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31 Cards in this Set
- Front
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Which of the following laboratory tests is NOT matched with its correct reference range?
hemoglobin: 13.5 to 17.5 g/dL (males) MCV: 80 to 100 fL platelet count: 150,000 to 400,000/mm3 hematocrit: 41% to 53% (females) |
The correct reference range for hematocrit for females is 36% to 46%. The reference range for males is 41% to 53%
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A female patient presents with vaginal discharge but no swelling. She is sexually active. What test should you order?
HIV. CBC. CEA test. Vaginal pH. |
Vaginal pH The condition does not appear like a yeast infection because there is no swelling. Infections such as BV can alter the pH levels. This will help confirm the cause of the discharge.
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Fat, sweat glands and hair follicles are located in which layer of skin?
subcutaneous layer epidermis dermis all of the above |
subcutaneous layer
There are three layers of skin. Fat, sweat glands and hair follicles are located in the subcutaneous layer of skin. The epidermis has no blood vessels and gets nourishment from the dermis. The dermis has blood vessels, sebaceous gland and hair follicles. |
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The FNP faces the task of educating a Native American Navajo female about her newly diagnosed type 2 diabetes. The FNP understands that which of the following is true in regard to discussing this with the patient?
The FNP should avoid direct eye contact with the patient while educating the patient. The FNP should include the woman’s husband in the education for the reason that the husband makes all of the decisions in Native American Navajo families. Native American Navajo families are not accepting of outside health-care practitioners. none of the above |
The FNP should avoid direct eye contact with the patient while educating the patient.
This is the true statement. Native Americans often avoid direct eye contact and consider it disrespectful or aggressive. |
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There are many middle-range theories both from nursing and related disciplines that guide nursing research. Liehr and Smith provide eight main categories of middle-range theories. Which of the following is NOT one of these?
transcultural theory community empowerment story theory self-efficacy theory |
There are many middle-range theories both from nursing and related disciplines that guide nursing research. Liehr and Smith provide eight main categories of middle-range theories. Which of the following is NOT one of these?
transcultural theory community empowerment story theory self-efficacy theory |
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There are many middle-range theories both from nursing and related disciplines that guide nursing research. Liehr and Smith provide eight main categories of middle-range theories. Which of the following is NOT one of these?
transcultural theory community empowerment story theory self-efficacy theory |
Emmy Werner
The transaction model was first described in 1975 as a “continuum of reproductive risk and caretaking casualties” by Arnold Dameroff and Michael Chandler. Emmy Werner produced the Kauai longitudinal study from birth to adulthood to explore perinatal risk and environmental factors on subsequent developmental outcomes and resiliency based on the transactional model. |
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A patient who has been prescribed hyoscyamin for symptoms of IBS mentions that she also takes an antacid frequently for heartburn. Which of the following is an appropriate response to this patient?
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The patient should take the antacid at least one hour after taking the hyoscyamin Antacids can interfere with hyoscyamin. The patient should take the antacid at least one hour after the hyoscyamin. She may also take her antacid after meals and her hyoscyamin before meals.
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The Family Nurse Practitioner has the duty to disclose certain information to the patient as part of the informed consent process. Exceptions to this duty would include all of the following EXCEPT:
It is a definite emergency situation. The healthcare provider believes that the information would be harmful to the patient and invokes the therapeutic privilege. The patient has waived the right to receive informed consent. The patient is 80-years-old or older and unable to comprehend the complex medical facts. |
The patient is 80-years-old or older and unable to comprehend the complex medical facts.
All patients are entitled to medical information regardless of age. The nurse practitioner may treat in any of the other circumstances listed in the remaining answer choices. |
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When assessing a child during a well-child exam, the nurse practitioner (NP) notices that genu valgum is present. The NP knows that this is normal from:
1-2 years old 3-5 years old 8-10 years old 12-16 years old |
3-5 years old
Knock knees or genu valgum is a condition that affects the knees in some children. With knock knees, the knees angle in and touch one another when the legs are straightened. Genu valgum can be seen in children from ages 3 to 5. Genu valgum is corrected naturally, without treatment interventions, by the time the child reaches 10 years of age. |
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Under the Final Rule of HIPAA all covered entities must do all of the following EXCEPT:
notify patients orally and face-to-face of their rights under the rules appoint a privacy officer conduct training for staff about policies issue policies regarding handling of and protection of patient information |
notify patients orally and face-to face of their rights under the rules
Under the Final Rule of HIPAA all covered entities must notify patient in writing of their rights under the rules. Patients must also authorize in writing any release of their individually identifiable information for marketing purposes. |
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The leading cause of death in the 45 to 54 year age group is which of the following?
heart disease suicide malignant neoplasms cerebrovascular disease |
malignant neoplasms
Malignant neoplasms are the leading cause of death in the 45-54 year age group. Heart disease is second. |
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Under the Health Insurance Portability and Accountability Act (HIPAA) any individual, organization or facility which meets the definition of “covered entity” must do certain things. Which of the following may NOT be a covered entity under HIPAA?
health plans healthcare clearinghouses free health clinic healthcare providers who transmit health information in electronic form in connection with a transaction |
free health clinic
A simple rule of thumb is that any provider who bills an insurance company or health plan is a covered entity under HIPAA. A free health clinic may not be subject to HIPAA because it doesn't bill anyone. |
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Sadavoy (1987) identified critical geriatric age-related stresses. These include all of the following EXCEPT:
physical disability loss of youthful appearance and beauty loss of mental acuity confrontation with death |
Loss of mental acuity
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Which of the following is NOT true of the treatment plan for a pregnant patient with a vaginal yeast infection?
The patient should avoid topical treatments such as Femstat. The patient should not take oral medication for the infection. The patient can use topic medications such as Monistat. It may take longer to cure a yeast infection during pregnancy. Incorrect. The answer is |
The patient should avoid topical treatments such as Femstat During pregnancy, patients should treat yeast infections only with topic medications. Oral medications are not recommended during pregnancy. Pregnant patients may need to treat a yeast infection for a longer time than do patients who are not pregnant.
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A 65-year-old female has come to the clinic complaining of a scaly red rash on one of her nipples that will not go away. She tells the FNP that it has become crusty and sometimes bleeds. Examination shows a discharge from the nipple and a small lump. Which of the following diseases/conditions is likely to be diagnosed?
breast cancer fibrocystic breast Lymphogranuloma Venereum Paget’s disease of the breast |
Paget’s disease of the breast is often reported by older females. The disease presents as a scaly rash resembling eczema on the nipple or the nipple and areola that does not heal. It can eventually have crusting, ulceration and/or bleeding and is sometimes itchy.
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60-year-old male comes to the clinic complaining of a sudden onset of severe frontal headache with eye pain. He tells the FNP that his vision is blurred and his eyes are tearing. He also sees halos around lights. Which of the following conditions would the FNP most likely suspect?
primary closed-angle glaucoma primary open-angle glaucoma subconjunctival hemorrhage macular degeneration |
Primary closed-angle glaucoma is a sudden blockage of aqueous humor causing markedly increased IOP causing ischemia and permanent loss of vision. The symptoms reported by the patient point to primary closed-angle glaucoma more than any of the other choices.
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In terms of the nutritional needs of a child of 18 months of age, which type of milk should the child be drinking?
whole milk until the age of 2 skim milk 1% milk 2% milk |
Until the age of 2 a child needs fats to ensure myelination of nerve fibers. The other choices have reduced amounts of the necessary fat.
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The FNP prescribes Imitrex to a patient with migraine headaches. The FNP knows that Imitrex is indicated for:
patients with a slowly developing headache with minimum GI distress use as an abortive agent for migraine headaches patients with a rapidly progressing migraine headache accompanied by significant GI upset beginning migraineur tension-type headaches |
patients with a rapidly progressing migraine headache accompanied by significant GI upset
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Which of the following lab results falls into the normal range?
MCV: 80 – 100 fL MCH: 15.0 – 25.0 pg/cell serum iron: 25.0 – 50.0 mcg/dL hemoglobin: 13.0 – 18.0 g/dL (female) |
MCV: 80 – 100 fL
This is the only choice with a result in the normal range. MCH should be: 25.0 to 35.0 pg/cell. serum iron should be: 50 – 175 mcg/dL. Hemoglobin for females should be: 12.0 – 16.0 g/dL. |
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The nurture position theorist whose theory involves behaviorism and classical conditioning is which of the following?
Albert Bandura John Locke Abraham Maslow John B. Watson |
John B. Watson
John B. Watson promoted behaviorism. He believed in classical conditioning where a neutral stimulus associated with a meaningful one over time leads to a “conditioned” response that can be elicited by the neutral stimulus alone as though it were the meaningful one. |
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In terms of the infectious period for the influenza virus, which of the following statements is false?
Children remain infectious for 10 or more days after the onset of symptoms. Adults pass the illness on 5 days before the onset of symptoms. In an immunocompetent adult, the influenza virus has a short incubation period, with a range of 1 to 4 days. People who are immunocompromised can remain infectious for up to 3 weeks. |
Adults pass the illness on 5 days before the onset of symptoms.
All of the statements are true except this one. Adults pass the illness on one day before the onset of symptoms and continue to remain infectious for approximately 5 days after the onset of the illness. |
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According to Duvall, families pass through eight chronological stages, and success in one task sets the stage for success in subsequent tasks. Which of the following is NOT one of Duvall’s stages of development?
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prenatal family
This is not a stage of Duvall’s theory of families. His stages are: beginning family, childbearing family, family with preschool children, family with schoolchildren, family with teenagers, launching center family, family with middle-aged parents and family with old age and retirement. |
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A 45-year-old man states, "I drink way too much and don't know how to stop." According to Prochaska's change framework, the statement is most consistent with a person at the stage of:
action preparation precontemplation contemplation |
Contemplation
During the stage of contemplation, the patient is considering change and looking at its positive and negative aspects. The person often reports feeling "stuck" with the problem. During precontemplation, the patient is not interested in change. Action and preparation stages are after contemplation, when change begins to occur. |
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Treatment options for typical cases of condyloma acuminatum would include all but which of the following?
patient-administered Aldara cryotherapy trichloroacetic acid surgery |
surgery
Treatment options for condyloma acuminatum, the verruciform lesion seen in genital warts include: oliflox, imiquimod, trichloroacetic acid and cryotherapy. Surgical intervention is reserved for complicated, recalcitrant lesions. |
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A young female patient with seasonal allergies has been prescribed Allegra. She comes in after a few weeks, and her chief complain is that the medication no longer seems to be effective. She has red, watery eyes and is sneezing. What question is most relevant to the situation?
How long have you been taking the medication? Tell me about your allergies. Tell me about your daily diet. How long have you had allergies? |
Tell me about your daily diet Drugs can react to the foods that we eat. Grapefruit and other citrus is known to inhibit Allegra and reduce effectiveness. The allergies have been addressed before the medication was prescribed.
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When counseling a patient with the human herpes virus 2 (HHV-2), the nurse practitioner knows that what percentage of sexually active adults has serological evidence of this disease?
5% 10% 15% 25% |
25%The human herpes virus 2 (HHV-2) causes painful ulcerated lesions and lymphadenopathy. Approximately 25% of adults who are sexually active have serological evidence of this disease, although only a small percentage of these persons have symptoms.
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Which of the following is not a stage of the epidemiologic principle and natural history of disease?
stage of susceptibility (prepathological) stage of presymptomatic disease (subclinical) stage of recovery (improvement) stage of disability (or death) |
The correct answer is stage of recovery (improvement). This is not part of the course of disease development. The third stage is the stage of clinical disease.
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Which of the following is not a stage of the epidemiologic principle and natural history of disease?
stage of susceptibility (prepathological) stage of presymptomatic disease (subclinical) stage of recovery (improvement) stage of disability (or death) |
The correct answer is stage of recovery (improvement). This is not part of the course of disease development. The third stage is the stage of clinical disease.
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Medicaid is a federal program administered by the states. All of the following statements regarding Medicaid are true EXCEPT:
Medicaid pays NPs 70% to 100% of the fee-for-service rates set for physicians by state Medicaid agencies. Federal law controls the rates paid by Medicaid. Medicaid reimbursement generally is lower than the rate paid by commercial insurers. Many states have applied to the federal government for a Medicaid waiver in order to administer Medicaid in ways that differ from federal laws and regulations. |
Federal law controls the rates paid by Medicaid.
This is incorrect. Federal law does not control the rates paid by Medicaid. State law controls the rates paid by Medicaid. |
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The FNP has a 39-year-old female patient who wants to get the flu vaccine. She asks the FNP about getting the nasal-spray vaccine instead of a shot, since she has an aversion to needles. The FNP knows that all of the following are true about the nasal-spray flu vaccine EXCEPT:
It contains weakened live influenza viruses instead of killed viruses. The viruses in the nasal-spray flu vaccine can grow in the nose and throat as well as in the lower respirator tract. This type of vaccine is approved for use in healthy people 2 to 49 years old. It contains three different influenza viruses that are sufficiently weakened as to be incapable of causing disease. |
The viruses in the nasal-spray flu vaccine can grow in the nose and throat as well as in the lower respirator tract.
The viruses in the live attenuated influenza vaccine (LAIV) are cold adapted and temperature sensitive. As a result the viruses in the nasal-spray flu vaccine can grow in the nose and throat but not in the lower respiratory tract where the temperature is higher. |
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Domestic violence is a major health concern that the nurse practitioner will encounter in her practice. It is important to note that all of the following are true concerning domestic violence EXCEPT:
50% of homeless women are victims of domestic violence. Domestic violence is the leading cause of injury among women ages 15-44. Women who leave are more likely to survive than those who stay. Around 30% of all women seen in emergency rooms suffer injuries as a result of domestic violence. |
Women who leave are more likely to survive than those who stay
Statistics reveal that women who leave are at a much greater risk of being murdered than those who stay. The profile of known, reported abusers consists of a male under age 25, lower socioeconomic status, and an inner city resident. |
