NR 509 Week 4 Midterm Exam Practice Questions
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5. A 76 y.o male presents to the office for a routine physical examination. The NP documents the following skin findings: decreased elasticity with multiple lentiginous macules on habitually sun-exposed skin. Multiple, discrete, brown, stuck on, non-indurated, verrucous plaques on the back and abdomen varying from 1-2 cm. Which of the following is the most accurate interpretation of these findings? a. These findings suggest seborrheic keratoses. b. These findings suggest actinic keratoses. c. These findings suggest malignant melanoma. d. These findings suggest lichen planus. e. These findings suggest psoriasis. 6. A 14 y.o male presents to the clinic with his grandmother for a complaint of sore throat. The patient is afebrile and denies cough. After completing the history and physical examination, the NP documented the following partial assessment findings: throat – oral mucosa pink, dental caries in lower molars, tongue midline, uvula and pharynx erythematous, bilateral tonsils enlarged, no exudates. Neck – trachea midline. Neck supple; thyroid isthmus midline, lobes palpable but not enlarged. Lymph nodes – submandibular and anterior cervical lymph nodes tender. 1 cm x 1 cm, rubbery and mobile, no posterior cervical, epitrochlear, axillary, or inguinal lymphadenopathy. Which of the following is the most accurate interpretation of the findings? a. These findings suggest pharyngitis. b. These findings suggest tonsillar abscess. c. These findings suggest lymphoma. d. These findings suggest mononucleosis. e. These findings suggest upper respiratory illness. 7. The NP is assuming care for a 56 y.o female resident of a long-term assisted living facility. The woman is seated in a wheelchair next to a window in her private room. After completing a history and physical examination, the NP documented the following mental status findings: the patient appears to be sad and fatigued; clothes are wrinkled, speech is slow and words are mumbled. Thought processes are coherent, but insight into current life reverses is limited. The patient is oriented to person, place and time. Digit span, serial 7s, and calculations accurate, but responses delayed. Clock drawing is good. Which of the following is the most accurate interpretation of the findings? a. These findings suggest depression. b. These findings suggest anxiety. c. These findings suggest mood disorder. d. These findings suggest a neurocognitive disorder. e. These findings suggest intellectual disability. the integumentary findings? ADA Description: Rash on the neck. a. grouped, 2-5 mm vesicles on erythematous base on left anterior neck in a dermatomal distribution that does not cross the midline b. clustered, yellow 2-5 mm pustules involving the skin creases of the left anterior neck c. scattered, 3-6 mm erythematous papules and vesicles with transudate crust, some with linear arrays, on left neck and chest d. multiple, discrete 3–6 mm erythematous pustules with a 1 cm central bulla on the left anterior neck and upper chest e. scattered, erythematous round drop-like, flat-topped, wellcircumscribed scaling papules on the left anterior neck that does not cross the midline 12. An NP is caring for a patient with depression. The patient reports not feeling suicidal although still depressed on their
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