A 25-year-old veteran with PTSD presents with pleuritic chest pain, agitation, and tachycardia after prolonged immobility. The NP bases the plan of care on the understanding that:

A 5-year-old PICU patient with metabolic acidosis has pH 7.19 (normal 7.35–7.45) and PaCO₂ 39 mmHg (normal 35–45). The NP bases the plan of care on the knowledge that metabolic acidosis progresses to

An older adult presents with decreased appetite, muscle wasting, and generalized weakness. The NP bases the plan of care on the knowledge that

A 32-year-old worker living in a poorly ventilated housing unit develops diffuse wheezing, persistent throat irritation, and severe dyspnea after exposure to smoke from an indoor cooking fire. The NP bases the plan of care on the knowledge that the abrupt respiratory compromise MOST often results from:

A patient shows a slight increase in neutrophils after sustaining a small contaminated cut. The NP plans care based on the understanding that…

A 39-year-old Hispanic woman with long-standing diabetes presents to primary care with fatigue, muscle weakness, mild nausea, and decreased appetite; labs show potassium 5.8 mEq/L (3.5–5.0), bicarbonate 17 mEq/L (22–28), and normal creatinine; the NP bases the plan of care on the knowledge that…

A 6-year-old boy presents with chronic diarrhea, abdominal distention, foul-smelling stools, irritability, and poor weight gain. His height has fallen from the 40th to the 15th percentile over the past year. Physical exam shows wasted buttocks and protuberant abdomen. The NP bases the plan of care on the knowledge that…

57-year-old man with chronic NSAID use presents with epigastric burning that improves briefly with meals and returns several hours later. He denies hematemesis but notes occasional dark stools. Endoscopy confirms antral ulcers. The NP bases the plan of care on the knowledge that…

A 62-year-old woman undergoing chemotherapy reports new fatigue and mild muscle aches. Labs show mildly elevated lactate dehydrogenase. She has no fever or infection symptoms. The NP bases the plan of care on the knowledge that…

A 32-year-old pregnant patient reports ankle swelling in the evening after working a 12-hour shift. Her exam is otherwise unremarkable. The NP understands that…