Practice Test GeeksNP - Nurse Practitioner Practice Test
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Family Nurse Practitioner Flashcards

7 cards from real NP practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 7 Family Nurse Practitioner flashcards as text

  1. A 6-year-old child is brought in for enuresis. He was previously dry at night but began wetting the bed 3 months ago after starting school. This is best classified as:

    Answer: Secondary nocturnal enuresis

    Secondary enuresis refers to bedwetting that recurs after a dry period of at least 6 months, often triggered by psychosocial stressors like starting school.

  2. Which finding is most consistent with iron deficiency anemia rather than anemia of chronic disease?

    Answer: Low serum iron with high TIBC

    Iron deficiency anemia shows low serum iron with elevated TIBC (transferrin is upregulated), whereas anemia of chronic disease shows low iron with low or normal TIBC.

  3. A patient presents with palpitations, dyspnea, and an irregularly irregular pulse. ECG shows no discernible P waves and a ventricular rate of 130 bpm. Initial management should include:

    Answer: Rate control with IV metoprolol or diltiazem

    For hemodynamically stable atrial fibrillation with rapid ventricular rate, rate control with AV nodal blocking agents (beta-blockers or non-dihydropyridine CCBs) is the priority.

  4. A 22-year-old female presents with dyspareunia, mucopurulent cervical discharge, and cervical motion tenderness. The most appropriate empiric treatment is:

    Answer: Ceftriaxone 500mg IM plus doxycycline 100mg BID x 14 days

    Pelvic inflammatory disease is treated with ceftriaxone (for gonorrhea) plus doxycycline with or without metronidazole, per CDC guidelines.

  5. During a routine visit, a 75-year-old patient reports falling twice in the past 6 months. The most evidence-based intervention to reduce fall risk is:

    Answer: Refer for balance and strength exercise program

    Multifactorial fall prevention programs emphasizing balance and strength training (e.g., Tai Chi, physical therapy) have the strongest evidence for reducing falls in older adults.

  6. A 48-year-old male with no cardiac history presents with new-onset chest pain radiating to the jaw, diaphoresis, and ST elevations in leads V1–V4. After aspirin, the next most critical intervention is:

    Answer: Urgent PCI (percutaneous coronary intervention)

    STEMI requires immediate reperfusion; primary PCI is the gold standard when available within 90 minutes (door-to-balloon time).

  7. A 5-year-old child with a 4-day history of fever, strawberry tongue, cracked lips, bilateral conjunctival injection, rash, and cervical lymphadenopathy (1.5 cm node) is diagnosed with Kawasaki disease. First-line treatment is:

    Answer: IVIG 2g/kg single infusion plus high-dose aspirin

    IVIG 2g/kg plus high-dose aspirin is the standard treatment for Kawasaki disease to reduce fever duration and prevent coronary artery aneurysms.