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NRNP 6665 / NRNP-6665N Midterm Exam 2025 | Verified Questions and Answers | Latest 2025 UPLOAD | Scored(A+) 100% | Psychiatric Mental Health Nurse Practitioner (PMHNP) Program| PASS AT YOUR COMFORT
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An 80-year-old man with hypertension and hyperlipidemia presents with complaints of the rapid onset of severe low- back pain accompanied by abdominal pain that is gradually worsening. The patient appears pale and complains that he does not feel well. During the abdominal exam, the nurse practitioner detects a soft pulsatile mass just above the umbilicus as she palpates this area with her hand. Which of the following conditions is most likely? - << ANSWER IS>> --Abdominal aortic aneurysm
Which of the following laboratory test is sensitive for evaluating the renal function - << ANSWER IS>> -- Estimated glomerular filtration rate (eGFR) Which of the following groups has been recommended to be screened for thyroid disease? - << ANSWER IS>> -- Women aged 50 years or older All of the following patients should be screened for diabetes mellitus except: - << ANSWER IS>> --A 30-year- old White man with hypertension A 40-year-old White woman with a body mass index (BMI) of 32 complains of colicky pain in the right upper quadrant of her abdomen that gets worse if she eats fried food. During the physical exam, the nurse practitioner presses deeply on the left lower quadrant of the abdomen and the patient complains of pain on the right side of the lower abdomen. What is the name of this finding? - << ANSWER IS>> --Rovsing's sign Which of the following symptoms characterize this disorder? - << ANSWER IS>> --1.Ritualistic behaviors that the patient feels compelled to repeat.
A new mother is planning to breastfeed her newborn infant for at least 6 months. She wants to know whether she should give the infant vitamins. Which of the following vitamin supplements is recommended by the American Academy of Pediatrics (APA) during the first few days of life? - << ANSWER IS>> --Vit D drops An asthmatic exacerbation is characterized by all of the following symptoms except: - << ANSWER IS>> --Chronic coughing A 76-year-old woman reports that for the previous 4 months, she has noticed severe stiffness and aching in her neck and both shoulders and hips that is worsened by movement. She reports having a difficult time getting out of bed because of the severe stiffness and pain. It is difficult for her to put on a jacket or blouse or to fasten her bra. Along with these symptoms, she also has a low-grade fever, fatigue, loss of appetite, and weight loss. Starting yesterday, the vision in her right eye has progressively worsened. She has annual eye exams and denies that she has glaucoma. Which of the following conditions is most likely? - << ANSWER IS>> --Polymyalogia rheumatic (PMR) Hematoma - << ANSWER IS>> --epidural: m/c in the temporal/parietal region Subdural hematoma: m/c caused by tearing of the bridging veins
acute subdural hematoma sxs - << ANSWER IS>> -- drowsiness, agitation, and confusion HA unilateral or bilateral pupil dilatation hemiparesis noncontrast CT sx indications: >10mm thickness with >5mm midline shift regardless of GCS chronic subdural hematoma sxs - << ANSWER IS>> --HA memory loss personality changes incontinence ataxia obtain CT scan sx usually required, burr holes or craniotomy traumatic subarachnoid hemorrhage - << ANSWER IS>> -- HA reduced LOC nuchal rigidity hemiplegia ipsilateral pupillary abnormalities delayed vasospasm diffuse axonal injury - << ANSWER IS>> --type of brain injury characterized by shearing, stretching, or tearing of nerve fibers with subsequent axonal damage.
and alogia). - << ANSWER IS>> --signs and symptoms of schizophrenia a decline in both cognitive and social functioning that often precedes the development of florid psychosis. - << ANSWER IS>> --Schizophrenia is associated with The exact etiology of schizophrenia is unknown, although it is thought to be linked to an increase in dopaminergic activity. No single etiological factor is responsible for schizophrenia. - << ANSWER IS>> --Etiology of Schizophrenia Treatment includes antipsychotics in conjunction with behavioral therapy. - << ANSWER IS>> --Treatment of Schizophrenia Schizophrenia is a chronic serious mental disorder characterized by loss of contact with reality and manifested by two main symptoms: hallucinations and delusions. - << ANSWER IS>> --Schizophrenia definition Men and women are equally affected, but with a slight difference in the age of onsetMen: average age of onset = 23 years Women: average age of onset = 26 years - << ANSWER IS>> --onset of schizophrenia The disorder manifests when a person with a genetic predisposition is exposed to one of many environmental stressors.
Symptoms can be classified into premorbid, positive, negative, and cognitive. - << ANSWER IS>> --Clinical Presentation of schizophrenia Easy to recognize. Delusions:
increased risk of mortality in older adult patients with dementia. Examples include haloperidol, fluphenazine, and chlorpromazine. - << ANSWER IS>> --1st-generation antipsychotics Newer medications, starting with clozapine (approved in 1989). Associated with a lower risk for EPS compared with FGAs and therefore the 1st-line drugs to use (although the risk of metabolic syndrome is increased with SGAs). The decreased risk for EPS is the most important distinction from FGAs, as the pharmacologic properties, therapeutic effects, and adverse effects are not distinct between the 2 groups. Serotonin and dopamine antagonists. Common side effects include metabolic syndrome, hypotension, sedation, anticholinergic symptoms, hyperprolactinemia, EPS, cardiac effects, cardiomyopathies, cataracts, and sexual dysfunction. Examples are risperidone, aripiprazole, quetiapine, olanzapine, ziprasidone, clozapine. - << ANSWER IS>> -- 2nd-generation (atypical) antipsychotics Requires immediate attention.
Use oral antipsychotic and benzodiazepine (may require intramuscular due to noncompliance or for more rapid effect). Usually lasts 4-6 weeks. - << ANSWER IS>> --treatment of acute psychosis in schizophrenia
IS>> --Rule out any physiological cause for the crying spells A 22-year-old sexually active woman is complaining of amenorrhea and new-onset bloody vaginal spotting. On examination, her left adnexa is tender and cervical motion tenderness is positive. Which test should the nurse practitioner order initially? - << ANSWER IS>> --Urine pregnancy test A 44-year-old woman who is undergoing treatment for infertility complains of not having had a menstrual period for a few months. The night before, she started spotting and is now having cramp-like pains in her pelvic area. Her blood pressure (BP) is 160/80 mmHg, pulse is 110 beats/min, and she is afebrile. Her labs reveal mild anemia with mild leukocytosis. On pelvic exam, the uterine fundus is noted to be above the symphysis pubis. The cervical os is dilated at 3 cm. Which of the following is most likely? - << ANSWER IS>> --Inevitable abortion The Pap smear result for a 22-year-old sexually active college student whose partner uses condoms inconsistently reveals a large number of white blood cells and blood along with inflammatory changes. During the speculum exam, the cervix bled very easily (friable), and a small amount of purulent discharge was present on the cervical surface. No cervical motion tenderness was noted during the bimanual vaginal exam. What is the next step in the management of this patient? - << ANSWER IS>> -- Advise the patient be tested for chlamydia and gonorrhea
All of the following are infections that affect mostly the labia and vagina except: - << ANSWER IS>> --Chlamydia trachomatis Medicare Part B will pay for all of the following services except: - << ANSWER IS>> --Eyeglasses and routine dental care Which of the following individuals is more likely to be affected by alpha thalassemia anemia? - << ANSWER IS>> -- 25 - year-old Chinese patient A nurse practitioner's right to practice is regulated under: - << ANSWER IS>> --The board of nursing A 25-year-old woman's last menstrual period was 6 weeks ago. She is complaining of nausea with vomiting in the morning and fatigue. Her breasts feel bloated. The nurse practitioner suspects that she is pregnant. Her symptoms would be considered: - << ANSWER IS>> --Presumptive signs of pregnancy A new patient who is a 40-year-old female postal worker is being evaluated for complaints of a new-onset erythematous rash on both cheeks and the bridge of the nose, accompanied by fatigue. She reports a history of Hashimoto's thyroiditis and is currently being treated with Synthroid 1.25 mg daily. Which of the following conditions is most likely? - << ANSWER IS>> --Lupus erythematosus