When performing a visual acuity test the nurse practitioner notes 20/30 in the left eye and 20/40 in the right eye using the Snellen eye chart. This
... [Show More] means:
Refer the patient to an ophthalmologist
The American psychiatric association's diagnostic and statistical manual of mental disorder defines Munchausen Syndrome by proxy:
a caregiver making up or causing an illness or injury in a person under his or her care
Symptoms of depression are a side effect of which neurotransmitter medication?
dopamine
Which lesion is dark, raised, and asymmetric with irregular border?
Melanoma
A 32-year-old woman presents with dull puffiness of the eyes pronounced not pitting periorbital edema this finding is suggestive of this condition?
Myxedema
A 42-year-old woman with a past medical history of migraine headaches is requesting prophylactic medication treatment. Which medication should the Nurse Practitioner prescribe?
Amitriptyline (Elavil)
A pediatric has areas of scaling on the scalp with round patches of alopecia. this clinical finding is consistent with:
Tinea Capitis
What is the appropriate prophylactic medication for an 18-year-old woman with a past medical history of migraine headaches?
Propanolol (Inderal)
Why would a combined hormonal contraceptive be contraindicated in a 36-year-old patient with a past medical history of type 2 diabetes, obesity, chronic smoking, and sedentary life:
Her age and tobacco use
During the breast examination of a perimenopausal woman, the NP detects a bloody spontaneous discharge from the right nipple. This indicates further evaluation.
An intraductal papilloma
Intraductal papilloma are usually solitary and smaller than 1 cm. They are located in large lactiferous sinuses or ducts and have a tendency to bleed.
Rh negative women should receive Rho(D) immunoglobulin at what gestational time?
28 weeks
When interpreting a complete blood count (CBC) lab report which of the following results describes the size of the RBCs?
Mean corpuscular volume (MVC)
What medication should be avoided when prescribing prophylactic therapy for headaches?
Venlataxin (Effexor)
What is the mechanism of action of prostaglandin E1 (PG1) in a patient with transposition of the great arteries?
To produce vasodilation and adequate oxygen saturation
Which of the following complaints best describes lower extremity calf pain associated with peripheral artery disease:
A dull pain or cramp
Which of the following conditions is NOT a typical finding of hyperprolactinemia in a 47-year-old premenopausal woman?
Gynecomastia
When treating a patient with asthma who is experiencing acute wheezing which medication should be given to relieve the symptom?
Short acting bronchodilator
Which immunization reduces a patient's risk for infection with the virus that causes painful localized blistering rash?
Shingles (herpes zoster) vaccine
Headache warning signs that need prompt investigation include all of the following EXCEPT:
Headache relieved with mild infrequent use of analgesics
The client with iron deficiency anemia should be advised to take the iron supplement:
on an empty stomach between meals
Which one of the following statements is true of muchausen syndrome by proxy?
Under the supervision of adults other than the abuser, the patient does not exhibit symptoms
Which of the following is the most common presenting sign of substance abuse in adolescents?
Changes in behavior
A woman is 11 weeks pregnant and has a maternity history of one full term vaginal delivery, a set of premature triplets delivered vaginally, and a first trimester abortion. Using her TPAL system to document her maternal status:
Gravida 4, Para 1314
Gravida, Term babies, Preterm Babies, Abort and Living Child
The nurse practitioner palpates an enlarged right epitrochlear lymph node in a 30 year old patient. The nurse practitioner should assess the patients:
right forearm and hand
Anticholinergics are indicated for the treatment of:
Urge incontinence
A patient presents with signs of chest pain, the nurse practitioner observes jugular venous distention. Their finding is consistent with:
Heart failure
On examination of the neck, a dome shaped lesion in the dermis forming a benign closed firm sac attached to the epidermis is noted on a right lateral side of the neck. The type of lesion is known as :
a cutaneous cyst
A dark dot (black-head) may be visible on its usually either an epidermoid cyst, common on the face and neck, or pilar cyst, common in the scalp. Both may be come inflamed.
BATES: pg286
Symptoms of heartburn and regurgitation are associated with:
Gastroesophageal reflux
A 70-years-old man walks 20- minutes most days of the week. He has begun to complain of pain of his left calf when he is walking. The problem has gotten gradually worse and now he is unable to complete his 20 minutes walks without stopping to rest. What choice best describes the pain associated with peripheral artery disease?
a dull pain and cramp
Papilledema is cause for concern because it is suggestive of:
Increased intracranial pressure
BATES: pg. 280
A 38-year-old patient with a history of abdominal pain presents to the nurse practitioner. Findings reveal superficial edema and bruising in the subcutaneous fatty tissue around the umbilicus. Hemorrhagic pancreatic is suspected because of which finding?
A positive Cullen's sign
BATES: pg. 208
A 57-year-old post-menopausal female presents with a complaint of vaginal burning, pruritus, and painful intercourse. On examination, the nurse practitioner would be most concern with the findings:
A friable cervix
When intervention does the American College of Rheumatology recommend as first line therapy for Osteoarthritis, rheumatoid arthritis or something else:
Exercise and weight loss
Which of the following drugs is not contraindicated for concurrent use with warfarin (Coumadin)?
Amoxicillin (Amoxil)
The lymphatic ducts drain into the:
Venous system
Which of the following is the most appropriate treatment for trichomoniasis in a non-pregnant woman?
Metronidazole (Flagyl)
Osteosarcoma in a pediatric patient is most often diagnosed when there is:
pain in the affected bone
In a patient who has a history of migraine headaches, which characteristics is most common?
Family history
Symptoms associated with small bowel obstruction usually include:
Vomiting and pain
Unilateral rhinitis could be caused by all of the following except:
Drug induced rhinitis
A 7-year-old child has been diagnosed with acute sinusitis. The drug class that should be avoided is:
antihistamines
A patient present with a elongated head with bony prominence of the forehead, nose, and lower jaw. These facial features could be suggestive of:
Acomegaly
Why would a child diagnosed with beat thalassemia and hemosiderosis received deferoxamine (Desferal)?
To eliminate excessive iron and prevent organ damage
A patient has newly diagnosed hypothyroidism. What are the patients TSH level expected to be?
Higher than normal
Which of the following symptoms would be a clinical manifestation noted during the secondary stage of syphilis?
Rash marked by red or reddish-brown, penny-size lesions over the palms and soles
An 84-year-old male with prostatic hypertrophy is at increased risk of:
Urinary tract infections
A characteristic lesion observed in a male with primary syphilis is a:
chancre
During an acute attack of gout, the nurse practitioner knows NOT to prescribe:
Allopurinol
What two vitamins and minerals should be included in oral multivitamins in women:
Folic acid and iron
In a patient with bacterial meningitis, the most common reason for finding of headaches:
Increased intracranial pressure
Janeway lesions, petechiae, and oster nodes are associated with:
Infective endocarditis
BATES: pg. 207
A patient presents with decreased hearing related to antibiotic use. Which class of antibiotic is this?
Aminoglycosides
Aminoglycosides antibiotics, vancomycin and aspirin are some medication that can cause hearing loss
BATES: pg. 219
Which antihypertensive would be appropriate to prescribe for a hypertensive patient (B/P) 150/95) that is in her third trimester?
Methyldopa
Category B for pregnancy
Pharm book: pg.143
A 40-year-old admits to multiple sex partners presents with several lesions over his body Findings reveals hemorrhagic vesiculopustular lesions over the hands and feet. These lesions are most likely associated with:
Gonococcemia
BATES: pg.207
Purple to grey macules, papules or hemorrhagic pustules distributed over acral and periarticular surfaces
Which agent os NOT useful in prophylactic treatment of migraine headaches?
Sumatriptan (Imitrex)
The right lymph duct drains lymphatic fluid from all the following expect the
Right leg
Acute lymphocytic leukemia is usually diagnosed by:
A bone marrow examination
The medication that blocks the transportation of glucose across the intestines into the blood stream to target prandial blood glucose is:
Acarbose (Precose)
Alpha-Glucosidase Inhibitors
Prostate pain is usually located in the:
Perineum
A nurse practitioner examines the skin of an elderly patient which finding below is NOT benign lesion associated with the aging process?
Dermatophytosis
also known as ringworm, is a fungal infection of the skin. Typically it results in a red, itchy, scaly, circular rash.
A 65-year-old male presents with findings of symmetric thorax with moderate kyphosis and anterior diameter. Chest expansion is decreased and the diaphragm descending 2 cm bilaterally. These findings related to:
chronic obstructive pulmonary disease [Show Less]