NR 603 Week 4 APEA Predictor Exam Review
NR 603 Week 4 APEA Predictor Exam Review
- A patient report that she is taking kava kava regularly for anxiety with the results. What should the nurse practitioners evaluate?
- A person with 20/80 vision:
- One exception to the recommendation to limit dietary fat intake
- The most effective treatment for anemia of chronic disease is:
- Salicylates and other non-steroidal anti-inflammatory agents have all of the following actions EXCEPT-
- Which of the following does NOT increase a woman’s risk of developing cervical cancer?
- All of the following principles apply to drug therapy for elders except
- A female patient believes that she was exposed to HIV through sexual intercourse several months ago. She asks for “the test for AIDS.” Which statement is NOT correct?
- The nurse practitioner teaches the parents of a 2-month-old infant with GERD that treatment typically includes all of the following interventions except
- A widowed 85-year-old was recently moved from her home of 65 years to a bedroom in her daughter’s home. According to reports by family members, she is now “cantankerous” gets “mixed up” easily and cries for no apparent reason. Factors in the client history that are consistent with delirium may include all of the following except
- The two tests that can indicate current infection with hep B are:
- A characteristic of elders which affects the pharmacotherapeutics of drug therapy in that population is an increase in
- An elder’s caretaker is planning the elder’s menu. The elder is on a bland diet. The nurse practitioner reviews the meal plans and notes that which of the following is NOT appropriate?
- The leading cause of death from injury in childhood is
- Therapeutic International normalized ratio (INR) for a patient taking warfarin (coumadin) for a chronic atrial fibrillation is expected to be:
- The most accepted recommendation regarding a skin cancer prevention is:
- Antibiotic administration has been demonstrated to be of little benefit in the treatment of which of the following disease processes?
- An anxious parent brings her three-day old female infant to see the nurse practitioner because of the serosanguineous vaginal discharge. The nurse practitioner tells the mother:
- A common finding associated with temporal arteritis is:
- What information would best help the parent who is concerned about a school age child eating habits?
- Which of the following scenarios in a 75-year-old patient would be inappropriately managed in an outpatient setting (i.e. the patient should be referred for hospital admission)?
- A patient with diabetes brings his glucose diary from the past seven days for the nurse practitioner to review and evaluate. What changes should be made? Day one through
- Appropriate nutritional guidance for the pregnant patient is:
- The most successful patient interview is likely to:
- RhoGAM is not administered to an Rh-negative mother with negative anti-d antibodies
- The most common presentation of thyroid cancer is
- A benign thyroid nodule, that’s painless presents as SMOOTH
- Initial treatment of a child presenting with a severe head injury is:
- Which red blood cell (RBC) index is most useful for differentiating types of anemias?
- A 31-year-old female is informed that her pregnancy test is positive, and she is about three weeks pregnant. The nurse practitioner is very concerned about the patient reported history of alcohol use. She correctly tells the patient that babies born to women who drink alcohol during pregnancy are at risk for all of the following except:
- According to Erikson, the developmental task of the early adult is:
- The parents of a two-year-old Report that she is not saying any words, but make sounds, babbles, and understand simple commands from her parents. The parents are not concerned. The nurse practitioner responds:
- Which group is considered to be at high risk for the development of testicular tumors?
- An urgent call is received from a patient’s wife who states that her husband is having chest pain I’m relieved by three nitroglycerin tablets. The nearest hospital is 40 minutes away. Besides having the patient reach the hospital as soon as possible, what intervention can the nurse practitioners suggest might influence a positive outcome?
- Which of the following postpartum mothers should receive RhoGAM (BayRho-D) to prevent Rh iso-immunization?
- A patient with a history of alcohol abuse presents with acute nausea, vomiting, and severe retrosternal pain that radiates to the back. Based on the most probable diagnosis, the nurse practitioner would appropriately order a CBC, chemistry profile, and:
- A female patient asks, “how do I calculate my ideal body weight?” The nurse practitioner response:
- A 35-year-old woman with prior history of extreme nervousness has been treated with diazepam (valium) for four weeks. She reports improvement. Today her pulse is 112bpm and blood pressure is 130/92 mmHg. She is 5’4” in weighs 105 pounds. What is the most likely diagnosis?
- Which of the following is not a common early sign of benign prosthetic hyperplasia (BPH)?
- Acute idiopathic thrombocytopenia purpura (ITP) is most commonly seen in childhood following:
- The nurse practitioner diagnosis epididymitis in a 24-year-old sexually active male patient. The drug of choice for treatment of this patient is:
- A 55-year-old man is … with basal cell carcinoma. The nurse practitioner correctly tells him:
- A characteristic of delirium that is typically absent and dementia is:
- A 42-year-old male executive has been … with depression. He is otherwise healthy. And appropriate initial treatment choice is a:
- the CAGE/ AUDIT questionnaire is useful to assess:
- A 16-year-old athlete complains of pain underneath his heel every time he walks. There is verrucous surface level with the skin of the heel. What pharmacologic intervention should the nurse practitioner … for this patient?
- Previously … elderly patients should receive a tetanus and diphtheria (Td) booster every:
- The nurse practitioner is canceling a young woman who desires pregnancy. She … her oral contraceptives for months ago. Her urine pregnancy test is negative. She expresses concern that she might have an infertility problem. The nurse practitioner accurately tells her that a couple is not … infertile until there has been … intercourse without conception for what period of time?
- When a patient presents with symptoms of acute gallbladder disease, what is the appropriate nurse practitioner action?
- An eight-year-old female has been brought to the nurse practitioner on five occasions in the past nine weeks with a complaint of abdominal pain. The evaluation each time is negative, but her mother is … the child is truly experiencing pain. The most likely diagnosis is:
- What is the most common cause of Cushing’s syndrome?
- Which of the following maternal situations is … an absolute contraindication to breast-feeding?
- A three-year-old male patient is being … by a nurse practitioner for frequent respiratory infections and fatigue. His laboratory test show thrombocytopenia, granulocytopenia, and anemia. Which of the following is consistent with these lab bindings?
- Factors known to … with early sexual activity include:
- A 26-year-old female presents with elbow pain that is … as aching in burning. There is point tenderness along the lateral aspect of the elbow and painful passive flexion and extension. She reports she has been playing tennis almost daily for the past month. The most likely diagnosis is:
- A two-year-old African-American child is being … by the nurse practitioner. His clinical appearance and history are consistent with sickle cell anemia. What is the appropriate laboratory test to diagnose sickle cell anemia?
- Which activities are not characteristic of preschool children?
- What type of question is most useful when opening an interview?
- All of the following agents/ medication classes are generally … in pregnancy except:
- A 35-year-old female with a history of mitral valve prolapse is scheduled for routine dental cleaning. According to the 2007 American Heart Association’s guidelines for endocarditis prophylaxis, what would you advise this patient?
- What diabetic complications result from hyperglycemia?
- Which of the following diagnostic assessments must … before developing any plan of care for a 27-year-old female presenting to a family practice clinic?
- The process by which a professional association confers recognition that a … professional has … mastery of a … body of knowledge and skills is termed:
- A 15-year-old male has a history of cryptorchidism which was surgically repaired. Because of this information, it is essential for a nurse practitioner to teach him about:
- A 30-year-old female comes into a clinic with classic signs and symptoms of appendicitis. The nurse practitioner fails to refer the patient tree surgeon. D appendix … and the woman dies. This is an example of:
- And elderly patient is being seen in the clinic for a complaint of “weak spells” … by sitting or lying down. The nurse practitioner checks the patient’s blood pressure while he is lying, sitting, and standing. The nurse practitioner suspects:
- The nurse practitioner knows that the frail elderly alright high risk for malnutrition. Indicators of malnutrition in this population … all of the following except:
- The patient reports, “something flew in my eyes” about an hour ago while he was splitting logs. If there was a foreign body in his eye, the nurse practitioner would expect to find all except:
- Inappropriate initial treatment for external genital warts … by human papilloma virus (HPV) in a non-pregnant patient is:
- A new patient presents to the nurse practitioner clinic stating she wants a second opinion. She … propylthioutacil (PTU, Propyl-Thyracil) 75 mg three times today a week ago as therapy for newly … Graves’ disease. She still feels irritable and jittery. How should the nurse practitioner respond?
- What advice should be given to the parents of an infant at risk for SIDS?
- A six-month-old patient with type III metatarsus adductus (i.e., rigid and does not correct to neutral) should be … with:
- Patient should … to purchase the same brand name for each of the following drugs except:
- Which activity during the first trimester could be deleterious to the fetus?
- The mother of an 18-month-old child is in the office. She is not yet … her child because the child’s grandmother “doesn’t believe in that.” The nurse practitioner should:
- The nurse practitioner is conducting a routine health assessment of a 28-year-old patient. He states he is very “Health conscious” and that he ran 6 miles daily. He denies current Health problems and his past medical history is unremarkable. Routine urinalysis reveals proteinuria. What is the most likely cause of the proteinuria?
- What is the earliest age that MMR immunization can … ?
- The nurse practitioner examines a six-year-old who has had a sore throat and fever for less than 24 hours. Based on the most common cause of pharyngitis in this age group, the most appropriate action is to:
- Physical examination findings consistent with emphysema include all of the following except:
- Which choice below is not a contraindication to receiving the diphtheria, pertussis, and tetanus (DPT) vaccine?
- All of the following are … in the differential diagnosis of hyperthyroidism except:
- A middle-aged patient has a history of smoking, chronic cough, and sputum production. He reports chronic dyspnea. A diagnosis of COPD should … with:
- A patient requests information about foods to include in his diet while vacationing in Mexico to avoid “Montezuma’s revenge.” The nurse practitioner should advise him to ingest only:
- An eight-month-old male presents with hemarthrosis of both knees and hematuria. The parents gave no history of trauma but say “he has always … easily.” The most likely diagnosis is:
- Of the following for malpractice issues for which an APRN may incur liability, which is the most prevalent cause of action?
- Which of the following factors is (are) … incidence of cervical cancer?
- Following the finding of prostate gland abnormalities on DRE, the nurse practitioner orders appropriate labs. When preparing to view lab reports with the patient, and Nurse practitioner knows all of the following are true except:
- Which characteristic is not indicative of heart failure?
- A 32-year-old male patient complains of urinary frequency and burning on urination for three days. Urinalysis reveals bacteriuria and positive nitrates. He denies any past history of urinary tract infections. The initial treatment should be:
- On trans illumination of the scrotum, the nurse practitioner identifies a hydrocele in a three-month-old infant. What course of action should be taken?
- Which of the following is an appropriate drug for initial treatment of gastroesophageal reflux disease (GERD) in adults?
- The major health risk … with oral contraceptive therapy is?
- The most effective treatment of primary and secondary encopresis focuses on:
- A 55-year-old male patient complains of blood in his urine for the past two weeks. He denies dysuria. Urinalysis is positive for red blood cells and negative for leukocytes and nitrates. The initial evaluation of this patient should include:
- A 50-year-old non-smoker with no comorbidities presents to the clinic an is … with community … pneumonia. His vital signs are normal except for temperature 101.6°F. a sputum specimen is … and sent for culture and sensitivity. What action should the nurse practitioner take today?
- Influenza vaccine should be given annually to all persons 65 years or older, anti-persons six months or older who are And chronic care facilities, or who suffer chronic cardiopulmonary disorders, metabolic disorders, hemoglobinopathies, or immunosuppression.
- Simple cases of impetigo and folliculitis are usually successfully … with:
- A patient on oral contraceptives reports that she has forgotten to take her pill the last two days in A row. What should you advise her? 1-take two tablets daily for the next two days, then … a regular schedule. 2-begin a new compact of tablets starting the first day of the next cycle. 3-use an additional method of contraception for the rest of the pill pack.4-take one tablet, discard the second, and continue as scheduled.
- A three-year-old has … , warm, tender cervical lymph nodes, indicating:
- A 62-year-old female has been … with osteoporosis. She refuses hormone replacement therapy as well as new medication shown to increase bone density. Important education for this patient should include:
- The tricyclic antidepressants (TCAs) and selective serotonin reuptake inhibitors (SSRIs) have … efficacy in the treatment of each of the following conditions except:
- Which finding below would be unusual and patient with diabetic retinopathy?
- A two-year-old child is … with hemophilus influenza type B. The child’s parents will not allow any of their children to … There are two other children in the home, ages one year and three years, how should the nurse practitioner manage contacts?
- Atenolol (Tenormin) should … in:
- The results of the Weber tuning fork test is the lateralization of sound to the right ear. This finding indicates:
- A male patient with chronic atrial fibrillation takes a generic brand of Coumadin (warfarin). He should report all of these to his healthcare provider except:
- The side effect of the medroxyprogesterone (depo-Provera) that often leads women to discontinue use is:
- The mother of a two-week-old infant with hypospadias request circumcision for her infant. The nurse practitioner’s best response to this mother should be:
- A patient complains of “stomach pains” on and off for the past month. In distinguishing between a gastric and duodenal ulcer, what question is least important to ask?
- Enlargement of the scrotum and testes with little change in size of the penis characterizes which tanner stage of sexual development?
- Which of the following ecchymotic lesions in a four-year-old patient most likely represents a possible bleeding disorder:
- The mother of a six-month-old infant … about the use of an infant walker. The most appropriate response is to:
- The developmental task for the family of an adolescent is to:
- Which of the following diseases is not … trans placentally?
- A two-year-old has iron deficiency anemia and has not had an increase in hemoglobin for the past three months despite Iron supplementation. The nurse practitioner should:
- A 38-year-old penicillin allergy patient has folliculitis on A … part of his face. The nurse practitioner prescribes erythromycin and tells the patient:
- A 45-year-old male is … with hypertension. His blood pressures have been gradually increasing overtime, with a reading today of 152/98. Diagnostic studies are normal. The most likely diagnosis for this patient is:
- Which of the following signs and symptoms are typical of hypothyroidism?
- The most commonly … method for prostate cancer screening in a 55-year-old man is:
- An obese 43-year-old has recurrent superficial fungal skin infections over the past two years. Today, she presents with intertriginous candida. Her skin is … from frequent rubbing and scratching. The plan of care should include:
- If 37-year-old female patient with A history of a single episode of depression and frequent complaints of PMS is being … for hypothyroidism. Today she complains of poor concentration and fatigue. The nurse practitioner should:
- Which of the following drugs has a beneficial effect on benign prosthetic hyperplasia?
- A patient that has 20/80 Visual acuity can see:
- The goals of treatment for patients with alcohol abuse disorder are:
- The nurse practitioner correctly teaches the patient with diabetes mellitus that if blood glucose is less than 100mg/dl (5.6 mmol/L) prior to exercise, the patient should first consume 15 g of carbohydrates, such as:
- Characteristics of prescription and OTC drug use in the elder population include all of the following except:
- Acute lymphocytic leukemia (ALL) is usually … by:
- Subsequent to successful completion of the nurse practitioner certification exam, the candidate is … to be:
- An obese hyperlipidemic patient, newly … with type II diabetes mellitus has fasting blood glucose values 180 to 250 mg/dL (10.1-14 mmol/L). What is the most appropriate initial treatment to consider?
- All of the following are typical of toddlers except:
- Interest practitioner has … an infant for the last three weeks for thrush with nystatin (Mycostatin) oral suspension. What diagnostic test could the nurse practitioner platform which might quickly confirm a diagnosis of oral candidiasis?
- Which of the following physical findings is consistent with a diagnosis of Beta-thalassemia major?
- An adult female patient is seeking information about her ideal weight. She is 5’7” tall using the” height weight formula”, what is her ideal body weight?
- The most appropriate therapy for an elderly patient with pernicious anemia is:
- Which of the following patients is most likely to have a diagnosis of type II diabetes mellitus?
- The recent Beta-adrenergic blockers should … in patients with diabetes is because they may:
- The nurse practitioner is initiating levothyroxine (Synthroid) for primary hypothyroidism in a 71-year-old female. The usual starting dose of levothyroxine is 50
- Nurse practitioner is evaluating a 35-year-old female nurse. She has a history of hospitalization for hepatitis B infection two years ago. Her laboratory tests demonstrate positive HBsAg/ surface antigen. The nurse practitioner would most likely diagnose:
- Phalen’s test, 90° wrist flexion for 60 seconds, reproduces symptoms of:
- According to the American nurses Association (ANA), the role of the nurse practitioner who provides primary healthcare is:
- Health maintenance organization (HMOs) and … provider organizations (PPOs) are:
- A nurse practitioner has been … by a patient for malpractice. The nurse practitioner is … a:
- A young couple is being seen by the nurse practitioner for preconception counseling. They Express the wish for pregnancy within the next three months and are very eager to know what they can do now to “make the baby as healthy as possible”. Which of the following should the nurse practitioner in courage to decrease the chance of neural tube defect in the fetus?
- An active 82-year-old male in good health complains “I don’t see as well as I … to and my eyes are very sensitive to glare.” His near and distant visual acuity is … , and he has a bilateral white pupillary reflex. The most likely diagnosis is:
- The Papanicolaou (PAP) smear report on a 36-year-old female patient indicate atypical squamous cells of … significance (ASCUS). Which of the following constitutes appropriate care for this patient?
- A 23-year-old female college student is being … by the nurse practitioner for immunization status. She has documentation of completion of IPV, DTaP, and MMR series. She states, “I got a shot when I was 12 years old, but none since then.” Which vaccines should she received today?
- A 20-month-old Child has been brought to the clinic after having a simple febrile seizure. The most appropriate intervention is to:
- A 75-year-old female complains that she awakens 3 to 4 times each night sensing bladder fullness, but is unable to “hold it” until she can get … on the bathroom toilet. This type of urinary incontinence is termed:
- A one-month old presents with … recurrent diarrhea, screaming, and drawing up of the legs followed by periods of lethargy. On physical examination, A” sausage-like” mass is … in the upper right quadrant of the distended abdomen. Which of the following is the most likely diagnosis?
- A critically ill patients states, “my family is well … for”. The nurse practitioner must interpret this meaning as the patient:
- A 46-year-old female has hypertension and is well … on propranolol (Inderal). Which of the following is a beneficial secondary effect of this drug?
- During pregnancy, it is important to be physically active. The nurse practitioner should encourage her pregnant patient who has a very sedentary lifestyle to:
- A 19-year-old pregnant patient, at 20 weeks gestation, complains of pain in the right lower quadrant. She is afebrile and denies nausea and vomiting. The most likely diagnosis is:
- Which of the following is not covered by Medicare part B?
- Which of the following patient characteristics are associated with chronic bronchitis?
- Which of the following patients would appropriately be diagnosed with isolated systolic hypertension (ISH)?
- Which of the following drugs is considered safe for use during pregnancy?
- A 44-year-old patient complains of stiffness and soreness in his hands, hips, and knees. There is noticeable PIP and DIP joint enlargement in his hands. The nurse practitioner suspects arthritis. All of the following questions are helpful in differentiating between rheumatoid arthritis (RA) and osteoarthritis (OA) except:
- A 55-year-old male patient presents with dysuria, urgency, peroneal pain, and temperature of 10 1°F. What is the most likely diagnosis?
- The nurse practitioner receives a call from a 23-year-old patient who is 10 weeks pregnant. She reports that a few days after spending the day babysitting a friend’s toddler, the toddler develops a rash. The nurse practitioner would be least concerned if the patient was exposed to:
- For the general adult population, total dietary fat intake should be no more than what percent of total calories?
- The mechanism for handling first contacts into the healthcare system and providing a continuum of care, evaluation and management of systems maintenance of health, and appropriate referrals is called:
- The four classic features of Parkinson’s disease are:
- The most common symptoms of transient ischemic attack (TIA) include:
- A 15-year-old patient has a complaint of vaginal discharge. She is sexually active with multiple partners. Which of the following symptoms should leave the nurse practitioner to suspect pelvic inflammatory disease (PID)?
- The nurse practitioner wants to assess intactness of a patient’s cerebellar function. Which of the following clinical test will provide information relative to cerebellar function?
- A patient presents with distorted area and a blind spot in the visual field. The painless condition was first noticed on awakening this morning. The nurse practitioner would most appropriately include all of the following in the plan of care except:
- Which murmur is associated with radiation to the neck?
- The correct order of physical examination of the abdomen is:
- What disease process is Bouchard’s nodes most commonly associated with?
- A patient has Kawasaki syndrome. Which characteristic would be unusual?
- The nurse practitioner should instruct the mother of an infant with thrush to:
- A 24-year-old female taking oral contraceptives has missed her last 2 pills. What should the nurse practitioner advise her to do?
- A 65-year-old diabetic patient has newly diagnosed peripheral artery disease in her lower extremities. She is exhibiting symptoms of this disease. In assessing this patient, the nurse practitioner would expect to find:
- A patient recovering from a recent stroke is starting anticoagulant therapy. The nurse practitioner should teach the patient to avoid all of the following except:
- The anatomical site currently believed to be the best location for subcutaneous insulin administration is:
- A patient presents with periorbital erythema and edema, fever, and nasal drainage. The nurse practitioner should:
- A nurse practitioner is examining a 2-month-old infant. What question is most important to ask about the baby?
- Which of the following patients is least likely to develop osteoporosis secondary to a comorbid condition?
- A 72-year-old man has chronic prostatitis. What is the initial drug treatment of choice for this patient?
- Practitioners working with physically active girls need to be aware of the “female athlete triad” in order to develop an effective plan for prevention, recognition, and treatment. The component of the female athlete triad are:
- Which of the following drug classes may potentiate hyperkalemia in a patient taking potassium-sparing diuretic or potassium supplement?
- Salicylates and other nonsteroidal anti-inflammatory agents have all of the following actions except:
- The obesity associated with type II diabetes mellitus is:
- Retinopathy specifically associated with poorly controlled hypertension is manifest clinically as:
- Electro cardiogram markers of hypokalemia include all of the following except:
- Ideally, antepartum care should begin:
- A nurse practitioner is providing guidance to a newly diagnosed diabetic patient who is being treated with insulin. The nurse practitioner would be correct to tell the patient to self-treat signs and symptoms of hypoglycemia with:
- An 18-year-old college student lives in the dormitory. He has been treated for scabies infestation with permethrin (Nix). He was asymptomatic for two weeks but now complaints again of itching and skin burrows. How should the nurse practitioner proceed?
- What is the most common causative pathogen found in cystitis, pyelonephritis, and prostatitis?
- A 26 -year-old female presents with vaginal itching and a malodorous vaginal discharge. What prep is positive for budding hyphae and flagellated protozoa a negative for wbc’s and clue cells. KOH is positive. Based on these lab and microscopic findings, the most likely diagnoses are:
- Which of the following maybe caused by long-term glucocorticoid treatment?
- The most appropriate treatment for a child with mild croup is:
- A patient states “I just found out my old boyfriend died of AIDS.” She is worried that she has contracted illness and wants to be tested. The nurse practitioner correctly offers this patient the:
- A 40-year-old patient presents with a hordeolum. The nurse practitioner teaches the patient to:
- When counseling a woman who is breast-feeding her six month old infant, the nurse practitioner should recommend a caloric intake over her pre-pregnancy requirement of:
- A seven-year-old male presents with a painless limp, antalgic gait, muscle spasm, mildly restricted hip abduction and internal rotation, proximal thigh atrophy, and slightly short stature. Most likely diagnosis is:
- Among adolescents in the US, the greatest known risk factor for contracting hepatitis B is:
- A 45-year-old obese premenopausal female complains of indigestion, flatulence, RUQ and epigastric “crampy pain” that radiates to the right scapula. Symptoms are exacerbated by a high fat meal. What is the most likely diagnosis?
- A 51-year-old postmenopausal female, request guidance regarding osteoporosis risk. The nurse practitioner would be correct to recommend all of the following except:
- A 40-year-old female with a history of frequent sun exposure presents with a multi colored lesion on her back. It has irregular borders and is about 8 mm in diameter. What should the nurse practitioner suspect?
- A 60-year-old male patient with multiple health problems presents with a complaint of erectile dysfunction. Of the following, which medication is most likely to be causing the problem?
- On examination of the skin a 65-year-old male, the nurse practitioner notes erythematous eruptions with scaly and flaky, but oily, yellowish plaques over the nasolabial fold, scalp, and area of the eyebrows. The patient reports that condition is always present and exacerbated by stress. What is the most likely diagnosis?
- A 21-year-old college student presents to the student health center with copious, markedly purulent discharge from her left die. The nurse practitioner should suspect:
- A 32-year-old mother and her 10-year-old child each have a 10 cm round, reddened patch on the trunk. There is Central clearing of the lesion. Different lesions run parallel to each other in a Christmas tree pattern. The mother has been treating the “ringworm” with an antifungal cream for seven days without success. The nurse practitioner’s best response is:
- The nurse practitioner is disgusting contraception options to be used during lactation with a 24-year-old pregnant patient. Which of the following methods of contraception would not be appropriate for use while breast-feeding?
- The hyperinsulinemia and insulin resistance associated with the diagnosis of syndrome X causes all of the following except:
- A 49-year-old Hispanic female has a blood pressure of 145/95 mmHg during a routine annual evaluation. She has no previous history of hypertension. She takes a Statin for dyslipidemia. How should the nurse practitioner proceed with this patient?
- A 16-year-old male presents with mild sore throat, fever, fatigue, posterior cervical adenopathy, in Palatine petechia. Without a definitive diagnosis for this patient, what drugs would be the least appropriate to prescribe?
- What is an appropriate drug for prophylactic treatment of migraine headaches and a 21-year-old female?
- Introduction of solid foods to infants should begin:
- A 16-year-old sexually active student presents with complaints of a greenish gray frothy vaginal discharge and vaginal itching. The nurse practitioner should suspect:
- All of the following principles apply to drug therapy for elders except:
- Criteria for the diagnosis of Alzheimer’s disease include:
- A 10-year-old presents with hematuria, periorbital edema, and elevated blood pressure. He has a history of streptococcal pharyngitis two weeks earlier. What is the most likely diagnosis?
- After being thoroughly examined, a child is diagnosed with recurrent abdominal pain. Patient and parent counseling should include:
- Eligibility requirements for the ANP or FNP exam include all of the following except:
- Which of the following can result from chronic inflammation of a Meibomian gland?
- The nurse practitioner is caring for a 19 year old female college student with iron deficiency anemia secondary to heavy menstrual bleeding. An appropriate initial treatment for this patient is:
- A 23-year-old female presents with scaly hypo pigmented macular lesions on her trunk, shoulders, and upper arms. The lesions flouresce under Wood’s lamp. Appropriate treatment for this condition is:
- P6 do-year-old male patient with a past history of glaucoma and frequent sinusitis presents today with hypertension. On his last two visits to the clinic, his blood pressures were 150 to 160 / 90 to 98. The nurse practitioner decides to treat the hypertension with long acting propranolol (Inderal). Before prescribing it the nurse practitioner should ask:
- Once a competent adult patient is identified as a victim of domestic violence, the best plan is to:
- A patient has been taking enalapril (Vasotec) for a period of 14 months to treat heart failure. Despite feeling well otherwise, she has developed you dry, nonproductive cough. The nurse practitioner knows that:
- A 20-year-old female patient presents to the emergency department with lower abdominal pain, moderate vaginal bleeding, and right shoulder pain. Her blood pressure is 90/50 mmHg, pulse is 120, respirations 20, and temperature 98°F. She has a history of pelvic inflammatory disease (PID). Her urine pregnancy test is positive. Which of the following is the most likely diagnosis?
- A 27-year-old female patient with epilepsy is well controlled with phenytoin (Dilantin). She requests information about contraception. The nurse practitioner should instruct her that:
- Microalbuminuria is a measure of:
- What problem would be least expected any pregnancy complicated by gestational diabetes?
- Which of the following findings would raise the nurse practitioners’ suspicion of bulimia and a 17-year-old female?
- A first-time mother asks the nurse practitioner how much her baby will grow in the first three months of life. The nurse practitioner explains that the normal baby will grow:
- Which of the following has been shown by research to be most influential in promoting smoking cessation in the adolescent population?
- A 23-year-old college student presents to the campus health clinic with a generalized rash on her trunk. The lesions are oriented in a Christmas tree pattern and I’m widely pruritic. She describes a “round ringworm” that appeared in about one week ago, but now has disappeared. What is the patient’s diagnosis and how should she be treated?
- Healthy people 2010 published by the US Department of Health and Human Services:
- Is a set of national health objectives designed to improve the overall health of people Which case epistaxis should concern the nurse practitioner most?
- A very active 35-year-old male has painful hemorrhoids, but he does not want hemorrhoidal surgery at this time. His diet has been indiscriminate as his job requires frequent travel. The most appropriate recommendation is for him to select foods that are:
- The CDC recommends the pneumococcal polysaccharide vaccine for: 1. Adults > 60 years of age. 2. Asplenic person > or equal to two years of age. 3. HIV it affected individuals and diabetic adults. 4. Patients with CHF, or chronic liver disease.
- A patient has been diagnosed with hypothyroidism in thyroid hormone replacement therapy is prescribed. When should the nurse practitioner check the patients TSH?
- It is recommended that the therapeutic management of children with juvenile rheumatoid arthritis (JRA) should include:
- The child with type I diabetes mellitus brings in a glucose diary indicating consistent morning hyperglycemia. How can the nurse practitioner differentiate the Somogyi effect from Dawn phenomenon?
- A 16-year-old presents for a sports physical for football. The nurse practitioner auscultates a diastolic murmur. It is a grade II/VI. He has no hx of a murmur. The patient denies symptoms. What is the most appropriate action for the NP?
- Which age group is at higher risk for testicular cancer?
- At what age is screening most helpful in detecting scoliosis?
- What disease process are Heberden nodes most commonly associated with?
- A pre-adolescent male expresses concern about his physical growth and development as compared to girls his age. The NP correctly tells his that pubertal growth spurt occurs about:
- The mother of a 3-year-old male asks about her son’s nocturnal enuresis. Which of the following responses is appropriate?
- Persons with thalassemia should avoid:
- When examining a pregnant patient, where should the fundal height be at 22 wks.? My question asked about a 20 week old pt
- The nurse practitioner preforms a routine physical examination of a 3-years old. A hard, painless mass is palpated in the abdomen, along with the lymph node enlargement and lower limb paresis. Blood imaging studies provide markers for neuroblastoma. What information is correct to give the parents?
- Which of the following is a “red flag” indicating possible developmental delay?
- Babies should begin oral iron supplementation at
- A patient with moderate persistent asthma will probably be most effectively managed with daily;
- A 17-year old presents with a wound received while building a fence. He has completed a primary vaccination series and he had a Td booster 3 years ago. Does he need a Td booster today?
- The infant 1 to 6 months of age with a diagnosis of developmental hip dysplasia is correctly treated with:
- A 60-year old female patient complains of sudden onset unilateral, stabbing, surface pain in the lower part of her face lasting a few minutes, subsiding and then returning. The pain is triggered by touch or temp extremes. Physical exam is normal. The patient had a negative dental evaluation. CT scan is normal. Erythrocyte sedimentation rate is normal. Which of the following is the most likely diagnosis?
- Which of the following demonstrates that a 30-year old male has successfully achieved the developmental task of young adulthood?
- Diagnostic radiological studies are indicated for low back pain:
- A healthy 50-year-old patient presents to the clinic for a routine physical examination. He has no significant personal or family history of clinical heart disease. What should be part of his CV assessment?
- Patients diagnosed with polycystic ovarian disease are at increased risk for developing:
- Why is it important that a post-menopausal woman with an intact uterus receive combined estrogen-progestin hormone replacement therapy rather than estrogen alone?
- A professional liability insurance policy that provides coverage for injuries arising out of incidents occurring during the period the policy was in effect, even if the policy subsequently expires, or is not renewed by the policy holder, is termed a(an):
- When prescribing an iron supplement to a child it is most important to tell the mother:
- An 87-year old was placed on low dose amlodipine (Norvasc) for the treatment of hypertension and angina. She takes an ASA daily, but, takes no other medications. What side effects might be expected from taking amlodipine?
- An 18-year old female applying for college admission presents to the health clinic because evidence of rubella vaccination is required for admission. She says” I don’t ever remember getting that shot” she has a negative serologic evidence of rubella antibody. The nurse practitioner should:
- An overweight male complains of low back pain after helping to move a refrigerator over 2 days ago. To avoid future problems, the nurse practitioner should teach him:
- Infants with celiac disease (gluten enteropathy) are at risk for multiple complications. The most urgent complication of the disease is:
- An elderly patient’s digoxin level has decreased to 0.4 ng/dl and she has begun to have atrial fibrillation again. For the past 14 months, her digoxin level had been well controlled when her digoxin level was 1.4 to 1.5 ng/dl. What could not have accounted for this change in digoxin level? Normal digoxin level is (0.8-2 ng/dl).
- An 83-year-old man has a resting tremor. What disease process is this type of tremor most commonly associated with?
- A 70-year-old patient presents with left lower quadrant abdominal pain, markedly tender palpable abdominal wall, fever, and leukocytosis. Of the following terms, which correctly describes the suspected condition?
- A 16-year-old sexually active female presents to the clinic. She has never had vaccinations for hepatitis A or B, she has had one MMR immunization, and her last tetanus vaccination was four years ago. Which vaccination would be contraindicated without further testing?
- Patients with human immunodeficiency virus (HIV) are at increased risk for pneumocystis carinii pneumonia (PCP) which is associated with significant morbidity and mortality. For this reason, prophylaxis is recommended. Which of the following is inappropriate drug for PCP prophylaxis?
- A 15-year-old female reports she is a strict vegetarian. Which of the following is the most appropriate response by the nurse practitioner?
- Right sided heart failure is characterized by all of the following clinical findings except:
- The nurse practitioner diagnoses eczema on the cheeks of a two-year-old female. The patient’s mother explains that she is embarrassed to take the child in public because her face is so red, dry, and crusted. She asked for a “strong” cortisone cream so the eczema will clear rapidly. The nurse practitioner knows that:
- A patient presents with a normal complete blood count and a positive stool for occult blood. The nurse practitioner decides to repeat this stool for occult blood after having the patient eliminate certain foods from the diet for 72 hours. Which of the following should be included in the list of foods to omit?
- Which term most accurately describes the prostate gland of a patient with prostate cancer?
- A 30 year old female patient presents to the clinic with heat intolerance, tremors, nervousness and weight loss inconsistent with appetite. Which choice below would be most helpful in identifying the etiology of this patient’s complaints?
- Diagnosis of systemic lupus erythematosus (SLE) is made:
- A three-year-old female with a palpable right upper quadrant abdominal mass, anemia, and fever is being evaluated for Wilms’ tumor. Which of the following diagnostic test would be most useful?
- In July 1996, the advisory committee on immunization practices of the centers for disease control and prevention issued which of the following recommendations for the use of the live attenuated varicella vaccine?
- Advances in obstetrics in neonatal care have:
- What is the most common chronic condition in the elder population in the United States?
- In comparing sensitivity to specificity, sensitivity refers to a:
- The best way for a pregnant woman to avoid injury to herself and her fetus in the event of a motor vehicle accident is to:
- A 25 year old female patient presents for routine well woman exam. On physical examination, the nurse practitioner notes a scant nipple discharge, absence of a palpable mass, and absence of lymph node enlargement. Which of the following is the most likely diagnosis?
- A 22-year-old patient has a single, nontender, freely movable lump in her right breast. She denies any nipple discharge. Which of the following diagnosis is this clinical presentation most consistent with?
- The most effective treatment for anemia of chronic disease is:
- A 65 year old African-American patient was screened at his local church for “High cholesterol”. His total cholesterol (nonfasting) was 215mg/dl. What action below is most appropriate for the nurse practitioner?
- A 72-year-old female patient reports a six month history of progressively more swollen and painful distal interphalangeal joints of one hand. There are no systemic symptoms but the erythrocyte sedimentation rate, antinuclear antibody, and rheumatoid factor are all minimally elevated. What is the most likely diagnosis?
- When discussing treatment options with the patient, the nurse practitioner would be correct to say that surgery can be curative for:
- A 26-year-old female was informed that she is four weeks pregnant. Because of her history of smoking half a pack of cigarettes per day, the nurse practitioner explains that smoking during pregnancy increases the risk of her infant being born:
- A 12-year-old presents with ear pain of 36 hours duration. The nurse practitioner diagnosis acute otitis media because the:
- Which of the following is an example of secondary prevention?
- A 17-year-old female presents with a painful the secular lesion on her vulva. Which of the following would be the most definitive diagnostic test?
- The nurse practitioner correctly diagnoses a second degree burn injury which is … as:
- Long-range disease prevention programs are most likely to be successful if:
- The programs are … to fit the cultural and health profiles of the population
- Salmeterol (serevent) in combination with an … steroid is prescribed for a patient with moderate persistent asthma. What is the most important teaching point about salmeteral?
- A 66 year old patient exhibits sudden onset of fluctuating restlessness, agitation, confusion, and … attention. This is … by visual hallucinations and sleep disturbance. What is the most likely cause of this behavior?
- A 15 year old pregnant patient presents for her first prenatal visit. On physical examination, her uterus is approximately 24 week gestational size. She does not know when her last menstrual period was nor does she know when she might have … . Gestational age for this patient can most accurately be assessed by:
- Which of the following is the most important diagnosis to rule out in a patient with acute bronchitis?
- Upon ophthalmoscopic examination of a 78-year-old patient, the nurse practitioner observes dark spots against a red retina. What the diagnosis is this finding most consistent with?