FREE Family Nurse Practitioner MCQ Question and Answer
Ryan, who is 20 years old, goes to the college health clinic because he is having trouble passing urine and has a discharge from his penis. You discover the discharge is urethral. These symptoms are most common in young adult males due to ____.
In young males, acute prostatitis is caused by gonorrhea or other bacterial infections.
Nearsightedness
Myopia, a disease that affects many people, causes near objects to appear clear while far-distant objects to appear blurry. It happens when light rays incorrectly bend (refract) due to the shape of the eye or specific portions of the eye.
First-airway, breathing circulation (ABC) frequently provides the instant response
First, assess before diagnosing (working), diagnose before planning, plan before intervening, and intervene before evaluating treatment response.
The selection of diagnostics, interventions, and follow-up procedures is guided by the most appropriate evidence-based practice, which also establishes the right response.
When you approach the victim, the first things you should examine are the ABCs of first aid: Airway, Breathing, and Circulation. Make sure the patient's airway is clear, confirm that they are breathing, and check their circulation (by feeling their pulse or observing the color and temperature of their hands and fingers).
Eczema is a chronic, hereditary skin condition characterized by intensely itchy, rash areas on the hands, neck, and flexural folds.
RX:
mild: 1% to 2.5% hydrocortisone
triamcinolone medium
Halog usage for ten days, then transition to milder steroids, then discontinue
Eczema, also known as atopic dermatitis, is a chronic (long-lasting) condition that results in skin irritation, redness, and inflammation. It is a widespread ailment that typically manifests in childhood, though anyone can have the illness at any age.
The patient, who is 38 years old, informs the family nurse practitioner that their parent passed away in their forties from liver cancer. In the nurse practitioner's opinion, the patient has risks associated with ____.
Chronic HBV or HCV infection, cirrhosis, heavy alcohol use and smoking, diabetes and obesity, some genetic liver illnesses including hemochromatosis and Wilson's disease, exposure to aflatoxins, a mold that can contaminate food, gender, race, ethnicity, and family history of liver cancer are the main risk factors for liver cancer. However, a family history of liver cancer does not guarantee you will acquire it. It just means that you might have a higher chance of getting it.
Produces states of calm and relaxation
Serotonin is involved in a variety of bodily processes, including mood regulation in the brain. It is frequently referred to be your body's inborn "feel good" chemical. You feel more emotionally secure, happier, calmer, and more emotionally focused when serotonin levels are normal.
The family nurse practitioner will have the patient make quick, alternating movements with their hands to test for:
To assess cerebellar function, the family nurse practitioner has a patient make quick, alternating hand motions. It is used to find out how well the cerebellum can coordinate movement. The patient is instructed to place one hand over the other and to quickly switch that hand back and forth.
4 important features
-bradykinesia
-muscular weakness
-a tremor at rest
instability in one's posture
Medication: Amantadine (Symmetrel), a dopamine agonist.
Early signs of Parkinson's disease include tremors, muscle stiffness, and sluggishness of movement, but there are also other symptoms to watch out for. Parkinson's disease frequently causes issues with sleep and the nighttime. Parkinson's disease patients are more prone to have insomnia since the disease can cause several symptoms that interfere with sleep.
Tx:
500 mg of cipro BID for 7–14 days
500 mg of metronidazole every 6 to 8 hours for 7 to 14 days
7-10 days with Bactrim
The large intestine (colon) is affected by diverticular disease, diverticulitis, and associated digestive diseases. Diverticular illness causes the lining of the gut to develop tiny bulges or pockets known as diverticula. When these pockets swell or become infected, it is known as diverticulitis.
A 42-year-old patient with epistaxis, dilated pupils, tachycardia, and slight euphoria exhibits signs of using ______.
Cocaine usage is accompanied with epistaxis, dilated pupils, tachycardia, and slight euphoria. Your pupils may seem bigger than usual if you use cocaine. Additionally, it could give you bloodshot, watery eyes. Cocaine elevates blood pressure because it causes blood vessels to constrict. In addition to causing redness and blurred vision, this can also lead to corneal damage. Another typical sign of cocaine toxicity is tachycardia.
A year after having a total gastrectomy, a patient complains of a sore mouth, indigestion, and tingling in the lower extremities. The family nurse practitioner orders which test?
From anemia and infections to cancer, a CBC can help doctors pinpoint the cause of symptoms. A family nurse practitioner may order a complete blood count (CBC) to rule out anemia in a patient who has recently presented with complaints of sore mouth, indigestion, and tingling in the lower extremities after having undergone total gastrectomy a year prior. A vitamin B12 deficiency brought on by a gastroplasty may result in a sore mouth and tingling in the extremities (neuropathy). Measure B12 levels to confirm this.
Determining occupational exposure to illness might be challenging because of the following _____.
Occupational illness exposure is difficult to determine because of the long latency time between exposure and disease development. Occupational illnesses typically have a lengthy latency period between the beginning of exposure and the development of the disease.
The veins in Fundi are bigger than the arteries.
Cones: for 20/20 vision and color perception
Rods: used for night vision, depth perception, and light and shadow detection
The macula, which controls central vision, is an anatomical structure.
The vast number of cone-containing foveas is positioned in the center. The vision of 20/20 is determined by this region of the eye.
Cobblestoning: Atopic pt, allergic rhinitis, and allergic conjunctivitis may all present with moderately increased lymphoid tissue that resembles "cobblestone" in the inner conjunctiva.
Presbyopia is an age-related visual alteration brought on by a decrease in the eye's accommodation capacity and lens stiffness. typically begin at age 40,
Normal assessments include the contraction and dilation of each pupil in reaction to light.
You are recommending hormonal therapy for the treatment of prostate cancer in a patient aged 73. It is thought that goserelin acetate (Zoladex) works as an androgen ablation by _____.
To prevent the production of FSH and LH, the IM injections of goserelin acetate (Zoladex) and leuprolide acetate (Lupron) are used.
Myocardial infarction patient visits clinic for atorvastatin calcium refill (Lipitor). The family nurse practitioner knows that the prescription is for _____.
Tertiary prevention focuses on lowering the burden of established illnesses by eliminating or reducing disability, minimizing suffering, and optimizing quality of life. The family nurse practitioner here understands that the patient has previously suffered a myocardial infarction, so the medicine is being provided for tertiary prevention. In patients with cardiovascular disease, atorvastatin calcium (Lipitor) lowers cholesterol and reduces the risk of a heart attack or stroke.
A mild initial heart sound with a holosystolic apical murmur radiating to the left axilla during cardiac auscultation suggests _____.
When performing cardiac auscultation, mitral regurgitation is indicated by a mild initial heart sound and a holosystolic apical murmur that radiate to the left axilla. When your heart is pumping blood out to your body, a holosystolic murmur might be heard.