A 39-year-old female client presents to the nurse practitioner with complaints of depression, fatigue, weight gain, sensitivity to cold, and dry skin and hair. What are other expected findings in a patient with hypothyroidism?

A 54-year-old man with a history of diabetes mellitus presents to the nurse practitioner with concerns about a new onset of eye symptoms. What is the pathophysiology of diabetic retinopathy?

A 33-year-old woman with schizophrenia comes in for a refill of clozapine (Clozaril). Her most recent lab report shows an absolute neutrophil count (ANC) of 1,100/μL. What action should the psychiatric mental health nurse practitioner (PMHNP) take?

A 63-year-old Black man is diagnosed with bacterial pneumonia. What is the pathophysiology of this disease process?

The nurse practitioner is reviewing the chart of an 18-year-old female patient with a BMI of 18 who presented with fatigue and pale skin. Of the following lab values, which would be true in a case of iron deficiency anemia?

A 31-year-old male client with excessive daytime sleepiness (EDS) has episodes in which he loses muscle tone but remains conscious. These episodes usually occur after he laughs. What should the PMHNP assess for?

The PMHNP is called to collaborate with a colleague about a challenging diagnosis. Which of the following statements correctly describes the way in which schizoaffective disorder may be differentiated from bipolar disorder?

A 68-year-old woman is referred to the PMHNP 4 months after her husband died. The referral was made by the woman's primary care physician. She reported to the physician that she can hear her deceased husband's voice calling out to her as she is falling asleep. This usually happens after she has been talking about him with friends or looking through old photo albums. The PCP is worried the patient is having a psychotic episode and would like her to have a psychiatric evaluation. Which of the following statements explains why her symptoms are not considered to be psychotic?

What is the pathogenesis of septic shock?

The nurse practitioner is initiating treatment for a 29-year-old man with human immunodeficiency virus (HIV). What is the pathogenesis of HIV?

A 64-year-old man on the inpatient geriatric psychiatric unit believes he has a rash, even though no evidence has documented it in a medical workup. When he is told that no one can see this rash, he says the reason is because it is “on the inside.” What type of delusion is this?

A 26-year-old man is brought by law enforcement to the inpatient psychiatric hospital after threatening his neighbors. The patient tells the PMHNP that everyone in his neighborhood is conspiring against him by installing cameras on their doorbells to watch his every move. He states, "These men are government agents sent to shut me up." Which of the following medications/treatments would be most appropriate at this time?

An 18-year-old girl presents to her nurse practitioner for a wellness visit and immunizations prior to entering college. She wants to know when she needs to start having Pap smears. What is the most appropriate response by the nurse practitioner?

Which of the following is NOT correct about the characteristics of sickle cell anemia?

The PMHNP is evaluating a new patient, a 31-year-old woman who was referred by her primary care provider (PCP). She complains of feeling fatigued for the past 3 months, and this fatigue has caused her to stop socializing. Upon further questioning, she reports feeling uncomfortable sensations in her legs in the evenings. She describes the sensations as burning and tingling, and states that she has to walk around to get any relief. Which diagnosis best fits her clinical picture?

A 39-year-old White woman tested positive for antinuclear antibody (ANA) after demonstrating signs of systemic lupus erythematosus (SLE). What is the pathogenesis of SLE?

On an inpatient unit, a 31-year-old single woman reports experiencing auditory and visual hallucinations for 1 month, followed by a full major depressive episode for 2 months. The psychotic symptoms and depressive symptoms occurred concurrently for 3 months, until the depressive symptoms resolved with pharmacotherapy and psychotherapy. The psychotic symptoms persisted for 2 more weeks, at which time the patient checked herself into the hospital. Which diagnosis best fits this clinical picture?

A 61-year-old married woman exhibits eccentric behavior, has few friends, uses odd word choices, and has magical thinking related to social media. Her son says, "She's always been weird. That's just Mom." What is the most likely diagnosis?

A 9-year-old boy is diagnosed with community-acquired pneumonia (CAP). Which of the following is the most appropriate pharmacotherapy?

A 57-year-old man presents with a chief complaint of pain in his right hip that worsens with activity and improves with rest. The NP suspects osteoarthritis. Upon assessment, the NP would expect to find all of the following EXCEPT which one?

At what ages should men perform monthly testicular self-exams?

A 29-year-old female patient presents to the nurse practitioner with complaints of an enlarged thyroid gland and protruding eyeballs. Upon assessment, the NP learns the patient has hypertension, nervousness, and fine tremors of the hands. Which of the following medications should be ordered for the patient?

The psychiatric mental health nurse practitioner works on an acute inpatient stabilization unit. Standard procedure when evaluating patients with schizophrenia is to utilize the Positive and Negative Syndrome Scale (PANSS). How is the PANSS different from other assessment tools?

A 35-year-old White man with a history of diabetes presents to the nurse practitioner with complaints of headache, blurred vision, eye strain, and "floaters." He has been told it's "all in his head" and that he should see a psychiatrist. Which of the following manifestations is considered the primary indicator of cataract formation in its early stage?