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NRNP 6531 Final exam 2021 /2022

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An 80-year-old man with hypertension and hyperlipidemia presents with complaints of the rapid onset of severe low-back pain accompanied by abdominal pain that is gradually worsening. The patient appears pale and complain ...

An 80-year-old man with hypertension and hyperlipidemia presents with complaints of the rapid onset of severe low-back pain accompanied by abdominal pain that is gradually worsening. The patient appears pale and complains that he does not feel well. During the abdominal exam, the nurse practitioner detects a soft pulsatile mass just above the umbilicus as she palpates this area with her hand. Which of the following conditions is most likely? - ANSWER Abdominal aortic aneurysm Which of the following laboratory test is sensitive for evaluating the renal function - ANSWER Estimated glomerular filtration rate (eGFR) Which of the following groups has been recommended to be screened for thyroid disease? - ANSWER Women aged 50 years or older All of the following patients should be screened for diabetes mellitus except: - ANSWER A 30-year-old White man with hypertension A 40-year-old White woman with a body mass index (BMI) of 32 complains of colicky pain in the right upper quadrant of her abdomen that gets worse if she eats fried food. During the physical exam, the nurse practitioner presses deeply on the left lower quadrant of the abdomen and the patient complains of pain on the right side of the lower abdomen. What is the name of this finding? - ANSWER Rovsing's sign Which of the following symptoms characterize this disorder? - ANSWER 1. Ritualistic behaviors that the patient feels compelled to repeat. 2. increased anxiety when attempting to ignore or suppress the repetitive behaviors. 3.frequent intrusive and repetive thoughts and impulses All the above Which of the following medications is indicated for the treatment of obsessive-compulsive disorder? - ANSWER Paroxetine (paxil CR) Which of the following conditions is most likely? - ANSWER Injury to the meniscus of the right knee Which of the following actions is the best course for patient? - ANSWER Refer him to an orthopedic specialist The patient's symptoms are highly suggestive of what condition? - ANSWER A 55-year-old male patient describes an episode of chest tightness in his substernal area that radiated to his back while he was jogging. It was relieved immediately when he stopped. - ANSWER Angina pectoris A 55-year-old male patient descr

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