Mr Jones, a patient with Type 2DM beings his obese 15 yr old sone in to see the NP. Your examine the 15-yr old son and identify acanthosis nigricans. This
... [Show More] probably indicates what? - answerInsulin resistance
Which characteristic is always present in the patient with COPD? - answerObstructed airways
The most common form of skin cancer is - answerBasal Cell Carcinoma
A patient who has been treated for hypothyroidism presents for her annual exam. She c/o weight gain and fatigue. How would you proceed - answerAsk if she is taking her medication
A patient has been diagnosed with scabies. What is the medication of choice to treat this? - answerPermethrin
The risk of HIV transmission is increased: - answerWhen the STDs are present
The Framingham study of cardiovascular disease initiated int he early 1970s is an example of this. - answerCohort Study
These values are likely to be elevated with a diagnosis of Grave's Disease. - answerT3 or T4
A 75-yo patient with longstanding hypertension takes a combination ACE inhibitor/thiazide diuretic and amlodipine daily. Today his diastolic blood pressure and heart rate are elevated. He has developed dyspnea on exertion and peripheral edema over the past several days. There symtpoms likely demonstrate - answerDevelopment of heart failure
A pt has been taking amoxicillin for 8 days for a sore throat. Today the patient has developed a pruritic full body rash and is diagnosed with PCN allergy. What describes the skin manifestation. - answerHives
What disease is usually managed with a short acting or long acting inhaled anticholinergic medication? - answerCOPD
A NP has worked for a large hospital as RN. As a new NP, she has developed a NP managed clinic for hospital employees and is employed by the hospital. This nurse is described as a(n)... - answerIntrepreneur
A pregnant patient asks why she must take calcium during pregnancy. The NP replies: - answerIt will strengthen the bones and teeth in your fetus.
Which drug class is never used to treat chronic obstructive pulmonary disease (COPD)? - answerLeukotriene blockers
According to the Tanner Stages of development (Sexual Maturity Rating), breast development in Stage 5 in females includes what? - answerProjection of the nipple only
A NP is working in a minor care clinic. She realizes that a patient with a minor laceration does not have insurance and is using his brother's insurance information today so that his visit will be covered. How should she proceed? - answerShe should let the clinic's business office know what is happening
An 86-yo male has symptomatic benign prostatic hyperplasia (BPH). What choice may exacerbate the symptoms of BPH? - answerFurosemide
A 65 yo patient presents to your clinic with evidence of hyperthyroidism. In assessing her CV status, what should the NP assess immediately - answerElectrocardiogram
A 69 yo adult w/ coronary artery disease is found to have hypothyroidism. Which dose of levothyroxine is considered appropriate for initial treatment? - answer25mcg
Thalassemia minor can be recognized by: - answerMicrocytic, hypo chromic red cells
a patient has suspected plantar fasciitis. How is the plantar fascia is best examined? - answerWith the great toe dorsiflexed
A 30 yo with Type I diabetes has become pregnant. When will the routine diabetic screening be done? - answerIt does not need to be done: it can be eliminated.
A teenager with fever and pharyngitis has a negative rapid strep test. After 24 hours, the throat culture reveals "normal flora". Which conclusion can be made? - answerThe pharyngitis is of undetermined etiology
A 5 yo female's playmate has been diagnosed with pinworms. Them other brings her child in for an exam. The 5 yo denies rectal itching. How should the NP proceed - answerPerform the "scotch tape" test and look at it under a microscope.
An adolescent has suspected varicocele. He has a dull scrotal pain that is relieved by? - answerrecumbency
AV nicking may be identified in a patient who has what disease? - answerHypertension
Breath sounds auscultated over the periphery of the lung fields are quiet and wispy during the inspiratory phase followed by a short, almost silent expiratory phase. These breath sounds are considered - answerVesicular
In a patient who is diagnosed with mastoiditis, which of the following is most likely? - answerDisplaced pina
A 74 yo patient has peripheral artery disease (PAD) Which item is an important non modifiable risk factor for PAD - answerDiabetes
Persistent, intractable vomiting during pregnancy is? - answerHyperemesis gravidum
What is the recommendation from the American Cancer Society (ACS) for screening for prostate cancer in an African American male who is 50 yrs old? - answerPSA screening now if desired
A 1 yr old patient's mother reports allergy to gelatin. The mother describes the reaction as "lip swelling and breathing difficulties that necessitated a trip to the emergency department". Which immunizations should be avoided - answerVaricella and MMR
Which of the following skin lesions in an older adult is a premalignant condition? - answerActinic keratosis
A 75 yr old patient who has aortic stenosis wants to know what symptoms indicate worsening of his stenosis. The NP replies: - answerShortness of breath and syncope
A pt with COPD has been using albuterol with good relief for shortness of breath. He is using it 3-4 times daily over the past 4 wks. How should the NP manage this? - answerAdding a long acting beta antagonist
What should the nurse practitioner recommend to any elder taking medications? - answerKeep a list of all of your medications with you
How should symptoms of uncomplicated reflux disease in older adults should be treated? - answerWith empiric treatment
A 75 yr old pt has osteoarthritis and pain. Which of the following medications increases the risk of a GI-related ulceration? - answerCelecoxib
What does the peak flow meter measure? - answerExpiratory flow
Certification does what? - answerValidates competence
A 16 yo female is diagnosed with primary dysmenorrhea. She has taken OTC ibuprofen in 800mg increments every 8hrs during menses for the past 3 months, with minimal relief of symptoms. What intervention will provide greatest relief of dysmenorrhea symptoms? - answerCombined oral contraceptives
A patient received the pneumonia immunization at age 60 yo. He is 65 now and presents to your clinic today. What recommendation should be made about the pneumococcal immunization? - answerHe should receive another one today
Risk assessment for dyslipidemia should begin at what age? - answer2 yrs old
A patient with acute anxiety will experience the fastest relief of symptoms when he is treated with what? - answerA benzodiazepine
Which class of medication is frequently used to improve long term outcomes in patients with systolic dysfunction? - answerACE inhibitors
Which is NOT an effective strategy for helping older adults gain weig [Show Less]