Family Nurse Practitioner Certification Flashcards

A 30-year-old woman presents with painful, grouped vesicles on her labia. Which test would confirm the diagnosis?

Answer: Tzanck smear or PCR for HSV

Grouped painful vesicles are characteristic of herpes simplex virus (HSV), confirmed by PCR or Tzanck smear.

An infant at a well-child visit is noted to have not regained birth weight by 2 weeks of age. What is the priority intervention?

Answer: Evaluate feeding technique and frequency

Most newborn weight loss is due to inadequate intake; assessing feeding is the first step before pursuing diagnostic workup.

Which developmental milestone should a child typically achieve by 12 months of age?

Answer: Saying single meaningful words

Most children say their first meaningful words (e.g., 'mama,' 'dada') by 12 months of age.

A nurse practitioner identifies a grade III/VI systolic murmur in a 7-year-old that radiates to the carotid arteries. The next step is:

Answer: Refer to pediatric cardiology

A loud murmur (grade III+) with radiation to carotids suggests a pathologic etiology requiring cardiologic evaluation.

According to USPSTF recommendations, which population should be screened for lung cancer with low-dose CT (LDCT)?

Answer: Adults 50–80 years with 20 pack-year history who currently smoke or quit within the past 15 years

USPSTF recommends annual LDCT for adults aged 50–80 with at least 20 pack-year smoking history who are current or recent quitters.

A patient on warfarin has an INR of 4.8 with no bleeding. The most appropriate next step is:

Answer: Hold warfarin dose and recheck INR in 1–2 days

For supratherapeutic INR without bleeding, holding warfarin and rechecking INR within 1–2 days is the appropriate management.