Family Nurse Practitioner Questions and Verified Answers, Exams of Nursing

Download Family Nurse Practitioner Questions and Verified Answers and more Exams Nursing in PDF only on Docsity! Family Nurse Practitioner questions with verified answers for best grades candidates 1. A 72 year old woman has been on hydrochlorthiazide 12.5 mg for many years to control her Stage II hypertension. Her BP at this visit is 168/96. She is currently complaining of pain in her right hip and both knees. She has increased her dose of ibuprofen from 400 mg TID to 800 mg TID. She is still in pain and would like something stronger. Best explanation of the effects of ibuprofen on her disease. - Correct answer It inhibits the effect of renal prostaglandins and blunts the effectiveness of the diuretic 2. Infections that affect mostly the labia and vagina except? - Correct answer Chlamydia trachomatis 3. The nurse practitioner would test the obturator and iliopsoas muscle to evaluate for? 4. cholecystitis 5. b. 6. inguinal hernia 7. gastric ulcer - Correct answer Acute appendicitis 8. Tx for mild preeclampsia includes all except: - Correct answer Prescription of methyldopa to control BP 9. All of the following services are covered under Medicare Part A except: 10. inpatient hospitalization 11. medicines administered to a patient while hospitalized 12. surgeons - Correct answer nursing home care 13. A 28 year old student is seen in the school health clinic with complaints of a hacking cough that is productive of small amounts of sputum and a runny nose. He does not take medications, denies any allergies, and has no significant medical history. Physical exam reveals low-grade temperature of 99.9 degrees, respirations of 16 per minute, heart rate of 90 beats per minute, and diffuse fine crackles in the base of the lungs. A chest xray shows diffuse infiltrates on the lower lobe of the right lung. The total WBC is 10,000. What is the most likely diagnosis? 14. streptococcal pneumonia 15. mycoplasma pneumonia 16. acute bronchitis 17. legionnaire's disease - Correct answer b 50. an abnormal neurological exam 51. a vegan diet 52. tingling and numbness in both feet - Correct answer d 53. A second triple screen on a 35 year old primigravida reveals abnormally low levels of the alpha fetoprotein and estriol and high levels of human chorionic gonadatropin. Which of the following interventions is the best choice for this patient? 54. order and ultrasound 55. order CT scan of abdomen 56. order a 24 hour urine for protein clearance 57. assess for history of illicit drug or alcohol use. - Correct answer a 58. All of the following are true statements about diverticula except: 59. diverticula are located in the colon 60. a low-fiber diet is associated with the condition 61. most diverticula in the colon are infected with Gram-negative bacteria 62. supplementing with fiber such as psyllium is recommended - Correct answer c 63. Patients who are diagnosed with gonorrhea should also be treated for which of the following infections? 64. chancroid 65. chlamydia trachomatis 66. herpes genitalis 67. PID - Correct answer b 68. Kyphosis is a late sign of: 69. old age 70. osteopenia 71. osteoporosis 72. osteoarthritis - Correct answer c 73. A 35 year old primigravida who is at 28 weeks gestation is expecting twins. You would expect her alpha fetoprotein values to be? 74. normal 75. higher than normal 76. lower than normal 77. none of the above - Correct answer b 78. Which of the following antihypertensive medications has beneficial effects to an elderly white female with osteoporosis? 79. calcium-channel blockers 80. ACE inhibitors 81. beta blockers 82. diuretic - Correct answer a 83. The Lachman maneuver is used to detect which of the following? 84. knee instability 85. nerve damage of the knee due to past knee injuries 86. integrity of the patellar tendon 87. tears on the meniscus of the knee - Correct answer a 88. When an adolescent male's penis grows more in length than in width, which of the following Tanner stages is he classified at? 89. Tanner Stage II 90. Tanner Stage III 91. Tanner Stage IV 92. Tanner Stage V - Correct answer b 93. Fetal TORCH infections can cause microcephaly, mental retardation, hepatosplenomegaly, and intrauterine growth retardation. The acronym TORCH stands for? 94. toxoplasmosis gondii, other infections, rubella, cytomegalovirus, and herpes 95. toxic shock syndrome, ocular infections, rubella, cytomegalovirus, and herpes zoster 96. tetanus, opthalmic infections, roseola, cancer, and head abnormalities 97. toxins, other infections, roseola, candidiasis, and head abnormalities - Correct answer a 98. Human papilloma virus HPV infection of the larynx has been associate with? 99. laryngeal neoplasm 100. esophageal stricture 101. cervical cancer 134. anhedonia and changes in appetite 135. decreased energy and irritability 136. apathy and low self-esteem 137. apraxia and fatigue - Correct answer d 138. Which of the following is an accurate description of eliciting for Murphy's sign? 139. upon deep inspiration by the patient, palpate firmly in the right upper quadrant of the abdomen below the costovertebral angle 140. bend patient's hips and knees at 90 degrees, then passively rotate hip externally, then internally 141. ask the patient to squat, then place the stethoscope on the apical area 142. press into the abdomen deeply, then release suddenly - Correct answer a 143. A 28 year old multipara who is at 32 weeks gestation presents to your office complaining of sudden onset of small amounts of bright red vaginal bleeding. she has had several episodes and appears anxious. On exam, her uterus is soft to palpation. Which of the following is most likely? 144. placenta abruptio 145. placenta previa 146. acute cervicitis 147. molar pregnancy - Correct answer b 148. Epidemiologic studies show that Hashimoto's disease occurs most commonly in: 149. middle-aged to older women 150. smokers 151. obese individuals 152. older men - Correct answer a 153. A 48 year old woman is told by a physician that she is starting menopause. All of the following are possible findings except? 154. hot flashes 155. irregular menstrual periods 156. severe vaginal atrophic changes 157. cyclic mood swings - Correct answer c 158. A 63 year old patient with a 10 year history of poorly controlled hypertension presents with a cluster of physical findings. Which of the following indicate target organ damage commonly seen in hypertensive patients? 159. pedal edema, hepatomegaly, and enlarged kidneys 160. hepatomegaly, AV nicking, bibasilar crackles 161. renal infection, S3, neuromuscular abnormalities 162. glaucoma, jugular vein atrophy, heart failure - Correct answer b 163. A 30 year old primigravida is diagnosed with a possible threatened abortion. The result of the urine pregnancy test is positive. Which of the following statements is true regarding a threatened abortion? 164. vaginal bleeding and cramping are present, but the cervix remains closed 165. vaginal bleeding and cramping are present along with a dilated cervix 166. the fetus and placenta are all expelled 167. the products of conception and the placenta remain inside the uterus along with a dilated cervix - Correct answer a 168. A 30 year old female who is sexually active complains of a large amount of milk-like vaginal discharge for several weeks. A microscopy slide reveals a large amount of squamous epithelial cells that have blurred marins. There are very few white blood cells seen. The vaginal pH is 6.0. What is most likely? 169. trichomonas infection 170. bacterial vaginosis 171. candidal infection 172. a normal finding - Correct answer b 173. The pap smear result on a 20 year old sexually active student who uses condoms inconsistently shows a large amount of inflammation. Which of the following is the best follow-up action? 174. call the patient to return to the clinic so she can get tested for a possible cervical infection 175. treat the patient with metronidazole vaginal cream over the phone 176. call the patient and tell her she needs to repeat the pap smear in 6 months 177. advise her to use a Betadine douche at bed time x 3 days - Correct answer a 209. referral to an optometrist 210. referral to an opthalmologist 211. advise the patient it is a benign condition and will resolve spontaneously 212. prescribe an opthalmic antibiotic solution - Correct answer c 213. Jason, a 9 year old with type I diabetes, is being seen for a 3 day history of frequency and nocturia. He denies flank pain and is afebrile. The urinalysis result is negative for blood and nitrites but is positive for a large amount of leukocytes and ketones. He has a trace amount of protein. Which of the following is the best test to order initially? 214. urine for culture and sensitivity 215. 24 hour urine for proteine and creatinine clearance 216. 24 hour urine for microalbumin 217. an intravenous pyelogram - Correct answer a 218. All of the following are not recommended for the outpatient treatment of mild preeclampsia except: 219. severe sodium restriction 220. restrict fluid intake to less than 1 liter in 24 hours 221. Aldomet 250 PO BID 222. bedrest on the left side with bathroom privileges - Correct answer d 223. The best test for diagnosing congenital glaucoma is which of the following? 224. fluorescein staining 225. tonometry 226. Snellen vision exam 227. the refractive index - Correct answer b 228. Rocky Mountain spotted fever is caused by the bite of the? 229. mosquito 230. tick 231. insect 232. flea - Correct answer b 233. All of the following are false statements about the atopic dermatitis except? 234. contact with cold objects may exacerbate the condition 235. it does not have a linear distribution 236. it is associated with bullae 237. the lesions have vesicles that are full of serous exudate - Correct answer b 238. A mother brings in her 4 year old daughter who just started attending preschool. She tells the nurse practitioner that her child is complaining of burning and itching in both eyes along with a runny nose. During the physical exam, the child's eyes appear injected bilaterally. The throat is red and her inferior nasal turbinates are swollen. Which of the following is most likely? 239. herpes keratitis 240. corneal ulcer 241. viral conjunctivitis 242. bacterial conjunctivitis - Correct answer c 243. A sexually active woman is complaining of amenorrhea and vaginal spotting. On exam her left adnexa is tender and cervical motion tenderness is positive. Which test should the nurse order initially? 244. flat plate of abdomen 245. CBC with diff 246. urine pregnancy test 247. pelvic ultrasound - Correct answer c 248. A toddler with congenital heart disease is seen for a 1 week history of facial and lower extremity edema accompanied by shortness of breath. The child's mother reports that the child's appetite has been poor. The chest xray reveals that the child has congestive heart failure. Which of the following heart sounds are found in these patients? 249. S1 and S2 250. S1, S2, and S3 251. S1, S2, and S4 252. Still's murmur and S4 - Correct answer b 253. A 53 year old crossing guard complains of twisting his right knee while working that morning. The knee is swollen and tender to palpation. The NP diagnoses a Grade II sprain. The initial treatment plan includes which of the following? 288. A nursing home resident reports to his physician that his previous roommate was recently started on tuberculosis treatment. A Mantoux test and chest xray are ordered for the patient. What is the minimum size of induration considered positive for this patient? 289. 3 mm 290. 5 mm 291. 10 mm 292. 15 mm - Correct answer c 293. In small children with acquired immunodeficiency syndrome (AIDs), which of the following vaccines is contraindicated? 294. diphtheria and tetanus 295. hepatitis B and mumps 296. varicella 297. Td and oral polio - Correct answer c 298. A 44 year old female who is undergoing treatment for infertility complains of not having a menstrual period for a few months. The night before, she started spotting and is now having cramp-type pains in her pelvic area. Her blood pressure is 160/80, the pulse rate is 110, and she is afebrile. Her labs reveal a mild anemia with mild leukocytosis. On pelvic exam, the uterine fundus is found above the symphysis pubis. The cervical os is dilated to 3 cm. Which of the following is more likely? 299. inevitable abortion 300. threatened abortion 301. incomplete abortion 302. acute pelvic inflammatory disease - Correct answer a 303. A 14 year old female who is sexually active is brought in by her mother for an immunization update. According to the mother, her daughter had one dose of Hepatitis B vaccine. Which of the following vaccines would you administer at this visit? 304. Td and Hepatitis B 305. DTaP and Hepatitis B 306. Hepatitis B only 307. MMR and Td - Correct answer a 308. An Rh-negative pregnant woman with negative rubella titers should be vaccinated at what time period in pregnancy? 309. she can be vaccinated at any time in her pregnancy 310. during the second trimester 311. during the third trimester 312. during the postpartum period - Correct answer d 313. Medicare Part B will pay for all of the following services except? 314. outpatient physician visits that are medically necessary 315. durable medical equipment 316. outpatient lab and radiology tests 317. eyeglasses and routine dental care - Correct answer d 318. Which of the following is used to screen for color blindness in a 7 year old boy? 319. Snellen chart 320. Ishihara chart 321. cover/uncover test 322. red reflex - Correct answer b 323. A 67 year old retired clerk presents with complaints of shortness of breath, and weight gain over a 2 week period. A non productive cough accompanies her symptoms. The lung exam is positive for fine crackles in the lower lobes with no wheezing. The exam is positive for egophony. Which of the following conditions is most likely? 324. acute exacerbation of asthma 325. left-heart failure 326. right-heart failure 327. chronic obstructive pulmonary disease - Correct answer b 328. Which of the following drugs is most likely to relieve the patient's symptoms? 329. atenolol 330. trimethoprim/sulfamethoxazole 331. furosemide 332. hydrocodone/guaifenesin - Correct answer c 333. A patient has recently been diagnosed with migraine headache with aura. She wants advice on what she should eliminate from her diet to reduce 365. mother's liver 366. placenta 367. fetal neural tube - Correct answer a 368. Stella works in the housekeeping department of a hospital. She presents to the employee health clinic with a complaint of a needlestick to her left thumb. The needle was in one of the garbage bags from the emergency room. The patient had a little bleeding that stopped spontaneously. Which of the following is the next step? 369. order an enzyme-linked immunosorbent assay (ELISA) test ASAP 370. recommend a tetanus booster in 1 week 371. offer the patient Hepatitis B immunoglobulin 372. order a chest xray - Correct answer a 373. An elderly woman has been on digoxin for 10 years. Her EKG is showing a new onset of atrial fibrillation. Her pulse is 64. She denies syncope and dizziness. Which of the following interventions is most appropriate? 374. order an electrolyte panel and dig level 375. order a serum thyroid-stimulating hormone, dig level, and an electrolyte panel 376. order a serum dig level and decrease her digoxin dose in half while you wait on the results 377. discontinue digoxin and order another 12 lead EKG - Correct answer b 378. You note the following result on a routine urinalysis of a 37 year old primigravida who is at 30 weeks gestation. Leukocyte = trace, nitrite = negative, protein = 2+, blood = negative. Her weight has increased by 5 lbs during the past week. Which of the following is most likely? 379. HELLP syndrome 380. pregnancy induced hypertension (preeclampsia) 381. eclampsia of pregnancy 382. primary hypertension - Correct answer b 383. The NP who suspects one of her hypertensive patients has Cushing's syndrome would expect to find which of the following lab results? 384. hyponatremia 385. hypoglycemia 386. elevated serum cortisol levels 387. decreased urine 17-ketosteroids - Correct answer c