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The family nurse practitioner asks a patient to preform rapid, alternating movements of the hands to evaluate...
a. cerebellar functioning.
b. cognitive functioning.
c. reflex arc functioning.
d. stereognostic functioning.
a. cerebellar functioning
A patient who had a total gastrectomy one year ago reports a sore mouth, indigestion, and tingling in the lower extremities. Which test does the family nurse practitioner order?
a. Blood urea nitrogen level.
b. Complete blood count.
c. Liver function study.
d. Thyroid function study.
b. Complete blood count
Clinical practice guidelines are designed to:
a. increase variations in clinical care.
b. mandate practice decisions.
c. protect nurses from legal liability.
d. serve as a handbook for best practice.
d. serve as a handbook for best practice.
Treatment of viral conjunctivitis includes the use of:
a. antihistamine/decongestant drops.
b. cold compresses.
c. hot compresses.
d. steroid eyedrops.
b. cold compresses.
The family nurse practitioner advises a nursing mother who has postpartum mastitis to take antibiotics as prescribed and:
a. continue to nurse with both breasts.
b. pump the unaffected breast with a lactation pump.
c. take cool showers.
d. temporarily switch to formul
a. continue to nurse with both breasts.
After determining that a two-and-half-year-old patient has a lead level of 16 mcg/dL, the family nurse practitioner:
a. advises the parent to avoid giving the patient bottles of whole milk.
b. consults with a physical therapist for muscle strengthening.
c. orders an increase of iron supplements to 6 mg/kg per day divided in two doses.
d. repeats a blood test within one week to one month.
d. repeats a blood test within one week to one month.
A 42-year-old patient with epistaxis, dilated pupils, tachycardia, and mild euphoria shows symptoms associated with the use of:
a. alprazolam (Xanax).
b. cocaine.
c. morphine sulfate (MS Contin).
d. oxycodone hydrochloride (OxyCONTIN).
b. cocaine
The family nurse practitioner participates in a hospital-based quality improvement project. The nurse practitioner reviews four charts per month of a nurse practitioner colleague to ensure diabetes protocols are met. This process is a:
a. core competency.
b. force field analysis.
c. peer review.
d. risk analysis.
c. peer review
What is the main reason for administering a progestational medication to perimenopausal women who use estrogen?
a. Decrease the risk of endometrial hyperplasi
b. Prevent hot flashes.
c. Prevent osteoporosis.
d. Promote growth of the uterine lining.
a. Decrease the risk of endometrial hyperplasi
Which health promotion strategy is most appropriate for adolescent patients who are obese?
a. Individual-based behavior modification.
b. Motivational interviewing.
c. Parental regulation of meals.
d. Presentation of video case studies.
b. Motivational interviewing.
A 38-year-old patient who is Vietnamese tells the family nurse practitioner that their parent died in their 40s from liver cancer. The nurse practitioner assesses that the patient is at risk for:
a. hepatitis
b. malari
c. tularemi
d. tyrosinemi
a. hepatitis
During cardiac auscultation, a soft first heart sound with a holosystolic apical murmur that radiates to the left axilla suggests:
a. aortic stenosis.
b. mitral regurgitation.
c. mitral stenosis.
d. mitral valve prolapse.
b. mitral regurgitation.
Which drug is associated with increased lipoprotein levels?
a. Furosemide (Lasix).
b. Hydrochlorothiazide (Microzide).
c. Spironolactone (Aldactone).
d. Triamterene (Dyrenium).
b. Hydrochlorothiazide (Microzide).
The family nurse practitioner exhibits professional leadership by:
a. adding clinical protocols to the nurse practitioner scope of practice.
b. comparing the workplace roles of the registered nurse and the nurse practitioner.
c. creating a task force to address scope-of-practice concerns.
d. lobbying to eliminate continuing education requirements.
c. creating a task force to address scope-of-practice concerns.
During a physical examination, the integrity of the facial nerve can be assessed by having the patient:
a. clench their teeth.
b. extrude their tongue.
c. produce a big yawn.
d. puff out both cheeks.
d. puff out both cheeks.
A 40-year-old patient has had a generalized, nonpruritic skin eruption with intermittent exacerbations over the past 10 years. Currently, a well-circumscribed erythematous plaque appears over the patient's left gluteal fold are The lesion is covered with scales and has some fissuring. The family nurse practitioner makes a diagnosis of:
a. atopic dermatitis.
b. ichthyosis.
c. psoriasis.
d. tinea corporis.
c. psoriasis
A patient who sustained a myocardial infarction comes to the clinic for a refill of atorvastatin calcium (Lipitor). The family nurse practitioner recognizes that the medication is prescribed for:
a. cancer prevention.
b. primary prevention.
c. secondary prevention.
d. tertiary prevention.
d. tertiary prevention.
A 55-year-old male patient who is Chinese has a follow-up appointment after cardiac bypass surgery. The patient brings his father with him into the examination room. How does the family nurse practitioner provide culturally sensitive care?
a. Asks the patient's father first if he has any questions regarding his son's care.
b. Asks the patient's father to leave the room due to confidentiality issues.
c. Performs the examination without speaking to the patient's father.
d.a Provides the patient's father an informational packet to read while performing the examination.
a. Asks the patient's father first if he has any questions regarding his son's care.
To comply with regulations for third-party payor reimbursement and documentation, the family nurse practitioner correlates:
a. evaluation and management codes with history, examination, and medical decision-making.
b. health outcomes with physical examination findings and plans of care.
c. medication orders and treatment plans with electronic billing.
d. patient privacy with informed consent.
a. evaluation and management codes with history, examination, and medical decision-making.
A nine-year-old patient sustained a minor laceration while playing. The patient's immunization record shows that the patient received a primary series of the pediatric diphtheria, tetanus, and acellular pertussis (DTaP) vaccine, a primary series of oral poliovirus vaccine, and a DTaP booster at age five just before entering school. According to current immunization recommendations, the family nurse practitioner gives the patient:
a. a booster of diphtheria and tetanus toxoids.
b. a DTaP booster.
c. a tetanus toxoid injection.
d. no injection at this time.
d. no injection at this time.
A difficult aspect of determining occupational exposure to disease is the:
a. confidentiality of the information within company records.
b. inaccuracy of occupational disease reporting.
c. long latency period between exposure and disease development.
d. reliance on workers' memories.
c. long latency period between exposure and disease development
A two-month-old patient has a strawberry hemangioma 2 cm in diameter on the left buttock. When speaking with the patient's parents, the family nurse practitioner:
a. advises that the lesion should spontaneously resolve.
b. asks about any history of gestational diabetes.
c. investigates any family history of skin disorders.
d. refers the patient to a dermatologist.
a. advises that the lesion should spontaneously resolve.
The family nurse practitioner observes an increase in chlamydia diagnoses in a small rural community and suspects patients are not notifying their partners of their diagnosis and, thereby, delaying treatment. The nurse practitioner decides to conduct a small research study. Which type of hypothesis does the nurse practitioner apply?
a. Complex hypothesis.
b. Deductive hypothesis.
c. Inductive hypothesis.
d. Non-directional hypothesis.
c. Inductive hypothesis
A 45-year-old patient who is a professional singer reports progressive hoarseness for the last four weeks. The hoarseness began after a three-hour performance. The patient does not smoke and reports no weight loss, upper respiratory infection, dysphagia, or shortness of breath. The family nurse practitioner manages this patient by:
a. ordering a computed tomography scan of the hea
b. ordering an immediate lateral neck x-ray.
c. prescribing systemic antibiotics and cool mist inhalations.
d. requesting a referral for evaluation of the larynx.
d. requesting a referral for evaluation of the larynx.
An older adult patient is diagnosed with HIV infection and receives a prescription for zidovudine (Retrovir). Which diagnostic test is helpful in assessing the side effects of the medication?
a. Complete blood count.
b. Hemoglobin A1
c. Immunodeficiency panel.
d. Serum glucose.
a. Complete blood count.