NR509 Week 2 Exam Quiz, Answered-1.) While conducting a general survey during a comprehensive physical exam, which of the following findings would most warrant further evaluation of the patient?
a. Asymmetrical shoulder
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NR509 Week 2 Exam Quiz, Answered-1.) While conducting a general survey during a comprehensive physical exam, which of the following findings would most warrant further evaluation of the patient?
a. Asymmetrical shoulder height
b. Disheveled appearance and poor hygiene
c. Halitosis and body odor
d. Flat affect and monotone speech
2.) During the process of differential diagnosis, the NP lists several possible conditions for a patient presenting with fatigue, weight loss, and night sweats which of the following best demonstrates the correct use of pertinent positives and negatives?
a. Identifying the absence of fever to rule out malignancy.
b. Noting the presence of lymphadenopathy to support a possible diagnosis of lymphoma
c. Assuming a diagnosis based solely on the patient’s age and sex
d. Prioritizing the most common condition regardless of symptomology
3.) A 63-year-old male presents with a 3-day history of productive cough, fever, and fatigue. He reports a 20-year history of smoking. His temperature is 101.8F, respiratory rate is 22, and auscultation reveals crackles in the right lower lung field. A chest x-ray shows consolidation in the right lower lobe. What information belongs in the assessment section of the EHR?
a. “patient reports fatigue, fever, and cough with yellow sputum for 3 days”
b. “start azithromycin 500mg PO on day 1, then 250mg daily for 4 days”
c. Community-acquired pneumonia localized to the right lower lobe”
d. “vital signs notable for fever and tachypnea, crackles auscultated in RLL. CXR shows consolidation”
4.) A 7-year-old child is brought to the clinic by a parent who reports recent changes in behavior, including frequent nightmares, refusal to go to school, and increased irritability. What is the most appropriate initial clinical response by the NP?
a. Reassure the parent that these behaviors are normal for the child’s age and advise observation
b. Recommend disciplinary strategies to manage the child’s defiance
c. Suggest melatonin and a strict bedtime routine to manage sleep disturbances
d. conduct a thorough behavioral and developmental assessment and screen for possible mental health concerns
5.) a 45-year-old female presents with acute chest pain radiating to the left arm and shortness of breath in constructing a differential diagnosis, which of the following actions best reflects the NP’s prioritization of a “must not miss” diagnosis?
a. Considering musculoskeletal chest wall pain due to recent physical activity
b. Ordering a CXR to rule out pneumonia
c. Assessing for GERD based on dietary history
d. Immediately evaluating for MI
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