I understand I need to submit my problem-solving work for the exam as a single file to the appropriate D2L assignment folder within 15 minutes of completing my exam. To acknowledge you understand the above statement, please type the following statement exactly as it it written: “I will submit my work as a single file into D2L within 15 minutes of completing my exam.”

There are no known receptors that monitor sodium levels in body fluids. Instead, sodium levels in the body are regulated by ____________.

A 48 year old female patient presents to clinic with bilateral hand and finger pain. The patient also notes that her finger joints are swollen. She identifies that the pain is worst in the early morning and improves after about 2 hours when she “gets up and moving” for the day. Based on the patient’s presentation, you know which of the following is the most important to order?

A 49-year-old woman reports difficulty sleeping due to an uncomfortable, crawling sensation in her legs that improves when she walks. Symptoms are worse in the evening. Which additional finding would best support the diagnosis of restless legs syndrome?

Which of the following statements best describes a key difference in the scope of practice between a physician (MD), physician assistant (PA), and nurse practitioner (NP) in California?

A nurse practitioner’s role on the interdisciplinary team includes which of the following responsibilities? (SELECT ALL THAT APPLY)

A 56 year old patient is following up on their new diagnosis of diabetes type 2. During the last visit, you focused on teaching BG checks at home, lifestyle changes, and about the patient’s new medications. You also prescribed metformin 1000 mg BID. During your follow up today, you know it is important to complete/order which of the following: (SELECT ALL THAT APPLY)

A 38-year-old man reports bursts of extreme energy every few months. During these periods, he doesn’t sleep, spends excessive money, and talks nonstop. He admits that afterward, he crashes and feels hopeless for weeks. What should be your top concern?

A 45-year-old man presents with fatigue, painless swelling in his neck, and a 15-pound unintentional weight loss over two months. He reports night sweats and intermittent fevers. On physical exam, he has firm, non-tender cervical lymphadenopathy. CBC shows a normal white blood cell count. What is the most likely diagnosis?

As a Nurse Practitioner in California, you are preparing to prescribe a Schedule II controlled substance for a new patient with chronic pain. Which of the following actions demonstrates responsible prescribing practices in accordance with state requirements?