NR570 Week 4: Midterm Exam

NR570 Week 4: Midterm Exam (May-2026)

You are caring for a 78-year-old female with a history of advanced dementia. On physical exam you find circular burns to her arms and torso in varying stages of healing. She is non-verbal and unable to answer questions. What is the nurse practitioner’s next action?

Answers: A – D

✅ A. Contact adult protective services

1. Document the findings and gather more evidence
2. File a police report
3. Call the family and ask them if someone is abusing the patient

You are completing an H&P on a new patient. During the social history, the patient reports he drinks 18 cans of beer every day. What assessment tool should be used during his hospitalization?

Answers: A – D

✅ A. CIWA-Ar

1. GAD-7 Generalized Anxiety Disorder
2. PHQ-9 Patient Health Questionnaire-9
3. Richmond Agitation Sedation Scale (RASS)

Which of the following best describes the role of a hospitalist?

Answers: A – D

1. Medicine subspecialty that consults and manages only surgical patients
2. Medicine subspecialty that consults and manages patients independent of the interprofessional team
3. Medicine subspecialty that admits and manages patients with only diabetes

✅ D. Medicine subspecialty that admits patients to the hospital, facilitating transitions in care

Components of EM coding include history, physical examination, and medical decision making. Time only affects EM codes if:

Answers: A – D

1. less than 50% of the visit time is spent on counseling or coordination of care

✅ B. greater than 50% of the visit time is spent on counseling or coordination of care

1. greater than 75% of the visit time is spent on counseling or coordination of care
2. less than 75% of the visit time is spent on counseling or coordination of care

44-year-old female, post op day 1 after open cholecystectomy. Morning vital signs are T 38.9 P 112 RR 20 BP 118/62. Physical exam shows her incisions are without evidence of infection or abscess. What should the nurse practitioner due next?

Answers: A – D

✅ A. CBC, Chest X-ray, blood cultures, and acetaminophen

1. CBC, abdominal radiograph, and CRP
2. CBC, BMP, and telemetry monitoring
3. Order CBC, Urine Culture, ketorolac 30 mg IV, ceftriaxone 1 gm now x1 dose……………………………….purchase entire exam at $70 only