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 50-year-old African American male has a blood pressure of 138/88 mmHg at two separate visits. Per JNC 8/ACC/AHA guidelines, what is the appropriate threshold for initiating pharmacologic treatment in this patient?
Answer: 130/80 mmHg
ACC/AHA 2017 guidelines recommend initiating antihypertensive therapy in adults with stage 1 hypertension (≥130/80 mmHg) who have 10-year ASCVD risk ≥10%.
Which factor is MOST associated with increased risk of opioid misuse when initiating opioid therapy for chronic pain?
Answer: History of substance use disorder
A personal history of substance use disorder is the strongest predictor of opioid misuse risk and should be carefully weighed using validated tools such as the ORT before prescribing.
A nurse practitioner uses the STOP-BANG questionnaire and a patient scores 5. What is the appropriate next step in management?
Answer: Refer for polysomnography (sleep study)
A STOP-BANG score ≥3 indicates high risk for obstructive sleep apnea (OSA), and a score of 5 warrants referral for polysomnography to confirm the diagnosis.
When performing a skin cancer risk assessment, which patient characteristic carries the HIGHEST independent risk for melanoma?
Answer: Use of indoor tanning beds before age 35
Indoor tanning bed use before age 35 increases melanoma risk by 59–75% and is classified as a Group 1 carcinogen by the IARC.
A 60-year-old male is prescribed warfarin for atrial fibrillation. Which tool BEST assesses his bleeding risk?
Answer: HAS-BLED
The HAS-BLED score is the most widely used and validated tool to estimate major bleeding risk in patients on anticoagulation for atrial fibrillation.
A nurse practitioner is seeing a 28-year-old female patient who discloses intimate partner violence. Which action is the HIGHEST priority?
Answer: Assess immediate safety and provide referrals to local resources
The immediate priority in IPV disclosure is assessing the patient's current safety and connecting her with resources; mandatory reporting of adult IPV is NOT required in most US states.
Which laboratory finding MOST strongly suggests an increased perioperative cardiac risk in a patient undergoing elective non-cardiac surgery?
Answer: BNP level of 350 pg/mL
Elevated preoperative BNP (>92 pg/mL) is a strong independent predictor of major adverse cardiac events (MACE) after non-cardiac surgery per the ACC/AHA guidelines.