Family Nurse Practitioner Board review questionFamily Nurse Practitioner Board review questions
1. A 28-year-old pregnant patient gives a history of
... [Show More] smoking 1 pack of cigarettes per
day (1PPD). The nurse practitioner is accurate when she tells the patient that cigarette
smoking is associated with:
A.a macrosomic fetus.
B.fetal hypoglycemia in the first 24 hours of
life.
C.a small-for-gestational age fetus.
D.increased incidence of fetal cardiac anomalies.
2. A patient has developed a blood clot in his lower extremity and is receiving warfarin
(Coumadin®) therapy. Which outpatient laboratory measurement best measures the therapeutic
effect of warfarin?
A.International normalized ratio
B.Activated clotting time
C.PT
D.PTT
3. An expected finding in a patient with long standing, poorly controlled hypertension is:
A.Curley B lines.
B.atrial fibrillation (AF).
C.hyperthyroidism.
D.a laterally displaced apical impulse.
A laterally displaced apical impulse suggests cardiomegaly, a common consequence of
poorly controlled hypertension. The apical impulse, or point of maximal impulse (PMI),
describes the outward movement of the apex of the heart with each beat. It is normally 10
cm from the midsternal line at the 4th or 5th intercostal space at the mid-clavicular line.
Long standing, poorly controlled hypertension results in an enlarged left ventricle. This is
usually described on chest xray or EKG as "left ventricular hypertrophy". Curley B lines
are associated with pulmonary vascular congestion. Atrial fibrillation can be the result of
many abnormalities, but, is not specific to hypertension. Hyperthyroidism is a risk factor
for CHF, but, not an expected finding.
4. A female patient asks "How do I calculate my ideal body weight?" The nurse practitioner
appropriately answers:
A.Start with 100 pounds, and add 5 pounds for every inch in height over five feet.
B.Add 6 pounds for every inch over 5 feet, then add 100 pounds.
C.Start with 100 pounds, and add 10 pounds for every inch in height over five feet.
D.Multiply you [Show Less]