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A series of multiple choice questions and answers focusing on neurological examination. it covers various aspects of neurological assessment, including cranial nerve function, cerebellar function, and the diagnosis of conditions like alzheimer's dementia and multiple sclerosis. The questions are designed to test understanding of key concepts and clinical scenarios.
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__________visvavmedicationvthatvisvnotvstronglyvassociatedvwithvdrug- inducedvhepatitis/hepatotoxicity.v A.vMetforminv(Glucophage)v B.vTetracyclinev(Sumycin)v C.vMorphinev(Roxanol)v D.vGriseofulvinv(Gris-PEG)v-vCORRECTvANSWER-A.vMetforminv(Glucophage) 11 - 1.vAudrey,vav 53 - year-oldvwoman,vreportsvavrapidvonsetvofvright- sidedvfacialvweakness.vShevisvunablevtovturnvavsmilevonvthevrightvsidevandvunablevtovclosevhervrightve yevfully.vThisvpresentationvisvlikelyvparalysisvofvwhichvcranialvnerve?v A.vCNvVv B.vCNvVIIv C.vCNvIXv D.vCNvXv-vCORRECTvANSWER-B.vCNvVII 11 - 10.vAvmedicationvlikevdonepezilvcanvbevusefulvtovtreatvmildvandvmoderatevdementiavbecausevit:v A.vBlocksvcholinesterase,vresultingvinvavreversevofvcognitivevsymptomsv B.vStimulatesvthevreleasevofvcholinesterase,vstoppingvthevprogressionvofvcognitivevdeclinev C.vBlocksvcholinesterase,vresultingvinvstabilizationvofvcognitivevdeclinev D.vStimulatesvthevreleasevofvcholinesterase,vimprov-vingvcognitivevfunctionv-vCORRECTvANSWER- C.vBlocksvcholinesterase,vresultingvinvstabilizationvofvcognitivevdecline 11 - 11.vAv 72 - year- oldvmalevisvbroughtvinvbyvhisvdaughtervwhovreportsvthatvhervfathervseemsvtovhavevhadvsomevchangesv invhisvmemory.vHevrecentlyvlostvhisvcarvdowntownvandvhadvtovtakevavcabvhome.vShevasksvifvhervfather vhasvAlzheimer'svdementia.vWhatvresponsevbyvthevNPvisvbest?v
A.v"Don'tvworry.vThisvisvavnormalvpartvofvaging"v B.v"Asvlongvasvhevcanvstillvperformvactivitiesvofvdailyvliving,vthisvisvnotvdementia."v C.v"Wevwillvneedvfurthervtesting"v D.vProbablyvnot,vsincevwomenvarevmorevlikelyvtovdevelopvdementia."v-vCORRECTvANSWER- C.v"Wevwillvneedvfurthervtesting" 11 - 12.vThevNPvisvprovidingvcarevforvavpatientvdiagnosedvwithvAlzheimer'svdementia.vThevpatient'svsonvst atesvthatvhisvmomvoftenvwanders.vThevNPvdiscussesvwithvthevsonvwaysvtovensurevthatvhisvmomvrema insvsafe.vWhichvresponsevrequiresvimmediatevfollow-upvbyvthevNP?v A.v"Ivheardvthatvusingvmotionvdetectorsvonvdoorsvwithinvthevhomevcanvbevhelpful"v B.v"IvusuallyvleavevthevhousevkeysvandvcarvkeysvonvavrackvbyvthevdoorvbecausevIvoftenvmisplacevthem. "v C.v"Ivkeepvemergencyvphonevnumbersvpostedvonvthevrefrigerator.v D.v"IvwasvablevtovgetvavhomevhealthvaidevtovstayvwithvmyvmomvduringvthevdayvwhenvIvamvnotvhome.v- vCORRECTvANSWER- B.v"IvusuallyvleavevthevhousevkeysvandvcarvkeysvonvavrackvbyvthevdoorvbecausevIvoftenvmisplacevthem. " 11 - 13.vThevNPvisvawarevthatvwhichvofvthevfollowingvarevappropriatevtechniquesvforvcommunicatingvwithv patientsvwithvdementia?v A.vAskvopen-endedvquestionsv B.vMaintainvgoodveyevcontactvandvusevavrelaxedvandvunhurriedvapproachv C.vRephrasevavstatementvifvthevpatientvdoesvnotvseemvtovunderstandv D.vFinishvthevpatient'svstatementsv-vCORRECTvANSWER- B.vMaintainvgoodveyevcontactvandvusevavrelaxedvandvunhurriedvapproach 11 - 14.vWhichvofvthevfollowingvisvmostvindicativevofvdeliriumv(asvopposedvtovdementia)?v A.vMemoryvimpairmentv B.vSleepvdisturbancev C.vPermanencev D.vInattentionv-vCORRECTvANSWER-D.vInattention
A.vPrimaryvheadachev B.vSecondaryvheadachev C.vTertiaryvheadachev D.vChronicvheadachev-vCORRECTvANSWER-B.vSecondaryvheadache 11 - 2.vInvprescribingvprednisonevforvthevpatientvwithvBellvpalsy,vthevnursevpractitionervconsidersvthat:v A.vEarlyvimplementationvofvtreatmentvisvcorrelatedvwithvbettervrecoveryvofvnervevfunctionv B.vTreatmentvforvBellvpalsyvisvcontroversial,vandvlittlevdatavexistsvthatvsuggestsvthevdrugvwillvbeveffect ivev C.vAvlowvdosevsteroidvovervfourvweeksvisvrecommendedv D.vMedicationvwillvstrengthenvthevnervevtovhelpveliminatevfacialvandveyevdroopingv- vCORRECTvANSWER- A.vEarlyvimplementationvofvtreatmentvisvcorrelatedvwithvbettervrecoveryvofvnervevfunction 11 - 20.vAv 27 - year- oldvfemalevpresentsvtovthevclinicvwithvavchiefvcomplaintvofvunilateral,vfrontalvheadaches.vShevreport svthevheadachesvoccurv 3 - 4 vtimesvpervmonthvandvhavevnotvrespondedvwellvtovOTCvibuprofenvtherapy.vWhichvofvthevfollowingvisv avcriticalvdatavelementvofvhervhistoryvofvpresentvillness?v A.vPregnancyvstatusv B.vDietvchangesv C.vSensitivityvtovhigh-pitchedvsoundv D.vImmunizationvstatusv-vCORRECTvANSWER-A.vPregnancyvstatus 11 - 21.vWhichvofvthevfollowingvwouldvnotvmeetvthevcriteriavidentifyingvlow-riskvheadache?v A.vHistoryvofvsimilarvheadachev B.vAv 27 - year-oldvpatientvwithvnewvonsetvheadachev C.vAvpericranialvheadachevassociatedvwithvneckvmusclevtendernessv D.vHeadachesvtriggeredvbyvthevValsalvavmaneuverv-vCORRECTvANSWER- D.vHeadachesvtriggeredvbyvthevValsalvavmaneuver
22.vInvavpatientvusingvzolmitriptanv2.5vmgvtabletsvmorevthanvtwicevpervweek,vthevnursevpractitionervk nowsvtovstartvwhichvofvthevfollowingvmedications?v A.vAmlodipinev(Norvasc)v 10 vmgvdailyv B.vTrazodonev(Desyrl)v 150 vmgvdailyv C.vPropranololv(Inderal)v 80 vmgvpervdayv D.vTramadolv(Ultram)v 50 vmgvtwicevdailyv-vCORRECTvANSWER-C.vPropranololv(Inderal)v 80 vmgvpervday 11 - 23.vWhichvofvthevfollowingvtestsvmayvbevpositivevinvthevpatientvwithvmeningitis?v A.vKernigvandvBarlowv B.vGaleazzivandvBrudzinskiv C.vGaleazzivandvTrendelenburgv D.vKernigvandvBrudzinskiv-vCORRECTvANSWER-D.vKernigvandvBrudzinski 11 - 24.vWhenvconsideringvthevpossibilityvofvbacterialvmenin- vgitis,vwhichvisvthevmostvlikelyvpresentation?v A.vIntermittentvfever,vneckvpainv B.vRapidvonsetvofvfever,vheadache,vandvnuchalvrigidityv C.vSeverevheadachevwithvlow-gradevfeverv D.vGradualvonsetvofvfever,vheadache,vandvnuchalvrigidityv-vCORRECTvANSWER- B.vRapidvonsetvofvfever,vheadache,vandvnuchalvrigidity 11 - 25.vOfvthevfollowingvcerebrospinalvfluidv(CSF)vresults,vwhichvisvmostvconsistentvwithvbacterialvmeni ngitis?v A.vLowvopeningvpressurev B.vLymphocytosisv C.vLowvglucose,vhighvproteinv D.vNormalvprotein,vnormalvglucosev-vCORRECTvANSWER-C.vLowvglucose,vhighvprotein 11 - 26.vOfvthevfollowingvbacterialvcausesvofvmeningitis,vwhichvisvnotvvaccine-preventable?v A.vNeisseriavmeningitidisv B.vGroupvBvStreptococcusv
C.vCNvIII,vIV,vVv D.vCNIII,vIV,vVIv-vCORRECTvANSWER-D.vCNIII,vIV,vVI 11 - 30.vPrimaryvprogressivevmultiplevsclerosisv(PPMS)visvnotablevfor:v A.vBeingvthevMSvtypevfeaturingvthevmostvinflammatoryvactivityv B.vNotvfeaturingvperiodsvofvremission;vpatientsvexperiencevprogressivevdeteriorationv C.vBeingvthevmostvcommonvtypevofvMSv D.vAlwaysvleadingvtovcognitivevdeficitsv-vCORRECTvANSWER- B.vNotvfeaturingvperiodsvofvremission;vpatientsvexperiencevprogressivevdeterioration 11 - 31.vWhichvofvthevfollowingvstatementsvbyvavpatientvwithvsuspectedvmultiplevsclerosisvindicatesvanvu nderstandingvofvbloodvworkvandvthevdiagnosisvofvmultiplevsclerosis?v A.v"AvCBCvwillvshowvanvunderlyingvhematologicvdisorder."v B.v"AvTSHvwillvshowvevidencevofvthyroidvissues."v C.v"AvCMPvwillvshowvavmetabolicvdisturbance"v D.v"Novbloodvtestvwillvconfirmvthevdiagnosisvofvmultiplevsclerosis."v-vCORRECTvANSWER- D.v"Novbloodvtestvwillvconfirmvthevdiagnosisvofvmultiplevsclerosis." 11 - 32.vWhichvofvthevfollowingvtreatmentsvisvmatchedvcorrectlyvwithvthevtargetedvsymptom?v A.vNeurontinvforvfatiguev B.vbaclofenvforvnervevpainv C.vpropranololvforvtremorsv D.vdalfampridinevforvnystagmusv-vCORRECTvANSWER-C.vpropranololvforvtremors 11 - 33.vCommonvsignsvofvParkinsonvdiseasevincludevallvofvthevfollowingvexcept:v A.vShuffling/shortvstepsv B.vBradykinesiav C.vMaskedvfacev D.vHyperphoniav-vCORRECTvANSWER-D.vHyperphonia 11 - 34.vThevnursevpractitionervisvconsideringvavclinicalvdiag-vnosisvofvParkinsonvdiseasevforvherv 62 - year-
oldvmalevpatient.vWhichvofvthevfollowingvstatementsvwouldvleadvtovavreconsiderationvofvthevdiagnosi svandvavlookvatvalternativevdiagnoses?v A.vOnvavsmellvtest,vthevpatientvshowsvsignsvofvhypos-vmiav(reducedvabilityvtovsmell)v B.vOnvgaitvassessment,vthevpatientvwalksvinvshortvshufflingvstepsv C.vOnvavlevodopavmedicationvtrial,vthevpatientvshowsvnovimprovementvinvmotorvfunctionv D.vOnvavmotorvassessment,vthevpatientvshowsvrest-vingvtremorvinvonevhandv-vCORRECTvANSWER- C.vOnvavlevodopavmedicationvtrial,vthevpatientvshowsvnovimprovementvinvmotorvfunction 11 - 35.vThevnursevpractitioner'sv 40 - year-oldvpatientvhasvavrecentvdiagnosisvofvearly- onsetvParkinsonvdisease.vThevpatient'svtremorvisvveryvmild.vWhichvtreatmentvisvthevmostvappropriate vforvthisvpatient?v A.vDeepvbrainvstimulationv(DBS)v B.vlevodopav(Larodopa)v C.vhaloperidolv(Haldol)v D.vropinirolev(Requip)v-vCORRECTvANSWER-D.vropinirolev(Requip) 11 - 36.vPatientvandvfamilyveducationvonvParkinsonvdiseasevmayvincludevmakingvthevpatientvandvfamilyva warevthat:v A.vParkinsonvtreatmentvwillvslowvandveventuallyvreversevthevsymptomsv B.vThevalteredvgaitvandvrigidityvseenvinvParkinsonvdiseasevnecessitatesvthevusevofavwheelchairvforvallv patientsv C.vAntidepressantvmedications,vspecificallyvSSRIS,vcanvbevusefulvtovtreatvbothvdroolingvandvdepress ionv D.vThevpatientvisvatvriskvforvsocialvisolation,vasvothersvmayvinterpretvthevpatient'svslowedvmove- vmentsvandvstonyvexpressionvforvslowvthinkingvandvsocialvdisinterestv-vCORRECTvANSWER- D.vThevpatientvisvatvriskvforvsocialvisolation,vasvothersvmayvinterpretvthevpatient'svslowedvmove- vmentsvandvstonyvexpressionvforvslowvthinkingvandvsocialvdisinterest 11 - 37.vMyastheniavgravisvoccursvwhenvantibodiesvdestroyvthev__________vreceptorsvatvthevneuromuscul arvjunctionvcausingv__________.v A.vadrenergic;vmusclevcontractionv B.vdopaminergicvadrenergic;vmusclevcontractionv
B.vAscendingvparalysisvwithvultimatevrespiratoryvsymptomsv C.vCogwheelvrigidityvandvlossvofvcoordinationv D.vProgressivevweaknessvthatvisvworsevatvthevday'svendv-vCORRECTvANSWER- D.vProgressivevweaknessvthatvisvworsevatvthevday'svend 11 - 41.vAvfamilyvmembervofvavpatientvwithvGuillain- Barrévsyndromevasksvaboutvthevparalysisvassociatedvwithvthevdisorder.vWhichvstatementvbyvthevNPv bestvdescribesvthevparalysis?v A.vThevparalysisvisvtemporary;vthevdiseasevisvself-vlimiting"v B.v"Thevparalysisvisvprogressivevandvpermanent;vwevcanvtalkvaboutvwhatvthatvlooksvlikevforvyou."v C.v"Thevdiseasevdoesvnotvcausevparalysis,vjustvavtin-vglingvsensationvinvthevlowervextremities."v D.v"Thevparalysisvisvlikevchronicvfatigue;vitvgetsvworsevthroughoutvthevday"v-vCORRECTvANSWER- A.vThevparalysisvisvtemporary;vthevdiseasevisvself-vlimiting" 11 - 42.vInvspeakingvwithvavpatientvwithvsuspectedvGuillain- vBarrévsyndrome,vthevnursevpractitionervasksvifvthevpatientvhasvavhistoryvof:v A.vHeadvinjuryvwithoutvfollow-upvtreatmentv B.vDamagevtovthevspinalvcordv C.vRespiratoryvillnessvinvthevpastvfourvweeksv D.vSeizurevactivityvdiagnosedvatvbirthv-vCORRECTvANSWER- C.vRespiratoryvillnessvinvthevpastvfourvweeks 11 - 43.vWhichvofvthevfollowingvisvaccuratevregardingvthevworkupvofvGBS?v A.vAnverythrocytevsedimentationvratevwithinvnor-vmalvlevelsvrulesvoutvGBSv B.vElectromyographyvandvnervevconductionvstudiesvarevroutinelyvmeasuredvinvthevworkupvofvGBSv C.Avcerebrospinalvfluidv(CSF)vlevelvwithvnormalvproteinvlevelsvandvelevatedvWBCvisvsuggestivevofvGB Sv D.vMRIvisvbothvsensitivevandvspecificvforvdiagnosisvofvGBSv-vCORRECTvANSWER- B.vElectromyographyvandvnervevconductionvstudiesvarevroutinelyvmeasuredvinvthevworkupvofvGBS 11 - 44.vWhichvofvthevfollowingvisvaccuratevregardingvthevtreatmentvofvGBS?v A.vPatientsvfrequentlyvrequirevtreatmentvforvtachycardia;vtheyvrarelyvrequirevtreatmentvforvbradycard iav B.vLong-termvantihypertensivevmedicationsvwillvbevpartvofvthevtreatmentvplanv
C.vCorticosteroidsv(oralvandvintravenous)varevcom-vmonlyvusedvasvmonotherapyv D.vPlasmavexchangevandvIVIGv(immunoglobulinvtherapy)varevcommonlyvusedvtovhastenvrecoveryv- vCORRECTvANSWER- D.vPlasmavexchangevandvIVIGv(immunoglobulinvtherapy)varevcommonlyvusedvtovhastenvrecovery 11 - 45.vAtonicvseizuresvarevknownvtovtypically:v A.vInvolvevuncoordinatedvmovements/thrashing.vthusvputtingvthevpatientvatvriskvforvaccidentallyvhitti ngvnearbyvobjectsv B.vInvolvevmusclevweakness/limpness,vthusvputtingvthevpatientvatvhighvriskvforvfallsv C.vLastvmorevthanvfivevminutes,vthusvputtingvthevpatientvatvriskvforvstatusvepilepticusv D.vInvolvevavlossvofvawarenessvresemblingvday- vdreaming,vthusvputtingvthevpatientvatvriskvforvpoorvacademicvperformancev-vCORRECTvANSWER- B.vInvolvevmusclevweakness/limpness,vthusvputtingvthevpatientvatvhighvriskvforvfalls 11 - 46.vThevnursevpractitionervprovidesvinstructionsvforvthevfamilyvofvavpatientv("Joe")vwithvavseizurevdiso rder.vWhichvofvthevfollowingvstatementsvbyvavfamilyvmembervsuggestsvfurthervteachingvisvneeded?v A.v"IvwillvnotvrestrainvJoevwhenvhevisvhavingvavseizure."v B.v"IvwillvassistvJoevtovthevfloorvwhenvhevisvhavingvavseizure."v C.v"IvwillvturnvJoe'svheadvtovthevsidevwhenvhevisvhav-vingvavseizure."v D.v"IvwillvholdvJoe'svheadvtovprotectvitvwhenvhevisvhavingvavseizure."v-vCORRECTvANSWER- D.v"IvwillvholdvJoe'svheadvtovprotectvitvwhenvhevisvhavingvavseizure." 11 - 47.vThevpatientvwithvepilepsyvisvmorbidlyvobesevandvletsvthevnursevpractitionervknowvshevisvtryingvtovl osevweight.vThevpatientvstatesvthatvshevisvwillingvtovtakevanvanti- seizurevmedication,vbutvshevdoesvnotvwantvtovtakevanyvmedicationvassociatedvwithvweightvgain.vThev nursevpractitionervknowsvtovavoidvprescribing:v A.vlamotriginev(Lamictal)v B.vtopiramatev(Topamax)v C.vphenytoinv(Dilantin)v D.vvalproicvacidv(Depakote)v-vCORRECTvANSWER-D.vvalproicvacidv(Depakote)
11 - 51.vWhichvofvthevfollowingvisvnotvavdifferentialvdiagnosisvforvavbrainvtumor?v A.vMeningitisv B.vToxoplasmosisv C.vPseudotumorvcerebriv D.vAcutevanglevglaucomav-vCORRECTvANSWER-D.vAcutevanglevglaucoma 11 - 52.vThevpurposevofvdebulkingvofvavbrainvtumorvisvto:v A.vRemovevallvofvthevtumorv B.vDisruptvcancervcells'vabilityvtovmultiplyv C.vImprovevqualityvandvlengthvofvlifev D.vPreventvfurthervgrowthvofvthevtumorv-vCORRECTvANSWER-C.vImprovevqualityvandvlengthvofvlife 11 - 53.vFollowingvrecentveradicationvofvavbrainvtumor,vthevnursevpractitionervshouldvcounselvthevpatientv to:v A.vReportvnewvhearingvchangesv B.vFollowvupvyearlyv C.vFollowvavlow-proteinvdietv D.vDrivevwithvextravcautionv-vCORRECTvANSWER-A.vReportvnewvhearingvchanges 11 - 54.vWhichvstatementvisvtruevregardingvbrainvtumors?v A.vSecondaryvbrainvtumorsvarevmostvcommonvinvadolescentsv B.vHigh-dosevglucocorticoidsvarevusedvinvtreatmentvifvlymphomavisvsuspectedv C.vSeizuresvarevthevmostvcommonvsymptomvassoci-vatedvwithvavbrainvtumorv D.vCTvscanvwithvcontrastvisvthevimagingvmodalityvofvchoicevtovdiagnosevavbrainvtumorv- vCORRECTvANSWER-C.vSeizuresvarevthevmostvcommonvsymptomvassoci-vatedvwithvavbrainvtumor 11 - 6.vWhenvconsideringvthevdiagnosisvofvacutevstroke,vwhichvofvthevfollowingvarevlikelyvtovbevavpartvofvth evpresentation?v A.vAtaxia,vunilateralvfacialvnumbness,vheadachev B.vSlurredvspeech,vcoordinatedvgait,vorientationvxv 3 v C.vSeverevheadache,vconfusion,vbilateralvfacialvweaknessv
D.vMyopia,valteredvlevelvofvconsciousness,vseverevheadachev-vCORRECTvANSWER- A.vAtaxia,vunilateralvfacialvnumbness,vheadache 11 - 7.vAnv 82 - year- oldvpatientvpresentsvwithvavhistoryvofvTIAvandvconfusion.vWhichvtestvisvthevmostvsensitivevforvstroke?v A.vAtaxicvgaitv B.vTroponin,velevatedv C.vArmvweakness/pronatorvdriftv D.vFacialvdrooping,vbilateralv-vCORRECTvANSWER-C.vArmvweakness/pronatorvdrift 11 - 8.vGeorge,vagev65,vhasvhadvseveralvtransientvischemicvattacks.vAftervavcompletevphysiologicalvexamv andvworkup,vthevnursevpractitionervwouldvprescribevwhichvmedication?v A.vatenololv(Tenormin)v B.vwarfarinv(Coumadin)v C.vclopidogrelv(Plavix)v D.vnitroglycerinev(Nitrostat)v-vCORRECTvANSWER-C.vclopidogrelv(Plavix) 11 - 9.vThevNPvisvawarevthatvinvordervtovmakevavdiagnosisvofvdementiavasvpervDSM- 5 vcriteria,vavdeclinevinvmemoryvandvavdeclinevinvatvleastvonevofvthevfollowingvmustvbevpresentvexceptv thevabilityvto:v A.vGeneratevcoherentvspeechvandvunderstandvspokenvorvwrittenvlanguagev B.vRecognizevorvidentifyvobjectsv C.vExecutevmotorvactivitiesv D.vThinkvobjectivelyvwithoutvprejudicev-vCORRECTvANSWER-D.vThinkvobjectivelyvwithoutvprejudice 12 - 1.vThevnursevpractitionervisvspeakingvwithvavparentvwhovabusedvhervchild.vWhichvofvthevfollowingvriskv factorsvwouldvthevnursevpractitionervexpectvtovfind?v A.vSingle-parentvhomevsituationv B.vHistoryvofvparentalvmentalvillnessv C.vConsistentvcommunicationvpatternsv D.vHistoryvofvavparentvhavingvbeenvabusedv-vCORRECTvANSWER- D.vHistoryvofvavparentvhavingvbeenvabused
12 - 14.vAv 20 - year- oldvmalevisvevaluatedvandvreportsvrecurrentvepisodesvofvbingeveating,vvomiting,vandvthevusevofvlaxati vesvtovcontrolvweightvseveralvtimesvavweekvforvthevpastvthreevmonths.vThevNPvdeterminesvthevcriteria vforvavdiagnosisvof:v A.vBingeveatingvdisordervisvmetv B.vAnorexiavnervosavwithvbinge-eating/purgingvtypevisvmetv C.vBulimiavnervosavisvmetv D.vBinge-purgevdisordervisvmetv-vCORRECTvANSWER-C.vBulimiavnervosavisvmet 12 - 15.vWhenvassessingvavpatientvwithvavdiagnosisvofvanorexiavnervosa,vitvisvveryvimportantvatveveryvenco untervtovevaluatevfor:v A.vAssociatedveatingvdisordersv B.vSuicidevideation,vbehaviors,vandvriskvfactorsvforvself-harmv C.vFamilyvhistoryvofveatingvdisordersv D.vSubstancevusevdisorderv-vCORRECTvANSWER- B.vSuicidevideation,vbehaviors,vandvriskvfactorsvforvself-harm 12 - 16.vEvidence-basedvpracticevtreatmentvforveatingvdisordersvinclude(s):v A.vMedicationsvtovdecreasevsymptomsv B.vTherapyvtovaddressvunhealthyvthoughtsvregardingvfoodvandvweightvinvordervtovdecreasevsymptom sv C.vStrictvmonitoringvofvfoodvintakevandvlimitingvexercisev D.vAvcombinationvofvmedications,vtherapy,vandvnutritionalvandvmedicalvcarev-vCORRECTvANSWER- D.vAvcombinationvofvmedications,vtherapy,vandvnutritionalvandvmedicalvcare 12 - 17.vYouvarevevaluatingvav 20 - year- oldvcollegevstudentvwhovpresentsvwithvsymptomsvofvmoodiness,vnotvsleepingvwell,vfeelingvmorevdo wnvthanvusual.vThevstudentvasksvifvhevhasvbipolarvdisorder.vWhatvisvtruevaboutvthisvpatient?v A.vThevpatientvmeetsvthevcriteriavforvbipolarvdisor-vder,vandvyouvstartvmedicationv B.vThevpatientvmeetsvthevcriteriavforvbipolarvdisorder,vandvyouvrefervtovavmentalvhealthvproviderv C.vThevpatientvdoesvnotvmeetvthevcriteriavforvbipolarvdisordervbutvdoesvwarrantvfurthervevaluationv
D.vThevpatientvdoesvnotvmeetvthevcriteriavforvbipolarvdisordervbutvdoesvmeetvcriteriavforvdepressivevdi sorderv-vCORRECTvANSWER- C.vThevpatientvdoesvnotvmeetvthevcriteriavforvbipolarvdisordervbutvdoesvwarrantvfurthervevaluation 12 - 18.vYouvarevconcernedvyourvpatientvisvexhibitingvpossiblevsymptomsvofvbipolarvdisordervandvneedvtov evaluatevfurther.vThevbestvchoicevofvscreeningvtoolvis:v A.vPHQ- 9 v B.vGAD- 7 v C.vMDQv D.vDAST- 10 v-vCORRECTvANSWER-C.vMDQ 12 - 19.vAvpatientvwhovisvnewvtovyourvpracticevstatesvshevhasvbeenvtreatedvforvbipolarvdisorder.vShevreque stsvyouvcontinuevhervcurrentvmedications,vwhichvarevlamotrigine,vdextroamphetamine,vandvsertrali ne.vShevhasvcurrentvprescriptionvbottlesvinvhervnamevforvthesevmedications.vYourvplanvincludesvavdia gnosticvassessmentvand:v A.vPrescribingvallvthreevmedications,vsincevthesevmedicationsvarevevidenced- basedvpracticevforvbipolarvdisorderv B.vNotvprescribingvanyvmedicationsvuntilvyouvreceivevhervrecordsvfromvpreviousvhealthcarevprovider sv C.vNotvprescribingvanyvmedicationsvandvreferringvhervtovavmentalvhealthvproviderv D.vPrescribingvlamotriginevandvsertralinevonlyvandvreferringvhervforvADHDvtestingv- vCORRECTvANSWER- D.vPrescribingvlamotriginevandvsertralinevonlyvandvreferringvhervforvADHDvtesting 12 - 2.vDonna,vav 20 - year- oldvsinglevmother,vlivesvinvavrundownvapartmentvinvavdangerousvareavofvhervcity.vAftervherv 12 - hourvshiftvasvavcashier,vshevcomesvhomevirritable.vShevadmitsvshevyells,vberates,vandvbelittlesvherv 7 - year- oldvson.vLately,vshevhasvtakenvtovlockingvhimvinvthevbasementvwhenvshevisvtoovtired.vTogether,vthesev behaviorsvmayvpotentiallyvbevconsidered:v A.vNeglectv B.vPhysicalvabusev C.vEmotionalvabusev
12 - 24.vThevAbnormalvInvoluntaryvMovementvScalev(AIMS)vshouldvbevadministeredvto:v A.vPatientsvyouvsuspectvarevhavingvsymptomsvofvtardivevdyskinesiav B.vPatientsvreceivingvpsychotropicvmedicationsv C.vAllvpatientsvreceivingvanvantipsychoticvmedicationv D.vAllvmentalvhealthvpatientsv-vCORRECTvANSWER- C.vAllvpatientsvreceivingvanvantipsychoticvmedication 12 - 25.vThevnursevpractitionervisvevaluatingvav 10 - year- voldvmalevforvADHDvpervhisvparents'vandvteacher'svrequest.vSymptomsvincludevdecreasedvlevelvofvfo cus,vimpulsivity,vandvhyperactivityvoccurringvinvschool.vHisvgradesvhavevalsovdeclined.vWithvthisvinfo rmation,vthevnursevpractitionervwill:v A.vDiagnosevADHDvandvstartvmedicationsv B.vDiagnosevADHDvandvrefervthevfamilyvforvbehavioralvmodificationvtherapyv C.vNotvmakevanyvdiagnosis,vbutvevaluatevfurthervforvADHDv D.vNotvmakevanyvdiagnosis,vandvrefervbackvtovthevschoolvguidancevdepartmentv- vCORRECTvANSWER-C.vNotvmakevanyvdiagnosis,vbutvevaluatevfurthervforvADHD 12 - 26.vAvscreeningvtoolvthatvaidsvinvthevevaluationvandvdiagnosisvprocessvofvADHDvinvchildrenvisvthe:v A.vVanderbiltvScalev B.vSCAREDvScalev C.vY-BOCSv D.vYMRSv-vCORRECTvANSWER-A.vVanderbiltvScale 12 - 27.vAv 9 - year- oldvfemalevisvfollowingvupvwithvyouvaftervstartingvavtrialvofvavstimulantvmedicationvforvavdiagnosisvwit hvADHD.vShevhasvlostv 1 vpoundvovervthevpastvmonth,vhasvavdecreasedvappetite,vandvisvdoingvbettervinv school,vbutvhervguardianvisvconcernedvaboutvthevdecreasevinvappetite.vWhatvisvyourvplanvofvtreatme nt?v A.vStopvthevmedicationvsincevthisvisvnotvavcommonvsideveffectvtovstimulantsvandvreevaluatevinvonevm onthv B.vWeanvoffvthevcurrentvstimulant,vstartvanothervstimulantvtovminimizevweightvloss,vandvreevaluatevi nvonevmonthv C.vStopvthevstimulant,vprescribevanothervclassificationvofvmedication,vandvreevaluatevinvonevmonthv
D.vExplainvthatvlossvofvappetitevisvavcommonvsideveffectvofvstimulantvmedications,vhelpvthevfamilyvid entifyvhealthyvandvcalorie-richvsnacks,vandvreevaluatevinvonevmonthv-vCORRECTvANSWER- D.vExplainvthatvlossvofvappetitevisvavcommonvsideveffectvofvstimulantvmedications,vhelpvthevfamilyvid entifyvhealthyvandvcalorie-richvsnacks,vandvreevaluatevinvonevmonth 12 - 28.vItvisvimportantvtovscreenvforvautismvspectrumvdisordersv(ASD)vat:v A.vThev 18 - vandv 24 - monthvwell-childvcheckv B.vEveryvwell-childvcheckv C.vThev 18 - vandv 24 - monthvwell-childvcheckvandvanyvtimevtherevisvavconcernvforvdelaysv D.vThev 12 - ,v 18 - ,v 24 - ,vandv 36 - monthvwell-childvcheckv-vCORRECTvANSWER-C.vThev 18 - vandv 24 - monthvwell-childvcheckvandvanyvtimevtherevisvavconcernvforvdelays 12 - 29.vWhichvofvthevfollowingvstatementsvisvtruevaboutvthevriskvofvsuicide?v A.vSuicidalvpatientsvwillvpresentvwithvovertvstatementsvaboutvself-harmv B.vAvscreeningvtoolvsuchvasvSPSvisvthevprimaryvmeansvofvassigningvavpatientvforvsuicidevpotentialv C.vMarriedvindividualsvarevmorevlikelyvtovattemptvsuicidevthanvsinglevindividualsv D.vMentalvillness,vincludingvsubstancevuse,vcontributesvtovsuicidalityv-vCORRECTvANSWER- D.vMentalvillness,vincludingvsubstancevuse,vcontributesvtovsuicidality 12 - 3.vWhichvofvthevfollowingvmayvrequirevmandatoryvreportingvfromvthevnursevpractitioner?v A.vAvwithdrawnv 5 - year-oldvpatientvwithvmultiplevfracturesvofvvaryingvstagesvofvhealingv B.vAv 70 - year-oldvpatientvwhovstatesvherv 40 - year- oldvdaughtervhasvbeenvstealingvhervSocialvSecurityvcheckv C.Av 19 - year- oldvstillvlivingvwithhisvparentsvwhovhasvnotvcompletedvhighvschoolvisvdisruptive,vand,vaccordingvtovhi svparents,visv"actingvout"v D.vAnvanxiousv 29 - year- oldvhousewifevwhovstatesvthatvhervhusbandvisv"alwaysvangry"vatvhervandvappearsvtovhavevcaked- onvmake-upvconcealingvavblackveyev-vCORRECTvANSWER-A.vAvwithdrawnv 5 - year- oldvpatientvwithvmultiplevfracturesvofvvaryingvstagesvofvhealing 12 - 30.vThevFNPvisvaskedvtovevaluatevavnewvpatientvwhovpresentsvasvclinicallyvdepressed.vThevFNPvdevel opsvavconcernvaboutvthevpatient'svriskvofvsuicidevbasedvonvallvofvthevfollowingvfactorsvexcept:v