NP Risk Assessment & Management 3

Question 1

A 45-year-old patient presents with hypertension, obesity (BMI 34), and a family history of type 2 diabetes. Using the ADA risk assessment, what is the MOST appropriate next step?

Accepted Answer

Order fasting plasma glucose and HbA1c

Answer

Adults with risk factors for type 2 diabetes should be screened with fasting plasma glucose or HbA1c per ADA guidelines, as early detection enables timely intervention.

Question 2

Which clinical feature MOST increases the pretest probability for pulmonary embolism when using the Wells PE scoring system?

Accepted Answer

Clinical signs and symptoms of DVT

Answer

Clinical signs and symptoms of DVT (objective leg swelling and pain on palpation) contribute 3 points—the highest single-item score—on the Wells PE criteria.

Question 3

A nurse practitioner is using the CHADS2-VASc score for a 70-year-old female with hypertension and heart failure but no prior stroke. What is her score?

Accepted Answer

4

Answer

She earns: 1 for heart failure, 1 for hypertension, 1 for age 65–74, 1 for female sex = CHA2DS2-VASc score of 4, indicating anticoagulation is warranted.

Question 4

When assessing a patient for elder abuse, which screening tool is MOST recommended for use in primary care?

Accepted Answer

Elder Assessment Instrument (EAI)

Answer

The Elder Assessment Instrument (EAI) is a validated, widely recommended tool for systematically screening for signs and symptoms of elder abuse, neglect, and exploitation.

Question 5

A 32-year-old pregnant woman at 28 weeks is found to have a blood pressure of 148/96 mmHg on two readings 4 hours apart with no proteinuria. What is the MOST likely diagnosis?

Accepted Answer

Gestational hypertension

Answer

Gestational hypertension is defined as new-onset BP ≥140/90 mmHg after 20 weeks of gestation without proteinuria or other systemic features of preeclampsia.

NP - Nurse Practitioner Practice Test

NP - Nurse Practitioner Practice Test

NP Risk Assessment & Management 3