Nokea
The nurse practitioner palpates an enlarged right epitrochlear lymph node in a 30-year-old patient. The Nurse Practitioner should assess the patient's:
- A. Throat, face, and right ear
- B. Neck and supraclavicular region
- C. Right forearm and hand
- D. Right groin and abdomen
Correct Answer: C
Rationale: Enlarged epitrochlear nodes are associated with infections or conditions in the hand or forearm.
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A patient who has a sulfa allergy can safely take:
- A. Sumatriptan (Imitrex)
- B. Celecoxib (Celebrex)
- C. Glimepiride (Amaryl)
- D. Silver sulfadiazine (Silvadene)
Correct Answer: A
Rationale: Sumatriptan does not contain sulfa and is safe for those with a sulfa allergy.
When assessing a patient's condition, which of the following scenarios would be considered critical trauma?
- A. An elderly woman has fallen and has broken her collarbone.
- B. A 32-year-old man has cut his hand with a kitchen knife.
- C. A child has sustained a fracture of his femur.
- D. A teenager has fallen from a height of greater than 20 feet.
Correct Answer: D
Rationale: A fall from a height greater than 20 feet is considered critical trauma.
Which cranial nerves are responsible for eye movement?
- A. CN II, III, IV
- B. CN III, IV, VI
- C. CN II, IV, VI
- D. CN III, IV, VII
Correct Answer: B
Rationale: Cranial nerves III, IV, and VI control eye movements.
Papilledema is a cause for concern because it is suggestive of:
- A. Optic atrophy
- B. Microaneurysms
- C. Increased intracranial pressure
- D. Retinal hemorrhage
Correct Answer: C
Rationale: Papilledema is caused by increased intracranial pressure, leading to swelling of the optic disc.
An older woman who is cared for by a concerned family is particularly likely to suffer from which of the following complications after an episode of gastroenteritis?
- A. Immobility related to overconcern
- B. Continued vomiting caused by too-rapid feeding
- C. Diarrhea resulting from administration of milk products
- D. Constipation related to overtreatment of diarrhea
Correct Answer: D
Rationale: Overtreatment of diarrhea can lead to constipation, especially in older adults.