A woman is evaluated by a nurse practitioner. She describes a two-day history of an abnormal vaginal discharge and constant pelvic-area pain. She also states "It hurts to move at all." The pain pattern and other S&S are consistent with

benign prostatic hypertrophy (BPH).

ovarian cancer.

a kidney stone.

a chlamydia infection.

Answer and Explanation

The Correct Answer is D

A. Benign prostatic hypertrophy is a condition affecting the prostate in men, so it is not applicable in this case.

B. Ovarian cancer may cause pelvic pain, but the specific symptoms of abnormal discharge and acute pain suggest a more immediate infection rather than cancer.

C. A kidney stone typically presents with flank pain and may cause urinary symptoms, but it would not typically cause vaginal discharge.

D. A chlamydia infection can cause abnormal vaginal discharge and pelvic pain, and it is a common sexually transmitted infection presenting with these symptoms, consistent with the patient's history.

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Correct Answer is D

Explanation

A. Serum creatinine levels within the normal range (0.6-1.2) do not specifically indicate intra-renal AKI.

B. A high 24-hour creatinine clearance is not typically associated with intra-renal AKI, as kidney injury often leads to decreased filtration and clearance.

C. A low serum creatinine level (0.5) would generally indicate good kidney function rather than AKI.

D. Casts in the urine are indicative of damage within the kidney tubules, which is a characteristic finding of intra-renal AKI, often due to cellular injury or necrosis within the kidney itself.

A. aortic atherosclerosis & mitral insufficiency. B. aortic valve stenosis & left heart failure. C. bronchogenic cancer & diaphoresis. D. pulmonic valve stenosis & right heart failure.

Correct Answer is D

Explanation

A. Aortic atherosclerosis and mitral insufficiency could lead to some symptoms of congestion but would not fully explain jugular venous distension and liver congestion.

B. Aortic valve stenosis and left heart failure primarily affect left-sided heart function, which typically does not present with jugular venous distension or peripheral edema.

C. Bronchogenic cancer and diaphoresis do not explain the cardiovascular symptoms present in this case.

D. Pulmonic valve stenosis can lead to right heart failure, causing systemic venous congestion, which results in JVD, liver congestion, ascites, and ankle edema, thus accounting for all aspects of the patient's presentation.

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A woman is evaluated by a nurse practitioner. She describes a two-day history of an abnormal vaginal discharge and constant pelvic-area pain. She also states "It hurts to move at all." The pain pattern and other S&S are consistent with

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Naxlex Comprehensive Predictor Exams

A patient presents with acute oliguria. Lab tests are done to pinpoint the cause. The nurse believes the patient has developed intra-renal acute kidney injury (AKI), based on which typical finding?

Correct Answer is D

Explanation

A woman presents to a clinic with JVD (jugular venous distension), liver congestion, ascites, and ankle edema. Upon auscultation of her heart, the RN notes a murmur. The etiologies that would best account for all aspects of this patient picture are

Correct Answer is D

Explanation

Which assessment finding is expected in a child diagnosed with croup?

A patient, newly diagnosed with an abdominal aortic aneurysm (AAA), wants to know the etiology of his illness. Which statement by the nurse reflects knowledge of the pathophysiology of this disease?

A nurse caring for a patient with unstable angina will most likely need to give medications to

A nurse suspects that her patient has developed a pulmonary embolus (PE). Which assessment finding would lead to this nursing judgment?

A patient's ABG results are: pH 7.50, PCO2 25, HCO3 25, PO2 80. Which finding should the nurse expect as the body compensates for the acid-base imbalance?

A patient is admitted to the hospital with a diagnosis of peripheral arterial disease (PAD). Clinical findings associated with this disease are

A patient has developed left heart failure (LHF). Which laboratory test, when elevated, confirms a heart failure diagnosis?

Following a myocardial infarction (MI) of the left ventricle, a patient develops left heart failure (LHF). Findings commonly associated with LHF include