Download Neurological Examination Practice Questions and Answers and more Exams Nursing in PDF only on Docsity!
FNP Practice Exam Questions and Answers
100% Verified
__________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
