Risk Assessment & Management 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 Risk Assessment & Management flashcards as text
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?
Answer: Order fasting plasma glucose and HbA1c
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.
Which clinical feature MOST increases the pretest probability for pulmonary embolism when using the Wells PE scoring system?
Answer: Clinical signs and symptoms of DVT
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.
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?
Answer: 4
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.
When assessing a patient for elder abuse, which screening tool is MOST recommended for use in primary care?
Answer: Elder Assessment Instrument (EAI)
The Elder Assessment Instrument (EAI) is a validated, widely recommended tool for systematically screening for signs and symptoms of elder abuse, neglect, and exploitation.
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?
Answer: Gestational hypertension
Gestational hypertension is defined as new-onset BP ≥140/90 mmHg after 20 weeks of gestation without proteinuria or other systemic features of preeclampsia.
A nurse practitioner calculates a patient's Framingham Risk Score at 18%. Which medication class should be discussed in addition to lifestyle modification?
Answer: Statin therapy
A 10-year Framingham cardiovascular risk ≥10% (high risk) warrants statin therapy discussion in addition to lifestyle changes per primary prevention guidelines.
Which validated tool is MOST appropriate for assessing delirium risk in a hospitalized elderly patient?
Answer: Confusion Assessment Method (CAM)
The Confusion Assessment Method (CAM) is the most widely validated and used bedside tool for identifying delirium in hospitalized patients.