NR 509 Week 8 Final Exam Study Questions Answers
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A patient presents with a daily headache which has worsened over the past several months. On funduscopic examination, you notice that the disk edge is intact and veins do not pulsate. Which is most likely? A. Increased intracranial pressure B. Detached retina C. Migraine D. Glaucoma A 29-year-old computer programmer comes to your office for evaluation of a headache. The tightening sensation is located all over the head and is of moderate intensity. It used to last minutes, but this time it has lasted for 5 days. He denies photophobia and nausea. He spends several hours each day at a computer monitor/keyboard. He has tried over-the- counter medication; it has dulled the pain, but not taken it away. Based on this description, what is your most likely diagnosis? A. analgesic rebound B. cluster C. tension D. migraine A 50-year-old woman presents with a new complaint of headache. The patient states, “This is the worst headache of my life.” Her concurrent history includes hypertension. Her BP is 200/110 with an HR of 95. Of the following differential diagnosis, which is the most likely etiology?” A. meningitis B. subarachnoid hemorrhage C. migraine D. cluster A 47-year-old male presents to the Emergency Department with back pain associated with saddle numbness and urinary retention. Which of the following is an accurate interpretation of these assessment findings? A. These findings suggest idiopathic low back pain B. These findings suggest cauda equina C. These findings suggest sciatica D. These findings suggest constipation An elderly woman with dementia is brought in by her daughter for a rectal mass. On examination, you notice a moist pink mass protruding from the anus, which is non-tender and soft and does not have any associated bleeding. Which of the following is most likely? A. Perianal fistula B. Prolapsed internal hemorrhoid C. External hemorrhoid D. Rectal prolapse A healthy 30-year-old female presents to the ED with a 1-day history of severe abdominal pain. The NP suspects appendicitis and consults general surgery. Based on exam findings the NP believes this patient has signs of peritonitis on exam. Which of the following physical examination findings supports peritonitis? A. Voluntary reflex contraction of the abdominal wall from peritoneal inflammation that persists over several examinations. B. Pressing down onto the abdomen firmly and quickly withdraws the hand produces pain (Blumberg's sign) C. Localized pain over McBurney point which lies 2 inches from the anterior superior spinous process of ilium on a line drawn from that process to the umbilicus D. Involuntary contraction of the abdominal wall A 44-year-old female presents with nausea and pain in the right upper quadrant. The NP notices the patient winces in pain and there is cessation of inspiration with palpation of the right upper quadrant. The nurse practitioner would document which of the following is a positive finding for this patient. A. Rovsing sign B. McBurney sign C. Murphy sign D. Obturator sign Jim is a 60-year-old man who presents with vomiting. He denies seeing any blood with emesis, which has
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