NRNP6566 2021 July Week 4 Knowledge Check Latest

QUESTION 1How can a WCB with differential help you differentiate a bacterial infection from a viral infection?

QUESTION 2A 44 year old man is thought to be in cardiogenic shock. What physical assessment findings would you expect to find to confirm this type of shock?

QUESTION 3A 56 year old Caucasian man is seen in the office as a new patient. He complains of headaches occurring with increasing frequency and attributes them to increased stress at work.He denies any chest pain, shortness of breath, or dyspnea. He smokes one pack cigarettes per day and has two glasses of wine with dinner. Physical exam – obese main (BMI 30) in no apparent distress. BP R arm 168/98 L arm 170/94. HR 64 regular. No thryomegly or lymphadenopathy. Fundascopic exam reveals narrowing of the arteries and arteriovenous nicking. Cardiac exam reveals that his point of maximal impulse (PMI) if displaced 2 cm to the left of the midclavicular line (MCL). No murmurs noted. Lung and abdomen examinations are normal.

Considering all labs are within normal limits, what medication should the AGACNP prescribe for this patient?

If this patient were African-American, what medication should be prescribed?

 QUESTION 4A 56 year old Caucasian man is seen in the office as a new patient. He complains of headaches occurring with increasing frequency and attributes them to increased stress at work. He denies any chest pain, shortness of breath, or dyspnea. He smokes one pack cigarettes per day and has two glasses of wine with dinner. Physical exam – obese main (BMI 30) in no apparent distress. BP R arm 168/98 L arm 170/94. HR 64 regular. No thryomegly or lymphadenopathy. Funduscopic exam reveals narrowing of the arteries and arteriovenous nicking. Cardiac exam reveals that his point of maximal impulse (PMI) if displaced 2 cm to the left of the midclavicular line (MCL). No murmurs noted. Lung and abdomen examinations are normal.

What is your priority diagnosis for this patient?

QUESTION 5A 56 year old man is thought to be in hypovolemic shock. What are the initial interventions for a patient in hypovolemic shock?

QUESTION 6A 56 year old man is thought to be in hypovolemic shock. What physical assessment findings would you expect to find to confirm this type of shock?

QUESTION 7What is the mechanism of action and common side effects of dobutamine, norepinephrine, labetalol, and amiodarone?

QUESTION 8A 44 year old man is thought to be in cardiogenic shock. What are the initial interventions needed for a patient in cardiogenic shock?

QUESTION 9A 28 year old woman with a new spinal cord injury is thought to be in neurogenic shock. What are the initial interventions needed for a patient in neurogenic shock?

QUESTION 10A 47 year old male admitted with an infected elbow wound. On his second day in the hospital you find him in his room confused and agitated.

Vital signs are as follows:

Temperature – 96.2 °F

Pulse -140 beats per minute

Respirations – 40 breaths per minute

Blood Pressure – 90/40 mmHg

Labs include a WBC count of 3,000

Pt weighs 185 pounds

Further assessment of him includes:

 

Urine output of 100cc for the last 8 hours

Pulse oximetry of 88% on room air

Pallor

What is your working diagnosis?