NR 603 Week 2 Quiz

• C. These symptoms are expected a昀琀er bereavement and should be monitored over 琀椀me • D. They are common signs of medica琀椀on noncompliance in elderly pa琀椀ents Correct Answer: A Ques琀椀on 13: A 38-year-old female presents with acute lower back pain radia琀椀ng to her le昀琀 leg and di昀케culty ini琀椀a琀椀ng urina琀椀on. Which 昀椀nding is MOST concerning and warrants immediate evalua琀椀on? • A. Acute back pain with no history of trauma • B. Tingling in the foot and menstrual irregularity • C. Radia琀椀on of pain to the leg and history of heavy periods • D. Di昀케culty ini琀椀a琀椀ng urina琀椀on and lower extremity paresthesias Correct Answer: D Ques琀椀on 14: A 42-year-old male presents with fa琀椀gue, headache, and right-sided facial drooping a昀琀er removing a 琀椀ck. What is the most likely diagnosis? • A. Bell’s palsy • B. Tension headache • C. Guillain-Barré syndrome • D. Lyme neuroborreliosis Correct Answer: D Ques琀椀on 15: During a follow-up visit a昀琀er a spontaneous abor琀椀on, the pa琀椀ent states, “I haven’t had much of an appe琀椀te, and I feel exhausted all the 琀椀me.” What is the primary reason this informa琀椀on is clinically signi昀椀cant? • A. It may signal physical decondi琀椀oning and emerging depressive symptoms • B. It may indicate a gastrointes琀椀nal disorder requiring referral • C. It suggests a need for thyroid tes琀椀ng before counseling can be ini琀椀ated • D. It re昀氀ects normal recovery and does not require further evalua琀椀on Correct Answer: A Ques琀椀on 16: A 35-year-old female presents with pelvic pain, fever, and intermi琀琀ent urinary incon琀椀nence. On exam, she has suprapubic tenderness and decreased leg strength. What is the MOST appropriate clinical ac琀椀on? • A. Refer to urology • B. Order imaging and laboratory work • C. Recommend suppor琀椀ve care and follow-up in one week • D. Prescribe an琀椀bio琀椀cs Correct Answer: B Ques琀椀on 17: A 36-year-old female presents with fever, myalgia, confusion, and petechial rash a昀琀er mul琀椀ple 琀椀ck bites. Labs show thrombocytopenia and elevated liver enzymes. What is the MOST appropriate next step in management? • A. Start doxycycline empirically • B. Refer for lumbar puncture to rule out meningi琀椀s • C. Ini琀椀ate cor琀椀costeroids for possible autoimmune encephali琀椀s • D. Order serologic tes琀椀ng and wait for results before star琀椀ng treatment Correct Answer: A Ques琀椀on 18: A 29-year-old pa琀椀ent presents one week a昀琀er a spontaneous miscarriage repor琀椀ng emo琀椀onal fa琀椀gue and loss of appe琀椀te. In addi琀椀on to gynecologic care, which assessment is MOST cri琀椀cal to ensure comprehensive care? • A. Cardiovascular assessment to assess for circulatory abnormali琀椀es • B. Mental health to evaluate emo琀椀onal status • C. Endocrine evalua琀椀on to rule out thyroid dysfunc琀椀on • D. Gastrointes琀椀nal assessment to evaluate recent dietary changes Correct Answer: B Ques琀椀on 19: The pa琀椀ent reports drinking alcohol occasionally and having di昀케culty reaching out to friends and family. What is the • B. The pa琀椀ent’s alcohol use indicates abuse • C. The pa琀椀ent has no support system and should be hospitalized • D. The pa琀椀ent may be hiding a substance use disorder Correct Answer: A Ques琀椀on 20: Which pelvic exam 昀椀nding at a follow-up visit would prompt urgent