QUESTION African American female presents to the clinic to see the Family Nurse Practitioner with complaints of bilateral eye redness, chronic fatigue, joint pain, night sweats, nonproductive cough, shortness of breath, and weight loss of 10 pounds over the past six months. On physical exam, she is afebrile, and her blood pressure is 132/88 mm Hg, has a respiratory rate of 22 breaths/minute, pulse is […]

QUESTION Patient-Centered Care; Safety The client is a 37-year-old man with a diagnosis of pneumonia. He reports that he has felt more tired than usual for several days but only noticed a breathless sensation this morning. He has had a chronic cough for years and noted that it is worse today. During the nurse’s admission assessment, he reports that he is a two-pack per day […]

QUESTION CAL SCENARIO: Patient is a 47-year-old male patient who was admitted from a SNF with altered mental status and was determined to have a UTI which was treated with antibiotics. It was also noted during the provider’s physical exam the patient had a pressure ulcer on the right buttock. Wound care was consulted, and the wound was cleaned and packed. The nursing wound care […]

QUESTION A patient came in the clinic 10 days ago complaining of urinary pain and burning. A urine dip showed increased leukocytes and nitrites. She had not been treated with any antibiotics for the past three months so she was treated with Bactrim DS twice per day for 3 days and a urine culture and sensitivity are ordered. What teaching do you give this patient? […]

QUESTION A 44-year-old presents to clinic with palpitations. He denies chest pain or shortness of breath. His ECG interpretation is sinus rhythm with frequent PVCs. Your most appropriate action is: Group of answer choices Discuss stimulants, stress, and similar factors; order an electrolyte panel Start a beta blocker and refer to cardiology Send to the emergency department so they can start an amiodarone drip Order […]

QUESTION female came into Ob-Gyn office for sick appointment after taking a home pregnancy test. No significant past medical history. Client reports nausea and vomiting that is difficult to control. Denies use of tobacco or alcohol use. ANSWER Assessing Nausea and Vomiting in a Female Patient Seeking Obstetric and Gynecological Care Introduction Nausea and vomiting are common symptoms experienced by many individuals, but when they […]

QUESTION response of these three principles, such as believing in the potential for change, creating connected communities, and embracing micro moments of positive resonance, stand as the foundation for a leadership approach valuing innovation, collaboration, and patient centric care in the healthcare sector. ANSWER Building a Foundation for Innovative and Patient-Centric Healthcare Leadership Introduction Effective leadership in the healthcare sector goes beyond traditional roles of […]

QUESTION Stanley is a 64-year-old man with a long-standing history of a seizure disorder. He also has hypertension and chronic obstructive pulmonary disease. He is no stranger to the hospital because of his health issues. At home, he takes several medications, including three for his COPD, and levetiracetam to control his seizures. Stanley came to the emergency department last week because he was wheezing and […]

QUESTION A nurse is reinforcing client teaching about a durable power of attorney for healthcare with the client. Define what a durable power of attorney is and the responsibilities in the role for the appointed person. A nurse is caring for a client hospitalized for opioid dependency. What manifestations should the nurse anticipate when abstinence syndrome begins? A nurse is caring for a client who […]

QUESTION Brief description of a “sample” patient for whom mental health care might be appropriate. Use what you are learning about different levels of care to describe your “sample” patient. For example, Susan A is a 35-year-old female who suffers from depression and anxiety. She would be appropriate for treatment at this facility if: ANSWER Identifying a Candidate for Mental Health Care: A Sample Patient […]