BOARD PRACTICE QUESTIONS - PROFESSIONAL
ROLE QUESTIONS WITH COMPLETE SOLUTIONS
An adult patient is being evaluated for tuberculosis (TB)
infection with a Mantoux test. The purified protein derivative
(PPD) result is 10.5 mm. The patient denies weight loss, cough,
and night sweats, and the results of a chest x-ray are negative.
The patient reports that he is in the United States illegally and is
fearful about discovery. What is the most appropriate action for
the nurse practitioner?
A. The nurse practitioner has a legal duty to report the patient to
the local federal agency responsible for illegal migrants
B. The nurse practitioner is legally mandated to report illegal
migrants to state authorities
C. The nurse practitioner should call the state health department
to report that the patient has a TB infection
D. The nurse practitioner has an ethical duty to provide quality
healthcare to patients
Solution: D
The nurse practitioner has an ethical duty to provide quality
healthcare to patients.
Currently, health caregivers are not legally required to report
illegal migrants to the state or local authorities. This patient does
not have the signs and symptoms of active TB disease (cough,
weight loss, night sweats) and has a negative chest x-ray.
Therefore, he has latent TB infection and is not contagious. Only
,patients with active TB disease (has signs/symptoms) must be
reported to the state public health department.
Some nurse practitioners bill directly for their services.
Regarding reimbursement, who is considered a third-party
payer?
A. Patient
B. Healthcare provider
C. Health insurance companies, health plans, Medicare, and
Medicaid
D. Federal government
Solution: C
Health insurance companies, health plans, Medicare, and
Medicaid.
Third-party payers are health insurance companies, health plans
(HMOs or PPOs), Medicare, and Medicaid. The “first party” is
the patient. The “second party” is the healthcare provider.
A charitable foundation plans to build a community youth center
in a large urban area with a history of gang violence. What type
of health prevention activity is being done in this area?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Quaternary prevention
Solution: A
,Primary prevention.
A community youth center with good staffing can be an
effective method of drawing youth out of the streets into a safer
environment. It can reduce the risk of youth becoming victims
of gang violence. In addition, staff members can serve as role
models or mentors for adolescents.
How would the nurse practitioner ensure explanations of
treatment and medications are correctly translated to a patient
who does not speak English?
A. Ask a family member to interpret the medications and
treatment plan to the patient
B. Ask the patient to repeat information back
C. Ask a family member to write down the directions for the
patient to follow at home
D. Contact language access services for additional assistance
Solution: D
Contact language access services for additional assistance.
Language barriers can pose a real challenge to the clinician and
may result in miscommunication of a patient’s care. It is best to
contact language access services for additional assistance. This
can be done virtually, over the telephone, or in person.
Untrained staff or family should not provide this service,
because medical information can be interpreted incorrectly.
The nurse practitioner discovers that a patient received an
inappropriate medication due to a lab error. The nurse
, practitioner immediately informs the patient of the error. Which
ethical principle is reflected in the nurse practitioner's behavior?
A. Veracity
B. Autonomy
C. Confidentiality
D. Fidelity
Solution: A
Veracity.
By presenting the information honestly and truthfully, the nurse
practitioner is following the ethical principle of veracity.
Autonomy is the obligation to ensure that patients have the right
to make their own healthcare choices. Confidentiality is the
obligation of the nurse practitioner to protect all medical and
personal information of the patient. Fidelity is the process of
following through with promises and maintaining trust within
relationships.
The nurse practitioner is performing an assessment on an elderly
patient who lives in a long-term care facility that has recently
been investigated for elder abuse. All of the following physical
findings are suggestive of potential abuse, except:
A. Faded bruises on the arms and legs
B. Incontinence
C. Signs of malnutrition
D. Stage II pressure injury
Solution: B
ROLE QUESTIONS WITH COMPLETE SOLUTIONS
An adult patient is being evaluated for tuberculosis (TB)
infection with a Mantoux test. The purified protein derivative
(PPD) result is 10.5 mm. The patient denies weight loss, cough,
and night sweats, and the results of a chest x-ray are negative.
The patient reports that he is in the United States illegally and is
fearful about discovery. What is the most appropriate action for
the nurse practitioner?
A. The nurse practitioner has a legal duty to report the patient to
the local federal agency responsible for illegal migrants
B. The nurse practitioner is legally mandated to report illegal
migrants to state authorities
C. The nurse practitioner should call the state health department
to report that the patient has a TB infection
D. The nurse practitioner has an ethical duty to provide quality
healthcare to patients
Solution: D
The nurse practitioner has an ethical duty to provide quality
healthcare to patients.
Currently, health caregivers are not legally required to report
illegal migrants to the state or local authorities. This patient does
not have the signs and symptoms of active TB disease (cough,
weight loss, night sweats) and has a negative chest x-ray.
Therefore, he has latent TB infection and is not contagious. Only
,patients with active TB disease (has signs/symptoms) must be
reported to the state public health department.
Some nurse practitioners bill directly for their services.
Regarding reimbursement, who is considered a third-party
payer?
A. Patient
B. Healthcare provider
C. Health insurance companies, health plans, Medicare, and
Medicaid
D. Federal government
Solution: C
Health insurance companies, health plans, Medicare, and
Medicaid.
Third-party payers are health insurance companies, health plans
(HMOs or PPOs), Medicare, and Medicaid. The “first party” is
the patient. The “second party” is the healthcare provider.
A charitable foundation plans to build a community youth center
in a large urban area with a history of gang violence. What type
of health prevention activity is being done in this area?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Quaternary prevention
Solution: A
,Primary prevention.
A community youth center with good staffing can be an
effective method of drawing youth out of the streets into a safer
environment. It can reduce the risk of youth becoming victims
of gang violence. In addition, staff members can serve as role
models or mentors for adolescents.
How would the nurse practitioner ensure explanations of
treatment and medications are correctly translated to a patient
who does not speak English?
A. Ask a family member to interpret the medications and
treatment plan to the patient
B. Ask the patient to repeat information back
C. Ask a family member to write down the directions for the
patient to follow at home
D. Contact language access services for additional assistance
Solution: D
Contact language access services for additional assistance.
Language barriers can pose a real challenge to the clinician and
may result in miscommunication of a patient’s care. It is best to
contact language access services for additional assistance. This
can be done virtually, over the telephone, or in person.
Untrained staff or family should not provide this service,
because medical information can be interpreted incorrectly.
The nurse practitioner discovers that a patient received an
inappropriate medication due to a lab error. The nurse
, practitioner immediately informs the patient of the error. Which
ethical principle is reflected in the nurse practitioner's behavior?
A. Veracity
B. Autonomy
C. Confidentiality
D. Fidelity
Solution: A
Veracity.
By presenting the information honestly and truthfully, the nurse
practitioner is following the ethical principle of veracity.
Autonomy is the obligation to ensure that patients have the right
to make their own healthcare choices. Confidentiality is the
obligation of the nurse practitioner to protect all medical and
personal information of the patient. Fidelity is the process of
following through with promises and maintaining trust within
relationships.
The nurse practitioner is performing an assessment on an elderly
patient who lives in a long-term care facility that has recently
been investigated for elder abuse. All of the following physical
findings are suggestive of potential abuse, except:
A. Faded bruises on the arms and legs
B. Incontinence
C. Signs of malnutrition
D. Stage II pressure injury
Solution: B
