NR 603 Week 2 Quiz - iHuman Assignment Guides

Welcome to your NR603 Week 2 Quiz - Questions and Answers

During a follow-up visit one week after a spontaneous abortion, which of the following physical exam findings would most likely indicate normal uterine involution and absence of infection?

Abdomen is distended and tympanic on percussion

Uterus is not palpable on bimanual exam; cervix is open

Uterus is enlarged, boggy, and tender with malodorous vaginal discharge

Uterus is firm, non-tender, and at or just below the pubic symphysis

During a patient interview, the provider asks, “How have you been coping emotionally since the event?” The patient responds, “It’s been really tough emotionally. I’ve been feeling very sad and overwhelmed, and sometimes it’s hard to get through the day.” Which of the following is the most appropriate next response by the provider?

That sounds really difficult. Can you tell me more about what your days have been like?

It’s probably just temporary sadness. You’ll be fine with rest.

Let’s move on to your medical history now

You should really try to be more positive. Things will get better soon.

A patient presents for a routine evaluation with occasional tingling in the right lower extremity, normal strength, coordination, and reflexes. Which of the following is the most appropriate clinical interpretation?

The findings are indicative of cauda equina syndrome and require emergent surgical referra

The exam is normal and no further follow-up is needed

The findings suggest an upper motor neuron lesion requiring urgent imaging

The findings are consistent with a peripheral nerve irritation and warrant further monitoring

A 68-year-old widower presents with persistent headache, poor concentration, and fatigue since his wife passed away. How should the provider integrate this information into the clinical assessment?

Refer the patient directly to hospice services

Reassure the patient that stress is expected and offer follow-up in a few months

Explore psychosocial stressors as part of a holistic assessment while pursuing diagnostic evaluation

Document the grief response and focus solely on ruling out physical pathology

What’s generally expected of you on these quizzes:

Apply clinical reasoning to a case vignette rather than recall isolated facts
Identify the most likely diagnosis from a cluster of symptoms
Select appropriate diagnostic tests and justify them
Choose evidence-based first-line treatment per current clinical practice guidelines
Recognize when symptoms warrant escalation or referral