20. What information would best help the parent who is concerned about a school age child eating habits?
a. Establish a consistent schedule for meals and
... [Show More] allow the child to participate in meal planning
21. Which of the following scenarios in a 75-year-old patient would be inappropriately managed in an outpatient setting (i.e. the patient should be referred for hospital admission)?
a. UNSTABLE ANGINA
22. A patient with diabetes brings his glucose diary from the past seven days for the nurse practitioner to review and evaluate. What changes should be made? Day one through seven AM 67, 52, 61, 48, 39, 68, 70 PM 138, 161, 148, 168, 121, 142, 176.
a. Decreased the PM dose of NPH insulin
23. Appropriate nutritional guidance for the pregnant patient is:
a. Increase caloric intake buy 300 cal/day and add iron and folic acid supplementation
24. The most successful patient interview is likely to:
a. Be a collaborative process
25. RhoGAM is not administered to an Rh-negative mother with negative anti-d antibodies
WITHIN 72 HOURS OF BIRTH OF AN RH-NEGATIVE INFANT
26. The most common presentation of thyroid cancer is A SOLITARY THYROID NODULE
27. A benign thyroid nodule, that’s painless presents as SMOOTH
28. Initial treatment of a child presenting with a severe head injury is:
a. Aimed at resuscitation, then maintenance of oxygenation and blood flow
29. Which red blood cell (RBC) index is most useful for differentiating types of anemias?
a. Mean corpuscular volume (MCV)
30. A 31-year-old female is informed that her pregnancy test is positive, and she is about three weeks pregnant. The nurse practitioner is very concerned about the patient reported history of alcohol use. She correctly tells the patient that babies born to women who drink alcohol during pregnancy are at risk for all of the following except:
a. Post maturity delivery
31. According to Erikson, the developmental task of the early adult is:
a. Ego integrity vs. despair
32. The parents of a two-year-old Report that she is not saying any words, but make sounds, babbles, and understand simple commands from her parents. The parents are not concerned. The nurse practitioner responds:
a. Your child should be saying a few words by this time. She should be referred for further assessment
33. Which group is considered to be at high risk for the development of testicular tumors?
a. Late adolescence to early adulthood (you need to know the actual age groups)
34. An urgent call is received from a patient’s wife who states that her husband is having chest pain I’m relieved by three nitroglycerin tablets. The nearest hospital is 40 minutes away. Besides having the patient reach the hospital as soon as possible, what intervention can the nurse practitioners suggest might influence a positive outcome?
A. Have the patient to an aspirin on the way to the hospital
35. Which of the following postpartum mothers should receive RhoGAM (BayRho-D) to prevent Rh iso-immunization?
a. A G1 P1 mother who is Rh negative without Rh antibodies; cord blood is Coombs negative; newborn is Rh positive.
36. A patient with a history of alcohol abuse presents with acute nausea, vomiting, and severe retrosternal pain that radiates to the back. Based on the most probable diagnosis, the nurse practitioner would appropriately order a CBC, chemistry profile, and:
a. serum amylase and lipase, and liver function studies
37. A female patient asks, “how do I calculate my ideal body weight?” The nurse practitioner response:
a. Start with 100 pounds, and add 5 pounds for every inch in height over 5 feet
38. A 35-year-old woman with prior history of extreme nervousness has been treated with diazepam (valium) for four weeks. She reports improvement. Today her pulse is 112bpm and blood pressure is 130/92 mmHg. She is 5’4” in weighs 105 pounds. What is the most likely diagnosis?
a. Hyperthyroidism
39. Which of the following is not a common early sign of benign prosthetic hyperplasia (BPH)?
a. Increased force of urine flow
40. Acute idiopathic thrombocytopenia purpura (ITP) is most commonly seen in childhood following:
a. Acute infection
41. The nurse practitioner diagnosis epididymitis in a 24-year-old sexually active male patient. The drug of choice for treatment of this patient is:
a. Oral doxycycline (Vibramycin) plus intramuscular ceftriaxone
42. A 55-year-old man is diagnosed with basal cell carcinoma. The nurse practitioner correctly tells him:
a. It can be cured with surgical excision or radiation therapy.
43. A characteristic of delirium that is typically absent and dementia is:
a. Acute onset of confusion in a previously alert and oriented patient
44. A 42-year-old male executive has been diagnosed with depression. He is otherwise healthy. And appropriate initial treatment choice is a:
a. Selective serotonin reuptake inhibitor (SSRI)
45. the CAGE/ AUDIT questionnaire is useful to assess:
a. alcohol use disorders (but you need to know a little more about
46. A 16-year-old athlete complains of pain underneath his heel every time he walks. There is verrucous surface level with the skin of the heel. What pharmacologic intervention should the nurse practitioner prescribed for this patient?
a. Salicylic acid plasters
47. Previously immunized elderly patients should receive a tetanus and diphtheria (Td) booster every:
a. 10 years
48. The nurse practitioner is canceling a young woman who desires pregnancy. She discontinued her oral contraceptives for months ago. Her urine pregnancy test is negative. She expresses concern that she might have an infertility problem. The nurse
practitioner accurately tells her that a couple is not considered infertile until there has been unprotected intercourse without conception for what period of time?
A. One year
49. When a patient presents with symptoms of acute gallbladder disease, what is the appropriate nurse practitioner action?
a. Order abdominal ultrasound
50. An eight-year-old female has been brought to the nurse practitioner on five occasions in the past nine weeks with a complaint of abdominal pain. The evaluation each time is negative, but her mother is convinced the child is truly experiencing pain. The most likely diagnosis is:
a. Recurrent abdominal pain
51. What is the most common cause of Cushing’s syndrome?
a. Administration of a glucocorticoid or ACTH
52. Which of the following maternal situations is considered an absolute contraindication to breast-feeding?
a. Early HIV infection
53. A three-year-old male patient is being evaluated by a nurse practitioner for frequent respiratory infections and fatigue. His laboratory test show thrombocytopenia, granulocytopenia, and anemia. Which of the following is consistent with these lab bindings?
a. Acute lymphocytic leukemia (ALL)
54. Factors known to be associated with early sexual activity include:
a. Lower socioeconomic status, use of tobacco, alcohol or other drugs, and single parent household
55. A 26-year-old female presents with elbow pain that is described as aching in burning. There is point tenderness along the lateral aspect of the elbow and painful passive flexion and extension. She reports she has been playing tennis almost daily for the past month. The most likely diagnosis is:
A. Lateral epicondylitis tennis elbow
56. A two-year-old African-American child is being evaluated by the nurse practitioner. His clinical appearance and history are consistent with sickle cell anemia. What is the appropriate laboratory test to diagnose sickle cell anemia?
a. Hemoglobin electrophoresis
57. Which activities are not characteristic of preschool children?
a. Always follow rules during playground games
58. What type of question is most useful when opening an interview?
a. Open ended
59. All of the following agents/ medication classes are generally contraindicated in pregnancy except:
a. Cephalosporins, parenteral insulin, parenteral heparin.
60. A 35-year-old female with a history of mitral valve prolapse is scheduled for routine dental cleaning. According to the 2007 American Heart Association’s guidelines for endocarditis prophylaxis, what would you advise this patient?
a. She does not need prophylaxis for any dental procedure
61. What diabetic complications result from hyperglycemia?
a. (1) Retinopathy, (3) peripheral neuropathy, (4) accelerated atherogenesis
62. Which of the following diagnostic assessments must be considered before developing any plan of care for a 27-year-old female presenting to a family practice clinic?
a. Pregnancy test
63. The process by which a professional association confers recognition that a licensed professional has demonstrated mastery of a specialized body of knowledge and skills is termed:
a. Certification
64. A 15-year-old male has a history of cryptorchidism which was surgically repaired. Because of this information, it is essential for a nurse practitioner to teach him about:
a. Testicular self-examination [Show Less]