Family Nurse Practitioner-questions for FNP review

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Family Nurse Practitioner-questions for FNP review A 72 year old woman has been on hydrochlorthiazide 12.5 mg for many years to control her Stage II hypertension. Her BP at this visit is 168/96. Sh... e is currently complaining of pain in her right hip and both knees. She has increased her dose of ibuprofen from 400 mg TID to 800 mg TID. She is still in pain and would like something stronger. Which of the following statements is the best explanation of the effects of ibuprofen on her disease. a. It increases the chances of adverse effects to her health b. it inhibits the effect of renal prostaglandins and blunts the effectiveness of the diuretic c. it prolongs the therapeutic effects of HCTZ and other diuretics d. none of the above Correct Answer: b All of the following are infections that affect mostly the labia and vagina except? a. Bacterial vaginosis b. candidiasis c. trichomoniasis d. chlamydia trachomatis Correct Answer: d The nurse practitioner would test the obturator and iliopsoas muscle to evaluate for? a. cholecystitis b. acute appendicitis c. inguinal hernia d. gastric ulcer Correct Answer: b Treatment for mild preeclampsia includes all of the following except? a. bedrest except for bathroom privileges b. close monitoring of weight and blood pressure c. close follow-up of urinary protein, serum creatinine, and platelet count d. a prescription of methyldopa to control BP Correct Answer: d All of the following services are covered under Medicare Part A except? a. inpatient hospitalization b. medicines administered to a patient while hospitalized c. nursing home care d. surgeons Correct Answer: c A 28 year old student is seen in the school health clinic with complaints of a hacking cough that is productive of small amounts of sputum and a runny nose. He does not take medications, denies any allergies, and has no significant medical history. Physical exam reveals low-grade temperature of 99.9 degrees, respirations of 16 per minute, heart rate of 90 beats per minute, and diffuse fine crackles in the base of the lungs. A chest xray shows diffuse infiltrates on the lower lobe of the right lung. The total WBC is 10,000. What is the most likely diagnosis? a. streptococcal pneumonia b. mycoplasma pneumonia c. acute bronchitis d. legionnaire's disease Correct Answer: b A 39 year old migrant worker presents to the clinic 2.5 days after a PPD skin test. The minimum size of induration would be considered positive in this patient? a. 3 mm b. 5 mm c. 10 mm d. 15 mm Correct Answer: c All of the following are correct statements regarding a durable power of attorney's role except? a. their decisions are legally binding b. it can be used in other areas of a patient's life such as financial issues c. they can decide for the patient who is on life support when it can be terminated d. the patient's spouse has the right to override a durable power of attorney Correct Answer: d All of the following are true statements regarding Munchausen syndrome except: a. it is considered a mental illness b. the patient has a medical illness that causes an anxiety reaction and denial c. the patient fakes an illness in order to gain attention from health care providers d. the patient has an inconsistent medical history along with a past history of frequent hospitalizations Correct Answer: b Which of the following antihypertensive medications should the nurse practitioner avoid when treating patients with emphysema? a. calcium channel blockers b. ACE inhibitors c. beta blockers d. diuretics Correct Answer: c A 30 year old chef complains of pruritic hives over her chest and arms but denies difficulty swallowing or breathing. SHe reports a family history of allergic rhinitis and asthma. Which of the following interventions is most appropriate? a. perform a complete and thorough history b. prescribe an oral antihistamine such as diphenhydramine 25 mg PO QID c. give an injection of epinephrine 1:1000 IM stat d. call 911 Correct Answer: a Which of the following findings is most likely in young prima gravidas with pregnancy induced hypertension? a. abdominal cramping and constipation b. edema of the face and upper extremities c. shortness of breath d. dysuria and frequency Correct Answer: b Which of the following symptoms is associated with B12 deficiency anemia? a. spoon-shaped nails and pica b. an abnormal neurological exam c. a vegan diet d. tingling and numbness in both feet Correct Answer: d A second triple screen on a 35 year old primigravida reveals abnormally low levels of the alpha fetoprotein and estriol and high levels of human chorionic gonadatropin. Which of the following interventions is the best choice for this patient? a. order and ultrasound b. order CT scan of abdomen c. order a 24 hour urine for protein clearance d. assess for history of illicit drug or alcohol use. Correct Answer: a All of the following are true statements about diverticula except: a. diverticula are located in the colon b. a low-fiber diet is associated with the condition c. most diverticula in the colon are infected with Gram-negative bacteria d. supplementing with fiber such as psyllium is recommended Correct Answer: c Patients who are diagnosed with gonorrhea should also be treated for which of the following infections? a. chancroid b. chlamydia trachomatis c. herpes genitalis d. PID Correct Answer: b Kyphosis is a late sign of: a. old age b. osteopenia c. osteoporosis d. osteoarthritis Correct Answer: c A 35 year old primigravida who is at 28 weeks gestation is expecting twins. You would expect her alpha fetoprotein values to be? a. normal b. higher than normal c. lower than normal d. none of the above Correct Answer: b Which of the following antihypertensive medications has beneficial effects to an elderly white female with osteoporosis? a. calcium-channel blockers b. ACE inhibitors c. beta blockers d. diuretic Correct Answer: a The Lachman maneuver is used to detect whi [Show More]

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