Which of the following is a primary prevention measure for a 76-year-old man newly diagnosed with a testosterone deficiency?
Question 1
... [Show More] options:
1) Calcium supplementation
2) Testicular self-examination
3) Bone density test
4) Digital rectal examination
Question 2 (1 point)
Which of the following is an example of secondary prevention in a 50-year-old woman?
Question 2 options:
1) Yearly mammogram
2) Low animal-fat diet
3) Use of seat belt
4) Daily application of sunscreen
Question 3 (1 point)
Which of the following is an example of tertiary prevention in a patient with chronic renal failure?
Question 3 options:
1) Fluid restriction
2) Hemodialysis 4 days a week
3) High-protein diet
4) Maintenance of blood pressure at 120/80
Question 4 (1 point)
Nursing research should be utilized by: Question 4 options:
1) Nurses at the bedside
2) Advanced practice nurses
3) Nurse researchers
4) Nurses at all levels of practice
Question 5 (1 point)
A clinical guideline may be found useful if the guideline was: Question 5 options:
1) Published 2 years ago
2) Created using one group
3) Authored by a relatively unknown source
4) Funded by an anonymous source
Question 6 (1 point)
Practice guidelines are designed to: Question 6 options:
1) Be inflexible
2) Be utilized in every circumstance
3) Provide a reference point for decision making
4) Be created by a professional organization to guide the practice of a profession
Question 7 (1 point)
Tatiana is receiving a sports physical to participate in cross- country running. She receives her exam from a single provider, who is examining all of the athletes one after the other in the nurse’s office at school. Which of the following is a problem with this exam format for sports physicals?
Question 7 options:
1) It is expensive, and her school will have to use a large amount of its budget to fulfill the sports physical requirement.
2) It lacks individual attention that could increase the risk of insufficient medical history.
3) It is disorganized, and the athletes may have the potential for inadequate integration of findings.
4) It lacks privacy and the students may feel that their medical information is not being kept confidential.
Question 8 (1 point)
Tyler is a 16-year-old football player who has an appointment for his sports physical. He had a head hit yesterday while playing with friends, and went to the emergency room. He was discharged with a diagnosis of a concussion. Today he feels dizzy, has noise sensitivity, and had trouble sleeping last
night. Which of the following options is best for the clinician to pursue?
Question 8 options:
1) Complete a formal Balance Error Scoring System (BESS) and neuropsychologic testing before clearing him to play.
2) Clear him to play, because the emergency room discharged him and these symptoms are normal after a head hit.
3) Clear him to play in a week when his symptoms will subside.
4) Refuse to clear him because he had a concussion and should not be playing football at all anymore.
Question 9 (1 point)
The clinician is seeing Dahlia, a 15-year-old swimmer, for a sports physical. During examination, she notes she has had difficulty breathing while swimming over the last 3 days.
Which of the following options is best for the clinician to pursue?
Question 9 options:
1) Clear her to participate in swimming, as it is common to have some days of difficulty on exertion, especially if she has not been as active the week before.
2) Refer Dahlia to the sports trainer prior to clearing her so she can work on her form and have less difficulty on exertion.
3) Complete a workup for pulmonary hypertension, anemia, asthma, and cardiovascular issues prior to clearing her for participation.
4) Send her to the emergency room immediately, as this is very concerning and needs to be urgently addressed.
Question 10 (1 point)
Which theory regarding the aging process is linked to cancer and Alzheimer’s disease?
Question 10 options:
1) Replicating senescence
2) Weakening of the immune system
3) Oxidative damage
4) Telomere shortening
Question 11 (1 point)
What is the key to increase physical activity in older adults? Question 11 options:
1) Motivation
2) Having a partner to exercise with
3) Belonging to a fitness center
4) Owning home fitness equipment
Question 12 (1 point)
Which of the following is especially important for ensuring the safety of older adults?
Question 12 options:
1) Removing firearms from the home due to the high rate of depression in older adults
2) Making sure the hot water heater is set below 130oF
3) Encouraging yearly tests to assess ability to drive safely
4) Assessing fall risk and history of falls
Question 13 (1 point)
Which of the following would be a cause of neuropathic pain? Question 13 options:
1) Bone metastases
2) Post HERPETIC pain
3) Musculoskeletal inflammation
4) Postsurgical incisional pain
Question 14 (1 point)
Which drug is considered the MOST effective medication for pain in terminally ill patients?
Question 14 options:
1) Codeine
2) Hydrocodone
3) Morphine
4) Hydromorphone
Question 15 (1 point)
Unlike palliative care, hospice provides: Question 15 options:
1) Emotional support
2) Care to patients at end of life only
3) Spiritual services
4) Relies on combined knowledge and skill
Question 16 (1 point)
How often should clinicians reassess a patient that is on chronic opioids?
Question 16 options:
1) 2 weeks
2) 1 week
3) 4 weeks
4) 3 weeks
Question 17 (1 point)
You are providing end-of-life care to an elderly patient with a history of heart failure. The patient complains of dyspnea.
What is often the first line treatment for this condition? Question 17 options:
1) Oxygen
2) Benzodiazepines
3) Opioids
4) Nonpharmacological solution
Question 18 (1 point)
The cost of care provided by an APRN is approximately: Question 18 options:
1) One-quarter that of a physician
2) One-third that of a physician
3) One-half that of a physician
4) One and one-half that of a physician
Question 19 (1 point)
How do bundled payments differ from fee-for-service or global capitation?
Question 19 options:
1) Bundled payments are designed to reduce the number of payments to providers.
2) Bundled payments align payment to care outcomes delivered by the team.
3) Bundled payments reduce the amount of paperwork required for payment.
4) Bundled payments allow for streamlined and coordinated billing for providers.
Question 20 (1 point)
Patients require education prior to accessing health-care services for the following reason:
Question 20 options:
1) Many patients do not understand policy benefits and payment responsibility.
2) Services may change across the beneficiary year.
3) Copayments and deductibles may have already been met by the patient.
4) Coding may need to be adjusted to meet the terms of the patient’s benefits.
Question 21 (1 point)
Accounting keeps track of the financial state of a business. The accounting report that demonstrates the net-growth in assets is:
Question 21 options:
Net income statement Balance sheet
Cash flow statement
Operating statement
Question 22 (1 point)
Commonalities among psychotherapeutic techniques include the following:
Question 22 options:
1) Dream therapy, listening, and reflection
2) Psychodrama, group psychotherapy, and 12-step programs
3) Self-help groups
4) Obtaining external perspective and participation in a helping relationship
Question 23 (1 point)
The goals of the 15-minute hour approach include: Question 23 options:
1) Enhance self-esteem, expand behavioral repertoire, prevent dire consequences, and reestablish premorbid levels of functioning
2) Emerge with a higher level of functioning and commitment to long-term psychotherapy
3) Accept need for antidepressant therapy and psychiatric referral; share concerns with primary-care clinician
4) Improve family functioning and sexual performance as well as accept need for antidepressant medication
Question 24 (1 point)
BATHEing the patient refers to:
Question 24 options:
1) A technique used in primary care to get the patient to accept the need for psychological or psychiatric referral
2) A technique used to facilitate cultural understanding
3) A technique used to perform psychotherapy
4) A technique that is a quick screen for psychiatric issues and interventions for psychological problems
Question 25 (1 point)
Which of the following scenarios best demonstrates the relationship between physical health and distress?
Question 25 options:
1) A patient’s high-calorie diet contributes to his diagnosis of type 2 diabetes.
2) A patient with an elevated HbA1C reports that he was recently evicted from his home.
3) A patient with depression reports an increase in suicidal thoughts.
4) A patient reports feeling “numb” after learning that her malignant tumor is inoperable.
Question 26 (1 point)
Which type of liability insurance covers only situations in which the incident occurred and the claim was made while the policy was in effect?
Question 26 options:
1) Claims made policy
2) Occurrence policy
3) An employment coverage policy
4) A “tail policy”
Question 27 (1 point)
Which insurance plan was the first to allow members to choose nurse practitioners as their primary-care provider and pay them the same rate as physicians for the same care?
Question 27 options:
1) Blue Cross/Blue Shield Plan
2) Medicare/Medicaid Plan
3) Oxford Health Plan
4) United Health Insurance Plan
Question 28 (1 point)
In the model for future Advanced Practice Registered Nurse (APRN) practice, what does the “C” of LACE represent?
Question 28 options:
1) Commitment
2) Consensus
3) Certification
4) Collaboration
Question 29 (1 point)
What principle is most important when obtaining informed consent?
Question 29 options:
1) Justice
2) Fidelity
3) No maleficence
4) Veracity
Question 30 (1 point)
Emotional intelligence is defined as: Question 30 options:
1) Being highly attuned to the needs of others
2) The ability to engage in self-care
3) Being able to recognize and understand the meaning of emotions, and how they affect other people
4) The holistic integration of self-care and self-development practices
Question 31 (1 point)
Qualities associated with resilience include:
Question 31 options:
1) Hope, self-efficacy, and positivity
2) Stick-to-it-ness, belief in a higher power
3) Education, self-regulation, and use of activity to decrease stress
4) Ability to take vacations and the availability of support systems and a secure work environment
Question 32 (1 point)
According to nurse theorist Jean Watson, a focus on positive intentionality—holding caring thoughts, loving kindness, and open receptivity—enhances caring energy, which leads to healing. How can the APRN bring this to their practice?
Question 32 options:
1) Spiritual readings, centering oneself before patient encounters, engaging in behaviors that help build positive energy
2) Review of materials on primary care before going into the work environment to increase one’s confidence, leading to caring energy
3) Travel to sacred places
4) Helping the poor and homeless—volunteering at a domestic violence shelter, for example—in addition to one’s regular practice
Question 33 (1 point)
Billy presents with edematous and erythematous lid margins and closer visual inspection with a Wood’s lamp reveals
scaling. Which of the following conditions could be the diagnosis?
Question 33 options:
1) Hordeolum
2) Chalazion
3) Blepharitis
4) Iritis
Question 34 (1 point)
Which of the following is true about epiphora? Question 34 options:
1) It is uncommon that it’s a response to dry eye.
2) It will lead to decreased tearing.
3) It is common in infants.
4) It will lead to increased irritation.
Question 35 (1 point)
The clinician is seeing a patient complaining of red eye. The clinician suspects conjunctivitis. The presence of mucopurulent discharge suggests which type of conjunctivitis?
Question 35 options:
1) Viral conjunctivitis
2) Keratoconjunctivitis [Show Less]