NP Risk Assessment & Management 2

Question 1

A 72-year-old patient scores 18 on the Morse Fall Scale. Which intervention is MOST appropriate?

Accepted Answer

Initiate bed alarms, non-slip footwear, and hourly rounding

Answer

A Morse Fall Scale score ≥25 indicates high risk; multi-component interventions including bed alarms, non-slip footwear, and hourly rounding are evidence-based fall prevention strategies.

Question 2

When using the Wells criteria to assess DVT risk, which finding adds the MOST points to the pretest probability score?

Accepted Answer

Paralysis or recent cast immobilization of a lower extremity

Answer

Paralysis, paresis, or recent plaster immobilization of the lower extremities adds 1 point, but the 'alternative diagnosis at least as likely' deducts 2 points, making immobilization a key positive contributor.

Question 3

A nurse practitioner screens a 55-year-old male smoker for abdominal aortic aneurysm (AAA). Per USPSTF guidelines, what is the recommended screening test and frequency?

Accepted Answer

One-time abdominal ultrasound between ages 65–75

Answer

The USPSTF recommends one-time abdominal ultrasound screening for AAA in men aged 65–75 who have ever smoked (≥100 cigarettes lifetime).

Question 4

Which tool is BEST validated for assessing suicide risk in the primary care outpatient setting?

Accepted Answer

Columbia Suicide Severity Rating Scale (C-SSRS)

Answer

The C-SSRS is the gold-standard, widely validated tool specifically designed to stratify suicide ideation and behavior severity across clinical settings.

Question 5

A diabetic patient's 10-year ASCVD risk is calculated at 12%. According to ACC/AHA guidelines, which statin therapy intensity is recommended?

Accepted Answer

Moderate-intensity statin therapy

Answer

Patients with diabetes aged 40–75 with 10-year ASCVD risk ≥10% should receive high-intensity statin therapy per ACC/AHA 2019 guidelines.

NP - Nurse Practitioner Practice Test

NP - Nurse Practitioner Practice Test

NP Risk Assessment & Management 2