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NSG 6440 FINAL EXAM
Practicum IV Family Health: Primary Care
Actual Questions and Answers 100% Guarantee Pass
This Exam contains:
100% Guarantee Pass. Multiple-Choice (A–D), For Each Question. Each Question Includes The Correct Answer Expert-Verified explanation
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### 1) An 18-year-old woman is taking a combined ho rmonal oral contraceptive. She should be instructed to use a backup method for the
prevention of pregnancy:
- Throughout the week of placebo pills
- If prescribed topiramate (Topamax) for migraines
- If prescribed amoxicillin/clavulanate (Augmentin) for a sinus infection
- If she forgets to take a single dose of the contraceptive
Answer: B
Explanation: Certain anticonvulsants, including topiramate, can significantly
reduce the effectiveness of hormonal contraceptives. Therefore, it is crucial to use backup methods if prescribed these medications. Most other antibiotics, including amoxicillin, do not significantly impact contraceptive efficacy.
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### 2) A 44-year-old female patient with diabetes has total cholesterol (TC) of 250 mg/dL, LDL= 190 mg/dL, HDL= 25 mg/dL, and tr iglycerides= 344 mg/dL. What agent has the greatest effect on improving her lipid profile and reducing morbidity and mortality associated with dyslipidemia?
- Niacin (Niaspan)
- Atorvastatin
- Omega-3 fatty acids
- Fenofibrates
Answer: B 2 / 4
Explanation: Statin therapy, particularly atorvastatin, is strongly
recommended for diabetic patients because it effectively lowers LDL cholesterol levels and provides additional cardiovascular protective benefits.Other options may assist with triglyceride management but do not provide the same degree of overall risk reduction as statins.
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### 3) A 30-year-old female comes into a clinic with classic signs and symptoms of appendicitis. The NP fails to refer the patient to a surgeon. The
appendix ruptures, and the woman dies. This is an example of:
- Failure of diligence
- Professional liability
- Negligence
- Malpractice
Answer: D
Explanation: This incident illustrates malpractice, a form of negligence,
where the healthcare provider's actions fail below the accepted standard of care, resulting in patient harm. The failure to act appropriately in a clinical situation, such as a suspected appendicitis, constitutes malpractice.
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### 4) A NP has recently been hired at a fast-track facility. The NP's employer asked if she has a "problem" prescribing medications for
emergency contraception. The NP replies affirmatively. This is:
- Grounds for dismissal
- An ethical dilemma for the NP 3 / 4
- Illegal according to the standards of nursing
- Patient abandonment
Answer: B
Explanation: This situation represents an ethical dilemma where the NP's
personal beliefs may conflict with professional responsibilities. The NP's reluctance to prescribe emergency contraception does not necessarily represent a violation of law or professional standards but raises important ethical considerations.
### 5) A 15-year-old high school student with a mild sore throat and low- grade fever has persisted for about 3 weeks. She reports general malaise, fatigue, and loss of appetite. The NP suspects mononucleosis. Which of the following is the LEAST appropriate intervention?
- Palpate the lymph nodes and spleen
- Examine the posterior oropharynx for petechiae
- Obtain a CBC, throat culture, and heterophil antibody test
- Obtain urinalysis and serum for LFTs and amylase
Answer: D
Explanation: Mononucleosis, typically caused by Epstein-Barr virus, presents
with classic symptoms including fatigue, sore throat, and lymphadenopathy.The most relevant interventions before diagnosis would include palpating lymph nodes, checking for pharyngeal findings, and performing a heterophile antibody test. Urinalysis and liver function tests are not standard for diagnosing mononucleosis and therefore represent the least relevant intervention.
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