A patient presents with swelling and tenderness in the small joints of both hands, along with several weeks of malaise and fatigue. A rheumatoid factor (RF) test is negative. What is the next best step for the APRN?

According to the American Cancer Society prostate cancer is the 2nd most common diagnosis for men in the U.S.  Which of the following is a common risk factor for prostate cancer?

Antinuclear antibodies (ANA) target normal proteins within the nucleus of cells, which can trigger the body to attack itself and potentially lead to autoimmune disorders. The antinuclear antibody (ANA) test is:

When managing a patient with chronic pain, which statement would be the most helpful for the APRN to use during assessment to guide treatment planning?

The VA has created a Whole Health Model of Care. They have established six points for safe and effective care. Which of the following statements is NOT included in the VA The Essential Elements for Good Chronic Pain Care?

A 44-year-old mother of four presents with pain and stiffness in multiple joints that has persisted for the past 8 months. She has a confirmed diagnosis of rheumatoid arthritis (RA) based on lab results and synovial fluid analysis. Which of the following is considered first-line therapy to achieve remission or low disease activity in this patient?

Which of the following bryophyte groups has sporophytes with stomata and meristem and the sporophytes are large and persistently photosynthetic?

Directions Escuchar: Read these statements. Then, listen to the recording and choose the best answer according to the question.  Click on the audio below to complete this section. Audio credit to VHL Ellos descansan los fines de semana.  

A 56-year old male with a 45-pack year history of smoking and is still smoking 1/2 ppd, presents to establish care.  The NP reviews the patient’s current and past medical history, only significant for hypertension controlled by lisinopril 10 mg daily, and his completed health maintenance/preventive care/screening.  Noting the patient’s age and smoking history, after discussing screening recommendations and answering the patient’s questions, the NP will order 

A 59 year old male with a 35-pack year history of smoking and a “closet” drinker for many years, presents to the office with left-sided sore throat and left ear pain present for 2 weeks.  He has a history of chronic otitis externa and believes he needs a refill on the otic antibiotic drops.  The NP notices the patient’s speech is very hard to understand and it seems hard for him to speak.  He admits over the last month his wife told him she cannot understand him.  “It feels like my tongue isn’t moving right. After completing a thorough ENT/neck exam which is normal other than a left 1.5 cm nontender immobile anterior cervical node and mild inflammation of the left external auditory canal without exudate, the NP will order :