A patient presents with an acute onset of vertigo worsened by head movement and changes in position with nausea and vomiting. What would aid in the diagnosis of benign paroxysmal positional vertigo (BPPV)?

A 31 year old patient presents with a 12 hour history of sudden hearing loss in the left ear with the sensation of echoing in that ear and tinnitus. The nurse practitioner suspects sensorineural hearing loss (SNHL) and knows the appropriate next step is?

A patient states that there was a deer tick crawling on her about a month ago. She was sick with a what she thinks was a cold about a week ago and is now concerned that she has contracted Lyme Disease. The nurse practitioner gets the following results from the serology studies: Western blot IGG and IGM show all bands as negative or non-reactive. The nurse practitioner correctly offers the following information:

A patient with diabetes mellitus type 2 who is being prescribed Glucophage (metformin) asks the nurse practitioner what the most common side effect is. They respond that it is:

A patient returns for follow up with worsening nasal congestion, headaches, purulent nasal discharge and a low grade fever, after having been diagnosed with a common cold a week ago. The exam reveals edematous erythematous nasal chambers with purulent drainage in the posterior pharynx. What treatment would the nurse practitioner order?

A 75-year-old patient has osteoarthritis and pain. What medication increases the risk of a gastrointestional related ulceration?

An 82-year-old woman presents to the clinic with a recent weight loss of 5 pounds. She appears somewhat confused, according to her daughter, who is concerned that she is developing dementia. The woman lives alone, still drives, volunteers at the local hospital, and attends church weekly. What is the initial step in evaluating this patient?

An elderly patient has a permanent loss of the sense of smell and diminished taste. What will be included in teaching this patient about managing these symptoms?

A palpable purpura rash is noted by a nurse practitioner during a physical exam. What condition is most consistent with this finding?

A 49-year-old patient with diabetes mellitus type 2 and hypertension returns for lab results from last week. LDL is 132, HDL is 31, and triglycerides are 210. Per the 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease, what treatment should the nurse practitioner initiate?