Free ENPC Certification Question and Answers

Question 1

Lifestyle modification for patients with Raynaud phenomenon includes:

Accepted Answer

discontinuing cigarette smoking

Answer

Smoking can aggravate Raynaud's symptoms by causing vasoconstriction and reducing blood flow to the extremities.

Question 2

Intervention in microalbuminuria for a person with DM includes:

Accepted Answer

All of the above:
-improved glycemic control.
-strict dyslipidemia control.
-use of an angiotensin-converting enzyme inhibitor or angiotensin receptor blocker.

Answer

These interventions are crucial in managing microalbuminuria in individuals with diabetes. They help to reduce the risk of cardiovascular complications and slow the progression of kidney disease.
Therefore, the correct choice for intervention in microalbuminuria for a person with DM includes comprehensive management strategies to optimize glycemic control, dyslipidemia control, and the use of specific medications like ACE inhibitors or ARBs to protect renal function and reduce cardiovascular risk.

Question 3

With the use of a levonorgestrel intrauterine system (Mirena), which one of the following is normally noted?

Accepted Answer

reduction in menstrual flow

Answer

With the use of a levonorgestrel intrauterine system (Mirena), a reduction in menstrual flow is normally noted. This device releases a small amount of levonorgestrel hormone directly into the uterus, which can lead to lighter periods or even cessation of menstruation in some individuals. This reduction in menstrual flow is one of the key benefits of using the Mirena IUD for contraception and managing heavy menstrual bleeding.

Question 4

Concomitant disease often seen with giant cell arteritis includes:

Accepted Answer

polymyalgia rheumatica.

Answer

The concomitant disease often seen with giant cell arteritis is polymyalgia rheumatica. These two conditions are related inflammatory diseases that often coexist in the same individual. Polymyalgia rheumatica (PMR) is characterized by muscle pain and stiffness, particularly in the shoulders, neck, and hips, and is frequently associated with giant cell arteritis (GCA), which is a systemic vasculitis affecting medium and large arteries, especially the temporal arteries.

Question 5

Sharon is a 29-year-old woman with moderate intermittent asthma. She is not using prescribed inhaled corticosteroids, but is using albuterol prn to relieve her cough and wheeze with reported satisfactory clinical effect. Currently she uses about 2 albuterol metered-dose inhalers per month and is requesting a prescription refill. You consider that:

Accepted Answer

excessive albuterol use is a risk factor for asthma death.

Answer

This is an important consideration because overuse of albuterol without appropriate anti-inflammatory treatment can lead to worsening asthma symptoms and potential life-threatening exacerbations.

ENPC - Emergency Nurse Practitioner Practice Test

ENPC - Emergency Nurse Practitioner Practice Test

Free ENPC Certification Question and Answers