UTA FNP 3 COMPREHENSIVE EXAM UPDATED QUESTIONS
AND SOLUTIONS GRADED A+
✔✔Describe assessment findings for acute bronchitis - ✔✔Cough: dry and
nonproductive, then productive; may be purulent
URI symptoms
Fatigue
Fever due to bacterial infection; more common in smokers and patients with COPD
Fever due to viral cause (unusual after first few days)
Burning sensation in chest
Crackles, wheezes
Chest wall pain
Perform detailed review of preexisting health conditions & exposure history
✔✔When assessing skin disease, what's important to include? - ✔✔measurements
✔✔When periorbital cellulitis is diagnosed, what's the next step? - ✔✔refer to the ED
✔✔What's important to remember when heroin is suspected? - ✔✔refer to ED prior to
unconsciousness
✔✔Define chemical dependence - ✔✔a condition caused by the chronic use of a drug
producing tolerance. Negative symptoms result when the drug is stopped or reduced in
dose
✔✔How does physical dependence develop? - ✔✔It can begin from low dose
therapeutic use of a drug with medications such as benzodiazepines, opiods, antileptics
and antidepressants; also recreational use
✔✔When a high dose of a drug is used for recreation - ✔✔there is a greater duration in
use and use began at an earlier age. This creates worsened physical dependence and
severe withdrawal
✔✔State the types of withdrawals - ✔✔- Acute withdrawal syndrome
- post-acute withdrawal syndrome (PAWS)
✔✔Describe acute withdrawal syndrome - ✔✔- Starts when a drug is stopped
- continues for days, weeks, or months
✔✔Describe protracted withdrawal - ✔✔- post-acute withdrawal syndrome (PAWS)
- low grade continuation of some symptoms of acute withdrawal
- occurs in a pattern of remitting-relapsing
- often results in relapse into addiction and prolonged disability that affects chances of
employment
- rarely, but can be indefinite
, ✔✔Protracted withdrawal syndrome is commonly caused by - ✔✔- benzodiazepines
- may be present with alcohol and opioid addiction
✔✔A patient has a plan to commit suicide, what's the next step? - ✔✔- Call 911
- file application for detention
- do not take no for an answer
✔✔What are the top 3 most harmful drugs? - ✔✔1. alcohol
2. heroin
3. crack cocaine
4. methamphetamine
5. cocaine
6. tobacco
✔✔What action do you take if a patient is homicidal? - ✔✔- Call 911
- file application for detention
- do not take no for an answer
✔✔If a patient is suicidal, agreeing to this will prevent detention - ✔✔- a contract to call
911 instead of suicide
- the patient and provider both must sign it
✔✔How long does it take for motrin to develop a therapeutic level? - ✔✔5 days or more
✔✔Describe assessment findings for tenosynovitis - ✔✔- Median paresthesias affecting
the thumb, index finger, middle finger, and radial side of the ring finger
- Nocturnal paresthesias
- Bilateral presentation common at first, but may be unilateral
- Positive Phalen's test
- Positive Tinel's test
✔✔Describe Phalen's test - ✔✔Hold pt's wrists in acute flexion for 60 seconds, or you
may ask pt's to press back of both hands together to form right angles.
✔✔Describe Tinel's test - ✔✔Done to diagnose carpal tunnel
Tap over the median nerve; Pain = positive
✔✔When prescribing NSAIDS for long-term always assess - ✔✔kidney function
✔✔Non-pharmacologic treatments for URI - ✔✔- commonly caused by viruses
- remove triggers, such as smoking, allergens-
✔✔What's important to remember when the assessment reveals AMS? - ✔✔It's a
Medical Emergency
AND SOLUTIONS GRADED A+
✔✔Describe assessment findings for acute bronchitis - ✔✔Cough: dry and
nonproductive, then productive; may be purulent
URI symptoms
Fatigue
Fever due to bacterial infection; more common in smokers and patients with COPD
Fever due to viral cause (unusual after first few days)
Burning sensation in chest
Crackles, wheezes
Chest wall pain
Perform detailed review of preexisting health conditions & exposure history
✔✔When assessing skin disease, what's important to include? - ✔✔measurements
✔✔When periorbital cellulitis is diagnosed, what's the next step? - ✔✔refer to the ED
✔✔What's important to remember when heroin is suspected? - ✔✔refer to ED prior to
unconsciousness
✔✔Define chemical dependence - ✔✔a condition caused by the chronic use of a drug
producing tolerance. Negative symptoms result when the drug is stopped or reduced in
dose
✔✔How does physical dependence develop? - ✔✔It can begin from low dose
therapeutic use of a drug with medications such as benzodiazepines, opiods, antileptics
and antidepressants; also recreational use
✔✔When a high dose of a drug is used for recreation - ✔✔there is a greater duration in
use and use began at an earlier age. This creates worsened physical dependence and
severe withdrawal
✔✔State the types of withdrawals - ✔✔- Acute withdrawal syndrome
- post-acute withdrawal syndrome (PAWS)
✔✔Describe acute withdrawal syndrome - ✔✔- Starts when a drug is stopped
- continues for days, weeks, or months
✔✔Describe protracted withdrawal - ✔✔- post-acute withdrawal syndrome (PAWS)
- low grade continuation of some symptoms of acute withdrawal
- occurs in a pattern of remitting-relapsing
- often results in relapse into addiction and prolonged disability that affects chances of
employment
- rarely, but can be indefinite
, ✔✔Protracted withdrawal syndrome is commonly caused by - ✔✔- benzodiazepines
- may be present with alcohol and opioid addiction
✔✔A patient has a plan to commit suicide, what's the next step? - ✔✔- Call 911
- file application for detention
- do not take no for an answer
✔✔What are the top 3 most harmful drugs? - ✔✔1. alcohol
2. heroin
3. crack cocaine
4. methamphetamine
5. cocaine
6. tobacco
✔✔What action do you take if a patient is homicidal? - ✔✔- Call 911
- file application for detention
- do not take no for an answer
✔✔If a patient is suicidal, agreeing to this will prevent detention - ✔✔- a contract to call
911 instead of suicide
- the patient and provider both must sign it
✔✔How long does it take for motrin to develop a therapeutic level? - ✔✔5 days or more
✔✔Describe assessment findings for tenosynovitis - ✔✔- Median paresthesias affecting
the thumb, index finger, middle finger, and radial side of the ring finger
- Nocturnal paresthesias
- Bilateral presentation common at first, but may be unilateral
- Positive Phalen's test
- Positive Tinel's test
✔✔Describe Phalen's test - ✔✔Hold pt's wrists in acute flexion for 60 seconds, or you
may ask pt's to press back of both hands together to form right angles.
✔✔Describe Tinel's test - ✔✔Done to diagnose carpal tunnel
Tap over the median nerve; Pain = positive
✔✔When prescribing NSAIDS for long-term always assess - ✔✔kidney function
✔✔Non-pharmacologic treatments for URI - ✔✔- commonly caused by viruses
- remove triggers, such as smoking, allergens-
✔✔What's important to remember when the assessment reveals AMS? - ✔✔It's a
Medical Emergency
