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Using a shared decision making model with your patient, you have decided to treat her anxiety with a medication. Which of the following is a true statement regarding medication management for anxiety for this patient?

A 70-year-old male reports urinary hesitancy, post-void dribbling, and a diminished urine stream.   A digital rectal exam (DRE) reveals an enlarged prostate gland that feels rubbery and smooth. Which diagnostic tests will the APRN order based on these findings to rule out prostatitis?

A 63-year-old male patient has intermittent left-sided lower abdominal pain and fever associated with bloating and constipation alternating with diarrhea. The APRN suspects this patient may have:

Your next patient, Ms AL, is a 56 -year-old female. She is experiencing heart palpitations but denies chest pain, shortness of breath, insomnia, and waking up with racing thoughts.  This is fairly new to her, she has been very healthy, has regular health maintenance exams.  Her last annual exam was one year ago.  She is up-to-date with all immunizations.   She does not take any medications. She had somewhat similar symptoms about 8 months ago, she went to the ED and the cardiac evaluation ruled out a possible MI or arrhythmia.  She did not follow up with her PCP after that, she has been too busy with work.  Which of the following would NOT support your thoughts regarding her mental health status?

Your next patient is a 42-year-old male patient diagnosed with acute renal colic who is experiencing nausea and vomiting. A urinalysis reveals hematuria but all other parameters are within normal limits. A radiographic exam shows several radiopaque stones in the ureter which are less than 1 mm in diameter. What will the APRN do initially to manage this patient?

How far in advance of a procedure/surgery, should a pre-op evaluation occur?

Orthostatic hypotension is defined as a drop of at least 20 mmHg in systolic BP with a change in position from lying to standing. Which of the following is NOT considered a common symptom of orthostatic hypotension?

A 58-year-old patient presents to her primary care provider (you) to discuss her risk of cardiovascular disease.  Her family history ov CV disease includes her mother having a MI at the age of 66.  Her past medical history includes hypertension, hyperlipidemia and elevated BMI > 30.  She has never smoked tobacco and drinks a glass of white wine daily.   Her current medications include 5 mg of amlodipine PO daily, 10 mg of atorvastatin PO daily.  PE findings include HR 68 bpm, BP 128/68 mmHg, cardiovascular and pulmonary exam within normal limits.  A recent fasting lipid profile obtained 2 weeks ago revealed a total cholesterol of  220mg/dL, HDL of 45 mg/dL and a LDL of 175 mg/dL. :  Which of the following is the most appropriate management to lower her risk of cardiovascular disease?

Prevalence of carotid artery disease is highest among older adults and people with hypertension and heart disease. You are concerned that your patient may have carotid artery disease. Which of the following is NOT a common indication for ordering a carotid duplex ultrasound?

The most common cause of bacterial peritonitis is cirrhosis. The diagnosis of peritonitis should be suspected on the basis of fever, abdominal pain, tenderness and leukocytosis. Which of the following is NOT a classic physical exam findings for peritonitis?