NR 603 Week 2 Quiz

B. The findings are consistent with a peripheral nerve irritation and warrant further monitoring C. The findings suggest an upper motor neuron lesion requiring urgent imaging D. The exam is normal and no further follow-up is needed Answer: B 4. A 30-year-old patient presents for follow-up after a spontaneous abortion two weeks ago. She reports persistent sadness, low energy, and disrupted sleep. She states, “Some days I don’t see the point in getting out of bed.” What is the most appropriate next step in her care? A. Initiate a trial of antidepressants B. Normalize her emotions as part of the grieving process and schedule follow-up in 1 month C. Assess for suicidal ideation D. Recommend rest and journaling to help process her grief Answer: C 5. A 29-year-old patient presents for follow-up care one week after experiencing a spontaneous miscarriage. She reports feeling emotionally overwhelmed, fatigued, and having little appetite. In addition to gynecologic care, which of the following assessments is the most critical to prioritize at this stage to ensure comprehensive care without complications? A. Cardiovascular assessment to assess for circulatory abnormalities B. Gastrointestinal assessment to evaluate recent dietary changes C. Endocrine evaluation to rule out thyroid dysfunction D. Mental health to evaluate emotional status Answer: D D. Tingling in the foot and menstrual irregularity Answer: B 9. A patient reports new-onset confusion and difficulty recalling recent events along with a worsening headache. Which of the following best explains why these symptoms require immediate evaluation? A. They may indicate intracranial pathology or evolving neurological dysfunction B. They are common signs of medication noncompliance in elderly patients C. These symptoms are expected after bereavement and should be monitored over time D. They are likely related to dehydration and should improve with fluids Answer: A 10. A 42-year-old male presents with fatigue, headache, and intermittent facial drooping on the right side. He reports hiking in a wooded area in the Northeast U.S. about two weeks ago and recalls removing a tick from his leg. On exam, he has right-sided facial weakness and mild photophobia. Which of the following is the most likely diagnosis? A. Bell’s palsy B. Lyme neuroborreliosis C. Guillain-Barré syndrome D. Tension headache Answer: B 11. A 66-year-old patient presents with a sudden onset, severe headache described as "the worst headache of my life." His vital signs are stable, and there are no focal neurologic deficits on exam. What is the MOST appropriate next step in the management of this patient? A. Refer patient to ED for emergent CT raises the GREATEST concern for a secondary headache disorder requiring further evaluation? A. Smoking and normal fundoscopy exam B. Headache in a male patient over 50 C. Progressive headache, systemic symptoms, and papilledema D. Sudden onset headache described with nausea and vomiting Answer: C 15. A patient presents with pain and tingling in the right lower extremity. She has some moderate lower spine tenderness but her exam otherwise is unremarkable. MRI confirms an L4–L5 disc bulge with nerve root impingement,