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FNP |\Review, |\First |\Exam |\Edge |- |\ANCC |\prep |\
test |\Part |\1., |\PSI |\FNP |\Practice |\questions |\with |\
answers
A |\nurse |\practitioner |\working |\in |\a |\community |\health |\clinic |\sees |\a |
male |\patient |\who |\expresses |\concern |\about |\starting |\a |\homosexual |
relationship |\with |\a |\new |\partner. |\Which |\of |\the |\following |\is |\the |\best |
plan |\to |\follow |\during |\this |\visit? |(Select |\all |\that |\apply.) Contact |\the |\patient's |\partner |\to |\schedule |\HIV |\testing Educate |\the |\patient |\about |\using |\barrier |\devices |\during |\sex Prescribe |\daily |\oral |\PrEP Draw |\a |\blood |\sample |\for |\a |\combination |\HIV |\antigen/antibody |\test Schedule |\a |\follow-up |\appointment |\in |\ 1 |\month |\to |\review |\test |\results |\and |\discuss |\options |\for |\PrEP |- |\CORRECT |\ANSWERS |\✔✔Educate |\the |
patient |\about |\using |\barrier |\devices |\during |\sex; |\draw |\a |\blood |
sample |\for |\a |\combination |\HIV |\antigen/antibody |\test; |\schedule |\a |
follow-up |\appointment |\in |\ 1 |\month |\to |\review |\test |\results |\and |\discuss |\options |\for |\PrEP Education |\on |\using |\barriers |\during |\sexual |\activity |(e.g., |\condom/dental |\dams) |\is |\important. |\Daily |\oral |\preexposure |
prophylaxis |(PrEP), |\such |\as |\tenofovir |\emtricitabine, |\is |\recommended |\for |\sexually |\active |\persons |\who |\are |\at |\risk |\for |\HIV. |\PrEP |\is |\used |\in |
HIV-negative |\persons, |\so |\the |\nurse |\practitioner |\must |\wait |\for |\the |\
test |\results |\before |\prescribing. |\It |\is |\appropriate |\to |\schedule |\a |\1- month |\follow-up |\to |\review |\the |\test |\results |\and |\discuss |\PrEP |\options |(if |\test |\is |\negative). |\It |\is |\not |\appropriate |\ethically |\or |\legally |\to |
contact |\the |\partner; |\however, |\it |\would |\be |\appropriate |\for |\the |
patient |\to |\encourage |\his |\partner |\to |\get |\tested. An |\older |\adult |\male |\presents |\with |\complaints |\of |\sharp |\flank |\and |
back |\pain. |\The |\patient |\has |\difficulty |\answering |\questions |\because |\of |\severity |\of |\pain. |\Blood |\pressure |\is |\90/60 |\mmHg. |\The |\patient |\has |\a |
20-pack-year |\smoking |\history. |\Abdomen |\is |\distended |\upon |
palpitation. |\Which |\diagnosis |\is |\most |\likely? Congestive |\heart |\failure Infective |\endocarditis Dissecting |\abdominal |\aortic |\aneurysm Acute |\myocardial |\infarction |- |\CORRECT |\ANSWERS |\✔✔Dissecting |
abdominal |\aortic |\aneurysm. Dissecting |\abdominal |\aortic |\aneurysm |\is |\a |\sudden |\onset |\of |\severe, |
sharp, |\excruciating |\pain |\located |\in |\the |\abdomen, |\back, |\or |\flank |
area, |\accompanied |\by |\a |\distended |\abdomen |\and |\hypotension. |\Older |\male |\adults |\with |\a |\smoking |\history |\and |\hypertension |\are |\at |\higher |\risk. |\Congestive |\heart |\failure |\symptoms |\are |\dyspnea, |\fatigue, |\dry |
cough, |\and |\swollen |\feet |\and |\ankles. |\Patients |\with |\infective |
endocarditis |\present |\with |\fever, |\chills, |\and |\malaise, |\along |\with |\the |
presence |\of |\a |\new |\murmur. |\Acute |\myocardial |\infarction |\generally |
presents |\with |\a |\gradual |\onset |\of |\intense |\and |\heavy |\chest |
discomfort |\that |\feels |\like |\a |\squeezing, |\tightness, |\and |\heavy |
pressure |\in |\the |\chest.
V/VI.
VI/VI. |- |\CORRECT |\ANSWERS |\✔✔VI/VI.
Grading |\heart |\murmurs |\follows |\this |\system: |\I/VI: |\Heart |\murmur |
makes |\faint |\sound |\and |\may |\not |\be |\heard |\when |\patient |\changes |
position. |\II/VI: |\Heart |\murmur |\is |\quiet |\but |\can |\be |\heard |\as |\soon |\as |
the |\stethoscope |\is |\placed |\on |\the |\chest. |\III/VI: |\Heart |\murmur |\is |
moderately |\loud. |\IV/VI: |\Heart |\murmur |\is |\loud |\and |\accompanied |\by |
a |\palpable |\thrill. |\V/VI: |\Heart |\murmur |\is |\very |\loud |\and |\can |\be |\heard |\with |\the |\stethoscope |\partially |\off |\the |\chest. |\VI/VI: |\Heart |\murmur |\is |\very |\loud |\and |\can |\be |\heard |\with |\the |\stethoscope |\completely |\off |
the |\patient's |\chest. Which |\of |\the |\following |\persons |\would |\not |\be |\a |\candidate |\for |\the |
antipneumococcal |\vaccine? a |\65-year-old |\healthy |\female |\living |\with |\her |\family a |\35-year-old |\patient |\with |\HIV |\infection a |\58-year-old |\male |\resident |\of |\a |\nursing |\home a |\55-year-old |\female |\living |\alone |- |\CORRECT |\ANSWERS |\✔✔a |\55-year- old |\female |\living |\alone The |\antipneumococcal |\vaccine |\is |\not |\indicated |\for |\an |\otherwise |
healthy |\person |\who |\is |\under |\the |\age |\of |\ 65 |\unless |\there |\are |\other |
health |\factors |\involved. |\Living |\alone |\has |\no |\bearing |\on |\the |\need |\
for |\the |\vaccine. |\The |\vaccine |\is |\indicated |\for |\persons |\with |\HIV |
infection, |\persons |\living |\in |\nursing |\homes, |\and |\all |\adults |\ 65 |\years |
or |\older |\regardless |\of |\health |\status. Which |\of |\the |\following |\diseases |\is |\more |\likely |\to |\cause |\chronic |
pelvic |\pain |\rather |\than |\acute |\pelvic |\pain? ectopic |\pregnancy PID ovarian |\cysts interstitial |\cystitis |- |\CORRECT |\ANSWERS |\✔✔interstitial |
cystitisInterstitial |\cystitis |\is |\more |\likely |\to |\cause |\chronic |\pelvic |\pain |
rather |\than |\acute |\pelvic |\pain |\as |\in |\the |\other |\choices. |\Other |\causes |
of |\chronic |\pelvic |\pain |\include: |\endometriosis, |\leiomyomas, |\and |
malignancy. You |\have |\a |\58-year-old |\male |\patient |\with |\possible |\pancreatic |\cancer. |\You |\will |\not |\order |\an |\abdominal |\ultrasound |\for |\diagnosis |\because |
it |\is |\limited |\by |\which |\of |\the |\following? previous |\history |\of |\pancreatic |\disease patient's |\age the |\presence |\of |\intestinal |\gas
a |\system |\of |\monitoring |\and |\assessing |\for |\high-risk |\areas |\and |
procedures the |\process |\of |\evaluating |\the |\appropriateness |\of |\inpatient |
hospitalization the |\process |\used |\for |\accreditation the |\process |\used |\for |\case |\management |- |\CORRECT |\ANSWERS |
✔✔the |\process |\of |\evaluating |\the |\appropriateness |\of |\inpatient |
hospitalization A |\utilization |\review |\is |\the |\process |\of |\evaluating |\the |\appropriateness |\of |\inpatient |\hospitalization. |\Proof |\of |\the |\medical |\necessity |\for |\the |
patient's |\hospitalization |\is |\done |\mainly |\through |\chart |\reviews. |\If |\the |\reviewer |\and |\payor |\do |\not |\agree, |\the |\claim |\can |\be |\denied, |
resulting |\in |\denial |\of |\payment |\to |\the |\health |\facility. John |\is |\a |\patient |\with |\acute |\renal |\failure. |\His |\inability |\to |\regulate |
electrolytes |\might |\be |\evidenced |\by |\all |\but |\which |\of |\the |\following |
conditions? hyperkalemia hyperlipidemia hypocalcemia hypernatremia |- |\CORRECT |\ANSWERS |\✔✔hyperlipidemia
This |\patient's |\inability |\to |\regulate |\electrolytes |\might |\be |\evidenced |
by |\hyperkalemia, |\hypernatremia, |\hyponatremia, |\hypokalemia, |
hypermagnesemia, |\hyperphosphatemia, |\and |\hypocalcemia. |
Hyperlipidemia |\is |\abnormally |\elevated |\levels |\of |\any |\or |\all |\lipids |
and/or |\lipoproteins |\in |\the |\blood. Which |\of |\the |\following |\statements |\about |\evaluation |\and |\follow-up |
of |\a |\patient |\with |\IBD |\is |\least |\accurate? Most |\patients |\follow |\a |\cyclic |\course |\of |\remission |\and |\flare-up. An |\estimated |\50% |\to |\65% |\of |\patients |\with |\Crohn's |\disease |\undergo |
surgery |\at |\some |\point |\in |\their |\lives |\for |\intestinal |\resection |\or |
colectomy. Overall |\mortality |\for |\ulcerative |\colitis |\is |\between |\35% |\and |\40%. Ulcerative |\colitis |\patients |\have |\a |\risk |\for |\serious |\complications |\such |
as |\hemorrhage |\and |\perforation. |- |\CORRECT |\ANSWERS |\✔✔Overall |
mortality |\for |\ulcerative |\colitis |\is |\between |\35% |\and |\40%. This |\is |\not |\accurate. |\The |\overall |\mortality |\for |\ulcerative |\colitis |\is |
much |\lower |- |\between |\12% |\and |\15%. |\This |\is |\because |\of |\risk |\for |
serious |\complications |\such |\as |\hemorrhage, |\perforation, |\and |\toxic |
megacolon.
You |\can |\reassure |\this |\mother |\that |\her |\son |\is |\not |\behind |\schedule |
in |\reaching |\puberty. |\The |\average |\age |\of |\onset |\for |\males |\is |\10.5 |- |
16 |\years. After |\completing |\a |\physical |\examination, |\you |\suspect |\that |\a |\16-year |\old |\girl |\has |\acute |\appendicitis. |\She |\presents |\with |\acute |\abdominal |
pain |\and |\you |\order |\a |\white |\blood |\cell |(WBC) |\count |\with |\differential |
and |\an |\x-ray |\of |\the |\abdomen. |\You |\receive |\the |\laboratory |\report |
back |\first |\and |\are |\still |\waiting |\on |\the |\x-ray. |\By |\looking |\at |\the |
laboratory |\report, |\which |\of |\the |\following |\values |\would |\you |\expect |
to |\see |\in |\a |\patient |\with |\acute |\appendicitis? total |\WBCs |\ 1200 |\mm³ neutrophils |\4% bands |\1% lymphocytes |\44% total |\WBCs |\of |\500mm³ neutrophils |\10% bands |\2% lymphocytes |\39% total |\WBCs |\16,000 |\mm³ neutrophils |\67%
bands |\8% lymphocytes |\23% None |\of |\the |\above |\would |\indicate |\acute |\appendicitis. |- |\CORRECT |
ANSWERS |\✔✔total |\WBCs |\16,000 |\mm³ neutrophils |\67% bands |\8% lymphocytes |\23% You |\would |\expect |\a |"left |\shift." |\This |\includes |\leukocytosis |(elevated |
WBCs), |\neutrophilia |(an |\absolute |\neutrophil |\count |(ANC) |\of |\greater |
than |\ 7000 |\neutrophils/mm. |\ANC |\is |\calculated |\by |\multiplying |\the |
percentage |\of |\neutrophils |\by |\the |\total |\WBC |\in |\mm. |\Therefore, |\the |
following |\answer |\choice |\is |\correct, |\as |\the |\absolute |\neutrophil |\count |\is |\greater |\than |\ 7000 |\mm³ |\if |\you |\multiplied |\0.67 |\by |\16,000. |\This |
would |\be |\10,720 |\neutrophils/mm³. Which |\of |\the |\following |\is |\a |\prenatal |\diagnostic |\test |\rather |\than |\a |
prenatal |\screening |\test? ultrasound NIPT maternal |\serum
percentile |\and |\is |\therefore |\overweight. |\You |\understand |\that |\all |\of |
the |\following |\are |\true |\in |\regard |\to |\the |\management |\and |\treatment |
of |\obesity |\in |\children |\EXCEPT: Promote |\prevention |\in |\infancy |\through |\parent |\education |\regarding |
nutritional |\needs |\and |\feeding |\strategies. Discuss |\moderate |\modification |\of |\diet |\while |\increasing |\exercise. Establish |\a |\goal |\for |\younger |\children |\to |\include |\weight |\reduction. Use |\behavior |\modification |\strategies. |- |\CORRECT |\ANSWERS |
✔✔Establish |\a |\goal |\for |\younger |\children |\to |\include |\weight |
reduction. The |\goal |\for |\younger |\children |\is |\weight |\maintenance |\rather |\than |
weight |\reduction |\while |\linear |\growth |\catches |\up. |\For |\adolescents |
treated |\after |\their |\growth |\spurt, |\the |\goal |\may |\include |\weight |
reduction. The |\FNP |\is |\calculating |\the |\BMI |\for |\a |\female |\patient |\who |\wants |\to |
lose |\weight. |\If |\the |\patient |\is |\ 5 |\feet |\ 6 |\inches |\and |\weighs |\ 200 |\lbs. |
what |\is |\her |\BMI |\to |\the |\nearest |\tenth?
30.3 |- |\CORRECT |\ANSWERS |\✔✔32.
The |\BMI |\is |\calculated |\by |\dividing |\the |\weight |\in |\pounds |\by |\the |
height |\in |\inches |\squared |\and |\multiplying |\that |\by |\703.200÷ |\ 662 |= |
200 |\÷ |\4,356 |= |\0.045913 |* |\ 703 |= |\32.2768, |\or |\32.3 |\rounded |\to |\the |
nearest |\tenthThis |\puts |\the |\woman |\in |\the |\obese |\category. When |\would |\Aldactone |\be |\contraindicated? When |\the |\patient |\has |\hyperkalemia |(serum |\potassium |\of |\greater |
than |\5.5 |\mEq/L. When |\the |\patient |\has |\renal |\insufficiency |(serum |\creatinine |\greater |
than |\2.0 |\mg/dL. If |\the |\patient |\has |\type |\ 2 |\diabetes |\mellitus |\with |\microalbuminuria. All |\of |\the |\above |- |\CORRECT |\ANSWERS |\✔✔All |\of |\the |\above The |\nurse |\practitioner |\would |\need |\to |\evaluate |\the |\patient |\prior |\to |
ordering |\Aldactone.The |\following |\would |\be |\considered |
contraindications |\for |\ordering |\Aldactone:When |\the |\patient |\has |
hyperkalemia |(serum |\potassium |\of |\greater |\than |\5.5 |\mEq/L.When |
the |\patient |\has |\renal |\insufficiency |(serum |\creatinine |\greater |\than |
2.0 |\mg/dL.If |\the |\patient |\has |\type |\ 2 |\diabetes |\mellitus |\with |
microalbuminuria.
Follow |\up |\IOP |\and |\visual |\field |\changes |\every |\six |\weeks. |- |\CORRECT |
ANSWERS |\✔✔Monitor |\for |\side |\effects |\of |\beta |\blocker |\use. Monitor |\for |\side |\effects |\of |\drugs, |\especially |\with |\non-cardioselective |\beta |\blocker |\use. |\Even |\with |\topical |\use, |\bronchoconstriction |\may |
be |\a |\side |\effect |\of |\these |\drugs. Which |\of |\the |\following |\factors |\would |\increase |\the |\susceptibility |\of |\a |\person |\for |\glaucoma? corticosteroid |\therapy mental |\illness history |\of |\pneumonia history |\of |\heart |\disease |- |\CORRECT |\ANSWERS |\✔✔corticosteroid |
therapy There |\are |\many |\factors |\that |\increase |\a |\patient's |\susceptibility |\to |
glaucoma. |\Corticosteroid |\therapy |\is |\one |\of |\them. |\Others |\include: |
eye |\inflammation |\or |\trauma; |\neoplasm; |\neovascularization; |\and |
increasing |\age. The |\highest |\incidence |\of |\AOM |(acute |\otitis |\media) |\is |\in |\which |\of |\the |\following |\age |\groups?
10 |- |\ 12 |\years 7 |- |\ 8 |\years 4 |- |\ 6 |\years 6 |\months |\to |\ 3 |\years |- |\CORRECT |\ANSWERS |\✔✔ 6 |\months |\to |\ 3 |\years Acute |\otitis |\media |\is |\an |\infection |\of |\the |\middle |\ear |\cavity |\with |
bacterial |\pathogens |\secondary |\to |\temporary |\Eustachian |\tube |
dysfunction. |\The |\highest |\incidence |\of |\AOM |\is |\from |\ages |\ 6 |\months |
to |\ 3 |\years. The |\ANP |\is |\prescribing |\a |\pseudoephedrine/phenylephrine |
preparation |\for |\his |\patient. |\Of |\the |\following, |\which |\would |\the |\ANP |
prescribe? Entex. Rhinocort. Muro |\128. Bacitracin |\ 500 |\u/g. |- |\CORRECT |\ANSWERS |\✔✔Entex. Entex |= |\Pseudoephedrine/Phenylephrine |\preparation Rhinocort |= |\Inhaled |\Nasal |\Steroid Muro |\ 128 |= |\Lubricating |\Ophthalmic |\Drop
Systemic |\corticosteroid |\therapy |\has |\been |\shown |\to |\limit |\the |\length |
and |\severity |\of |\the |\paralysis. Systemic |\corticosteroid |\therapy |\is |\effective |\no |\matter |\when |\it |\is |
started |\during |\the |\progression |\of |\the |\disease. Acyclovir |\is |\associated |\with |\some |\controversy |\as |\a |\treatment |\for |
Bell's |\palsy. Supportive |\care |\to |\help |\avoid |\ocular |\and |\oral |\injury |\is |\needed. |- |
CORRECT |\ANSWERS |\✔✔Systemic |\corticosteroid |\therapy |\is |\effective |
no |\matter |\when |\it |\is |\started |\during |\the |\progression |\of |\the |\disease. Systemic |\corticosteroid |\therapy |\is |\most |\effective |\when |\started |\early |
in |\the |\disease. |\It |\is |\of |\no |\use |\if |\begun |\more |\than |\ 10 |\days |\after |\the |\onset |\of |\symptoms. You |\are |\seeing |\a |\7-year-old |\patient |\with |\diarrhea, |\sore |\throat, |
coryza |\and |\hoarseness. |\What |\is |\the |\most |\likely |\etiology? viral |\etiology H. |\parainfluenzae group |\A |\Streptococcus mycoplasma |- |\CORRECT |\ANSWERS |\✔✔Viral |\etiology
This |\group |\of |\symptoms |\is |\typical |\of |\a |\viral |\infection. |\Group |\A |
Streptococcus |\is |\usually |\not |\accompanied |\by |\coryza |\and |\H. |\Further, |
parainfluenzae |\is |\not |\a |\common |\cause |\of |\pharyngitis. |\Mycoplasma |
is |\not |\associated |\with |\upper |\respiratory |\tract |\infections, |\but |\seen |\in |\lower |\respiratory |\infections. Which |\of |\the |\following |\is |\considered |\the |\gold |\standard |\for |
diagnosis |\of |\endometriosis? laparoscopy CA |\ 125 MRI pelvic |\ultrasound |- |\CORRECT |\ANSWERS |\✔✔laparoscopy Laparoscopy |\is |\considered |\the |\gold |\standard |\for |\diagnosis |\by |
enabling |\direct |\visualization |\of |\endometrial |\implants. |\They |\may |
appear |\as: |\classic |\brown |"powder |\burn" |\lesions; |\reddish-blue |\lesions |\on |\pelvic |\viscera; |\or |\endometrioma |"chocolate |\cysts" |\on |\the |\ovary. You |\are |\explaining |\to |\a |\patient |\some |\facts |\about |\toxic |\shock |
syndrome |(TSS) |\as |\well |\as |\how |\to |\avoid |\TSS. |\Which |\of |\the |\following |\statements |\would |\you |\include |\in |\your |\explanation? Toxins |\causing |\TSS |\are |\always |\symptomatic.
