Hydrochlorothiazide (HCTZ)
Which drug is associated with increased lipoprotein levels?
Furosemide (Lasix).
Hydrochlorothiazide (HCTZ).
Spironolactone (Aldactone).
Triamterene (Dyrenium).
cerebellar functioning
The family nurse practitioner asks a patient to perform rapid, alternating movements of the hands to evaluate:
cerebellar functioning.
cognitive functioning.
reflex arc functioning.
stereognostic functioning.
hepatitis B.
A 38-year-old patient who is Vietnamese tells the family nurse practitioner that his or her parent died in his or her 40s from liver cancer. The nurse practitioner assesses that the patient is at risk for:
hepatitis B.
malaria.
tularemia.
tyrosinemia
asking the patient’s father if he has any questions regarding his son’s care.
A 55-year-old male patient who is Chinese has a follow-up appointment after cardiac bypass surgery. The patient brings his father with him into the examination room. The family nurse practitioner provides culturally sensitive care by:
asking the patient’s father if he has any questions regarding his son’s care.
asking the patient’s father to leave the room due to confidentiality issues.
performing the examination without commenting to the patient’s father.
performing the examination, then telling the patient’s father the examination findings.
long latency period between exposure and disease development.
A difficult aspect of determining occupational exposure to disease is the:
confidentiality of the information within company records.
inaccuracy of occupational disease reporting.
long latency period between exposure and disease development.
reliance on workers’ memories.
creating a task force to address scope-of-practice concerns.
The family nurse practitioner exhibits professional leadership by:
adding clinical protocols to the nurse practitioner scope of practice.
comparing the workplace roles of the registered nurse and the nurse practitioner.
creating a task force to address scope-of-practice concerns.
lobbying to eliminate continuing education requirements.
evaluation and management code with history, examination and medical decision making
To comply with regulations for third-party payor reimbursement and documentation, a family nurse practitioner correlates:
evaluation and management code with history, examination and medical decision making.
health outcomes with physical examination findings and plan of care.
medication orders and treatment plan with electronic billing.
patient privacy with informed consent.
vocational rehabilitation services.
The family nurse practitioner examines a patient who has sustained a non-work-related injury that interferes with the patient’s ability to perform his or her job. The patient does not qualify for medical disability and has a reasonable chance of engaging in a suitable occupation with proper therapy. The nurse practitioner recommends that the patient apply for:
Family and Medical Leave Act benefits.
home health services.
Social Security benefits.
vocational rehabilitation services.
requesting a referral for evaluation of the larynx.
A 45-year-old patient who is an opera singer reports progressive hoarseness for the last four weeks. The hoarseness began after a three-hour opera performance. The patient does not smoke and reports no weight loss, upper respiratory infection, dysphagia, or shortness of breath. The family nurse practitioner manages this patient by:
ordering a computed tomography scan of the head.
ordering an immediate lateral neck x-ray.
prescribing systemic antibiotics and cool mist inhalations.
requesting a referral for evaluation of the larynx.
one month and six months.
Routine immunization guidelines recommend administering the hepatitis B vaccine at birth and repeating doses at:
one month and six months.
one month and two months.
four months and two years.
six months and 12 months.
tertiary prevention.
A patient who sustained a myocardial infarction comes to the clinic for a refill of atorvastatin (Lipitor). The family nurse practitioner explains that the medication is prescribed for:
cancer prevention.
primary prevention.
secondary prevention.
tertiary prevention.
Motivational interviewing.
Which health promotion strategy is most appropriate for adolescents who are obese?
Individual-based behavior modification.
Motivational interviewing.
Parents should regulate meals.
Presenting video case studies.
cold compresses.
reatment of viral conjunctivitis includes the use of:
antihistamine/decongestant drops.
antihistamine/mast cell stabilizer drops.
cold compresses.
steroid eyedrops.
Enalapril (Vasotec).
A 60-year-old patient with diabetes has a blood pressure reading of 150/96 mmHg. After three months of increased exercise and decreased calories, the patient has lost 10 lb (4.54 kg). The patient’s follow-up blood pressure is 142/94 mmHg. Which medication does the family nurse practitioner prescribe?
Enalapril (Vasotec).
Furosemide (Lasix).
Hydrochlorothiazide (HydroDIURIL).
Propranolol (Inderal).
Complete blood count.
A patient who had a total gastrectomy one year ago complains of a sore mouth, indigestion, and tingling in the lower extremities. Which test is ordered by the family nurse practitioner?
Blood urea nitrogen level.
Complete blood count.
Liver function study.
Thyroid function study.
psoriasis.
A 40-year-old patient has had a generalized, nonpruritic skin eruption with intermittent exacerbations over the past 10 years. Currently, a well-circumscribed erythematous plaque appears over the patient’s left gluteal fold area. The lesion is covered with scales and has some fissuring. The family nurse practitioner makes a diagnosis of:
atopic dermatitis.
ichthyosis.
psoriasis.
tinea corporis.
mitral regurgitation.
During cardiac auscultation, a soft first heart sound with a holosystolic apical murmur that radiates to the left axilla suggests:
aortic stenosis.
mitral regurgitation.
mitral stenosis.
mitral valve prolapse.
Evaluating medication side effect profile.
Ordering a thyroid-stimulating hormone level test.
Performing a depression screening.
A 68-year-old male patient reports an unintended weight loss of 15 lbs (6.8 kgs) over the last two months. The patient states that he feels well. His problem list includes depression, tobacco use, hyperglycemia, obesity, and dyslipidemia. The patient’s medications are sertraline (Zoloft), metformin (Glucophage), simvastatin (Zocor), and famotidine (Pepcid). The family nurse practitioner initiates which three interventions?
Decreasing the statin medication.
Increasing the Glucophage dose.
Evaluating medication side effect profile.
Ordering a thyroid-stimulating hormone level test.
Performing a depression screening.
3, 2, 1
To determine whether sufficient evidence exists to prescribe glucosamine for a patient who has osteoarthritis (OA) of the knee, the family nurse practitioner reviews three article summaries. Place the article summaries in sequential order of strength of evidence from strongest to weakest:
- Investigators conducted a retrospective review of 1000 charts of patients who were diagnosed with OA and had glucosamine on their medication list. The investigators assessed the pain rating scale at the time the glucosamine was prescribed and compared this score with the pain rating scale three months after the medication had been prescribed. They also reviewed the progress notes and included only patients for whom clinicians stated in the note that the patient took the medication regularly.
- Investigators randomly assigned a group of 1600 patients with OA of the knee to receive either a placebo or glucosamine for six months. The goal was to determine if glucosamine and/or chondroitin treats pain related to OA of the knee and could help prevent structural damage. The study found no benefit for pain relief for the study group compared with the placebo group.
- Researchers evaluated the benefit of glucosamine for osteoarthritis of the hip and/or knee by searching MEDLINE and the Cochrane database for studies that investigated this question. The researchers included only studies that were double-blind, placebo-controlled, randomized trials of at least four weeks duration and tested glucosamine’s effectiveness in treating OA in the knee or hip. Fifteen studies were included in the analysis and the investigators applied a statistical formula to evaluate these studies, giving the larger studies more weight.
1, 2, 3
1, 3, 2
2, 1, 3
2, 3, 1
3, 1, 2
3, 2, 1
serve as a handbook to best practice.
Clinical practice guidelines are designed to:
be used in every patient situation.
increase variations in clinical care.
mandate practice decisions.
serve as a handbook to best practice.
peer review.
The family nurse practitioner participates in a hospital-based quality improvement project. The nurse practitioner reviews four charts per month of a nurse practitioner colleague to ensure diabetes protocols are met. This process is a:
core competency.
force field analysis.
peer review.
risk analysis.
systematic reviews.
Evidence-based practice in clinical management is grounded in:
clinical practice guidelines.
cohort studies.
expert opinions.
systematic reviews.
root cause analysis.
A retrospective approach to error analysis, used to identify underlying sentinel events, is known as:
evidence-based practice.
meta-analysis.
quality improvement.
root cause analysis.
National Standards for Culturally and Linguistically
What federal initiative emphasizes health care access for all persons, regardless of their primary language or racial or ethnic background?
Genetic Information Nondiscrimination Act.
Health Insurance Portability and Accountability Act.
Healthy People 2020.
National Standards for Culturally and Linguistically Appropriate Services.
scope of practice.
Statements that define the core knowledge of a primary care nurse practitioner’s care are contained within the professional:
accreditation standards.
certification requirements.
licensure application.
scope of practice.