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1. Which of the following is a core competency of family nurse
practitioners (FNPs) according to the National Organization of
Nurse Practitioner Faculties (NONPF)?
a) Health promotion and disease prevention
b) Leadership and collaboration
c) Quality improvement and safety
d) All of the above
Answer: D. All of the above are core competencies of FNPs as
defined by the NONPF. These competencies guide the education
and practice of FNPs and reflect the current and future needs of
the health care system. (Source:
https://cdn.ymaws.com/www.nonpf.org/resource/resmgr/comp
etencies/2017_NPCoreComps_with_Curric.pdf)
2. A 45-year-old woman presents to your clinic with complaints of
fatigue, weight gain, dry skin, and constipation for the past 6
months. She has no history of thyroid disease or other chronic
conditions. What is the most appropriate initial diagnostic test to
order for this patient?
a) Thyroid-stimulating hormone (TSH)
b) Free thyroxine (T4)
c) Free triiodothyronine (T3)
d) Thyroid peroxidase antibody (TPOAb)
Answer: A. TSH is the most sensitive and reliable test to screen for
thyroid dysfunction, especially hypothyroidism. A high TSH level
indicates primary hypothyroidism, which is the most common
cause of hypothyroidism in adults. Free T4, free T3, and TPOAb
can be ordered as confirmatory or additional tests depending on
the clinical scenario. (Source:
https://www.aafp.org/afp/2012/0801/p244.html)
3. A 65-year-old man with a history of hypertension, diabetes, and
coronary artery disease is admitted to the hospital with chest
pain and shortness of breath. He is diagnosed with acuteÂÂ
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