15 years old high school student with a mild sore throat and low-grade fever that has persisted for about 3 weeks. She reports general malaise, fatigue,
... [Show More] and loss of appetite. The NP suspects mononucleosis. Which of the following is the LEAST appropriate intervention?
Question: A 32 years old male patient complaint of urinary frequency and burning on urination for 3 days. Urinalyses reveals bacteriuria and positive nitrites. He denies any past hx. Of urinary tract infections. The initial treatment should be:
Question: Which agent is most effective for the treatment of nodulocystic acne?
Question: An 18 y/o woman is taking a combined hormonal oral contraceptive. She should be instructed to use a backup method for the prevention of pregnancy
Question: A 44 years old female patient has diabetes. Her total cholesterol (TC) is 250 mg/dl (6.5 mmol/L), LDL= 190 mg/dL (4.94 mmol/L), HDL= 25 mg/dL (65 mmol/L), and triglycerides= 344 mg/dL (8.94 mmol/L). What agent have the greatest effect on improving her lipid profile and reducing morbidity and mortality associates with dyslipidemia?
Question: A 30 years old female comes into a clinic with classic signs and symptoms of The NP fails to refer the patient to a surgeon. The appendix ruptures and the woman die. This is an example of
Question: A NP has recently been hired to work in a fast track The NP employer asked if she has “a problem prescribing medications for emergency contraception.” The NP replies affirmatively. This is:
Question: A patient presents with pruritic lesions on both knees. There are visible silver scales. How Should this condition be managed?
Question: Antidepressant discontinuation syndrome is less likely if the patient
Question: Patient with benign prostatic hyperplasia (BPH) should be taught to avoid which one of the following drug classes?
Question: Which of the following is the best response to a woman who has just admitted she is a victim of spousal abuse?
Question: For which patient group does the US Preventive Services Task Force recommend routine screening for asymptomatic bacteriuria
Question: What diabetic complications result from hyperglycemia?
Question: A 6 y/o presents w/ complaints of sore throat and fever for 2 days. He has multiple vesiculated ulcerations on his tonsils and uvula. There are no other remarkable findings. What is the most likely diagnosis?
Question: A patient has Kawasaki syndrome. Which characteristics would be UNUSUAL?
Question: According to the JNC 8 guideline hypertension in a 40 y/o can be diagnosed when blood pressure exceeds
Question: A 48 y/o female complains of pain and stiffness in her right hip and knee that is mild on awakening in the morning, get worse as the day progresses and is relived with hot baths and ibuprofen. Crepitus is palpated on range of motion of the knee. Signs of inflammation are notably absent. What is the most likely diagnosis?
Question: A 7-year old female patient presents with severe injuries that are inconsistent with the explanation given for them. The nurse practitioner questions the mother about abuse. She admits that her husband, the child’s father, beat the child. How should the nurse practitioner proceed?
Question: A 1-month-old presents with reported recurrent diarrhea, screaming, and drawing up of the legs followed by periods of On physical examination, a “sausage-like” mass in the upper right quadrant of the distended abdomen. Which of the following is the most likely diagnosis?
Question: A middle-aged female complains of insomnia, night sweats, feeling intensely hot, emotional lability, extreme nervousness and impatience. The LEAST likely cause of her symptoms is
Question: Which of the following indicated need for further evaluation?
Question: A young couple is being seen by the NP for preconception They express a wish for pregnancy within the next 3 month and are very eager to know what they can do now to “make the baby as healthy as possible”. Which of the following should the NP encourage to decrease the chance of neural tube defect in the fetus?
Question: A patient with a past history of documented coronary arterial blockage less than 70% complains of chest pain several time p…. which is relived with nitroglycerin. Which is the most appropriate initial action for the NP?
Question: A 3 y/o has enlarged, warm, tender cervical lymph nodes, indicating:
Question: The NP examines a 2-month-old with unequal gluteal and thigh skin folds. What should the NP do next?
Question: A very active 35 years old male has painful hemorrhoid, but he does not want hemorrhoidal surgery at this time. His diet has been indiscriminate as his job requires frequent travel. The most appropriate recommendation is for him to select food that are:
Question: Correct instructions to give new parent who are transporting their newborn infant is
Question: A 13 y/o pt. complains that he fell while running during football practice. Now his knee hurts and sometimes “lucks”. The NP conducts McMurrays test. Which of the following is TRUE about this test?
Question: A 20 y/o male patient complains of “scrotal swelling”. He states his scrotum feels heavy but denies pain. On examination, the NP notes transillumination of the scrotum. What is the most likely diagnosis?
Question: A 15 y/o male has a hx of cryptorchidism which was surgically repaired. Because of this information, it is essential for the NP to teach him about
Question: A pt. present with classic symptoms of gastroesophageal reflux diseases’ (GERD). He is instructed in lifestyle modification, and drug initialed. Two month later, he returns and report that he still has symptoms. The next steps are
Question: A 51 –year- old post-menopausal female, request guidance regarding osteoporosis
Question: The NP would be correct to recommend all of the following EXCEPT
Question: Moderate weight loss, particularly of visceral adipose tissue in patients with type 2 diabetes mellitus may have all of the following beneficial effects EXCEPT:
Question: A 12 y/o presents with eat pain or 36 hours The NP diagnoses acute otitis media because the
Question: The NP should instruct the mother of an infant with thrush to:
Question: A 26 y/o patient, 18 weeks pregnant with twins, has been healthy and has followed recommendations of her nurse midwife. She is in the office to discuss results of her maternal serum alpha-fetoprotein (MSAFP) test. which show elevation in this particular pregnancy?
Question: The hallmark of neurofibromatosis (von Recklinghousen disease) present in almost 100% of patients is:
Question: The NP correctly teaches an elderly patient with pernicious anemia that food sources of B12 include
Question: An 18-year-old female applying for college admission present to the health clinic because evidence of rubella vaccination is required for admission. She says, “don’t remember ever getting that shot” She has negative serologic evidence of rubella antibody. The NP should:
Question: A 45 y/o obese pre-menopausal female complains of indigestion, flatulence, RUQ pain and epigastric “crampy pain”. Symptoms are exacerbated by high-fat meal. What is the most likely diagnosis?
Question: A 16 y/o male presents w/ mild sore throat, fever, fatigue, posterior cervical adenopathy, and palatine petechia. With for this patient, what drug would be the LEAST appropriate to prescribe?
Question: A characteristic of delirium that is typically absent in dementia is
Question: It is imperative that the NP teach patients taking oral contraceptives to report any of the danger signs of complications. Which of the following would be the LEAST concern to the NP?
Question: Which of the following oral medications should be avoided in a child under 8 years of age?
Question: Which of the following descriptions of Denver II Developmental Screening Test is most accurate?
Question: A 12-month-old has conjunctivitis in his right eye with a mucopurulent discharge. The mother asks if the child can forego for antibiotic eye drops because he does not’s like drops in his eyes. The NP replies that:
Question: Which oral hypoglycemic agent would be safest for an elderly patient if hypoglycemia is a major concern?
Question: The components of the Denver II Developmental screening test are:
Question: A patient has been taking fluoxetine (prozar) since being diagnosed with major depression 7 month ago. She reports considerable empowerment in her symptoms and her intention to discontinue the medication what should be the NP’s recommendation?
Question: For the general adult population, total dietary fat intake should be no more than what percent of total calories?
Question: A 30 y/o female patient is being seen by the NP for the first time. She is seeking advice from the NP about becoming pregnant. She is currently taking an oral contraceptive. She gives a hx of having hydatidiform molar pregnancy 2 years ago. An appropriate plan of care for this
Question: Which of the following is NOT a goal for treatment for the patient with cystic fibrosis?
Question: A 24 y/o female taking oral contraceptive has missed her last 2 pills. What should the NP advise her to do to minimize her risk of pregnancy?
Question: Which red blood cell (RBC) index is most useful for differentiating types of anemias?
Question: What is a Tzanck test used to diagnosed?
Question: A 40 y/o female with hx. Of frequent sun exposure present with multicolored lesion on her back it has irregular borders and is about 11 mm in diameter. What should the NP suspect?
Question: A 16 y/o sexually active female presents to the clinic. She has never had vaccinations for hepatitis A or She has had one MMR immunization, and her last tetanus vaccination was 4 years ago. which vaccination would … without further testing?
Question: Following the finding of prostate gland abnormalities on DRE, The NP orders appropriate labs. When preparing to review with the patient, the NP knows all of the following are true EXCEPT
Question: In which of the following presentations is further diagnostic testing NOT warranted?
Question: A 59 years old post-menopausal woman has atrophic vaginitis. She has a hx. Of breast cancer at age 40 years. What is the appropriate initial treatment for this patient?
Question: Advances in obstetric and neonatal care have
which of the following physical modalities … for treatment of rheumatic arthritis provides the most effective long-term pain relief?
Question: The NP is counseling a 25 y/o sexually active male patient about condom use, which of the following statement is INCORRECT
Question: A patient with moderate persistent asthma will probably be most effectively … with daily
Question: Diagnosis of systemic lupus erythematosus (SLE) is made
Question: Which of the following would not … a developmental red flag to a NP assessing a 4 y/o?
Question: A 44 y/o patient complains of stuffiness and soreness in his hands, hips and knees. There is noticeable PIP and DIP joint enlargement in his hands.. The NP suspects arthritis. All of the following questions are helpful in differentiation between rheumatoid arthritis (RA) and osteoarthritis (OA) EXCEPT
Question: An adult presents w/ tinea corpus. What comment by the patient would be the LEAST likely explanation of how he … this disease?
Question: Acute rheumatic fever is … Jones criteria. Which is NOT a major criterion in the Jones System?
Question: A pt is taking an ACE inhibitor for the blood pressure control. The NP decides to add a diuretic which of the following is the best choice?
Question: Acute rheumatic fever is … Jones criteria. Which is NOT a major criterion in the Jones System?
Question: A pt is taking an ACE inhibitor for the blood pressure control. The NP decides to add a diuretic which of the following is the best choice?
Question: Which of the following drugs classes would be most effective in decreasing … triglycerides levels (650 mg/dL)?
Question: The mother of a 16 y/o high school student athlete is … that her daughter has not had a menstrual period yet. on physical examination, the NP finds normal growth and development including appropriate secondary sexual characteristics what is the most appropriate NP action?
Question: Factors known to … with early sexual activity
Question: The finding which is most consistent with a diagnosis of benign prostatic hyperplasia is digital palpation of prostatic gland that is
Question: The NP correctly diagnoses iron deficiency anemia in a female patient whose lab report reveals
Question: Strabismus is … in a 13-month-old child. The most appropriate action for the NP to take
Question: Giving appropriate patient education by the primary care provider, poor compliance with medical recommendations is most often due to:
Question: The physical exam findings in an infant are most … below?
Question: Babies should begin oral iron supplementation:
Question: The most common cause of cerebral palsy is
Question: A patient with diabetes bring his glucose dairy from the past 7 days for the NP to review and evaluate what changes should be made? DAY 1234567 AM 67, 52, 61, 48, 39, 68, 70 PM138, 161, 148, 168, 171, 142, 176
Question: Which of the following patient is at highest risk of suicide?
Question: A 17 y/o male is brought into the clinic by his mother who says that is there are no medical consequences or risk known, she will allow her son to get a possible. How should the NP respond?
Question: A diagnostic finding of Hodgkin’s lymphoma is the presence of:
Question: A child with type 1 diabetes mellitus brings in a glucose dairy indicating … morning hyperglycemia. How you differentiate the Somogy effect from the dawn phenomenon?
Question: Practitioners working with physically active girls need to be aware of the “female athlete triad” in order to develop an effective pain for prevention, recognition and treatment. the components of the female athlete triad are:
Question: Palpable thyroid nodule is benign. How does it feel on palpation?
Question: A 53 y/o postmenopausal female with a 38 BMI and gastric esophageal reflux disease, takes a daily calcium supplement for protection against osteoporosis. All of the following are appropriate teaching points for this patient, except
Question: A 65 y/o immunocompetent man with no underlying medical condition presents in mid- October and re [Show Less]