FREE Family Nurse Practitioner Practice Questions and Answers
Lea, 29, has been identified as having urticaria and has a number of transitory lesions that appear and go. What will you get?
Antihistamines must be used on a regular basis for transient urticaria.
Ann, 49, experiences everyday asthma problems. Her daily routine includes taking her inhaled short-acting beta-2 agonist. At least twice a week, her exacerbations impede her activities and may last days. She has a nighttime exacerbation more frequently than once per week. Which level of asthma severity does Ann fall under?
Ann's asthma is moderately persistent, which is stage 3. This is because she experiences symptoms on a daily basis, with exacerbations limiting her ability to function, and nighttime symptoms that occur more than once a week.
Jan's mother suffers from Alzheimer's disease (AD). According to Jan, her mother has a terrible short-term memory, is constantly getting lost, mistaking the wrong people for the right ones, and is too tired to do much of anything. "Is this as bad as it gets?" Jan asks. What do you tell her about the mother's condition?
Depression and significant personality changes characterize Stage 3. Directions must be clear and repeated often for safety reasons, recent memory is weak, confusion happens quickly, persons are often misidentified, and the person may be drowsy. Depression and significant personality changes characterize Stage 3. Directions must be clear and repeated often for safety reasons, recent memory is weak, confusion happens quickly, persons are often misidentified, and the person may be drowsy.
After a car accident, Barbara, age 27, had her spleen removed. Since she was released from the hospital, this is the first time you have seen her at the office. She inquires about the long-term effects of her procedure. What is your response?
Spleens aren't necessary. When removed, the liver and bone marrow take over its functions. Even though the bone marrow makes and stores hematopoietic stem cells, from which all the cells in the blood are made, it does not remove iron from old red blood cells so that it can be used again.
Which of the following shows that there are more bacteria or proteins present than usual in a urine sample, which is found in severe renal illness and may also be a sign of urinary calculi?
Increased levels of casts in a urine sample suggest the presence of bacteria or protein, which is found in severe renal impairment and may also be a sign of urinary calculi.
Patients over 60 are more likely to get cataracts. You advise your patient that the following is the best treatment for cataracts _____.
Corrective lens surgery: the best way to treat a cataract is through surgery, which removes the damaged lens and replaces it with an artificial one.
As an advanced practice registered nurse, you work in an emergency room (APRN). An adolescent guy who was hit by a car and is brought in unconscious and with a head injury. He is unaccompanied by an adult and without proper identification. What would you do?
When you can't get in touch with a parent or guardian to get their permission for treatment and the situation is urgent or life-threatening, you are permitted to treat minors under the emergency treatment exemption. Transfusions are included here, when needed. Any medical condition that poses a significant risk of death, substantial disability, or extreme pain meets the legal definition of an emergency.
After a car accident, you are looking at a patient in the critical care unit (ICU). The intubated patient responds to spoken orders by opening his eyes. On the Glasgow Coma Scale, how would you rate his level of consciousness when his eyes opened?
The Glasgow Coma Scale (GCS) assigns a score of 3 for eye opening in response to vocal orders, which is used to determine a patient's state of awareness.
When Trina, 59, arrives for her yearly physical, she has no specific problems. Nonetheless, she has been diagnosed with type 2 diabetes mellitus (DM), mild hypertension, dyslipidemia, and central obesity. How would you make the diagnosis?
These medical issues belong to a larger group known as the metabolic syndrome. Metabolic syndrome is a group of symptoms that increase your risk of heart disease, stroke, and type 2 diabetes. These disorders include excessive blood pressure, high blood sugar, extra body fat around the waist, and abnormal cholesterol or triglyceride levels.
Six-year-old Doug presents with abdominal distention and discomfort, a right abdominal mass, a fever, and microscopic hematuria. No precipitating event has occurred. What are your suspicions?
Abdominal distention or an abdominal mass are frequent symptoms in children with Wilms tumors. Additionally, there can be a fever, stomachache, or hematuria. Following surgical removal of the kidney tumor, chemotherapy is required. There is no need for radiation therapy.
Which kind of antihypertensives may cause problems for diabetics?
Patients with diabetes who have cardiac issues or hypertension may be administered beta blockers, which reduce blood pressure and heart rate. Beta blockers may also prevent signals of low blood sugar, impact cholesterol and triglyceride levels, and increase the risk of blood clots. People with diabetes who use beta blockers should periodically check their blood sugar levels and discuss the advantages and disadvantages of this medication with their doctor.
An African American man in his mid-fifties seeking medication management comes into your primary care office with recently discovered hypertension. His blood pressure is 145/95 as of right now. He says he doesn't have a headache, impaired vision, chest discomfort, or trouble breathing. Which drug would you prescribe him first?
The prescription medication amlodipine is used to treat high blood pressure and chest discomfort. It is a calcium channel blocker. In order to improve blood flow, it relaxes blood vessels.
Tina, a 34-year-old AIDS patient, is experiencing diarrhea right now. What kind of protozoal infection of the bowel do you think she has?
In immunocompromised patients, the protozoal infection of the bowel known as cryptosporidiosis is common. It results in minor inflammatory alterations and villous atrophy, and it may release an enterotoxin.
Which change in lifestyle lowers the risk of death most when it comes to coronary heart disease?
Smoking lowers the risk the most, by 12%, compared to physical activity, which lowers the risk by 5%.
Which of the following neoplasms is considered to be benign?
A benign neoplasm of the smooth muscle is called a leiomyoma.
You are thinking about giving a patient bupropion (Wellbutrin) to help them quit smoking and deal with depression. What about the patient's health history would make you not want to prescribe this?
Bupropion is not recommended for use in individuals who have a history of seizures since it reduces a patient's seizure threshold.