A parent brings their 3-year-old child to the nurse practitioner to ask whether it is normal for the child to still have an umbilical hernia. The hernia is easily reducible and has not increased in size. The appropriate response by the nurse practitioner is that: • A – this is a normal finding. It will […]

 A 45 year old African American female presents to your clinic for the evaluation of hair loss. On examination you note that the patient has thinning of her hair of her temples bilaterally. There is no erythema or scale. There is no evidence of scarring. Further questioning reveals that since she was a young child, […]

Mary has a family history of Osteoporosis along with a number of other risk factors. Which of the following would you recommend to her as an effective way to build bone mass and increase skeletal strength? Group of answer choices She should make sure she has plenty of fruit in her nutrition She should engage […]

A 40-year-old woman presents to the nurse practitioner with a complaint of pain in the left shoulder. On examination, the NP identifies significant limitation of passive and active range of motion. The patient holds her arm close to her side and experiences extreme pain when attempting any movement of the arm. These symptoms are MOST […]

A 2-year- old child with a rectal temperature of 39.4C (103*F) starts experiencing tonicclonic movement while on the exam table at a clinic. What would be the first nursing action? a. Obtain a finger stick glucose level and O2 saturation b. Direct another nurse to page the rapid response team per protocol c. Lower the […]

Eric, a 12-year-old male, presents to the clinic for an immunization visit. Eric’s father mentions he has missed several days of school this year, frequently complains of stomach aches, worries a lot, and has trouble sleeping. Eric has no significant past medical or surgical history. Which of the following is the most appropriate action for […]

A 45-year-old woman complains of discomfort during reading, redness of the edges of her eyelids, and white foamy discharge in the corners of her palpebral fissures, observed for the past two months. Objectively, the following is observed: hyperemia and thickening of the loose eyelid margins, widened excretory ducts of the glands in the eyelid cartilage. […]

A 68-year-old female with AML leukemia presents with large violaceous nodules on bilateral arms. The lesions appear to be edematous and some appear to have developed overlying bullae or small ulcerations. She complains of a fever, headache, and arthralgia. Which of the following is the most likely diagnosis? Transition of leukemia to cutaneous T-cell lymphoma […]

A 67-year-old Caucasian female who has history of Type 2 diabetes mellitus (DM) presents to your office for a cat bite to her right thumb. She was bitten by a neighborhood cat 3 days ago. Her thumb is red, inflamed, and painful. Yesterday the nurse practitioner saw the patient in the clinic; the bite area […]

A 35 year old man presents with complaints of sudden onset of pain originating in his right latetal back. He states that he has vomited twice this morning, and he is unable to get comfortable. Examination reveals right costal vertebral angle tenderness (CVAT), hypoactive bowel soundd, and painful testicles on palpation. The MOST appropriate intervention […]