FNP 3 Questions well answered, Exams of Nursing

Download FNP 3 Questions well answered and more Exams Nursing in PDF only on Docsity! FNP 3 Questions Fnp 545 PC [Email address] FNP 3 Questions A 23 year old male presents with low back pain. he lifted a heavy box yesterday at work but had no symptoms yesterday. Today however, he began to feel pain and stiffness in his lower back that hurts worse when he bends forward. On exam he has pain with flexion and extension and a negative straight leg raise test. What management plan would be appropriate for him at this time? A: order lumbar spine radiographies B: refer for epidural steroid injections C: Over the counter NSAID's, ice/heat, and return to work in 2 days D: Order MRI lumbar spine - correct answer ✔✔C: Over the counter NSAID's, ICE/HEAT, and return to work in 2 days Which of the following diagnostic tools is the best measure of renal function in a patient suspected of CKD? A: Electrolytes B: Creatinine clearance C: BUN and Creatinine D: Urinalysis - correct answer ✔✔B: Creatinine clearance A 32 year old woman comes to the clinic for evaluation of hand pain for the past 6 months. She also experiences numbness in the first through third fingers, and half of the fourth finger. Additionally she states she has been dropping things much more than usual. Physical examination is significant for tingling sensation triggered by palmar surface wrist percussion. Which of the following is a known risk factor for this condition? A: Hypertention B: Pregnancy C: Osteoarthtitis D: Anemia - correct answer ✔✔B: Pregnancy A 38 year-old-man comes to the clinic for evaluation of low back pain which radiates into the entire right lower extremity.physical examination reveals decreased sensation to the top of the right foot and D: High intake of citrus fruits and high fiber carbohydrates - correct answer ✔✔D: History of fractured femur with prolonged bed rest A 70 year old female has fallen 2 weeks ago and developed immediate pain in her left wrist. She thought she just bruised it but is worried because it has not improved. She has used tylenol and ice at home, and it has helped slightly. You examine her and find she has moderate swelling and ecchymosis but no overly obvious deformity. Her ROM is uncomfortable and severely diminished due to the pain. No crepitus is heard or felt. Her fingers are warm, her pulse is strong, and capillary refill is less than 2 seconds. What should you do? A: obtain a wrist x ray and place her hand in a splint or prescribe a splint B: make an immediate referral for an orthopedic evaluation without further assessment C: Tell her that it takes time for these bruises to improve, so she should be patient D: Send her tot he emergency room for reduction of the obvious wrist fracture. - correct answer ✔✔A: Obtain a wrist x-ray and place her hand in a splint or prescribe a splint What is the most common location of an osteoporotic fracture related to old age? A: tibia/fibula B: hip C: humerus D: Distal radius E: vertebral column - correct answer ✔✔B: hip A 52 year old man comes to the clinic for evaluation of left toe pain that began 16 hours prior. He reports the pain began acutely, but denies trauma, wounds, bites, or fever. Medical history is significant for hypertension for which he takes hydrochlorothiazide. Physical examination reveals swelling and erythema over the left first metalarsophalaneal joint. Which of the following dietary recommendations will help prevent a recurrence of symptoms? A: Avoidance of seafood B: Niacin supplementation C: Vitamin D supplementation D: Increase spinach consumption - correct answer ✔✔A: avoidance of seafood Which sign or symptom indicates an inflammatory etiology to musculoskeletal pain? A: hyperalbuminemia B: Morning stiffness C: decreased C reactive protein D: weight gain - correct answer ✔✔B: morning stiffness The clinician suspects that a client has patellar instability. In order to test for this, the client is seated with the quadriceps relaxed, and the knee is placed in extension. Next the patella is displaced laterally, and the knee is flexed to 30 degrees. If instability is present, this maneuver displaces the patella to an abnormal position on the lateral femoral condyle, and the client will perceive pain. Testing foe patellar instability in this way is known as: A: Bulge Sign B: Thumb sign C: Apprehension sign D: None of the above - correct answer ✔✔C: Apprehension sign A 66 year old woman comes to the clinic for a routine wellness examination. Medical history is significant for hypothyroidism, coronary artery disease, and rheumatoid arthritis. Physical examination reveals one inch loss of height. Which of the following diagnostic studies is indicated for osteoporosis evaluation in this patient? A: Anti GGP antibodies B: thoracolumbar spine radiograph C: Dexa Scan D: 26 hydroxyvitamin D level E: thyroid stimulating hormone level - correct answer ✔✔C: Dexa Scan A 64 year old woman comes to the clinic for evaluation of chronic bilateral knee pain over the past several years. She states she is stiff for approximately 10-15 minutes every morning. She watches her toddler grandchildren daily and her pain is significantly worse at the end of the day. radiographs of the affected joints reveal joint space narrowing and osteophyte formation. Given the most likely diagnosis, which of the following risk factors may have contributed to the development of this condition? A: excess alcohol B: obesity C: smoking D: competitive swimming - correct answer ✔✔B: obesity Which of the following 24 hour urine volumes is termed "oliguria"? A: >1000cc/24hr B: <500cc/24hr C: <100cc/24hr D: >500cc/24hr - correct answer ✔✔B: < 500cc/24hr A 48 year old man comes to the clinic for evaluation of a one week history of left elbow pain. He reports he was painting his house the weekend prior to the pain starting. Physical examination reveals pain with wrist extension against resistance and gripping, and grip strength is decreased. Which of the following is the most likely diagnosis? A: medical epicondylitis B: radial head fracture C: olecranon bursitis D: Lateral Epicondylitis - correct answer ✔✔D: Lateral epicondylitis An 82 year old woman with chronic kidney disease is in the clinic complaining of right knee pain. The provider should question the patient about the intake of which of these? A: Ibuprofen 200mg 2-3 time/day B: Losartan 50mg daily C: All of the above