Free Family Nurse Practitioner Question and Answers — Questions and Answers
Question 1: The ideal test for temporal arteritis is:
- Occurs in the third trimester of pregnancy and presents with bright red painless bleeding
- Central retinal artery until proven otherwise
- Biopsy of the temporal artery refers the patient to ophthalmologists for mgt. (Correct answer)
- None of the above
Correct answer: Biopsy of the temporal artery refers the patient to ophthalmologists for mgt.
An ophthalmologist or vascular surgeon would often perform a temporal artery biopsy, which is an outpatient operation.
Question 2: What is McMurray's sign:
- Positive in meniscus injuries of the knee (Correct answer)
- Variation in red blood cell size
- Problem is anterior to the chiasm
- None of the above
Correct answer: Positive in meniscus injuries of the knee
The patient must be relaxed and supine to perform McMurray's test. The examiner holds the patient's heel in one hand and the knee joint line in the other. The knee is fully extended and rotated either internally (medial meniscus) or externally (lateral meniscus).
Question 3: X-rays should be ordered first, but MRI is preferred.
- Damaged Joints (Correct answer)
- Lupus
- Cheilosis
- None of the above
Correct answer: Damaged Joints
MRIs are more flexible and are used by doctors to examine a wide range of medical issues. For instance, x-rays are more frequently used to examine damaged bones, but they can also aid in the discovery of sick tissue. MRIs work better for assessing soft tissues such brain tumors, spinal cord injuries, and tendon and ligament injuries.
Question 4: Micoaneurysms, hard exudates, cotton wool patches, and neovascularization
- Diabetic retinopathy (Correct answer)
- Atopic dermatitis
- Acute diverticulitis
- None of the above
Correct answer: Diabetic retinopathy
A consequence of diabetes called diabetic retinopathy is brought on by high blood sugar levels harming the retina, which is the back of the eye. If undetected and mistreated, it can result in blindness.
Question 5: Deep tendon reflex testing:
- absent(0),hypoactive (1)normal(2)hyperactive(3)clonus(4) (Correct answer)
- Quinsy (collection of pus b/t tonsil & capsule of tonsillar pillar)
- Undescended testes left testicle hangs lower than the right one
- none of the above
Correct answer: absent(0),hypoactive (1)normal(2)hyperactive(3)clonus(4)
The DTR can be quickly and easily tested, but for a solid result, a certain technique is needed. An examination hammer is used to tap the muscle tendon, and the response is then graded and observed. The patient should be as at ease as feasible for efficient and dependable results.
Question 6: An uncommon yet severe side effect of ACE inhibitors is:
- Angioedema (Correct answer)
- Glaucoma
- Bullae
- none of the above
Correct answer: Angioedema
Angioedema, which affects 0.1-0.2% of people, is the most serious side effect of ACE inhibitors. The basic characteristics of angioedema include airway swelling and blockage brought on by fluid (and bradykinin) buildup.
Question 7: Taking ACE inhibitors frequently results in a
- Rice(rest, ice, compression , elevation)
- Ibuprofen, naproxen(aleve, anaprox)
- Dry cough(10%) (Correct answer)
- none of the above
Correct answer: Dry cough(10%)
Dry cough is one of the potential ACE inhibitor side effects. Hyperkalemia, or elevated blood potassium levels, fatigue
Question 8: When an elderly patient's HIV infection is discovered, zidovudine is prescribed (Retrovir). Which diagnostic procedure is useful in determining the drug's side effects?
- Serum glucose
- Complete blood count (Correct answer)
- Hemoglobin A1
- Immunodeficiency panel
Correct answer: Complete blood count
The results of a complete blood count (CBC), a diagnostic test, can be used to evaluate the adverse effects of the drug zidovudine (Retrovir). Hematologic side effects of Retrovir (zidovudine), particularly in patients with advanced human immunodeficiency virus (HIV) illness, include neutropenia and severe anemia1. CBC can aid in the detection of these adverse effects.
Question 9: When a patient is being examined physically, the facial nerve's health can be determined by asking them to:
- puff out both cheeks (Correct answer)
- clench their teeth
- extrude their tongue
- produce a big yawn
Correct answer: puff out both cheeks
During a physical examination, the patient's ability to puff out both cheeks can be used to determine the facial nerve's health. This is a component of the cranial nerve examination, which measures how well the 12 pairs of cranial nerves in the head and neck are functioning.
Question 10: Which method of health promotion would be best for patients of adolescent age who are overweight?
- Presentation of video case studies
- Individual-based behavior modification
- Motivational interviewing (Correct answer)
- Parental regulation of meals
Correct answer: Motivational interviewing
It has been discovered that the health promotion method of motivational interviewing works well in treating obese teenagers. It is a patient-centered, directive counseling approach that relies on intrinsic motivation. Research has shown that it can help people overcome ambivalence, increase intrinsic motivation, and boost confidence in their capacity to change their behavior.
Question 11: If a nursing woman develops postpartum mastitis, the family nurse practitioner will recommend that she take the recommended antibiotics and also:
- pump the unaffected breast with a lactation pump
- take cool showers
- temporarily switch to formula
- continue to nurse with both breasts (Correct answer)
Correct answer: continue to nurse with both breasts
A family nurse practitioner will advise a nursing mother to continue using both breasts while taking the prescribed antibiotics she develops postpartum mastitis. This will assist in maintaining milk production and preventing breast engorgement.
Question 12: The family nurse practitioner correlates the following in order to adhere to rules regarding documentation and third-party payor reimbursement:
- medication orders and treatment plans with electronic billing
- evaluation and management codes with history, examination, and medical decision-making (Correct answer)
- patient privacy with informed consent
- health outcomes with physical examination findings and plans of care
Correct answer: evaluation and management codes with history, examination, and medical decision-making
To meet requirements for reimbursement and documentation from third-party payors, the family nurse practitioner links evaluation and management codes with the patient's history, physical examination, and medical decisions. Many E/M codes need the coder to determine the type of history, examination, and medical decision-making, which may necessitate employing specialized grids and tables to verify requirements.
Question 13: When estrogen-using women reach perimenopause, why do doctors typically prescribe a progestational medication?
- Prevent osteoporosis
- Decrease the risk of endometrial hyperplasia (Correct answer)
- Promote growth of the uterine lining
- Prevent hot flashes
Correct answer: Decrease the risk of endometrial hyperplasia
To lessen the risk of endometrial hyperplasia, progestational medications are typically given to perimenopausal women who use estrogen. To prevent estrogen-related endometrial hyperplasia, progestational medicine is used in conjunction with estrogen therapy.
Question 14: Viral conjunctivitis can be treated with:
- hot compresses
- antihistamine/decongestant drops
- steroid eyedrops
- cold compresses (Correct answer)
Correct answer: cold compresses
You can use cold compresses and artificial tears, which are available over the counter without a prescription, to help reduce some of the inflammation and dryness brought on by conjunctivitis. Additionally, you should refrain from using contact lenses until your ophthalmologist gives the all-clear.
Question 15: Which medicine is linked to higher lipoprotein levels?
- Hydrochlorothiazide (Microzide) (Correct answer)
- Triamterene (Dyrenium)
- Furosemide (Lasix)
- Spironolactone (Aldactone)
Correct answer: Hydrochlorothiazide (Microzide)
For high blood pressure, doctors frequently give hydrochlorothiazide (Microzide). It belongs to a group of drugs called diuretics, sometimes referred to as water pills. Some diuretics, such as hydrochlorothiazide, might temporarily increase low-density lipoprotein (LDL) cholesterol and triglycerides when taken at high dosages of 50 mg or more.
Question 16: Guidelines for clinical practice should:
- mandate practice decisions
- protect nurses from legal liability
- serve as a handbook for best practice (Correct answer)
- increase variations in clinical care
Correct answer: serve as a handbook for best practice
For high blood pressure, doctors frequently give hydrochlorothiazide (Microzide). It belongs to a group of drugs called diuretics, sometimes referred to as water pills. Some diuretics, such as hydrochlorothiazide, might temporarily increase low-density lipoprotein (LDL) cholesterol and triglycerides when taken at high dosages of 50 mg or more.
Free Family Nurse Practitioner Question and Answers
The ideal test for temporal arteritis is: