A 66-year-old woman with suspected atrial fibrillation wants to know why she is being asked to wear a Holter monitor for 24 hours. Which of the following is the appropriate response?

A 34-year-old woman is diagnosed with carpal tunnel syndrome. Which of the following treatments does NOT improve function in carpal tunnel syndrome?

A 66-year-old man with diabetes and new-onset vision difficulties undergoes an exam in which a small amount of pressure is applied to the eye by a tiny device or by a warm puff of air. This exam is:

A 49-year-old female patient with type 2 diabetes (T2DM) and a BMI of 31 presents to the nurse practitioner with a swollen, thick, rubbery area of the skin on her abdomen. She recently went to the ED for a hypoglycemic episode, but today her fasting blood glucose level is 197. Which of the following most closely aligns with this clinical scenario?

A 10-year-old boy is brought by his mother to the PMHNP for evaluation of a sudden onset of obsessions, compulsions, and tics. During the history and exam, the PMHNP learns that the child recently had strep throat. What is the most likely diagnosis?

A 35-year-old woman with hypertension, multiple sclerosis, diabetes, and chronic fatigue syndrome presents to the nurse practitioner with a chief complaint of "vaginal itching with white, cottage cheese-like discharge." Which answer choice is a risk factor for this chief complaint?

During a telehealth session, a 32-year-old single woman reports being home during the quarantine for a period of 4 months with no outside contact. She says she knows several people who died from COVID-19, and although she never became ill, she has become extremely nervous about leaving her house. She tried leaving her house once during the Phase 1 reopening, but she says it felt like "an elephant" was sitting on her chest and went back home. She is terrified to use public transportation or go to any stores and stand in line, in case she has another episode of chest pain and "cannot escape." She is too terrified to go out again but misses seeing her friends and family. Which diagnosis is most correct?

A 56-year-old man presents to the PMHNP, stating he was sent by his wife. He explains he used to own a video rental store, and as a result, he has a large collection of VHS tapes. He continues to collect these "antiques" and does not see any problem with this because they are valuable. He admits he never watches them, because he can never decide which one to watch, and he doesn't have a lot of time. He has started running out of space to keep the tapes, and he admits many of them are probably ruined because they have been housed outside in a hot storage unit. Which diagnosis is most appropriate?

A 40-year-old man reports episodes in which he unexpectedly feels a surge of intense fear that peaks within minutes. During this time he feels dizzy, has shortness of breath, heart palpitations, and feels like he is "going crazy." These episodes seem to come "out of the blue" with no trigger that he can identify. He has had them when he has been napping on the weekend or during a break at work. He is starting to think he is really "going crazy," because he has no medical conditions, doesn't drink or smoke, and says there are no new stressors in his life that could be causing this. What is the most likely diagnosis?

A 34-year-old Hispanic woman who is 8 weeks pregnant presents to the nurse practitioner for a prenatal visit. Which of the following is primary prevention for reducing this patient's risk of developing coronary heart disease?

Two weeks ago, the PMHNP prescribed the antidepressant escitalopram (Lexapro) for a 28-year-old female client with generalized anxiety disorder. At her initial appointment, she scored 28 on the Hamilton Anxiety Rating Scale (HAM-A). At today’s follow-up visit, she scored 26. She reports no side effects from the Lexapro. Which of the following is the next step for the PMHNP?