An elderly patient with a history of previous transient ischemic attacks (TIA) presents with confusion. A sensitive neurological test for stroke would be?

A 35 y/o obese male presents to the clinic with complaints of fatigue, headaches throughout the day which are worse in the morning, wakes frequently during the night with a choking sensation, and daytime somnolence.  Blood pressure is 168/98 (retaken three times while he was in an upright position with feet flat on the floor), 02 sat is 98%, and assessment reveals no abnormalities. You suspect his symptoms are related to:

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 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 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 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?