NR570 WEEK 4: MIDTERM EXAM

Which of the following diagnostics are indicated for a 27-year-old female patient with BMI 32, newly hospitalized for hypertensive emergency?

Answers: A – D

✅ A. CBC, CMP, TSH, fasting lipid panel, A1C, UA

CBC, CMP, UA, Troponin, BNP
BUN/Cr, TSH, LFTs, UCG
CMP, UA, Vitamin D level, Vitamin B12 level

You are assessing a morbidly obese patient. You notice he is of short stature with small hands and feet. He has mild developmental delay and nasal speech. You suspect that the patient has

Answers: A – D

Thyroid disorder
Diabetes
Down Syndrome

✅ D. Prader-Willi Syndrome

Which patient might be most at risk for the development of cancer?

Answers: A – D

✅ A. 62-year-old Black female with history of obesity, sister with history of breast cancer

66-year-old Caucasian female with no past medical history, one lifetime sexual partner, started menarche at 14 years old
50-year-old Caucasian male with history of inflammatory bowel syndrome, no polyps on colonoscopy last month
58-year-old Black male who works in an office setting, no history of smoking, no family history of lung cancer

Which of the following would be the most appropriate to document as a chief complaint?

Answers: A – D

States had fever at home for the last two weeks
Acute Myocardial Infarction

✅ C. Chest pain

History of diabetes

During your H&P the patient reports Shortness of breath with ambulation, intermittent chest pain, and pitting edema to her feet on occasion. Where in your H&P should this information be documented?

Answers: A – D

Past medical history
Assessment and plan

✅ C. Review of systems

D. Physical exam

A patient presents with several lacerations to the chest and arms. There are no significant injuries but the lacerations require suturing. During your history & physical he tells you his girlfriend was angry and slashed at him with a knife, but he is fine now. What is the NP’s next action?

Answers: A – D