Week 6: Quiz Writer

1. Question: K.N., a sexually active non-pregnant 21-year-old female, schedules an in- office appointment with M.N. for concerns about pain in urination, unusual vaginal discharge, and painful sexual intercourse. She reports her menstrual cycle seems to be irregular, with periods of bleeding between periods. K.N. notifies the provider that she has had three sexual partners and recalls not utilizing protection on more than one occasion. The NP performs a physical assessment, including laboratory testing of Nucleic acid amplification tests (NAATs) and a vaginal swab. K.N.’s vaginal swab results returned within 30 minutes and were positive for chlamydia. Based on K.N.’s H&P, she has NKDA. What next steps would the NP perform? (Select all that apply)
2. Question: What are the mild symptoms of Alzheimer's disease? (Select all that apply)
3. Question: A patient has been newly prescribed Terazosin treat his underlying signs and symptoms of the frequent need to urinate, difficulty with urination, weak urine stream, and dribbling at the end of urination associated with benign prostatic hyperplasia (BPH). The NP would know that the medication is working when the patient says the following statement?
4. Question: A patient presents to the office with complaints of excruciating pain that is situated behind or around her right eye and, at times, radiates to other areas of his face on the same side. He reports restlessness, excessive tearing, and a stuffy nose on the affected side. The NP would assume that this patient suffers from what type of headache?
5. Question: A patient is inquiring about complementary and alternative treatments to reduce her blood pressure (BP), help with her energy levels, reduce stress, and relieve constipation. The NP would educate and suggest supplements to assist her in reducing which of her following concerns? (Select all that apply)

Thank you for responding to my initial post, and I did develop my five questions from various weeks from the final exam study guide. Hopefully, you discovered the usefulness of some of the questions presented.

1. Question: K.N., a sexually active non-pregnant 21-year-old female, schedules an in-office appointment for concerns about pain with urination, unusual vaginal discharge, and painful sexual intercourse. K.N. reports her menstrual cycle seems to be irregular, with periods of bleeding between periods. K.N. notifies the provider that she has had three sexual partners and recalls not utilizing protection on more than one occasion. The NP performs a physical assessment, including laboratory testing of nucleic acid amplification tests (NAATs) and a vaginal swab. K.N.’s vaginal swab results returned within 30 minutes and are positive for chlamydia. Based on K.N.’s H&P, she has NKDA. What next steps would the NP perform?
2. Question: What are the mild symptoms of Alzheimer's disease?
3. Question: A patient has been newly prescribed Terazosin to treat his underlying signs and symptoms of the frequent need to urinate, difficulty with urination, weak urine stream, and dribbling at the end of urination associated with benign prostatic hyperplasia (BPH). The NP would know that the medication is working when the patient says the following statement?
4. Question: A patient presents to the office with complaints of excruciating pain that is situated behind or around her right eye and, at times, radiates to other areas of his face on the same side. He reports restlessness, excessive tearing, and a stuffy nose on the affected side. The NP would assume that this patient suffers from what type of headache?
5. Question: A patient is inquiring about complementary and alternative treatments to reduce her blood pressure (BP), help with her energy levels, reduce stress, and relieve constipation. The NP would educate and suggest supplements to assist her in reducing which of her following concerns?

Thank you for your post and here are my responses to your five-examination style question.

1. Question: A 72-year-old man with a new diagnosis of Parkinson's and his wife present to the clinic for a check-up and expresses their frustration saying "It's been over 2 weeks why is the medication not working?"
2. Question: The NP is considering prescribing Rivastigmine for a patient with moderate Alzheimer’s, what medication on the patient's chart will alert the NP for further investigation?
3. Question: A 20-year-old woman who has had episodes of seizures is being prescribed phenytoin, what education is important for the NP to consider.
4. Question: A 21-year-old male on an anti-seizure regimen is going on an excursion for a few months, what statement by the patient will prompt the need for further teaching?
5. Question: A 59-year-old male came into the office with a complaint of migraines that have been on and off for a few months, what is the most important history to note before prescribing a triptan?