When providing anticipatory guidance to adolescents aged 15-19 years, the topic that has the MOST potential to decrease the mortality rate is:
a. the
... [Show More] prevention of STDs
b. safety precautions to prevent accidents (unintentional injuries)
c. the avoidance of alcohol and substance abuse
d. weight loss and increasing physical activity
c. the avoidance of alcohol and substance abuse
which of the following statements is NOT correct about the removal of impacted cerumen from a patient's ear?
A. A relative contraindication to cerumen removal is the inabilitv to visualize the ear canal.
B- Topical cerumenolytic agents are contraindicated in children with impacted cerumen.
C- A contraindication to irrigation is the presence or history of a perforated tympanic membrane
D- A relative contraindication to the use of visually directed microsuction is very hard cerumen
D- A relative contraindication to the use of visually directed microsuction is very hard cerumen
A 50-year-old woman with diabetes complains of bilateral pain in her lower legs while walking. The pain disappears at rest. On physical
examination, the nurse practitioner would expect to find:
A- an increase in the ankle-brachial index.
B- diminished pedal pulses, cool, dry skin, and atrophied calf muscles
C- normal nail growth and muscle density.
D- thickened toenails and skin below the knee with brownish discoloration
A- an increase in the ankle-brachial index./
B- diminished pedal pulses, cool, dry skin, and atrophied calf muscles
A 66-year-old patient experiences a sudden onset of lethargy. What is the most likely cause of these signs and symptoms!
A - Dementia
B- Delirium
C- Bipolar disorder
D- Atypical seizure activity
B. delirium
A 13-year-old boy presents with an erythematous raised lesion on his left forearm. Examination reveals lymphadenopathy of his left axilla
with palpable tender and firm lymph nodes. His temperature is 102° F and has been between 101° F and 103° F for the past 4 days. He
complains of a headache and feeling tired for the past few days. The nurse practitioner suspects a moderate to severe case of cat scratch
A- inform the mother that treatment is not necessary since the disease is self-limiting
B- prescribe corticosteroids to reduce the inflammation
C- prescribe a 5-day course of azithromycin
D- refer the patient
tor lymph node aspiration
C- prescribe a 5-day course of azithromycin
The nurse practitioner suspects temporomandibular joint (IM) disorder in a patient. As the patient slowly opens and closes the lower jaw,
the nurse practitioner palpates the TMJ, which is
A- anterior to the mastoid process
B- anterior to the tragus.
C- at the styloid process under the ear.
D- at the angle of the jaw
B- anterior to the tragus.
A patient with chronic obstructive pulmonary disease (COPD) presents for follow up. He reports stopping salmeterol (Serevent), a long-acting
beta agonist (LABA), because he didn't like how his heart raced after using it. The nurse practitioner could consider switching to:
A- a long-acting muscarinic antagonist LAMA).
B.a different long-acting beta agonist.
C- a combination LAMA/LABA.
D- an inhaled corticosteroid.
A- a long-acting muscarinic antagonist LAMA).
Which drug class is MOST effective in the treatment of very high triglyceride levels (hypertriglyceridemia) >650 mg/dL?
A- Bile acid sequestrants
B- Nicotinic acid
C- Fibrates
D- HMG-CoA reductase inhibitors
C. Fibrates
Test-of-cure for patients with a diagnosis of gonorrhea should be performed if the patient is treated with:
A- the recommended treatment and the infectious site is urogenital.
B- the recommended treatment and the infectious site is rectal.
C- an alternative treätment and the infectious site is rectal.
D- an alternative treatment and the infectious site is pharyngeal.
D- an alternative treatment and the infectious site is pharyngeal
In order to promote duress but reduce the possibility or hypokalemia, the best combination of diuretics is
A- furosemide (Lasix) and bumetanide Bumex).
B - spironolactone (Aldactone) and hydrochlorothiazide (Hydrazide).
C- hydrochlorothiazide (Hydrazide) and furosemide (Lasix).
D- bumetanide (Bumex) and hydrochlorothiazide (Hydrazide).
B - spironolactone (Aldactone) and hydrochlorothiazide (Hydrazide).
In addition to a microcytic anemia, patients with beta thalassemia may present with:
A- jaundice.
B- masked facies
C-lymphadenopathy.
D- hypercalcemia.
A.. jaundice
A diagnosis of depression is MOST likely in the older adult who:
A- responds to affection from family.
B- prefers to stay at home
C- retains humor.
D- accepts assistance and care
B. prefers to stay at home
A patient presents with complaints of diarrhea and malaise that began at 2:00 am. The nurse practitioner diagnoses viral gastroenteritis
and tells the patient to return for worsening or unresolving symptoms after:
A-12 hours
B- 48 hours
C- 5 days
D- davs
B. 48 hours
Screening tests for idiopathic scoliosis in adolescent boys should be performed as early as:
A - 8 years of age.
B- 10 vears or age
C -12 years of age.
D - 14 years of age.
B. 10 years of age
The three most common and characteristic symptoms of chronic obstructive pulmonary disease are:
A- wheezing, chest tightness, and exertional dyspnea.
B- paroxysmal nocturnal dyspnea, wheezing, and cough.
C- dyspnea, chronic cough, and sputum production.
D- chronic dry cough, wheezing, and dyspnea.
C- dyspnea, chronic cough, and sputum production.
The mother of a 16-year-old high school student athlete is concerned that her daughter has not had a menstrual period yet. On physical
examination, the nurse practitioner finds normal growth and development, including appropriate secondary sexual characteristics. What Is
the most appropriate nurse practitioner action?
A- Refer to a endocrinologist.
B- Order a pelvic ultrasound
C- Attempt a progesterone challenge
D- Prescribe an oral contraceptive.
B. order a pelvic ultrasound
A caregiver is planning the weekly meals for an older adult with a history of diverticulosis. Which of the following foods should NOT be on the
menu
A - Eggs
B- Bran cereal
C- Yoqurt
D- brown rice
I answered brown rice but not sure
A patient presents with complaints of urinary incontinence. Urinary tract infection has been rule out. Which of the following circumstances
does NOT warrant referral to a specialist?
A- Pelvic pain
B- Microscopic hematuria
C- Increased sensation of bladder fullness
D - Persistently increased postvoid residual
C- Increased sensation of bladder fullness
A middle-aged woman complains of insomnia, night sweats, feeling intensely hot, emotional lability, extreme nervousness, and impatience.
The LEAST likely cause of her symptoms iS:
A - thyrotoxicosis.
B- menopausal vasomotor InstabIlity.
C- alcohol or other drug withdrawal.
D- new onset Tvpe 2 diabetes mellitus.
D. new onset of type 2 diabetes mellitus [Show Less]