A 4-week-old male infant presents with projectile, non-bilious vomiting after nearly every feeding. On exam, he appears dehydrated, and an “olive-shaped” mass is palpated in the epigastric region. The pediatric APRN suspects pyloric stenosis. Which of the following is the diagnostic study of choice to confirm this condition?  

The mother of a 2-month-old male brings him to clinic with concern about a large but easily reducible umbilical hernia. She is worried that it is severe and asks what treatment is necessary. Which of the following is the most appropriate advice from the APRN?

Draw the Lewis structure of N2. (Neatly write your calculation on a scratch paper, scan your work, and submit it on Exam 1 Work module within 5 minutes after the submission of this quiz.)

A election pollster calls a potential voter and asks, “Do you plan to vote for Thompson, knowing that he is soft on crime?”  Explain why this question will likely not lead to an authentic answer. A clinic calls patients and asks them to rate their experience on a recent doctor visit.  Explain why the results of such calls will likely not represent all patients’ experiences. A chocolate company publishes research that states, “Consuming chocolate is associated with lower rates of depression.”

A patient presents with decreased level of consciousnessLab work/ vital signs:K 3.1   Na 145   BUN 48   Creat 1.2   Glucose 969BP 98/ 62, HR 118, RR 28Urinalysis: Negative for ketonesGoals of therapy include: 

What is true about a fever? (Select all that apply.)

A 27-year-old male with primary sclerosing cholangitis and ulcerative colitis presents with high ileostomy output and abdominal pain for last few weeks associated with a 9-kg weight loss. He has no other medical history. Despite fluid resuscitation and pharmacologic therapy, his symptoms persist. He develops fever to 39.7°C and is transferred to the ICU with concerns for sepsis. On admission to the ICU, he is somnolent and lethargic, heart rate is 160 beats/min, blood pressure is 156/80 mm Hg, respiratory rate is 25/min, and his pulse oximeter reads 98% on room air. His sepsis workup is negative, but his laboratory work is remarkable for a low TSH level.  What is the diagnosis?

A 36 -year-old patient presents with weakness, paresthesia, sensory loss, and painful eye movement with unilateral reduction in vision. The AGACNP suspects the patient has:

Ben, a client with insulin-dependent diabetes is hospitalized with an admitting diagnosis of diabetic ketoacidosis. Which of the following signs and symptoms would be consistent with this condition?

A 54-year-old female is admitted to the intensive care unit (ICU) with a subarachnoid hemorrhage due to a left middle cerebral artery aneurysm rupture. Early external ventricular drain was placed because of a poor neurological examination. Over the course of 7 days, there have been ongoing issues with refractory elevated intracranial pressure and poor neurologic examination, progressing to no cranial nerve responses. Her examination is as follows: pupils 5 mm and nonreactive, absent oculocephalic reflexes, absent corneal reflexes, absence of facial grimace, absent gag, and absent cough. The only evoked motor response is minimal triple flexion in the bilateral legs. An apnea test was completed and there were no spontaneous respirations with an increase in pCO2 20 mm Hg more than baseline.  Which of the following is MOST true?