Free Family Nurse Practitioner MCQ Question and Answer β Questions and Answers
Question 1: Eczema is a chronic, hereditary skin condition characterized by intensely itchy, rash areas on the hands, neck, and flexural folds. <br> RX: <br> mild: 1% to 2.5% hydrocortisone <br> triamcinolone medium <br> Halog usage for ten days, then transition to milder steroids, then discontinue
- Folliculitis
- Bacterial vaginosis
- Atopic dermatitis (Correct answer)
- Dyshidrotic eczematous dermatitis
Correct answer: Atopic dermatitis
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.
Question 2: Produces states of calm and relaxation
- Ligaments
- Photopsia
- Serotonin (Correct answer)
- Strain
Correct answer: Serotonin
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.
Question 3: Nearsightedness
- RICE Mnemonic
- Proptosis
- Myopia (Correct answer)
- Ph of vagina
Correct answer: Myopia
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.
Question 4: Tx: <br> 500 mg of cipro BID for 7β14 days <br> 500 mg of metronidazole every 6 to 8 hours for 7 to 14 days <br> 7-10 days with Bactrim
- Varicocele
- Rovsing sign
- Migraines
- Diverticulitis (Correct answer)
Correct answer: Diverticulitis
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.
Question 5: First-airway, breathing circulation (ABC) frequently provides the instant response <br> First, assess before diagnosing (working), diagnose before planning, plan before intervening, and intervene before evaluating treatment response. <br> The selection of diagnostics, interventions, and follow-up procedures is guided by the most appropriate evidence-based practice, which also establishes the right response.
- Drawer sign
- M. PNA/C. PNA
- Prioritize (Correct answer)
- Obturator sign
Correct answer: Prioritize
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).
Question 6: 4 important features <br> -bradykinesia <br> -muscular weakness <br> -a tremor at rest <br> instability in one's posture <br> Medication: Amantadine (Symmetrel), a dopamine agonist.
- Boys puberty
- Sulfonamides
- Parkinson dz (Correct answer)
- Pharyngitis
Correct answer: Parkinson dz
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.
Question 7: The veins in Fundi are bigger than the arteries. <br> Cones: for 20/20 vision and color perception <br> Rods: used for night vision, depth perception, and light and shadow detection <br> The macula, which controls central vision, is an anatomical structure. <br> 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. <br> Cobblestoning: Atopic pt, allergic rhinitis, and allergic conjunctivitis may all present with moderately increased lymphoid tissue that resembles "cobblestone" in the inner conjunctiva. <br> 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,
- Erythema migrans
- Eyes normal finding (Correct answer)
- Dicloxacillin
- Oral steroids
Correct answer: Eyes normal finding
Normal assessments include the contraction and dilation of each pupil in reaction to light.
Question 8: The family nurse practitioner will have the patient make quick, alternating movements with their hands to test for:
- Reflex arc functioning
- Cerebellar functioning (Correct answer)
- Stereognostic functioning
- Cognitive functioning
Correct answer: Cerebellar functioning
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.
Question 9: 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 ____.
- acute prostatitis (Correct answer)
- prostatic hyperplasia
- prostatic abscess
- chronic prostatitis
Correct answer: acute prostatitis
In young males, acute prostatitis is caused by gonorrhea or other bacterial infections.
Question 10: 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 ____.
- tyrosinemia
- hepatitis B (Correct answer)
- malaria
- tularemia
Correct answer: hepatitis B
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.
Question 11: 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 _____.
- inhibiting the binding of testosterone to cancer cells.
- blocking the release of follicle-stimulating hormone (FSH) and luteinizing hormone (LH). (Correct answer)
- inhibiting the progression of cancer cells through the cell cycle.
- inhibiting the progression of cancer cells through the cell cycle.
Correct answer: blocking the release of follicle-stimulating hormone (FSH) and luteinizing hormone (LH).
To prevent the production of FSH and LH, the IM injections of goserelin acetate (Zoladex) and leuprolide acetate (Lupron) are used.
Question 12: Determining occupational exposure to illness might be challenging because of the following _____.
- reliance on workers' memories
- confidentiality of the information within company records
- inaccuracy of occupational disease reporting
- long latency period between exposure and disease development (Correct answer)
Correct answer: long latency period between exposure and disease development
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.
Question 13: 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?
- Thyroid function study
- Blood urea nitrogen level
- Complete blood count (Correct answer)
- Liver function study
Correct answer: Complete blood count
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.
Question 14: A 42-year-old patient with epistaxis, dilated pupils, tachycardia, and slight euphoria exhibits signs of using ______.
- cocaine (Correct answer)
- morphine sulfate (MS Contin)
- oxycodone hydrochloride (OxyCONTIN)
- alprazolam (Xanax)
Correct answer: cocaine
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.
Question 15: A mild initial heart sound with a holosystolic apical murmur radiating to the left axilla during cardiac auscultation suggests _____.
- mitral stenosis
- aortic stenosis
- mitral valve prolapse
- mitral regurgitation (Correct answer)
Correct answer: mitral regurgitation
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.
Question 16: Myocardial infarction patient visits clinic for atorvastatin calcium refill (Lipitor). The family nurse practitioner knows that the prescription is for _____.
- secondary prevention
- tertiary prevention (Correct answer)
- cancer prevention
- primary prevention
Correct answer: tertiary prevention
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.
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