NR 511 Differential Diagnosis And Primary Care Practicum Quizzes Week 1 to 7

NR 511 Differential Diagnosis And Primary Care Practicum Quizzes Week 1 to 7

NR 511 Quizzes Week 1 – 7

NR 511 Week 1 Quiz: Advanced Pharmacology 

NR 511 Week 1 Quiz (v1)
  1. Question: The phrase usualand customary refers to:
  2. Question: What must you do as an advanced practice registered nurse (APRN) before billing for visits?
  3. Question: Which one of the following is true regarding the importance of documentation?
  4. Question: Which of the following statements does not belong in the past medical history portion of your chart note?
  5. Question: In relation to writing a patient encounter note, the acronym SOAP stands for which of the following?
  6. Question: Most health maintenance organizations (HMOs) use a reimbursement mechanism called capitation. What does this mean?
  7. Question: A screening test identified correctly identified 80 individuals who did not have breast cancer out of 100 individuals that were known to be free of the disease (true negatives). Thus, the test failed to recognize 20 individuals who did not have breast cancer. What is the specificity of the screening test?
  8. Question: What is an Accountable Care Organization (ACO)?
  9. Question: Denial of provider status is something that seriously impedes a nurse practitioner’s ability to practice. If that occurs, some steps one can take include:
  10. Question: Which of the following statements about Medicaid is true?
  11. Question: Which of the following is the best method for evaluating the efficacy of a new clinical intervention?
  12. Question: The Affordable Care Act (ACA) which passed in 2010 has a number of provisions, including the establishment of health exchanges. The purpose of a health insurance exchange is to:
  13. Question: Which of the following demonstrates an objective finding?
  14. Question: Which of the following demonstrates a subjective finding?
  15. Question: An 81-year-old patient presents for a physical. She recently had a fall and now has problems walking up her stairs. The only restroom in the house is on the second floor. She also has a flight of stairs outside her house she has to navigate in order to reach street level, and this is difficult for her. Where does this information belong in your chart note?

    NR 511 Differential Diagnosis And Primary Care Practicum Quizzes Week 1 to 7


NR-511 Week 1 Quiz (v2)
  1. Question: A screening test identified correctly identified 80 individuals who did not have breast cancer out of 100 individuals that were known to be free of the disease (true negatives). Thus, the test failed to recognize 20 individuals who did not have breast cancer. What is the specificity of the screening test?
  2. Question: Which of the following statements about Medicaid is true?
  3. Question: Most health maintenance organizations (HMOs) use a reimbursement mechanism called capitation. What does this mean?
  4. Question: Which of the following demonstrates an objective finding?
  5. Question: The phrase usual and customary refers to:
  6. Question: What must you do as an advanced practice registered nurse (APRN) before billing for visits?
  7. Question: Which one of the following is true regarding the importance of documentation?
  8. Question: In relation to writing a patient encounter note, the acronym SOAP stands for which of the following?
  9. Question: Which of the following demonstrates a subjective finding?
  10. Question: An 81-year-old patient presents for a physical. She recently had a fall and now has problems walking up her stairs. The only restroom in the house is on the second floor. She also has a flight of stairs outside her house she has to navigate in order to reach street level, and this is difficult for her. Where does this information belong in your chart note?
  11. Question: Which of the following statements does not belong in the past medical history portion of your chart note?
  12. Question: Which of the following is the best method for evaluating the efficacy of a new clinical intervention?
  13. Question: What is an Accountable Care Organization (ACO)?
  14. Question: Denial of provider status is something that seriously impedes a nurse practitioner’s ability to practice. If that occurs, some steps one can take include:
  15. Question: The Affordable Care Act (ACA) which passed in 2010 has a number of provisions, including the establishment of health exchanges. The purpose of a health insurance exchange is to:

    NR 511 Differential Diagnosis And Primary Care Practicum Quizzes Week 1 to 7


NR 511 Week 1 Quiz
  1. Question: An 81-year-old patient presents for a physical. She recently had a fall and now has problems walking up her stairs. The only restroom in the house is on the second floor. She also has a flight of stairs outside her house she has to navigate in order to reach street level, and this is difficult for her. Where does this information belong in your chart note?
  2. Question: Which one of the following is true regarding the importance of documentation?
  3. Question: Most health maintenance organizations (HMOs) use a reimbursement mechanism called capitation. What does this mean?
  4. Question: What is an Accountable Care Organization (ACO)?
  5. Question: The phrase usual and customary refers to:
  6. Question: The Affordable Care Act (ACA) which passed in 2010 has a number of provisions, including the establishment of health exchanges. The purpose of a health insurance exchange is to:
  7. Question: Denial of provider status is something that seriously impedes a nurse practitioner’s ability to practice. If that occurs, some steps one can take include:
  8. Question: What must you do as an advanced practice registered nurse (APRN) before billing for visits?
  9. Question: Which of the following demonstrates an objective finding?
  10. Question: Which of the following statements about Medicaid is true?
  11. Question: Which of the following is the best method for evaluating the efficacy of a new clinical intervention?
  12. Question: Which of the following statements does not belong in the past medical history portion of your chart note?
  13. Question: Which of the following demonstrates a subjective finding?
  14. Question: In relation to writing a patient encounter note, the acronym SOAP stands for which of the following?
  15. Question: A screening test identified correctly identified 80 individuals who did not have breast cancer out of 100 individuals that were known to be free of the disease (true negatives). Thus, the test failed to recognize 20 individuals who did not have breast cancer. What is the specificity of the screening test?

    NR 511 Differential Diagnosis And Primary Care Practicum Quizzes Week 1 to 7


NR-511 Week 1 Quiz
  1. Question: Denial of provider status is something that seriously impedes a nurse practitioner’s ability to practice. If that occurs, some steps one can take include:
  2. Question: The phrase usual and customary refers to:
  3. Question: An 81-year-old patient presents for a physical. She recently had a fall and now has problems walking up her stairs. The only restroom in the house is on the second floor. She also has a flight of stairs outside her house she has to navigate in order to reach street level, and this is difficult for her. Where does this information belong in your chart note?
  4. Question: Which of the following is the best method for evaluating the efficacy of a new clinical intervention?
  5. Question: Which of the following demonstrates an objective finding?
  6. Question: Which of the following statements does not belong in the past medical history portion of your chart note?
  7. Question: What is an Accountable Care Organization (ACO)?
  8. Question: Which one of the following is true regarding the importance of documentation?
  9. Question: Which of the following demonstrates a subjective finding?
  10. Question: The Affordable Care Act (ACA) which passed in 2010 has a number of provisions, including the establishment of health exchanges. The purpose of a health insurance exchange is to:
  11. Question: In relation to writing a patient encounter note, the acronym SOAP stands for which of the following?
  12. Question: What must you do as an advanced practice registered nurse (APRN) before billing for visits?
  13. Question: Which of the following statements about Medicaid is true?
  14. Question: Most health maintenance organizations (HMOs) use a reimbursement mechanism called capitation. What does this mean?
  15. Question: A screening test identified correctly identified 80 individuals who did not have breast cancer out of 100 individuals that were known to be free of the disease (true negatives). Thus, the test failed to recognize 20 individuals who did not have breast cancer. What is the specificity of the screening test?

Get nursing help on NR 511 Week 1 Quiz from top nursing online essay writers. Quality, top nursing papers guaranteed.

NR-511 Week 2 Quiz: Advanced Pharmacology 

NR 511 Differential Diagnosis And Primary Care Practicum Quizzes Week 1 to 7

NR 511 Week 2 Quiz (v1)
  1. Question: A 67-year old female on multiple medications for chronic conditions was just … with gastroesophageal reflux disease (GERD). In teaching the patient about the disease, what medication should the clinician recommend that the patient refrain from using?
  2. Question: When the Weber test is … with a tuning fork to … hearing and there is no lateralization, the clinician should document this finding as:
  3. Question: A 26-year-old male recently returned from a camping trip with symptoms of acute gastroenteritis. He reports that he only ate vegetables from his garden that he canned prior to his outing. Which of the following pathogens might be causing his symptoms?
  4. Question: A 29-year-old female just returned from Central America with traveler’s diarrhea and presents to the clinic for evaluation. Which of the following is the best treatment?
  5. Question: A 75-year-old female presents to your office complaining of dizziness and ringing in both ears for 1 day. She describes the dizziness as feeling like “the room is spinning”. On physical exam, the Rinne test reveals that air conduction is greater than bone conduction bilaterally. The Weber test reveals lateralization to the left. She is unable to hear the examiner’s whisper on the right side but can hear the whisper on the left side. What is the next step in helping this patient’s symptoms?
  6. Question: In a young child, unilateral purulent rhinitis is most often caused by:
  7. Question: A 38-year-old male patient has recently had an ileostomy for ulcerative colitis. Which self-care measures should the clinician teach him about to relieve food blockage?
  8. Question: A 30-year-old male presents to the clinic with intermittent diarrhea. He is pretty sure that the antacids taken for heartburn are the cause since the loose stools always occur within 30 minutes after taking them. How should the clinician respond?
  9. Question: A 52-year-old female is … of having a gastric ulcer and will undergo an Esophagogastroduodenoscopy (EGD). She is … that gastric ulcers can … malignant. How should the clinician respond?
  10. Question: Which medications used to treat nausea and vomiting works by affecting the chemoreceptor trigger zone, thereby stimulating upper gastrointestinal motility and increasing lower esophageal sphincter pressure?
  11. Question: A 72-year-old male patient presents to the clinic for his annual physical. He … because he only has a … movement every three days. How should the clinician respond?
  12. Question: Nausea is difficult to discern in a young child. What question should the clinician ask to determine if a child has nausea?
  13. Question: The antibiotic of choice for recurrent acute otitis media (AOM) and/or treatment failure in children is:
  14. Question: A 21-year-old female patient presents to the clinic for pre-operative tonsillectomy clearance. She has heard about permanent taste changes after a tonsillectomy and is concerned. What should the clinician tell her?
  15. Question: An 82-year-old female has been … with irritable bowel, chronic constipation, and diverticulosis following a colonoscopy. Which pharmacological agent should the clinician recommend?

    NR 511 Differential Diagnosis And Primary Care Practicum Quizzes Week 1 to 7


NR 511 Week 2 Quiz (v2)
  1. Question: In a young child, unilateral purulent rhinitis is most often caused by:
  2. Question: A 21-year-old female patient presents to the clinic for pre-operative tonsillectomy clearance. She has heard about permanent taste changes after a tonsillectomy and is concerned. What should the clinician tell her?
  3. Question: A 30-year-old male presents to the clinic with intermittent diarrhea. He is pretty sure that the antacids taken for heartburn are the cause since the loose stools always occur within 30 minutes after taking them. How should the clinician respond?
  4. Question: A 72-year-old male patient presents to the clinic for his annual physical. He states that he is worried because he only has a bowel movement every three days. How should the clinician respond?
  5. Question: A 52-year-old female is suspected of having a gastric ulcer and will undergo an Esophagogastroduodenoscopy (EGD). She is concerned because she heard that gastric ulcers can be malignant. How should the clinician respond?
  6. Question: A 29-year-old female just returned from Central America with traveler’s diarrhea and presents to the clinic for evaluation. Which of the following is the best treatment?
  7. Question: A 67-year old female on multiple medications for chronic conditions was just diagnosed with gastroesophageal reflux disease (GERD). In teaching the patient about the disease, what medication should the clinician recommend that the patient refrain from using?
  8. Question: Nausea is difficult to discern in a young child. What question should the clinician ask to determine if a child has nausea?
  9. Question: A 38-year-old male patient has recently had an ileostomy for ulcerative colitis. Which self-care measures should the clinician teach him about to relieve food blockage?
  10. Question: The antibiotic of choice for recurrent acute otitis media (AOM) and/or treatment failure in children is:
  11. Question: A 26-year-old male recently returned from a camping trip with symptoms of acute gastroenteritis. He reports that he only ate vegetables from his garden that he canned prior to his outing. Which of the following pathogens might be causing his symptoms?
  12. Question: When the Weber test is performed with a tuning fork to … hearing and there is no lateralization, the clinician should document this finding as:
  13. Question:An 82-year-old female has been … with irritable bowel, chronic constipation, and diverticulosis following a colonoscopy. Which pharmacological agent should the clinician recommend?
  14. Question: A 75-year-old female presents to your office complaining of dizziness and ringing in both ears for 1 day. She describes the dizziness as feeling like “the room is spinning”. On physical exam, the Rinne test reveals that air conduction is greater than bone conduction bilaterally. The Weber test reveals lateralization to the left. She is unable to hear the examiner’s whisper on the right side but can hear the whisper on the left side. What is the next step in helping this patient’s symptoms?
  15. Question: Which medications used to treat nausea and vomiting works by affecting the chemoreceptor trigger zone, thereby stimulating upper gastrointestinal motility and increasing lower esophageal sphincter pressure?

NR 511 Differential Diagnosis And Primary Care Practicum Quizzes Week 1 to 7

NR 511 Week 2 Quiz
  1. Question: An 82-year-old female has been … with irritable bowel, chronic constipation, and diverticulosis following a colonoscopy. Which pharmacological agent should the clinician recommend?
  2. Question: A 52-year-old female is … of having a gastric ulcer and will undergo an Esophagogastroduodenoscopy (EGD). She is … because she heard that gastric ulcers can be malignant. How should the clinician respond?
  3. Question: When the Weber test is performed with a tuning fork to … hearing and there is no lateralization, the clinician should document this finding as:
  4. Question: A 26-year-old male recently returned from a camping trip with symptoms of acute gastroenteritis. He reports that he only ate vegetables from his garden that he canned prior to his outing. Which of the following pathogens might be causing his symptoms?
  5. Question: The antibiotic of choice for recurrent acute otitis media (AOM) and/or treatment failure in children is:
  6. Question: A 30-year-old male presents to the clinic with intermittent diarrhea. He is pretty sure that the antacids taken for heartburn are the cause since the loose stools always occur within 30 minutes after taking them. How should the clinician respond?
  7. Question: A 21-year-old female patient presents to the clinic for pre-operative tonsillectomy clearance. She has heard about permanent taste changes after a tonsillectomy and is … What should the clinician tell her?
  8. Question: A 75-year-old female presents to your office complaining of dizziness and ringing in both ears for 1 day. She describes the dizziness as feeling like “the room is spinning”. On physical exam, the Rinne test reveals that air conduction is greater than bone conduction bilaterally. The Weber test reveals lateralization to the left. She is unable to hear the examiner’s whisper on the right side but can hear the whisper on the left side. What is the next step in helping this patient’s symptoms?
  9. Question: A 72-year-old male patient presents to the clinic for his annual physical. He … because he only has a bowel movement every three days. How should the clinician respond?
  10. Question: A 29-year-old female just returned from Central America with traveler’s diarrhea and presents to the clinic for evaluation. Which of the following is the best treatment?
  11. Question: In a young child, unilateral purulent rhinitis is most often caused by:
  12. Question: A 38-year-old male patient has recently had an ileostomy for ulcerative colitis. Which self-care measures should the clinician teach him about to relieve food blockage?
  13. Question: A 67-year old female on multiple medications for chronic conditions was just … with gastroesophageal reflux disease (GERD). In teaching the patient about the disease, what medication should the clinician recommend that the patient refrain from using?
  14. Question: Which medications used to treat nausea and vomiting works by affecting the chemoreceptor trigger zone, thereby stimulating upper gastrointestinal motility and increasing lower esophageal sphincter pressure?
  15. Question: Nausea is difficult to discern in a young child. What question should the clinician ask to determine if a child has nausea?

NR 511 Differential Diagnosis And Primary Care Practicum Quizzes Week 1 to 7

NR 511 Week 2 Quiz
  1. Question: A 72-year-old male patient presents to the clinic for his annual physical. He … because he only has a bowel movement every three days. How should the clinician respond?
  2. Question: In a young child, unilateral purulent rhinitis is most often caused by: Group of answer choices
  3. Question: A 38-year-old male patient has recently had an ileostomy for ulcerative colitis. Which self-care measures should the clinician teach him about to relieve food blockage? Group of answer choices
  4. Question: Nausea is difficult to discern in a young child. What question should the clinician ask to determine if a child has nausea? Group of answer choices
  5. Question: Which medications … to treat nausea and vomiting works by affecting the chemoreceptor trigger zone, thereby stimulating upper gastrointestinal motility and increasing lower esophageal sphincter pressure? Group of answer choices
  6. Question: A 52-year-old female is … of having a gastric ulcer and will undergo an Esophagogastroduodenoscopy (EGD). She is … that gastric ulcers can … malignant. How should the clinician respond? Group of answer choices
  7. Question: A 67-year old female on multiple medications for chronic conditions was just … with gastroesophageal reflux disease (GERD). In teaching the patient about the disease, what medication should the clinician recommend that the patient refrain from using? Group of answer choices
  8. Question: A 26-year-old male recently returned from a camping trip with symptoms of acute gastroenteritis. He reports that he only ate vegetables from his garden that he canned prior to his outing. Which of the following pathogens might be causing his symptoms? Group of answer choices
  9. Question: A 75-year-old female presents to your office complaining of dizziness and ringing in both ears for 1 day. She describes the dizziness as feeling like “the room is spinning”. On physical exam, the Rinne test reveals that air conduction is greater than bone conduction bilaterally. The Weber test reveals lateralization to the left. She is unable to hear the examiner’s whisper on the right side but can hear the whisper on the left side. What is the next step in helping this patient’s symptoms? Group of answer choices
  10. Question: The antibiotic of choice for recurrent acute otitis media (AOM) and/or treatment failure in children is: Group of answer choices
  11. Question: A 21-year-old female patient presents to the clinic for pre-operative tonsillectomy clearance. She has heard about permanent taste changes after a tonsillectomy and is … What should the clinician tell her? Group of answer choices
  12. Question: A 29-year-old female just returned from Central America with traveler’s diarrhea and presents to the clinic for evaluation. Which of the following is the best treatment? Group of answer choices
  13. Question: An 82-year-old female has been … with irritable bowel, chronic constipation, and diverticulosis following a colonoscopy. Which pharmacological agent should the clinician recommend? Group of answer choices
  14. Question: When the Weber test is performed with a tuning fork to … hearing and there is no lateralization, the clinician should document this finding as: Group of answer choices
  15. Question: A 30-year-old male presents to the clinic with intermittent diarrhea. He is pretty sure that the antacids taken for heartburn are the cause since the loose stools always occur within 30 minutes after taking them. How should the clinician respond? Group of answer choices

    NR 511 Differential Diagnosis And Primary Care Practicum Quizzes Week 1 to 7

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NR 511 Week 3 Quiz: Advanced Pharmacology 

NR 511 Week 3 Quiz
  1. Question: A rash that looks like the patient was slapped on the cheeks of the face is the hallmark characteristic for which disease?
  2. Question: A 3-year-old patient presents to your pediatric office with her mother. She has recently started in day care. Her mother noted slight perioral erythema on the right side of the patient’s mouth last night before bed. The patient awoke today with 3 small, superficial, honey-colored vesicles where the erythema was last night. The patient has no surrounding erythema presently. She had no difficulty eating this morning and is active and energetic and doesn’t appear lethargic or fatigued. She is also afebrile. How would you treat this child?
  3. Question: A 27-year-old female comes in to your primary care office complaining of a perioral rash. The patient noticed burning around her lips a couple days ago that quickly went away. She awoke from sleep yesterday and … a group of vesicles with erythematous bases where the burning had … before. There is no burning today. She is afebrile and has no difficulty eating or swallowing. What test would confirm her diagnosis?
  4. Question: A 10-year-old male presents to the office with his mother with complaints of itchy and red eyes for 1 day. He reports watery drainage in both eyes, associated with repetitive itching. He has no fever or constitutional symptoms. The patient has a sibling that just started day care recently. Upon examination, vision is 20/20 OU with glasses. He has mild to … conjunctival hyperemia with bilateral preauricular lymph nodes that are inflamed. What is the patient’s diagnosis?
  5. Question: A 22-year-old college student presents to your urgent care clinic complaining of a rash. She was recently on spring break and spent every night in the hot tub at her hotel. On physical exam, she has multiple small areas of 1- to 2-mm erythematous pustules that are present mostly where her bathing suit covered her buttocks. What is the most likely pathogen causing these lesions?
  6. Question: You diagnose 46-year-old Mabel with viral conjunctivitis. Your treatment should include:
  7. Question: Johnson, a 54-year-old accountant, presents to the office with a painful red eye without discharge. You should suspect:
  8. Question: A 4-year-old male presents to your pediatric clinic with his mother complaining of an itchy rash, mostly between his fingers. This has been going on for multiple days and has been getting worse. The patient recently started at a new day care. On physical exam, the patient is afebrile and has multiple small (1-2 mm) red papules in sets of 3 … in the web spaces between his fingers. He also has signs of excoriation. What is the treatment for this problem?
  9. Question: A 25-year-old male presents with “bleeding in my eye” for 1 day. He awoke this morning with a dark area of redness in his eye. He has no visual loss or changes. He denies constitutional symptoms, pruritus, drainage, or recent trauma. The redness presents on physical exam as a dark red area in the patient’s sclera of the right eye only and takes up less than 50% of the eye. The patient’s remaining sclera is clear and white. He also notes he was drinking alcohol last night and vomited afterward. What is the best treatment?
  10. Question: A 20-year-old male presents to your office in the summer complaining of chest discoloration. He is a lifeguard and has been out in the sun without a shirt on for long periods of time. His physical exam shows small, flat, circular, hypopigmented macules on his chest that he states are mildly pruritic. What is the treatment of choice for this diagnosis?
  11. Question: Sharon, a 47-year-old bank teller, is … by the nurse practitioner in the office for a red eye. You are trying to decide between a diagnosis of conjunctivitis and iritis. One distinguishing characteristic between the two is:
  12. Question: Which of the following patients does not have an increased risk of Candida infection?
  13. Question: Henry, 64 years old, is having difficulty getting rid of a corneal infection. He asks why. How do you respond?
  14. Question: A 25-year-old male presents to your urgent care clinic complaining of genital pruritus. On physical exam, the patient has small, erythematous, excoriated papules in his pubic hair. No mites are … There is no penile discharge, and the patient has no constitutional symptoms. He is sexually active but wears condoms during all sexual experiences. What is the most likely diagnosis?
  15. Question: Mary, age 82, presents with several eye problems. She states that her eyes are always dry and look “sunken in.” What do you suspect?

NR 511 Week 3 Quiz 

NR 511 Differential Diagnosis And Primary Care Practicum Quizzes Week 1 to 7

  1. Question: A 27-year-old female comes in to your primary care office complaining of a perioral rash. The patient noticed burning around her lips a couple days ago that quickly went away. She awoke from sleep yesterday and noticed a group of vesicles with erythematous bases where the burning had been before. There is no burning today. She is afebrile and has no difficulty eating or swallowing. What test would confirm her diagnosis?
  2. Question: A rash that looks like the patient was slapped on the cheeks of the face is the hallmark characteristic for which disease?
  3. Question: A 3-year-old patient presents to your pediatric office with her mother. She has recently started in day care. Her mother noted slight perioral erythema on the right side of the patient’s mouth last night before bed. The patient awoke today with 3 small, superficial, honey-colored vesicles where the erythema was last night. The patient has no surrounding erythema presently. She had no difficulty eating this morning and is active and energetic and doesn’t appear lethargic or fatigued. She is also afebrile. How would you treat this child?
  4. Question: A 20-year-old male presents to your office in the summer complaining of chest discoloration. He is a lifeguard and has been out in the sun without a shirt on for long periods of time. His physical exam shows small, flat, circular, hypopigmented macules on his chest that he states are mildly pruritic. What is the treatment of choice for this diagnosis?
  5. Question: A 25-year-old male presents with “bleeding in my eye” for 1 day. He awoke this morning with a dark area of redness in his eye. He has no visual loss or changes. He denies constitutional symptoms, pruritus, drainage, or recent trauma. The redness presents on physical exam as a dark red area in the patient’s sclera of the right eye only and takes up less than 50% of the eye. The patient’s remaining sclera is clear and white. He also notes he was drinking alcohol last night and vomited afterward. What is the best treatment?
  6. Question: A 4-year-old male presents to your pediatric clinic with his mother complaining of an itchy rash, mostly between his fingers. This has been going on for multiple days and has been getting worse. The patient recently started at a new day care. On physical exam, the patient is afebrile and has multiple small (1-2 mm) red papules in sets of 3 located in the web spaces between his fingers. He also has signs of excoriation. What is the treatment for this problem?
  7. Question: Henry, 64 years old, is having difficulty getting rid of a corneal infection. He asks why. How do you respond?
  8. Question: You diagnose 46-year-old Mabel with viral conjunctivitis. Your treatment should include:
  9. Question: A 25-year-old male presents to your urgent care clinic complaining of genital pruritus. On physical exam, the patient has small, erythematous, excoriated papules in his pubic hair. No mites are … There is no penile discharge, and the patient has no constitutional symptoms. He is sexually active but wears condoms during all sexual experiences. What is the most likely diagnosis?
  10. Question: A 10-year-old male presents to the office with his mother with complaints of itchy and red eyes for 1 day. He reports watery drainage in both eyes, … with repetitive itching. He has no fever or constitutional symptoms. The patient has a sibling that just started day care recently. Upon examination, vision is 20/20 OU with glasses. He has mild to moderate conjunctival hyperemia with bilateral preauricular lymph nodes that are inflamed. What is the patient’s … ?
  11. Question: A 22-year-old college student presents to your urgent care clinic complaining of a rash. She was recently on spring break and spent every night in the hot tub at her hotel. On physical exam, she has multiple small areas of 1- to 2-mm erythematous pustules that are present mostly where her bathing suit covered her buttocks. What is the most likely pathogen causing these lesions?
  12. Question: Sharon, a 47-year-old bank teller, is … by the nurse practitioner in the office for a red eye. You are trying to decide between a …of conjunctivitis and iritis. One distinguishing characteristic between the two is:
  13. Question: Johnson, a 54-year-old accountant, presents to the office with a painful red eye without discharge. You should suspect:
  14. Question: Mary, age 82, presents with several eye problems. She states that her eyes are always dry and look “sunken in.” What do you suspect?
  15. Question: Which of the following patients does not have an increased risk of Candida infection?

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NR-511 Week 5 Quiz: Advanced Pharmacology 

NR 511 Differential Diagnosis And Primary Care Practicum Quizzes Week 1 to 7

NR 511 Week 5 Quiz (v1)
  1. Question: A 42-year-old professional golfer complains of chronic back pain for many years. His workup reveals that it is not the result of a degenerative disc problem. His back “goes out” about twice per year, and he is out of work for about a week each time. Which of the following should the clinician advise?
  2. Question: A 49-year-old female presents with low back pain radiating into the right leg,. An x-ray of the lumbosacral spine is within normal limits. Which of the following diagnoses do you explore further?
  3. Question: In assessing the skeletal muscles, the clinician turns the patient’s forearm so that the palm is face up. This is called:
  4. Question: A conservative approach is recommended in the initial approach to the management of low back pain. Which of the following would be an appropriate treatment plan for a 32-year-old obese male (BMI 33) diagnosed with an acute lumbar strain?
  5. Question: A 13-year-old obese (body mass index [BMI] above the 95th percentile) boy reports low-grade left knee pain for the past 2 months. He denies antecedent trauma but admits to frequent “horseplay” with his friends. The pain has progressively worsened, and he is now unable to bear weight at all on his left leg. His current complaints include left groin, thigh, and medial knee pain and tenderness. His examination demonstrates negative drawer, Lachman, and McMurray tests; left hip with decreased internal rotation and abduction; and external hip rotation with knee flexion. Based on the above scenario, the clinician should suspect which of the following?
  6. Question: A 55-year-old patient is able to complete range of motion (ROM) against gravity with some resistance. The nurse practitioner would … which of the following numerical grades to this manual muscle testing description?
  7. Question: A 16-year-old male patient presents to the clinic after sustaining a football injury to his right knee. The clinician elicits a positive anterior/posterior drawer sign. This test indicates an injury to the ______?
  8. Question: A 28-year-old male presents to the clinic for follow-up from the emergency department, where he was seen for right forearm pain 3 days ago. He works as a carpenter and is right hand dominant. He states he was diagnosed with right forearm tendinitis and is not sure what this means. As part of teaching, the clinician explains that the condition is caused by inflammation of one or more of the tendons. Which of the following describes tendons?
  9. Question: A 10-year-old male presents to the clinic after jumping off a 2-foot wall, twisting his foot and ankle upon landing. His ankle x-ray demonstrates a fracture of the distal tibia, over the articular surface, through the epiphysis and physis. Based on the Salter-Harris classification of growth plate injuries, the clinician knows that this is a ______?
  10. Question: A 62-year-old woman presents to the clinic with chronic low back pain. She states she has developed episodes of fecal incontinence and numbness in her right leg over the last week. Upon examination the clinician notes decreased perianal sensation to pinprick. What should the clinician do next?
  11. Question: The valgus stress test, varus stress test, Lachman test, and thumb sign are all considered standard tests to check the integrity of the ligaments of the knee. Which of the following would the clinician choose to assess the anterior cruciate ligament (ACL), which is the most commonly involved structure in severe knee injury?
  12. Question: A 55-year-old female patient presents with complaints of pain and paresthesias in the left ulnar aspect of the forearm, thumb, and middle finger following a C6 & C7 nerve root dermatomal pattern. This is known as ________?
  13. Question: A 55-year-old female presents to the clinic with complaints of left hand and wrist pain and swelling after a slip and fall on the ice yesterday. On examination, the clinician notes tenderness at the “anatomical snuffbox.” This finding most likely indicates which of the following?
  14. Question: A 48-year-old male presents with acute low back pain in the right that increases when standing and bending. Upon physical exam, lower extremity muscle strength is 5/5 and straigh leg raise test is negative. Which of the following is the most likely … ?
  15. Question: A 16-year-old boy presents to the office with complaints of low back pain after lifting heavy boxes. In discussing with him proper body mechanics to prevent future injuries, the clinician should advise which of the following?

NR 511 Differential Diagnosis And Primary Care Practicum Quizzes Week 1 to 7

NR 511 Week 5 Quiz (v2)
  1. Question: A 48-year-old male presents with acute low back pain in the right that increases when standing and bending. Upon physical exam, lower extremity muscle strength is 5/5 and straight leg raise test is negative. Which of the following is the most likely … ?
  2. Question: AA 55-year-old patient is able to complete range of motion (ROM) against gravity with some resistance. The nurse practitioner would assign which of the following numerical grades to this manual muscle testing description?
  3. Question: The valgus stress test, varus stress test, Lachman test, and thumb sign are all considered standard tests to check the integrity of the ligaments of the knee. Which of the following would the clinician choose to assess the anterior cruciate ligament (ACL), which is the most commonly involved structure in severe knee injury?
  4. Question: A 55-year-old female presents to the clinic with complaints of left hand and wrist pain and swelling after a slip and fall on the ice yesterday. On examination, the clinician notes tenderness at the “anatomical snuffbox.” This finding most likely indicates which of the following?
  5. Question: Positive anterior and posterior drawer signs … injury to the anterior cruciate ligament and posterior cruciate ligament, respectively. The drawer and Lachman tests are utilized to assess for cruciate ligament injury.
  6. Question: A 10-year-old male presents to the clinic after jumping off a 2-foot wall, twisting his foot and ankle upon landing. His ankle x-ray demonstrates a fracture of the distal tibia, over the articular surface, through the epiphysis and physis. Based on the Salter-Harris classification of growth plate injuries, the clinician knows that this is a ______?
  7. Question:A 13-year-old obese (body mass index [BMI] above the 95th percentile) boy reports low-grade left knee pain for the past 2 months. He denies antecedent trauma but admits to frequent “horseplay” with his friends. The pain has progressively worsened, and he is now unable to bear weight at all on his left leg. His current complaints include left groin, thigh, and medial knee pain and tenderness. His examination demonstrates negative drawer, Lachman, and McMurray tests; left hip with decreased internal rotation and abduction; and external hip rotation with knee flexion. Based on the above scenario, the clinician should suspect which of the following?
  8. Question:A 49-year-old female presents with low back pain radiating into the right leg,. An x-ray of the lumbosacral spine is within normal limits. Which of the following diagnoses do you explore further? You Answered
  9. Question:A 42-year-old professional golfer complains of chronic back pain for many years. His workup reveals that it is not the result of a degenerative disc problem. His back “goes out” about twice per year, and he is out of work for about a week each time. Which of the following should the clinician advise?
  10. Question:A 55-year-old female patient presents with complaints of pain and paresthesias in the left ulnar aspect of the forearm, thumb, and middle finger following a C6 & C7 nerve root dermatomal pattern. This is known as ________?
  11. Question:In assessing the skeletal muscles, the clinician turns the patient’s forearm so that the palm is face up. This is called:
  12. Question:A 62-year-old woman presents to the clinic with chronic low back pain. She states she has developed episodes of fecal incontinence and numbness in her right leg over the last week. Upon examination the clinician notes decreased perianal sensation to pinprick. What should the clinician do next?
  13. Question:A conservative approach is … in the initial approach to the management of low back pain. Which of the following would … an appropriate treatment plan for a 32-year-old obese male (BMI 33) diagnosed with an acute lumbar strain?
  14. Question:A 28-year-old male presents to the clinic for follow-up from the emergency department, where he was seen for right forearm pain 3 days ago. He works as a carpenter and is right hand dominant. He states he was diagnosed with right forearm tendinitis and is not sure what this means. As part of teaching, the clinician explains that the condition is … by inflammation of one or more of the tendons. Which of the following describes tendons?
  15. Question:A 16-year-old boy presents to the office with complaints of low back pain after lifting heavy boxes. In discussing with him proper body mechanics to prevent future injuries, the clinician should advise which of the following?

NR 511 Week 5 Quiz
  1. Question: A 55-year-old female presents to the clinic with complaints of left hand and wrist pain and swelling after a slip and fall on the ice yesterday. On examination, the clinician notes tenderness at the “anatomical snuffbox.” This finding most likely indicates which of the following?
  2. Question: A 28-year-old male presents to the clinic for follow-up from the emergency department, where he was … for right forearm pain 3 days ago. He works as a carpenter and is right hand dominant. He states he was … with right forearm tendinitis and is not sure what this means. As part of teaching, the clinician explains that the condition is … by inflammation of one or more of the tendons. Which of the following describes tendons?
  3. Question: A conservative approach is … in the initial approach to the management of low back pain. Which of the following would … an appropriate treatment plan for a 32-year-old obese male (BMI 33) … with an acute lumbar strain?
  4. Question: A 10-year-old male presents to the clinic after jumping off a 2-foot wall, twisting his foot and ankle upon landing. His ankle x-ray demonstrates a fracture of the distal tibia, over the articular surface, through the epiphysis and physis. Based on the Salter-Harris classification of growth plate injuries, the clinician knows that this is a ______?
  5. Question: A 48-year-old male presents with acute low back pain in the right that increases when standing and bending. Upon physical exam, lower extremity muscle strength is 5/5 and straigh leg raise test is negative. Which of the following is the most likely … ?
  6. Question: A 42-year-old professional golfer complains of chronic back pain for many years. His workup reveals that it is not the result of a degenerative disc problem. His back “goes out” about twice per year, and he is out of work for about a week each time. Which of the following should the clinician advise?
  7. Question: In assessing the skeletal muscles, the clinician turns the patient’s forearm so that the palm is face up. This is … :
  8. Question: A 49-year-old female presents with low back pain radiating into the right leg,. An x-ray of the lumbosacral spine is within normal limits. Which of the following diagnoses do you explore further?
  9. Question: A 55-year-old patient is able to complete range of motion (ROM) against gravity with some resistance. The nurse practitioner would assign which of the following numerical grades to this manual muscle testing description?
  10. Question: A 62-year-old woman presents to the clinic with chronic low back pain. She states she has developed episodes of fecal incontinence and numbness in her right leg over the last week. Upon examination the clinician notes decreased perianal sensation to pinprick. What should the clinician do next?
  11. Question: A 16-year-old male patient presents to the clinic after sustaining a football injury to his right knee. The clinician elicits a positive anterior/posterior drawer sign. This test indicates an injury to the ______?
  12. Question: A 13-year-old obese (body mass index [BMI] above the 95th percentile) boy reports low-grade left knee pain for the past 2 months. He denies antecedent trauma but admits to frequent “horseplay” with his friends. The pain has progressively worsened, and he is now unable to bear weight at all on his left leg. His current complaints include left groin, thigh, and medial knee pain and tenderness. His examination demonstrates negative drawer, Lachman, and McMurray tests; left hip with decreased internal rotation and abduction; and external hip rotation with knee flexion. Based on the above scenario, the clinician should suspect which of the following?
  13. Question: The valgus stress test, varus stress test, Lachman test, and thumb sign are all … standard tests to check the integrity of the ligaments of the knee. Which of the following would the clinician choose to … the anterior cruciate ligament (ACL), which is the most commonly … structure in severe knee injury?
  14. Question: A 55-year-old female patient presents with complaints of pain and paresthesias in the left ulnar aspect of the forearm, thumb, and middle finger following a C6 & C7 nerve root dermatomal pattern. This is known as ________?
  15. Question: A 16-year-old boy presents to the office with complaints of low back pain after lifting heavy boxes. In discussing with him proper body mechanics to prevent future injuries, the clinician should advise which of the following?

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NR 511 Week 6 Quiz: Advanced Pharmacology 

NR 511 Differential Diagnosis And Primary Care Practicum Quizzes Week 1 to 7

NR 511 Week 6 Quiz (v1)
  1. Question: A client with hyperthyroidism presents with a complaint of a “gritty” feeling in her eyes. Over the past week, her visual acuity has diminished, and her ability to see colors has changed. She also has a feeling of pressure behind her eyes. The next step for the nurse practitioner is to:
  2. Question: A low thyroid-stimulating hormone (TSH) can lead to:
  3. Question: … of the following statements about hypothyroidism is not true?
  4. Question: Alice, age 48, has a benign thyroid nodule. The most common treatment involves:
  5. Question: An elderly client presents with atrial fibrillation. Which of the following lab tests is important in forming the diagnosis?
  6. Question: A 6-year-old girl was bitten by a friend’s dog. Her mother asks the clinician if the child needs anti-rabies treatment. Which of the following should the clinician advise?
  7. Question: The most common cause of hyperthyroidism is:
  8. Question: A 24-year-old female is preparing for radioactive iodine therapy to treat Graves disease. Which test must she undergo first?
  9. Question: Which of the following body mass index (BMI) values defines class 1 obesity?
  10. Question: … is the medication of choice for an initial acute attack of gout?
  11. Question: Which of the following objective findings in a 49-year-old female is a sign of hyperthyroidism?
  12. Question: A 72-year-old obese male has gout. When teaching him about diet, which of the following should the clinician advise?
  13. Question: A 46-year-old male presents with a tender, red and swollen knee. The clinician orders a complete blood count (CBC) with differential, uric acid level and erythrocyte sedimentation rate (ESR). Which of the following results would make the clinician suspect a septic joint rather than gout?
  14. Question: A client presents with clinical manifestations of hyperthyroidism. The differential diagnosis includes Graves disease and subacute thyroiditis. Which of the following findings is consistent with subacute thyroiditis?
  15. Question: A 23-year-old female complains of palpitations that started a few weeks ago; they occur 2 to 4 times a day and last 5 to 10 minutes. She feels nervous and is having trouble sleeping. Her stools have been frequent (1-3 per day) and loose. She is taking levothyroxine 150 µg daily. Her labs indicate free thyroxine (FT4) 2.28 and thyroid-stimulating hormone (TSH) 0.022. She has a history of Graves disease and had radioactive iodine (RAI) treatment a few months ago. She has been on thyroid replacement for 2 months. Based on these findings, what should the clinician do next?

NR 511 Differential Diagnosis And Primary Care Practicum Quizzes Week 1 to 7

NR 511 Week 6 Quiz (v2)
  1. Question: A client with hyperthyroidism presents with a complaint of a “gritty” feeling in her eyes. Over the past week, her visual acuity has diminished, and her ability to see colors has changed. She also has a feeling of pressure behind her eyes. The next step for the nurse practitioner is to:
  2. Question: A 23-year-old female complains of palpitations that started a few weeks ago; they occur 2 to 4 times a day and last 5 to 10 minutes. She feels nervous and is having trouble sleeping. Her stools have been frequent (1-3 per day) and loose. She is taking levothyroxine 150 µg daily. Her labs indicate free thyroxine (FT4) 2.28 and thyroid-stimulating hormone (TSH) 0.022. She has a history of Graves disease and had radioactive iodine (RAI) treatment a few months ago. She has been on thyroid replacement for 2 months. Based on these findings, what should the clinician do next?
  3. Question: A 72-year-old obese male has gout. When teaching him about diet, which of the following should the clinician advise?
  4. Question: A 24-year-old female is preparing for radioactive iodine therapy to treat Graves disease. Which test must she undergo first?
  5. Question: A low thyroid-stimulating hormone (TSH) can lead to:
  6. Question: What is the medication of choice for an initial acute attack of gout?
  7. Question: A client presents with clinical manifestations of hyperthyroidism. The differential diagnosis includes Graves disease and subacute thyroiditis. Which of the following findings is consistent with subacute thyroiditis?
  8. Question: A 6-year-old girl was bitten by a friend’s dog. Her mother asks the clinician if the child needs anti-rabies treatment. Which of the following should the clinician advise?
  9. Question: Which of the following objective findings in a 49-year-old female is a sign of hyperthyroidism?
  10. Question: Alice, age 48, has a benign thyroid nodule. The most common treatment involves:
  11. Question: The most common cause of hyperthyroidism is:
  12. Question: An elderly client presents with atrial fibrillation. Which of the following lab tests is important in forming the diagnosis?
  13. Question: Which of the following body mass index (BMI) values defines class 1 obesity?
  14. Question: Which of the following statements about hypothyroidism is not true?
  15. Question: A 46-year-old male presents with a tender, red and swollen knee. The clinician orders a complete blood count (CBC) with differential, uric acid level and erythrocyte sedimentation rate (ESR). Which of the following results would make the clinician suspect a septic joint rather than gout?

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NR-511 Week 7 Quiz: Advanced Pharmacology 

NR 511 Differential Diagnosis And Primary Care Practicum Quizzes Week 1 to 7

NR 511 Week 7 Quiz (v1)
  1. Question: A patient is being treated for erectile dysfunction. The patient is morbidly obese and is also being treated for a coagulopathy. Which of the following medications would … contraindicated?
  2. Question: A 32-year-old male appears with a rapid onset of unilateral scrotal pain radiating up to the groin and flank. The nurse practitioner is trying to differentiate between epididymitis and testicular torsion. Which test should be the provider’s first choice?
  3. Question: A 51-year-old male requests a prescription for sildenafil (Viagra). He says that the only medication he takes is isosorbide mononitrate (Monoket) oral tablets and that he has diabetes which is controlled with diet alone. What should the nurse practitioner tell him?
  4. Question: A 72-year-old unmarried, sexually active man, presents to the clinic with complaints of hesitancy, urgency, and occasional uncontrolled dribbling. Although the nurse practitioner suspects benign prostatic hyperplasia, what else should the differential diagnosis include?
  5. Question: A 54-year-old male is complaining of erectile dysfunction. He also has a condition that has reduced arterial blood flow to his penis. The most common cause of this condition is:
  6. Question: A 58-year-old male has been … with erectile dysfunction and says that a friend told him about a method that uses a constricting ring around the base of the penis. What is he referring to?
  7. Question: A 52-year-old male patient is in a new relationship and is not sure whether his erectile dysfunction is organic or is … by stress about his performance. What simple test could the clinician suggest to determine if he has the ability to have an erection?
  8. Question: A 72-year-old male presents to the office for follow-up of several episodes of orthostatic hypotension. After obtaining a review of systems and a digital rectal examination, it also appears that he has benign prostatic hyperplasia (BPH) with lower urinary tract symptoms. The nurse practitioner reviews his recent ultrasound evaluation, which reports a prostate volume of over 40 mL, and the results of the American Urological Association (AUA) symptom index for BPH, which shows his score to be 12. Based on the preceding information and the patient’s desire for noninvasive medical therapy, what management should he … offered?
  9. Question: A 32-year-old male presents with complaints of a scrotal mass; however, the scrotum is so edematous that it is difficult to assess. How would the nurse practitioner (NP) best determine whether the condition is a hernia or a hydrocele?!
  10. Question: Regular testicular self-exams have not been studied enough to show if they lower the risk of dying from testicular cancer. This is why the American Cancer Society and other agencies do not have a recommendation about regular testicular self-exams for all men. Still, some practitioners do recommend that all men examine their testicles monthly after reaching puberty. In teaching a patient how to do a testicular self-examination, which of the following should the clinician advise?
  11. Question: A 62-year-old male has a low International Prostate Symptom Score for lower urinary tract symptoms associated with his benign prostatic hyperplasia (BPH). The nurse practitioner should recommend: !
  12. Question: A male patient presents to the clinic for evaluation of infertility. Subjectively, the patient complains of pain and fullness of the testes and states, “My testicles feel like a bag of worms.” On physical examination, the nurse practitioner notes tortuous veins posterior to and above the testes that extend up into the external inguinal ring. Based on the preceding assessment, the nurse practitioner refers the patient to urology with a diagnosis of:
  13. Question: A 63-year-old man presents to your office with hematuria, hesitancy, and dribbling. Digital rectal examination (DRE) reveals a smooth, moderately enlarged prostate. The client’s prostate-specific antigen (PSA) is 1.2. What is the most appropriate management strategy at this time?
  14. Question: A 15-year-old male comes to the clinic in acute distress with “belly pain.” When obtaining his history, the nurse practitioner (NP) finds that he fell off his bike this morning and has vomited. Upon closer examination, the NP … the belly pain to be left-sided groin pain or pain in his left testicle. He is afebrile and reports no dysuria. Which of the following … is most likely?
  15. Question: A patient’s chief complaint is pain and heaviness in the scrotum. The nurse practitioner notes swelling of the testes, along with warm scrotal skin. Which of the following diagnoses is most probable?

NR 511 Differential Diagnosis And Primary Care Practicum Quizzes Week 1 to 7

NR 511 Week 7 Quiz (v2)
  1. Question: A 72-year-old male presents to the office for follow-up of several episodes of orthostatic hypotension. After obtaining a review of systems and a digital rectal examination, it also appears that he has benign prostatic hyperplasia (BPH) with lower urinary tract symptoms. The nurse practitioner reviews his recent ultrasound evaluation, which reports a prostate volume of over 40 mL, and the results of the American Urological Association (AUA) symptom index for BPH, which shows his score to be 12. Based on the preceding information and the patient’s desire for noninvasive medical therapy, what management should he be offered?
  2. Question: A 58-year-old male has been diagnosed with erectile dysfunction and says that a friend told him about a method that uses a constricting ring around the base of the penis. What is he referring to?
  3. Question: Regular testicular self-exams have not been studied enough to show if they lower the risk of dying from testicular cancer. This is why the American Cancer Society and other agencies do not have a recommendation about regular testicular self-exams for all men. Still, some practitioners do recommend that all men examine their testicles monthly after reaching puberty. In teaching a patient how to do a testicular self-examination, which of the following should the clinician advise?
  4. Question: A 32-year-old male appears with a rapid onset of unilateral scrotal pain radiating up to the groin and flank. The nurse practitioner is trying to differentiate between epididymitis and testicular torsion. Which test should be the provider’s first choice?
  5. Question: A patient is being treated for erectile dysfunction. The patient is morbidly obese and is also being treated for a coagulopathy. Which of the following medications would … contraindicated?
  6. Question: A 32-year-old male presents with complaints of a scrotal mass; however, the scrotum is so edematous that it is difficult to assess. How would the nurse practitioner (NP) best determine whether the condition is a hernia or a hydrocele?
  7. Question: A 54-year-old male is complaining of erectile dysfunction. He also has a condition that has reduced arterial blood flow to his penis. The most common cause of this condition is:
  8. Question: A 52-year-old male patient is in a new relationship and is not sure whether his erectile dysfunction is organic or is … by stress about his performance. What simple test could the clinician suggest to determine if he has the ability to have an erection?
  9. Question: A patient’s chief complaint is pain and heaviness in the scrotum. The nurse practitioner notes swelling of the testes, along with warm scrotal skin. Which of the following diagnoses is most probable?
  10. Question: A 62-year-old male has a low International Prostate Symptom Score for lower urinary tract symptoms associated with his benign prostatic hyperplasia (BPH). The nurse practitioner should recommend:
  11. Question: A 72-year-old unmarried, sexually active man, presents to the clinic with complaints of hesitancy, urgency, and occasional uncontrolled dribbling. Although the nurse practitioner suspects benign prostatic hyperplasia, what else should the differential diagnosis include?
  12. Question: A 15-year-old male comes to the clinic in acute distress with “belly pain.” When obtaining his history, the nurse practitioner (NP) finds that he fell off his bike this morning and has vomited. Upon closer examination, the NP determines the belly pain to … left-sided groin pain or pain in his left testicle. He is afebrile and reports no dysuria. Which of the following … is most likely?
  13. Question: A 63-year-old man presents to your office with hematuria, hesitancy, and dribbling. Digital rectal examination (DRE) reveals a smooth, moderately enlarged prostate. The client’s prostate-specific antigen (PSA) is 1.2. What is the most appropriate management strategy at this time?
  14. Question: A 51-year-old male requests a prescription for sildenafil (Viagra). He says that the only medication he takes is isosorbide mononitrate (Monoket) oral tablets and that he has diabetes which is controlled with diet alone. What should the nurse practitioner tell him?
  15. Question: A male patient presents to the clinic for evaluation of infertility. Subjectively, the patient complains of pain and fullness of the testes and states, “My testicles feel like a bag of worms.” On physical examination, the nurse practitioner notes tortuous veins posterior to and above the testes that extend up into the external inguinal ring. Based on the preceding assessment, the nurse practitioner refers the patient to urology with a diagnosis of:

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