AANPFNPEXAMREVIEWTESTBANK

AANPFNPEXAMREVIEWTESTBANK

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QUESTIONSANDCORRECTDETAILED

ANSWERS/LATEST UPDATE

>>Assessmentoftheopticdiscisacomponentoftheevaluationofcranial

nerve:I.II.III..IV

_correctanswer_ CranialII >>Youexaminea62-year-oldwomanwitha20-yearhistoryof hypertension.Shereportsintermittentuseofantihypertensivemedications,

stating,"Ifeelbetterwithoutthemedications."Todayshepresentsfora

"check-up."Onphysicalexamination,younotethefollowing:PMIwitha

downwardandlateralshiftaswellasaGrII/VIholosystolicmurmurwith radiationtotheaxilla.Thispatient'shealthhistoryismostlikelytoincludea

reportof:Syncopalepisodes.Episodesofchestpainatrest.Dyspneawith

exertion.Vertigo._correctanswer_

Ans:dyspneaonexertion

>>Ofthefollowing,whichshouldbeperformedfirstinassessinga 48-year-oldwomanwhohasa25-yearhistoryofmoderatepersistent asthmaandwhonowpresentswithanacuteasthmaflare?Oxygen saturationArterialbloodgasFEV1(forcedexpiratoryvolumeat1second) Chestx-ray _correctanswer_

Ans:FEV(forceexpiratoryvolume)

>>Youaresettingupahealthcareclinicformigrantfarmworkers.Whichof thefollowingsitesismostdesirable?CommunityhallofalocalchurchLocal hospitalambulatorycarecenterMobilevanSpaceinashoppingcenter _correctanswer_

Ans:Mobilevan

>>A58-year-oldwomanpresentsforaninitialexaminationinorderto becomeapatientinyourprimarycarepractice.Sheisanonsmoker,drinks1 to2,5oz(0.15L)glassesofwineperweek,andworksasanadministrative assistantinalawoffice.Sheiswithoutcomplaintandreportsthatsheis generallyingoodhealth.PhysicalexamrevealsBMI=34kg/m2and BP=144/98mmHgbilaterally.Therestofherexaminationisunremarkable.Prescribealow-dosethiazidediuretic.Arrangeforadditionalblood pressuremeasurementswithinthenextfourweeks.Orderaserum creatinine,ureanitrogenandurinalysis.Adviserestrictingsodiumintake andlimitingalcoholintaketonomorethan1glassofwineperweek._correctanswer_

Ans:Arrangeforadditionalbloodpressuremeasurementswithinthenext

fourweeks.>>TheNPdemonstratesfulfillmentoftheadvancedpracticenursing leadershiprolebyparticipatinginwhichofthefollowingactivities?Teaching a56-year-oldmanwithnewly-diagnosedtype2diabetesmellitusaboutthe importanceofself-glucosemonitoringVolunteeringtoteachaclasson contraceptivemethodstoagroupofteenmothersDiscussingbarriersto

achievingbloodpressurecontrolwitha65-year-oldwomanwith hypertensionwho"doesnotwanttotakeanymedicine"Collaboratingwith theregionalpublichealthdepartmentonaninitiativetocombatobesity throughacommunity-basedexerciseprogram _correctanswer_

Ans:Collaboratingwiththeregionalpublichealthdepartmentonan

initiativetocombatobesitythroughacommunity-basedexerciseprogram >>YouareaskedtospeaktoagroupofhealthcareexecutivesontheNP role.WhichofthefollowingprovidesthestrongestsupportforNPpractice?NumberofacademiccreditsearnedduringtheNPprogramEvidenceofNP practiceoutcomesThequantityofclinicalhoursandtypeofclinical rotationsintheNPprogramTheprofessionalexperienceofthepersonprior toenteringtheNPprogram _correctanswer_

Ans:EvidenceofNPpracticeoutcomes

>>Rankthefollowingfromhighest(1)tolowest(4)levelofresearch design.__Casereports__Meta-analysis__Randomizedcontrolledtrials __Expertopinion1-Casereports2-Meta-analysis3-Randomizedcontrolled trials4-Expertopinion2-Casereports1-Meta-analysis3-Randomized