Download APEA Nurse Practitioner NP APEA – 3P Pharma, Patho and Physical Assessment Final Exam Revi and more Exams Pharmacology in PDF only on Docsity!
University of Cincinnati
Cincinnati, Ohio
APEA - Advanced Practice Education
Associates
3P Pharmacotherapeutics, Pathophysiology
and Physical Assessment Exam
Course Title and Number: 3P Pharmacotherapeutics, Pathophysiology and Physical Assessment Exam Exam Title: Board Exam Exam Date: Exam 2024- 2025 Instructor: [Insert Instructor’s Name] Student Name: [Insert Student’s Name] Student ID: [Insert Student ID]
Examination
180 minutes
Instructions:
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APEA - Advanced Practice Education Associates 2024- 2025 Nurse Practitioner NP APEA – 3P Pharma, Patho and Physical Assessment Final Exam Review Questions with Correct Answers | 100% Pass Guaranteed | Graded A+ | Read All Instructions Carefully and Answer All the Questions Correctly Good Luck: - When performing a visual acuity test the nurse practitioner notes 20/30 in the left eye and 20/40 in the right eye using the Snellen eye chart. This means: - Answer>> Refer the patient to an opthalmologist The American psychiatric association's diagnostic and statistical manual of mental disorder defines Munchausen Syndrome By Proxy - Answer>> A caregiver making up or causing an illness or injury in a person under his or her care Symptoms of depression are a side effect of which neurotransmitter medication? - Answer>> Dopamine (serotonin, norepinephrine) Which lesion is dark raised and asymmetric with irregular border? - Answer>> Melanoma A 32 years old woman presents with dull puffiness of the ayes pronounced not pitting periorbital edema this finding is suggestive of this condition? - Answer>> Myxedema
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What medication should be avoided when prescribe prophylactic therapy for headache - Answer>> Venlataxin (Effexor) What is the mechanism of action of prostaglandin E (PG1) in a patient with transposition of the great arteries - Answer>> To produce vasodilation on.... Which of the following complaints best describes lower extremity calf pain associated with peripheral artery disease - Answer>> A dull pain or cramp Which of the following conditions is NOT a typical finding of hyperprolactinemia in a 47- year-old premenopausal woman? - Answer>> Gynecomastia When treating a patient with asthma who is experiencing acute wheezing which medication should be given to relieve the symptom? - Answer>> Short acting bronchodilator Which immunization reduces a patient's risk for infection with the virus that causes painful localized blistering rash? - Answer>> Shingles (herpes zoster) vaccine Headache warning signs that need prompt investigation include all of the following EXCEPT: - Answer>> Headache relieved with mild infrequent use of analgesics
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The client with iron deficiency anemia should be advised to take the iron supplement - Answer>> on an empty stomach between meals Which one of the following statements is true of Munchausen syndrome by proxy? - Answer>> Under the supervision of adults other than the abuser, the patient does not exhibit symptoms Which of the following is the most common presenting sign of substance abuse in adolescents? - Answer>> Changes in behavior A woman is 11 weeks pregnant and has a maternity history of one full term vaginal delivery, a set of premature triplets delivered vaginally, and a first trimester abortion. Using her TPAL system to document her maternal status - Answer>> Gravida 4 Para 1114 The nurse practitioner palpates an enlarged right epitrochlear lymph node in a 30 years old patient. The Nurse Practitioner should asses the patents - Answer>> Right forearm and hand Anticholinergics are indicated for the treatment of - Answer>> urge incontinence A patient presents with signs of chest pain, the nurse practitioner observes jugular venous distention. Their finding is consistent with - Answer>> heart failure On examination of the neck, a dome shaped lesion in the dermis forming a benign closed firm sac attached
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What intervention does the American College of Rheumatology recommend as first line therapy for Osteoarthritis, rheumatoid arthritis or something else - Answer>> Exercise and weight loss Which of the following drugs is not contraindicated for concurrent use with warfarin (Coumadin)? - Answer>> Amoxicillin The lymphatic ducts drain into the - Answer>> venous system Which of the following is the most appropriate treatment for trichomoniasis in a non- pregnant woman? - Answer>> Flagyl Osteosarcoma in a pediatric patient is most often diagnosed when there is: - Answer>> Pain in the affected bone In a patient who has a history of migraine headaches, which characteristics is most common? - Answer>> Family history Symptoms associated with small bowel obstruction usually include: - Answer>> nausea vomitting Unilateral rhinitis could be caused by all of the following except - Answer>> Drug induced rhinitis A 7 years old child has been diagnosed with acute sinusitis. The drug class that should be avoided is: - Answer>> Antihistimines
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A patient present with an elongated head with bony prominence of the forehead, nose and lower jaw. These facial features could be suggestive of: - Answer>> Acromegaly Why would a child diagnosed with beta thalassemia and hemosiderosis receive deferoxamine (desferal)? - Answer>> To eliminate excessive iron and prevent organ damage A patient has newly diagnosed hypothyroidism. What are the patients TSH level expected to be? - Answer>> Higher than normal Which of the following symptoms would be a clinical manifestation noted during the secondary stage of syphilis? - Answer>> Rash marked by red or reddish- brown, penny-sized lesions over the palms and soles An 84yo male with prostatic hypertrophy is at an increased risk of - Answer>> UTIs A characteristic lesion observed in a male with primary syphilis is a: - Answer>> Chancre During an acute attack of gout, the nurse practitioner knows NOT to prescribe - Answer>> Allopurinol (zyloprim) What two vitamins and minerals should be included in oral multivitamins in women - Answer>> folic acid and iron
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The medication that blocks the transportation of glucose across the intestines into the blood stream to target prandial blood glucose is: - Answer>> Acarbose (Precose) Prostate pain is usually located in the: - Answer>> Perineum A nurse practitioner examines the skin of an elderly patient which finding below is NOT benign lesion associated with the aging process? - Answer>> Dermatophytosis (ringworm) A 65-year-old male presents with findings of symmetric thorax with moderate kyphosis and anterior diameter. Chest expansion is decreased and the diaphragm descending 2 cm bilaterally. These findings relate to: - Answer>> COPD Phenazopyridine (Pyridium) is recommended for very short-term use in patients with urinary tract infections (UTIs) because: - Answer>> Occurence of hemolytic anemia Estrogen-progestin contraceptives should be avoided in women with: - Answer>> migraines with aura The addition of benzoyl peroxide to erythromycin for the topical treatment of acne: - Answer>> Improves the efficacy of erythromycin
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An elderly male with benign prostate hyperplasia (BPH) should be advised to avoid antihistamines. What is the reason for this? - Answer>> Urinary retention Examination of the hair reveals a fine silky appearance. This finding may be seen in patients that have: - Answer>> Hyperthyroidism A patient develops a cough secondary to an angiotensin-converting-enzyme (ACE). The most appropriate statement related to ACE-I cough is that the cough typically: - Answer>> Resolves within a week after stopping the ACE inhibitor A patient with a diagnosis of giardiasis is being treated with metronidazole (flagyl). What information would be important to obtain before prescribing this medication?
- Answer>> If the patient drinks alcohol A 20 years old male living in the college dorm, complains of a dry cough for the past month. Assessment finding associated with an atypical, community acquired pneumonia would include: - Answer>> A low grade fever, malaise, and clear lung fields on auscultation The most appropriate medication indicated for reversing the anticoagulated effects of dabigatran etexilate (Pradaxa) - Answer>> Idarucizumab (Praxibind) A common pathological finding in a patient with asthma - Answer>> hypertrophy of smooth muscle
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Which one of the following statements about treating scabies with lindane (Kewell) is correct? - Answer>> Lindane lotion and/or shampoo is not considered first line therapy (know that Nix is the treatment) Symptoms consistent with later stage human deficiency disease (HIV) typically include all of the following except, - Answer>> persistent vomiting The earliest clinical manifestation of diabetic nephropathy is: - Answer>> Microalbuminuria When fluid accumulates between the visceral and parietal pleural spaces, the term used is: - Answer>> Pleural effusion Children born with down syndrome often have other anomalies. They especially require evaluation of what body system? - Answer>> Cardiac What finding is typical in a patient with a meniscal tear? - Answer>> Positive McMurray's test The nurse practitioner diagnoses a female patient with trichomoniasis. A common chief - Answer>> Vaginal Discharge When deciding on an initial treatment option for an acute flare of atopic dermatitis, unresponsive to emollient therapy, the next best choice for treatment is: - Answer>> Desonide 0.5%
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When examining the breast, the "tail of Spence" would be located - Answer>> laterally across the anterior axillary fold Headaches with symptoms of nausea and vomiting may be associated with all of the following, EXCEPT: - Answer>> tension headache Which of the following finding could indicate a need for further evaluation of the cardiac patient? - Answer>> LDL OF 190MG/DL Alpha-adrenergic blocker increases urine outflow in males by: - Answer>> Relaxing prostate smooth muscle The scoliosis patient who would cause the greatest concern for the nurse practitioner is a: - Answer>> 13 yo female with a 10* curve Which finding bellow would be unusual in a patient with diabetic retinopathy? - Answer>> Papilledema Where should the uterine fundus be palpable at 12 weeks? - Answer>> at the level of the symphysis pubis Ophthalmoscopic examination of a 40 years old carpenter reveals a triangular thickening of the bulbar conjunctiva across the outer surface of the cornea. This condition is termed: - Answer>> Pterygium- a growth of the conjunctiva that covers the cornea.
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Which group of lymph nodes are locating on the medial surface of the arm approximately 3 cm above the elbow? - Answer>> Epitrochlear nodes An elderly patient has been diagnosed with a cataract. What structure in the eye has become diseased? - Answer>> Lens A patient presents with pain in the shoulder. The nurse practitioner knows that there are four rotator cuff muscles. The muscle that initiates abduction movement at the shoulder is known as the: - Answer>> Supraspinatus A patient with bulimia is likely to be: - Answer>> of average weight Chronic bloody diarrhea could be suggestive of: - Answer>> Chron's disease On examination a patient is noted to have a "mask-like" face with decreased blinking and a characteristic stare. These features may be characteristic of: - Answer>> Parkinson's An appropriate initial treatment for benign positional vertigo is: - Answer>> Meclizine (Antivert) Conductive and sensorineural phases are necessary for hearing to take place. The sensorineural phase of hearing pathways involves the: - Answer>> cochlea and the cochlear nerve
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A 65 years old has a history of one kidney with early renal insufficiency. He is diagnosed with pneumonia and will require: - Answer>> lower dose of antibiotics A 44 years old male presents to the nurse practitioner for an employment physical and is concerned about testing positive for amphetamines on a drug screen, even though he is not taking amphetamines. His current medication list includes metformin, lisinopril, glyburide and bupropion. The most likely medication cause for a false positive result for amphetamines would be: - Answer>> Bupropion Bupropion is a commonly prescribed, monocyclic antidepressant often used as an aid for smoking cessation. Desmopressin acetate (DDAVP) nasal spray has been found to be useful in the management of enuresis in children. In which of the following situations is the drug especially beneficial? - Answer>> Sleepovers Rapid Human Immunodeficiency virus (HIV) testing would be appropriate for a patient with complains of - Answer>> painful urination, dyspareunia, and vaginal/penile discharge which of the following condition is NOT associated with the symptoms of hemoptysis? - Answer>> Viral pneumonia which condition is associated with end-stage renal disease in pediatric patients and requires recombinant erythropoietin treatment? - Answer>> Anemia
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lumbar flexion. The symptoms are consistent with: - Answer>> Spinal stenosis which is a true statement about varicose veins? - Answer>> They are more symptomatic during ovulation a 17 y/o is dx. With mild bronchospasm. Which of the following would provide relief? - Answer>> Inhaled levalbuterol (Xopenex) a common cause of decrease libido in men is due to? - Answer>> endocrine dysfunction what should be included in the initial tx of bacterial epididymitis in a sexually active 22 y/0 male? - Answer>> doxycycline and ceftriaxone which assessment findings are NOT associated with pyloric stenosis in a 2 month old infant? - Answer>> a bloated and tense tympanic abdomen Hyperkalemia is associated with - Answer>> diminished renal function the assessment of a 72 y/o male causes the NP to have concerns that the pt. is a suicide risk. Risk factors for suicide in the elderly do NOT include - Answer>> Retirement A pregnant pt presents for a routine 16 week prenatal visit. Her BP has decreased from 119/78 mm/Hg at her 12 week visit to 110/69 mmHg. What hemodynamic for
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the decrease BP? - Answer>> Decrease in systemic vascular resistance The most common treatment for Helicobacter pylori is a triple therapy, interpreted as: A. 2 antibiotics and proton pump inhibitor for 7-14days B. 3 different antibiotics for 7-20days C. 3 rounds of the same antibiotic over 3wks D. 2 proton pump inhibitors and 1 antibiotic for 7- 14days - Answer>> A. 2 antibiotics and proton pump inhibitor for 7-14days Patients with psoriasis frequently have: A. Pruritis, positive auspitz sign, and pitted nails B. Pruritus, pitted nails, and satellite lesions C. Pitted nails and plaques D. Dermatomal rash and satellite lesions - Answer>> C. Pitted nails and plaques Which condition is best treated using alpha adrenergic antagonist? A. Functional incontinence B. Renal insufficency C. urge incontinence D. Overflow incontinence - Answer>> D. Overflow incontinence A patient who is taking an oral glucocorticosteroid should be advised to: A. crush it in applesauce B. Chew it prior to a high fat meal C. Take it on an empty stomach D. Take it with food - Answer>> D. Take it with food
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