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20 Cards in this Set

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You are treating a patient with asthma in the clinic. They tell you they received a new medication in an emergency room when they were out of town visiting family. Which of the following should be avoided in a patient with asthma?
naproxen
topical hydrocortisone
amlodipine
timolol ophthalmic drops
Timolol ophthalmic drops

Timolol ophthalmic solution drop is a beta blocker which is known to precipitate asthma exacerbation in patients. Even though it is administered in the eye, there is considerable absorption through the mucous membranes, resulting in systemic effects. The remaining answer choices have no specific contraindications for patients with asthma.
A 5-year-old presents with fever, rhinorrhea, and paroxysmal, high-pitched whooping cough. The nurse practitioner understand that this is:
croup
epiglottitis
bronchiolitis
pertussis
Pertussis is also known as "whooping cough" and is a highly communicable respiratory disease caused by Bordetella pertussis. The three recognized stages of pertussis are the catarrhal phase, the paroxysmal phase and the convalescence phase.
define murmur grades
III/VI - Moderately loud IV/VI - Loud with palpable thrill V/VI - Very loud and heard with the stethoscope partially off the chest; palpable thrill II/VI - Quiet but heard as soon as the stethoscope is placed on the chest
Chadwick's sign
occurs at 6 to 8 weeks' gestation. Further, with Chadwick's sign, the pregnant female's cervix and vagina has a bluish discoloration. Additionally, Hegar's sign is the softening of the lower uterine segment. Braxton Hicks sign consists of uterine contractions. Then, Goodell's sign is the softening of the cervix that is seen as early as 4 weeks gestation.
There are certain fundamental domains in human growth and development. Temperament and personality would fall into which domain?
psychological and social domain
cognitive domain
physical domain
maturational domain
psychological and social domain

Temperament and personality are processes of human development that are part of the psychological and social domain. Other processes in the psychological and social domain include: interpersonal relationships; moral development; and home environment and other social contexts.
You are treating a 38-year-old mildly obese female with peptic ulcer disease symptoms. The most cost effective, sensitive and specific test for Helicobacter pylori infection is:
fecal DNA testing
organism-specific stool antigen testing
serological testing for antigen related to the infection
stool Gram stain, looking for the offending organism
Organism-specific stool antigen testing

The most cost-effective method of diagnosing H. pylori infection is the organism-specific stool antigen testing. Serological testing is also available but has limitations. H. pylori is transmitted via the oral-fecal and oral-oral route. It is a gram-negative, spiral shaped organism that is seen in duodenal ulcer and gastric ulcer disease.
The most highly infectious stage of pertussis is during which of the following?
convalescent stage
incubation stage
paroxysmal stage
catarrhal stage
catarrhal stage

The person who has pertussis is most highly infectious during the catarrhal stage of the illness. At this stage, that usually lasts from one to two weeks, the illness is characterized by complaints related to upper respiratory tract infection.
The normal ranges of blood pressure values are most similar to which statistical concept in nursing research?
standard error
standard deviation
median
mean
Standard deviation

The normal ranges of blood pressure values are based on studies that identify the standard deviation for these values. The standard error is not applicable in this situation. Further, the median and the mean are averages.
The FNP has a pregnant patient who is Rh negative and whose baby is Rh positive. The treatment for the infant antepartum includes which of the following?
transfusion with Rh negative blood
phototherapy
transfusion of packed red blood cells
administration of gamma globulin
transfusion with Rh negative blood

Once a diagnosis has been established, antenatal treatment includes transfusion of the fetus with Rh negative blood. All of the other choices are parts of postpartum interventions.
Erik Erikson’s theory of life span psychosocial development
School age children would be in the “industry vs. inferiority” stage of psychosocial development. Toddlers are in the “autonomy vs. shame and doubt” stage. Preschoolers are in the “initiative vs. guilt” stage. Young adults are in the” intimacy vs. isolation” stage.
You are assessing a 82-year old male patient with suspected BPH. What should the nurse practitioner consider?
BPH affects 30% of men his age.
The prostate size does not correlate well with symptom severity.
He is at low risk for prostate cancer.
Limiting his fluid intake would help him relieve the symptoms.
he prostate size does not correlate well with symptom severity

A small prostate can cause significant symptoms for some men. Benign prostatic hyperplasia (BPH) is a common disorder in older men, with 30% of men 30-years-old and older affected. Also, aging men are at high risk for prostate cancer. Limiting fluid intake would not be a good option because this can yield more concentrated and perhaps irritating urine, leading to increased symptoms.
Most of the drugs used in pregnancy are Category B drugs. The FNP has a patient in the third trimester of pregnancy. Which of the following drugs is a category C drug that should not be prescribed for this patient?
insulin
Colace
Sulfa drugs
thyroid hormone
Sulfa drugs

Sulfa drugs are considered Category C drugs in the third trimester because of increased risk of hyperbilirubinemia. NSAIDs are also contraindicated in the third trimester because they block prostaglandins.
Which of the following is NOT a tertiary prevention measure?
cardiac rehabilitation
Alcoholics Anonymous
patient education
testing for STDs
esting for STDs is a secondary prevention measure, i.e., one that is used for detection of disease early enough to minimize bodily damage. Tertiary prevention is rehabilitation and avoidance of further bodily damage.
Patients with which of the following conditions should not be prescribed Cipro?
Myesthenia gravis.
Multiple sclerosis.
Fibromyalgia.
Interstitial cystitis.
Myesthenia gravis Patients with this condition should not take Cipro. It may cause the condition to become worse.
Which of the following identifies six types of conduct that are considered felonies and may result in fines of up to $25,000 and/or up to 5 years in prison?
The Federal False Claims Act
Stark I Federal Law
The Medicare and Medicaid Patient Protection Act
The Anti-Kickback statute
The Medicare and Medicaid Patient Protection Act

The Medicare and Medicaid Patient Protection Act was enacted in 1987 and prohibits the billing for services that were not provided. Further, this act prohibits other false statements with regard to billing.
Research utilization involves five steps. The nurse practitioner understands these to be:
Identify the problem
Assess published research
Design the innovation
Evaluate the situation
Decide whether to use the innovation

The remaining answer choices, such as diagnosing the patient, implementing a treatment, providing patient instruction, reviewing the patient's medical record and developing a plan of care, are nursing actions. Therefore, these answer choices are incorrect regarding research utilization.
Report a problem with this question
A 22-year-old female is in the office for her gynecological examination. What finding is considered a normal surface characteristic of the cervix?
red patches with occasional white spots
irregular granular surface with red patches
small, yellow and white, raised areas on the cervix
friable, bleeding tissue at the opening of the cervical
Small, yellow and white, raised areas on the cervix

A nabothian cyst or Naboth's follicle is a small yellow or white, raised, round area on the cervix. This is considered to be a normal variant. In addition, the cervix should be smooth, symmetric and have a reddened circle around the opening. The remaining answer choices are all unexpected abnormal findings.
The FNP has a 3-year-old patient who has acute sinusitis. She will prescribe the “gold standard” treatment for this child. Which of the following drugs is considered the “gold standard” for this infection?
amoxicillin
amoxicillin/clavulanate
cefuroxime
trimethoprim sulfamethoxazole
Amoxicillin is the “gold standard” for sinusitis for any age group. The other choices are second-line treatments.
define ankle sprain grades
These levels are level I, level II and Level III. With a level I sprain, the joints are stable but the ligaments are stretched. The patient is usually able to bear weight on the area that suffered the injury.
With a level II sprain, the patient has sustained a ligament tear, which results in swelling, bruising and the patient experiences pain. The patient has diminished ability to move the joints because of the stiffness and pain resulting from the injury. With a level III sprain, the patient’s ligaments are torn. The patient’s injured site has swelling and bruising. Additionally, the patient is unable to bear any weight on the joints.
Serum creatinine is an indirect measure of renal function. The reference range for serum creatinine in males is:
0.6 – 1.1 mg/dL
0.7 – 1.3 mg/dL
1.0 – 2.0 mg/dL
none of the above
Correct answer:
0.7 – 1.3 mg/dL

The serum creatinine for males should be between 0.7 – 1.3 mg/dL. The serum creatinine level for females should be between 0.6 – 1.1 mg/dL.