FREE Family Nurse Practitioner Skill Questions and Answers

Question 1

Congestive heart failure has recently been diagnosed in Greg, age 68. (CHF). Which medicine should be stopped for him?

Accepted Answer

Nifedipine (Procardia XL) for long-term management of his chronic stable angina.

Answer

Hydrochlorothiazide (HydroDIURIL) for his hypertension.

Answer

Butalbital for his headaches.

Answer

Enalapril (Vasotec) for his hypertension.

Question 2

What statement about mitral regurgitation is correct?

Accepted Answer

It may be noted as a holosystolic murmur.

Answer

It occurs only as a result of congenital malformation of the mitral valve, which inhibits contact and closure of the cusps.

Answer

It results in a prolonged PR interval on electrocardiogram.

Answer

It is caused by stiff leaflets that limit flow from the left atrium to the left ventricle.

Question 3

Gary, a healthy 16-year-old kid, is getting a sports physical examination. Which question from the past should the doctor ask Kevin or his parent?

Accepted Answer

Did anyone in your family ever have sudden cardiac death?

Answer

Does anyone in your family have a history of asthma?

Answer

Does anyone in your family have elevated cholesterol levels?

Answer

Did you ever have any injury requiring stitches?

Question 4

Which patient would you recommend getting the HPV vaccine for?

Accepted Answer

Sally, age 17, who had a baby 6 months ago and is breastfeeding.

Answer

Jean, age 25, who is pregnant.

Answer

Cess, age 7.

Answer

Rhea, age 18, who is allergic to yeast.

Question 5

Angelo, age 35, says he recently returned from a business trip and feels strange pressure in his ear, therefore he believes he has an ear infection. Your barotrauma diagnosis. What will you do next?

Accepted Answer

Prescribe nasal steroids and oral decongestants.

Answer

Prescribe systemic antibiotics.

Answer

Refer Max to an ear, nose, and throat specialist.

Answer

Prescribe antibiotic ear drops.

Question 6

In parasite infections, hypersensitivity reactions, and autoimmune diseases, which white blood cell type is elevated?

Accepted Answer

Eosinophils

Answer

Monocytes

Answer

Neutrophils

Answer

Basophils

Question 7

Leo, a 22-year-old stock boy, is experiencing severe low back pain. If the nurse practitioner prescribes an NSAID, the patient should be taught about which of the following?

Accepted Answer

Beginning lower back strengthening exercises depending on pain tolerance.

Answer

Wearing a Boston brace at night.

Answer

Maintaining moderate bed rest for 3 to 4 days.

Answer

Calling the office for narcotic medication if there is no relief with the NSAID after 24 to 48 hours.

Question 8

An important point to emphasize when teaching Janice, age 77, to use a cane due to osteoarthritis of her left knee, is ______.

Accepted Answer

Advancing the cane with the ipsilateral leg.

Answer

Making sure the cane length equals the height of the iliac crest.

Answer

Carrying the cane in the ipsilateral hand.

Answer

Making sure the cane length equals the height of the iliac crest.

Question 9

Place the tips of your first two fingers in front of each ear and ask the patient to open and close his mouth in order to assess him. Next, check to see if the mandible moves smoothly by placing your fingers into the depressed area over the joint. By doing this, you are trying to ensure _____.

Accepted Answer

Temporomandibular joint syndrome.

Answer

Mastoid inflammation.

Answer

Well-positioned permanent teeth or well-fitting dentures.

Answer

Maxillomandibular integrity.

Question 10

Sharon, 52, has four children and a demanding job. After a normal physical exam, she states that she suffers from insomnia. You suggest several changes to one's daily routine that may improve sleep quality. You know she doesn't understand when she says which of the following?

Accepted Answer

I'll exercise in the evening to tire myself out before bed.

Answer

I'll try some valerian extract from the health food store.

Answer

I'll wind down before bedtime by taking a warm bath or by reading for 10 minutes.

Answer

I'll try some valerian extract from the health food store.