Family Nurse Practitioner Test Patient Management 2

Question 1

A 14-year-old patient discloses substance use during a confidential visit. Under HIPAA and most state laws, the FNP should FIRST:

Accepted Answer

Provide counseling, assess for dependence, and determine if the minor is in immediate danger before breaching confidentiality

Answer

Minors have confidentiality rights for substance use treatment in most states; the FNP should assess safety and engage the patient in treatment before any breach.

Question 2

The FNP is counseling a 25-year-old female on combined oral contraceptive pills (COCs). Which absolute contraindication (WHOMEC Category 4) should be screened for?

Accepted Answer

History of DVT or pulmonary embolism

Answer

Personal history of DVT or PE is a WHO Medical Eligibility Criteria Category 4 (absolute) contraindication to estrogen-containing contraceptives due to thrombosis risk.

Question 3

A patient with CKD stage 3 (eGFR 35 mL/min) and diabetes has a blood pressure of 142/88 mmHg. The PREFERRED antihypertensive agent is:

Accepted Answer

ACE inhibitor or ARB for renoprotection

Answer

ACE inhibitors and ARBs reduce intraglomerular pressure and proteinuria, providing renoprotection in diabetic CKD and are the preferred antihypertensive agents.

Question 4

A patient with alcohol use disorder requires treatment for acute alcohol withdrawal. Which medication class is FIRST-LINE?

Accepted Answer

Benzodiazepines (e.g., lorazepam)

Answer

Benzodiazepines are first-line for alcohol withdrawal as they treat GABA deficiency, preventing seizures and progression to delirium tremens.

Question 5

The FNP is conducting a sports physical for a 16-year-old. Which finding warrants DISQUALIFICATION from contact sports?

Accepted Answer

Single functional kidney

Answer

A single functional kidney is a relative-to-absolute contraindication for contact sports because trauma could result in loss of the only functioning kidney.

Family Nurse Practitioner Test Practice Test

Family Nurse Practitioner Test Practice Test

Family Nurse Practitioner Test Patient Management 2