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N683 Exam 1 Questions And Complete Answers
A legally designated authority that implements regulations such as the state boards of nursing - answer Legislative authority for nurse practitioner practice is regulated by: HEEADSS Assessment - answer There are 5 developmental domains that should be explored during adolescence. An acronym for remembering these domains is: Medicare will reimburse for Joanne's services a 85% of the customary physician rate - answer Joanne is planning to go for an interview for a job with a physician practice that has not hired NP's previously. Joanne is asked, " How can we bill for the services you provide?" Joanne should explain: HEEADSSS assessment - answer Lucy is a 13 year old female that you are conducting a comprehensive physical on. When completing a psychosocial history what acronym is used to cover all of the components of the psychosocial history. Stage 4 - answer In the female adolescent, enlargement of the breast and projection of the areola and papilla as a secondary mound describes which of the following Tanner stages is this adolescent? The past medical, family, psychosocial history and review of systems - answer James is 13 years old and has come to the clinic for a sports physical. You know that a preventive evaluation should be done for the adolescent to promote healthy behaviors. Of the following, which aspect of the comprehensive plan of care is most important in this age group? Sign it with a restriction for NO contact sports for 6-8 weeks - answer onnie is a high school football player diagnosed with mononucleosis two weeks ago. He presents to the clinic today reporting that he is much better and requests that you complete and sign his Louisiana High School Athletic Association (LHSAA) sports physical. As his NP you Age of initiation of illegal behavior - answer Of the following, which behavior in adolescents has the greatest chance of leading to a bad adult outcome? Home survey to identify fall hazards - answer Which of the following is an example of a primary prevention activity in a 76 year old woman with Osteoporosis? Adjusting therapy to minimize dyspnea - answer Tertiary prevention measures for a 69
year old woman with heart failure includes which of the following? 35 year old male with a history of asthma - answer All of the following patients received a dose of antipneumoccal vaccine 5 years ago. Who is not a candidate for receiving a second dose of antipneumococcal immunization? healthy nonprego adults less than 49 years old - answer When advising a patient about immunization with influenza vaccine nasal spray vaccine Influenza vaccine nasal spray vaccine, the NP informs the patient which of the following is not a contraindication MMR and Varicella - answer A 27 year old pregnant female presents to your clinic today. She would like to make sure her immunizations are up to date. Which of the immunizations should she not receive? Flu nasal spray contains live attenuated virus - answer When advising patient about immunization with influenza vaccine nasal spray vaccine Influenza vaccine nasal spray vaccine, the NP considers the following: Allergic Conjunctivitis and Patanol ophthalmic drops - answer Mr. Thomas is 47 years old and has red, itchy eyes. The conjunctiva is injected without exudate. There is no extension of the erythema beyond the corneal limbus. What is your diagnosis and which of the following treatment would you choose for most effective symptom relief? Iritis - answer A 38 year old female presents to your clinic today with left eye pain, photophobia, decreased vision in the left eye, and ciliary flush. Upon examination you note redness and pupillary contraction. The pen light exam shows a cloudy anterior chamber. What is the most likely diagnosis? I & D TX: scrub lids oral antimicrobial therapy Warm compresses - answer A 19 year old female presents with and uncomplicated blepharitis on her left eyelid. All of the following treatments are used except which one. Prescribe Erythromycin ophthalmic drops TID - answer You have removed a small piece of metal from the cornea of an adult male and are concerned about a corneal abrasion. You should do which of the following? Refer to Ophthalmology immediately - answer Ms. P. presents to your office and states
Seasonal allergic rhinitis - answer Eosinophils on nasal swab exam most probably indicates Prescribe Doxycycline 100mg BID x 10 days - answer A 31 year old male has had nasal congestion and retroorbial pain for 2 weeks. Symptoms are worsening despite his use of OTC cold and sinus preparations. Physical exam reveals purulent nasal discharge frontal and maxillary tenderness. He is allergic to penicillin. Which of the following would you do as the NP. Epiglottitis - answer A 45 year old female presents to the clinic today. She is hoarse, has a beefy red pharynx and and abrupt fever onset of 102. She appears to be in mild respiratory distress and is drooling. As the Nurse practitioner you suspect that she has: The patient's spouse has a right to override the agent's decisions - answer All of the following are correct statements regarding the role of the person named in a durable power of attorney except: Chlamydia trachomatis - answer Patients who are diagnosed with gonorrhea should also be treated for which of the following infections? Laryngeal neoplasia - answer Human papilloma virus (HPV) infection of the larynx has been associated with: Bacterial vaginosis - answer. A 30-year-old female who is sexually active complains of a large amount of milk- like vaginal discharge for several weeks. A microscopy slide reveals a large amount of squamous epithelial cells that have blurred margins. Very few white blood cells are seen. The vaginal pH is at 6.0. What is most likely? Apraxia and fatigue - answer Signs and symptoms of depression include all of the following except:
D) Subconjunctival hemorrhage - answer A 70-year-old male patient complains of a bright red spot in his left eye for 2 days. He denies eye pain, visual changes, or headaches. He has a new onset of cough from a recent viral upper respiratory infection. The only medicine he is on is Bayer aspirin 1 tablet a day. Which of the following is most likely Tick - answer Rocky Mountain spotted fever is caused by the bite of the: Viral conjunctivitis - answer mother brings in her 4-year-old daughter who just started attending preschool. She tells the nurse practitioner that her child is complaining of burning and itching in both eyes along with a runny nose. During the physical exam, the child's eyes appear injected bilaterally. The throat is red and her inferior nasal turbinates are swollen. Which of the following is most likely? Urine pregnancy test - answer sexually active woman is complaining of amenorrhea and vaginal spotting. On exam, her left adnexa is tender and cervical motion tenderness is positive. Which test should the nurse practitioner initially order? Chlamydia trachomatis? - answer Fitz-Hugh-Curtis syndrome is associated with which following infection? Varicella - answer In small children with acquired immunodeficiency syndrome (AIDS), which of the following vaccines is contraindicated? Td and HepB vaccine - answer A 14-year-old female who is sexually active is brought in by her mother for an immu- nization update. According to the mother, her daughter had 1 dose of hepatitis B vaccine. Which of the following vaccines would you administer at this visit?
angle with the light about 15 in. away. The nurse practitioner is screening for? Doxycycline (Vibramycin) 100 mg PO BID x 21 days - answer Which of the following is recommended treatment for erythema migrans or early Lyme disease The Nurse Practice Act of the state where they practice - answer Nurse practitioners and clinical nurse specialists derive their legal right to practice from: Advise the patient that she had a normal exam - answer A nurse practitioner is doing a funduscopic exam on a 35-year-old female during a routine physical exam. He notices that she has sharp disc margins and a yellowish- orange color in the macular area. The ratio of veins to arteries is 3:2. What is the next most appropriate action? The patient can see at 20 ft what a person with normal vision can see at 30 ft - answer. During a sports physical, you note that the vision of an 18-year-old male athlete is 20/30 in both eyes. Which of the following statements is true? HCVRNA - answer A 40-year-old female is positive for anti-hepatitis C virus (HCV). Which test is appropriate for follow-up? Strabismus - answer The cover/uncover test is a screening tool for: Yeast Infection - answer What does a KOH prep help diagnosis Fluoxetine (Prozac) Sertraline (Zoloft) Paroxetine (Paxil CR) - answer Selective Serotonin Reuptake Inhibitors (SSRIs)
Retinoblastoma of the left eye - answer While checking for the red reflex on a 3-year-old boy during a well child visit, a white reflection is seen on the child's left pupil. Which of the following conditions should be ruled out? nongonococcal urethritis is not reportable Report: Gonorrhea, syphilis, Lyme d/s - answer While checking for the red reflex on a 3- year-old boy during a well child visit, a white reflection is seen on the child's left pupil. Which of the following conditions should be ruled out? Peripheralvision - answer A test called the visual fields by confrontation is used to evaluate for: Administer a booster dose of the Td vaccine - answer Clara is a 20-year-old college student who reports to the student health clinic with a laceration in her left hand. She tells the nurse practitioner that she cut her hand while working in her garden. Her last Td booster was 5.5 years ago. Which of the following is correct? hordeolum (stye) - answer A small abscess on a hair follicle on the eyelid is called: Scabies - answer A new patient is complaining of severe pruritus that is worse at night. Several fam- ily members also have the same symptoms. Upon examination, areas of excoriated papules are noted on some of the interdigital webs of both hands and on the axillae. This finding is most consistent with: A) Meningococcal B) MMR
Board of Nursing - answer. Laws governing nurse practitioner authority are determined by the Fluorescein stain - answer What is the best procedure for evaluating a corneal abrasion? Decreased mobility of the tympanic membrane as measured by tympanogram - answer Which of the following is considered an objective finding in patients who have a case of suppurative otitis media? Lateralization to one ear - answer Which of the following is considered an abnormal result on a Weber test? Erythema migrans - answer The mother of an 8-year-old boy reports the presence of a round red rash on the child's left lower leg. It appeared 1 week after the child returned from visiting his grandparents, who live in Massachusetts. During the skin exam, the maculopapu- lar rash is noted to have areas of central clearing making it resemble a round target. Which of the following is best described? Cervical cancer - answer Human papilloma virus infection in women has been associated with the development of: Ciprofloxacin(Cipro) - answer Which of the following drugs is recommended by the Centers for Disease Control and Prevention (CDC) as first-line treatment for treating infections by the organ- ism Bacillus anthracis (anthrax)? Pneumococcal (Pneumovax) and influenza vaccines - answer Mary, who is 65 years of age, comes into the clinic during the first week of November for her annual wellness visit. Her last Td booster was 9 years ago. Which immunization(s) would you recommend for this visit?
Central vision - answer The cones in the retina of the eye are responsible for A severe sunburn with blistering - answer Which of the following would be classified as a second-degree burn? Irrigate with normal saline and apply Silvadene cream BID - answer Which of the following would be appropriate initial management of a second- degree burn? It should raise the suspicion of child sexual abuse - answer When Molluscum contagiosum is found on the genital area of children, which of the following is the best explanation? It reviews information via a nongovernmental agency - answer All of the following statements are correct regarding licensure for nurse practitio- ners except: A) It ensures a minimum level of professional competency B) It grants permission for an individual to practice in a profession C) It requires verification of educational training from an accredited graduate program D) It reviews information via a nongovernmental agency Competence - answer Patients who are considered mentally competent have a right to consent or refuse medical treatment. What is the legal term for this right? Screening for lung cancer is not currently recommended - answer At what level of prevention would you classify screening for lung cancer?
Preventive therapy for Pneumocystis carinii pneumonia - answer The treatment plan of patients with AIDS who have CD4 counts of < 200/mm should emphasize: Levoquinolone (Levaquin) 250 mg PO daily - answer A kindergarten teacher is diagnosed with acute pharyngitis. On exam, the throat is a bright red color with no tonsillar exudate, and clear mucus is seen on the lower nasal turbinates. The result of her urinalysis shows a large amount of white blood cells and is positive for nitrites. The patient has a sulfa allergy and thinks she is also allergic to penicillins. Which of the following is the best treatment choice? < 12months of age - answer The earliest age that an MMR can be administered is at: Azithromycin 1 g orally OR doxycycline 100 mg orally twice a day for 7 days - answer Which of the following is a CDC-recommended treatment for a case of uncomplicated gonorrheal and chlamydial infection? The fever is most likely due to the pertussis component of the DTP vaccine - answer The mother of a 4-month-old calls your office and reports that the infant has a fever of 101. degrees Fahrenheit. The infant received her immunizations yester- day. Which of the following is correct? Chlamydia trachomatis - answer Which of the following is the most common cause of nongonococcal urethritis A)Invasive procedures B) Electronic medical record entries C) Prescribing medication D) Inservice training>>>> - answer Sources of legal risk for the nurse practitioner would include all of the following except:
DTaP, IPV, MMR, varicella - answer A 15-month-old infant is in your office for a well baby check. The mother denies history of chickenpox infection. Which of the following immunizations is indicated at this visit? DTaP,IPV - answer A 4-year-old boy is brought in by his mother for a wellness visit. His mother tells the family nurse practitioner that he had a bad case of chickenpox 1 year ago. Which of the following immunizations are indicated? Larva migrans - answer A red, raised serpiginous-shaped rash is noted by the nurse practitioner on the right foot of a 4-year-old child brought in for a preschool physical by the mother. The child complains of severe itch and keeps scratching the lesion. The mother reports that the child frequently played in the yard without shoes or sandals on. Which of the following is most likely?
- answer Balanitis is caused by: Wet smear - answer Which of the following is the best method for diagnosing candidiasis in the primary care setting? The cerebellum - answer The Romberg test is done to check for problems with balance. Which area of the brain is responsible for balance Mumps Varicella Rubella - answer All of the following vaccines are contraindicated in pregnant women
10 days - answer When a domestic dog is suspected to be infected with the rabies virus, it can either be killed for a brain biopsy or it can be quarantined. What is the minimum number of days that a dog suspected of rabies must be quarantined? Atomoxetine(Strattera) - answer Which of the following drugs that are used to treat attention deficit hyperactivity disorder (ADHD) is not classified as an amphetamine/stimulant? Protecting the rights of the human subjects who participate in research done at the institution - answer The most important job of an institutional review board (IRB) is: Trap - answer A 45-year-old gardener is seen as a walk-in patient in a private clinic. He reports stepping on a nail that morning. His last tetanus vaccine was 7 years ago. Which of the following vaccines is recommended? Clean the wound with soap and water and prescribe Augmentin 500 mg PO BID x 10 days for the patient - answer A 16-year-old male with a recent history of a cat bite is brought in by his father. The bite occurred about 2 hours before the visit. The nurse practitioner evaluates the wound and notes 2 small puncture wounds. There is no redness or purulent discharge. The father reports that the teenager received a tetanus booster when he was 12 years old. Which of the following is the correct action to take? Oral temp of more than 101 - answer All of the following clinical findings are classified as major criteria that are necessary to diagnose pelvic inflammatory disease (PID). Which of the following is classified as a minor criterion? A) Cervical motion tenderness B) Adnexal tenderness C) Uterine tenderness
D) Oral temperature of more than 101°F (more than 38°C) secondary prevention - answer A 15-year-old female who attends a public school is referred to the nurse practitioner by one of her teachers. The teen has been missing school and is falling behind in her schoolwork. After closing the exam room door, the nurse practitioner starts to interview the teen, asking about her moods, her appetite, her sleep, whether she any plan of hurting herself or others, and other questions. What is the level of health prevention that the nurse practitioner is performing? Primary prevention - answer A charitable foundation plans to build a community youth center in a large urban area with a history of gang violence. What type of health prevention activity is being done in this area? Cones - answer Which of the following structures of the eyes is responsible for color vision? Pseudomonas aeroginosa - answer Which bacterium is the most common pathogen seen in otitis externa infections? Cranial nerve 8 - answer The Rinne and the Weber tests are used to assess which of the following cranial nerve(s)? Roseola infantum (exanthema subitum) - answer common viral rash caused by the human herpes virus, usually fever then rash. most common age of onset is 6 months to 2 years. Rashes are maculopapular (small round and pink colored) that appear on the trunk and then spread to the extremeties A) The Centers for Disease Control and Prevention (CDC) recommends the first dose at age 11 to 12 years
