Practice questions for NP boards questions and answers

Practice questions for NP boards questions and answers Which of the following cranial nerves only affects motor functions and has no sensory components? Cranial nerve twelve (hypoglossal) has no sensory functions and only affects movement of the tongue. Which of the following statements is true regarding Tourette's syndrome? amphetamines can increase the frequency and intensity of ticks in individuals with Tourette's syndrome; most cases of Tourette's syndrome do not persist into adulthood and resolve by 18 years of age. An individual diagnosed with Tourette's must exhibit multiple motor tics not just one and at least one vocal tick. you are examining six year old George, who has been experiencing shortness of breath after physical education class as well as difficulty breathing during other times of the day. You hear an abnormal heart sound during a physical examination suspecting atrial septal defect, you plan to look for signs and symptoms of this condition. Of the following statements which is true of atrial septal defect? An EKG is a patient with atrial septal defect will show right ventricular hyper trophy. A holosystolic thrill at the left lower sternal border is associated with ventricular septal defect, whereas heart murmurs in ASD are usually best heard at the left upper sternal border and may present with a fixed split S2. Egg on a string sign on chest x-ray is a finding of transposition of the great arteries. which of the following statements regarding suicide is true? in the United States, women are more likely to attempt suicide than men but men are more likely to complete suicide. research shows that 80% of all individuals who expressed suicidal ideation will go onto attempt or complete suicide. Suicide is the second most common cause of death and adolescence. Hanging is the most common method used. which of the following is true of a primary lesion? a primary lesion develops on previously an altered skin A secondary lesion is one that either changes the first lesions impression overtime or occurs when a primary lesion is scratched or infected. Solitary or discrete lesions are lesions often individual ones that remain separate from other lesions like warts. Vascular lesions affect the vascular system and are typically birthmarks a 65 year old police officer two weeks from retirement comes to you complaining of a headache that he believes is related to past trauma. Recently he has also experienced a general feeling of fatigue. Upon examination you noticed that he has greatly enlarged lymph nodes, but the patient mentions that he feels no associated pain. You suspect he has a form of leukemia, and laboratory test results confirm chronic lymphocytic leukemia. What is the median survival rate of CLL? up to 10 years CLL is the most common leukemia in adults 32-year-old man comes to you with raised, round, flesh colored bumps covering part of his lower right abdomen and right inner thigh. A physical exam indicates the lesions are around 2 to 4 mm in diameter; smooth, rounded and firm, and vary from white to flashy color. Which of the following is the most popular method of treatment for this condition? the condition is contagiosum molluscum and it is best treated with cryoanesthesia for the past two weeks you have received a number of adult patient with suspected cases of pernicious anemia. Of the following diagnostic results and treatment plans which pair best indicates this disorder? pernicious anemia is a macrocytic, normochromic anemia that causes low hematocrit and would be suggested by a hematocrit of 36% and an MCV of 105. Further this condition is treated with 100 mcg of vitamin B 12 administered intramuscularly daily for one week. what is the most common cause of secondary amenorrhea? pregnancy a 10 year old girl reports to your office with complaints of increased sweating, muscle transmission and tolerance. Suspicious you order thyroid test, which indicate the patient's TSH is decreased and hurt free T3 and T4 increase. Given the patient's age which condition is most likely responsible for her findings? graves' disease is the most common cause of hypothyroidism in children, which often presents with increased sweating muscle cramps, heat intolerance and decreased TSH and increased T3 and T4. a 20-year-old college student tells you that he developed an itchy in his ear canal that is sometimes painful and is especially noticeable when he chews. Although he has not noticed any hearing loss, his ear is scaly and itchy. Upon physical exam, you notice swelling in the outer third of his ear canal. He claims that he regularly cleans his ears and he has never swim or played any water sports in his life. Of the following which is the most likely diagnosis for his condition? otitis externa can present with otalgia, Paradis and erythema and edema of the ear canal although it is typically caused by swimming it can produce through a history of mechanical traumas their inner ear such as regular aggressive cleaning. which of the following is an explicit component of the pneumonic "SUICIDAL?" Sex, Unsuccessful attempts, Identified family members with attempt history, Chronic illness, Depression, Drug abuse, Drinking, Age of patient and Lethal method available patient explains that he woke in the morning experiencing dizziness, difficulty speaking, and changes in his vision. He has also experienced some difficulty with picking up small items at home and his wife told him I didn't able to understand her questions for a few minutes. She also said that his face went slack on one side. At the time he asked his wife to pull the curtains and he rested in a darkened room until the signs and symptoms subsided. His wife surgeon he has come to you for advice which of the following is most likely causing his signs and symptoms and how should he be treated? condition is a TIA: treat with clopidogrel an infant fails the initial brainstem evolved auditory response test. By which age do the infant receive a complete hearing screening? infants who fail initial auditory screening measure should receive a complete hearing screening by three months of age for early identification of any possible hearing disorders. If the hearing disorders identified, intervention services should start by 6 months of age. a 19-year-old college student presents with the Lord, and he complains that he has had food cravings and strange items such as dirt fire ice. We suspect the patient has a hemoglobin neuropathy. Which of the following laboratory results would confirm the most likely diagnosis? Mean Corpuscular hemoglobin = 33pg, HCT - 37% Pica is a hallmark signing of iron deficiency anemia which is a microcytic microchromic anemia you suspect bulimia no versa in a 16 year old female patient because you have observed Russell sign. Which of the following have you noticed? Russell sign is bruising of the knuckles from induced vomiting. Lois a 30-year-old man arrives to your office with pain and swelling in his scrotum, frequent urination and a fever. A physical exam reveals positive friend sign. Which of the following statements would be most appropriate in the management of his suspected condition? in adults younger than 35 years of age, ceftriaxone and doxycycline would be the appropriate treatment of the cases of epididymitis, which is likely related to an STD particularly chlamydia. Genu Varum of up to 20° or less is considered normal until which of the following ages? 18 months; 2 years of age is abnormal American Academy of pediatrics recommends that have toddlers between 18 and 24 months of age engage in screen time parent should accompany them to make sure high quality programming is selected. Screen time should be limited to one hour for children age 2 to 5 years. under which of the following circumstances can a nurse practitioner see the full physician fee when filing for reimbursement under Medicare? a nurse practitioner can file for services under incident to billing and receive 100% reimbursement of the physician fee if the service is integral yet incidental to professional service, furnished under the physicians direct supervision and other type commonly rendered in the office setting and either not charge for or regular included in the physician bill such as administering an EKG to a patient with heart failure. after administering a triple screening for pregnant patient results come back inconclusive due to lab error. At the patient's request, instead of repeating the triple screening, you perform a quad screening. What substance would be measured as part of the second screening but not as part of the first? as opposed to triple screening, a quad screening measures levels of inhibin a. Both a triple screening and a quad measure levels of astral alpha-fetoprotein and human chorionic gonadotropin to evaluate the risk of genetic disorders like down syndrome. a patient with 20/60 vision has slightly impaired vision and can see at 20 feet what a person with normal vision can see at 60 feet at what point during the pregnancy is a fetus considered viable? 24 weeks