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NP Diagnosis & Clinical Decision-Making Flashcards

6 cards from real NP practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 6 NP Diagnosis & Clinical Decision-Making flashcards as text

  1. A 55-year-old male presents with crushing substernal chest pain radiating to the left arm, diaphoresis, and nausea for 45 minutes. His ECG shows ST elevations in leads II, III, and aVF. The NP should suspect:

    Answer: Inferior ST-elevation myocardial infarction (STEMI)

    ST elevations in leads II, III, and aVF indicate inferior STEMI, most commonly caused by right coronary artery occlusion, requiring immediate reperfusion therapy.

  2. A patient presents with sudden-onset severe headache described as 'the worst headache of my life.' After ruling out trauma, what is the most critical diagnosis to exclude?

    Answer: Subarachnoid hemorrhage

    A thunderclap headache reaching maximal intensity within seconds is the classic presentation of subarachnoid hemorrhage, a life-threatening emergency.

  3. A 28-year-old female presents with dysuria, frequency, and urinary urgency. Urinalysis shows positive nitrites and leukocyte esterase. The most likely diagnosis is:

    Answer: Uncomplicated urinary tract infection

    Dysuria, frequency, urgency, and a positive urinalysis in a non-pregnant young woman without systemic symptoms is consistent with uncomplicated lower UTI.

  4. A 65-year-old with a history of smoking presents with progressive dyspnea, chronic productive cough for 3 years, and barrel chest. Spirometry shows FEV1/FVC ratio of 0.62 post-bronchodilator. The most likely diagnosis is:

    Answer: COPD

    A post-bronchodilator FEV1/FVC ratio below 0.70 confirms airflow obstruction consistent with COPD in this high-risk smoking patient.

  5. A patient presents with polyuria, polydipsia, polyphagia, and a random blood glucose of 320 mg/dL. What is the appropriate diagnosis?

    Answer: Diabetes mellitus

    A random plasma glucose ≥ 200 mg/dL with classic symptoms of hyperglycemia (3 Ps) meets the diagnostic criteria for diabetes mellitus.

  6. An NP evaluates a patient with symmetric joint pain, morning stiffness lasting more than one hour, and positive anti-CCP antibodies. The most likely diagnosis is:

    Answer: Rheumatoid arthritis

    Symmetric polyarthritis, prolonged morning stiffness, and positive anti-CCP antibodies are hallmarks of rheumatoid arthritis.