magnesium QUESTION 21 Martin is a 17y/o male who comes to the clinic with the following chief complaint: "I have pain around my belly button and have had no appetite for the past 24 hours. I have had some nausea and have
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d) All of the above QUESTION 23 Patients with bipolar disorder may have all the following except: a) Delusions b) Hallucinations c) Lower rates of substance abuse d) A & B only QUESTION 24 Kyle is a 68 y/o male who comes to the clinic for his annual checkup. His chief complaint is that for the past couple of weeks he has had severe, sharp, excruciating pain in his abdomen, flank, and back. During the physical exam, the NP notices that on palpation of
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the abdomen she feels a palpable mass that is greater than 3 cm in width. This could potentially be: a) An acute MI b) Abdominal aortic aneurysm c) Infective endocarditis d) Congestive heart failure QUESTION 25 Mary is a 22 y/o female who is at 6 weeks gestation. She stated that her last menstrual period was June 10, 2020. Using Naegele's rule, which of the following is her expected date of confinement (EDD)? a) March 17, 2021 b) March 10, 2021 c) April 10, 2021 d) April 17, 2021 QUESTION 26 The most common drug trigger for Stevens-Johnson Syndrome include all the following except: a) ASA
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d) All of the above e) A & B only QUESTION 29 Artie is a 21 y/o male who comes to the clinic with a chief complaint of paroxysmal coughing without an apparent cause. He states that this has been going on for about 15 days. He initially had a mild fever and a runny nose. First-line treatment for Artie would include macrolides. a) True
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b) False QUESTION 30 Agnes is a 26 y/o female who comes to the clinic with intermittent episodes of moderate to severe cramping in the LLQ. She has bloating that is relieved with defecation. The most likely cause is: a) Irritable bowel syndrome b) Peptic ulcer disease c) GERD d) Pancreatitis Answered by Expert Tutors
d 2.a 3.b 4.b 5.c 6.c 7.b 8.d
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a Step-by-step explanation QUESTION 1 Joan is a 39 y/o female who presents to the clinic with a chief complaint of: 3-day history of fever (101 F degrees), chills, n & v, and flank pain. During the physical exam, the NP notices that Joan has CVA tenderness. In a urine check, the NP notes that she has many leukocytes, hematuria, WBC casts, and mild proteinuria. Complications for Joan would include all the following except:
NURSING 201 EXAM QUESTIONS AND ANSWERS
