Please pick the right answers with rationale

Please pick the right answers with rationale and provide references if possible. 126. A 15 year old soccer player presents with complaints of acute knee pain. The patient reports that he felt the knee pop as he twisted with the knee flexed and the foot in a fixed position. This is MOST likely indicative of: A. Fractured patellar B. Collateral ligament tear C. Meniscal tear D. Quadriceps tendon sprain 127. Which of the following symptoms is a classic sign of Cushing syndrome? A. Anxiety B. Exophthalmos C. Truncal obesity D. Salt craving 128. A 65 year old woman complains that when she sneezes, coughs or laughs she leaks urine. These symptoms are most likely associated with A. Functional incontinence B. Overflow incontinence C. Urge incontinence D. Stress incontinence 129. A 58 year old man states that he has been drinking a six pack of beer daily for the past 30 years and that he wants to stop drinking. He should be informed that alcohol withdrawal symptoms A. Begin within 2 days and last for a 1 week B. Will last until alcohol clears his system, typically three days C. Last 48 hours and require hospital admission for detoxification D. Are variable, may begin as soon as 2 hours after the last drink and may persist for weeks 130. When performing an annual wellness exam on a sexually active middle adolescent girl, the NP should A. Screen for chlamydia and gonorrhea B. Perform a baseline Pap smear C. Screen for Trichomonas vaginitis D. Assess for HPV 131. A 10 year old boy is on a catch up schedule for immunizations. He returns today for his third hep B injection. It has been 12 months since his second injection. The NP should: A. Start the series over again B. Give the third dose today C. Check the pt’s hep B surface antigen before administering D. Give one injection today and another as a booster 132. When using a microscope to evaluate a vaginal specimen in the outpatient clinical setting, the NP knows that using a microscope in this setting: A. Requires a CLIA waiver B. Is authorized by virtue of national certification C. Is appropriate if a training certificate is on file D. Is regulated by the state board of nursing 133. An adolescent is newly diagnosed with sustained hypertension. The most UNLIKELY cause of HTN in this age group is: A. Primary HTN B. Renal parenchymal disease C. Congenital renal malformations D. Drug use 134. A 66 year old woman presents with orthopnea and paroxysmal nocturnal dyspnea for the past 3 months. The diagnosis testing that will provide the BEST information is a(n): A. Chest x ray B. Electrocardiogram (EKG) C. Pulmonary function test D. Echocardiogram 135. Acute bronchitis was diagnosed in a 40 year old man 3 weeks ago. He returns today with a raspy, productive cough. The patient received a prescription for azithromycin at diagnosis. The most appropriate intervention is to: A. Prescribe another course of azithromycin B. Monitor his cough for another week C. Prescribe an inhaled steroid D. Order a chest xray 136. A 16 year old boy has been using a rescue inhaler 4-5x per week for the last several weeks. The patient is diagnosed with moderate persistent asthma. The next step in the treatment plan is to: A. Order a tapering dose of oral corticosteroid B. Add an inhaled corticosteroid C. Stop the rescue inhaler and add a leukotriene blocker D. Add a stronger short acting bronchodilator 137. An adolescent visits the NP for a participation sports physical. While the patient is standing, the NP notices that the right shoulder is not symmetrical with the left. This is most likely related to: A. Poor posture B. Dislocation of shoulder at birth C. Curvature of the spine in the coronal plane D. Congenital dysplasia of the hip 138. A 28 year old man receives a prescription for tretinoin for treatment of acne vulgaris and is experiencing worsening symptoms after 1 week. The NP advises him to: A. Continue to medication because acne often worsens in the first 2 weeks of treatment B. Discontinue the medication and try an alternative topical ointment for better results C. Apply the medication two times a day to improve symptoms more rapidly D. Stop using moisturizer before applying because it can irritate the skin and cause worsening symptoms 139. Mr. Wong is a 62 year old who complains of reflux symptoms at least 5 nights per week. He is diagnosed with GERD. The recommended treatment is: A. Antacids B. Anticholinergic agents C. Histamine 2 receptor antagonists D. Proton pump inhibitors 140. Which o the following diagnostic tests has the highest sensitivity and specificity in diagnosing deep vein thrombosis? D dimer Compressive duplex ultrasound Wells score Ct scan 141. A 23 year old college tennis player presents with pain in the dominant elbow. Which of the following is true of a patient with epicondylitis? A. The patient needs an xray for diagnosis B. The patient has an edematous elbow C. The patient derives relief from rest and ice D. The patient has referred wrist pain 142. The NP empirically suspects hypothyroidism in a 32 year old woman. A common symptom of hypothyroidism is: A. Heat intolerance B. Diarrhea C. Hyperkeratosis D. Insomnia 143. A man complains of intermittent numbness in the fingers of his nondominant hand. The NP should consider carpal tunnel syndrome if the patient A. Fails the elbow flexion test B. Exhibits hardening and thickening of the radial styloid C. Experiences numbness in the median nerve distribution D. Has a positive allen maneuver 144. Which of the following patients is the most likely to be at risk for bladder cancer? A. A 56 year old Hispanic woman with recurrent UTIs B. A 60 year old white woman with recurrent UTIs C. A 40 year old black man D. A 63 year old white man who smokes cigarettes 145. The LEAST effective intervention to reduce the side effects associated with oral iron supplementation without affecting absorption is: A. To switch to a formulation with a lower amount of elemental iron B. To switch from tablet to liquid form C. Increasing the interval to every other day D. Administration with yogurt or eggs 146. A patient is being treated for chronic bacterial rhinosinusitis. The therapy that is NOT indicated for this diagnosis is: A. Nasal saline B. Intranasal glucocorticoids C. Antihistamines D. Antileukotriene agents 147. The NP treats a family of four with albendazole for pinworms. The mother inquires about reinfection and the NP explains that A. Reinfection is not likely B. The itching may continue for another four weeks before infection clears C. Family members may experience diarrhea, but they are not infectious D. A second dose might be indicated in 2 weeks if symptoms persist SCIENCE HEALTH SCIENCE NURSING NURSING NR603

******CLICK ORDER NOW BELOW AND OUR WRITERS WILL WRITE AN ANSWER TO THIS ASSIGNMENT OR ANY OTHER ASSIGNMENT, DISCUSSION, ESSAY, HOMEWORK OR QUESTION YOU MAY HAVE. OUR PAPERS ARE PLAGIARISM FREE*******."