NR667 FNP CERTIFICATION EXAM QUESTIONS AND ANSWERS|REAL 500+Qs&As|100% VERIFIED|NR 667 FNP EXAM

NR667 FNP CERTIFICATION EXAM QUESTIONS AND ANSWERS|REAL 500+Qs&As|100% VERIFIED|NR 667 FNP EXAM Katie is a 33-year-old woman who reports a 10-year history of unilateral, pulsing headache that lasts about 6-10 hours, occurring 3-4 times per month. The headache is typically preceded by a gradual onset of paresthesia affecting the ipsilateral face and arm, which lasts about 20 minutes. She reports severe photophobia and phonophobia as well as left-sided cephalgia during the 6-10 h headache duration. She states the headaches appear randomly. As a result of her headaches, Katie typically needs to either call in sick or leave work early at least once a month due to headache. Katie has used OTC medications with partial relief of pain but continued photo- and phonophobia. She is currently headache-free and neurological exam is within normal limits. Katie's presentation is consistent with: Migraine with aura Tension-type headache Cluster headache Intracranial lesion Ans: Migraine with aura Katie asks if she needs "any tests to see what causes my headaches." You respond that she should: Based on the Scenario Below: Katie is a 33-year-old woman who reports a 10-year history of unilateral, pulsing headache that lasts about 6-10 hours, occurring 3?4 times per month. The headache is typically preceded by a gradual onset of paresthesia affecting the ipsilateral face and arm, which lasts about 20 minutes. She reports severe photophobia and phonophobia as well as left-sided cephalgia during the 6-10 h headache duration. She states the headaches appear randomly. As a result of her headaches, Katie typically needs to either call in sick or leave work early at least once a month due to headache. Katie has used OTC medications with partial relief of pain but continued photo-and phonophobia. She is currently headache-free and neurological exam is within normal limits. Have head CT conducted Keep a headache diary for the next month Be promptly referred to a neurologist Have head MRI conducted Ans: Keep a headache diary for the next month Given Katie's clinical presentation, you prescribe which of the following? Choose all that apply. Based on the Scenario Below: Katie is a 33-year-old woman who reports a 10-year history of unilateral, pulsing headache that lasts about 6-10 hours, occurring 3?4 times per month. The headache is typically preceded by a gradual onset of paresthesia affecting the ipsilateral face and arm, which lasts about 20 minutes. She reports severe photophobia and phonophobia as well as left-sided cephalgia during the 6-10 h headache duration. She states the headaches appear randomly. As a result of her headaches, Katie typically needs to either call in sick or leave work early at least once a month due to headache. Katie has used OTC medications with partial relief of pain but continued photo-and phonophobia. She is currently headache-free and neurological exam is within normal limits. An oral triptan Migraine prophylactic therapy An oral NSAID A short course of a systemic corticosteroid Ans: An oral triptan, Migraine prophylactic therapy An oral NSAID Katie requests advice on family planning. She has not been pregnant in the past. Given her history, which of the following is the least desirable contraceptive form for Katie? Based on the Scenario Below: Katie is a 33-year-old woman who reports a 10-year history of unilateral, pulsing headache that lasts about 6-10 hours, occurring 3?4 times per month. The headache is typically preceded by a gradual onset of paresthesia affecting the ipsilateral face and arm, which lasts about 20 minutes. She reports severe photophobia and phonophobia as well as left-sided cephalgia during the 6-10 h headache duration. She states the headaches appear randomly. As a result of her headaches, Katie typically needs to either call in sick or leave work early at least once a month due to headache. Katie has used OTC medications with partial relief of pain but continued photo-and phonophobia. She is currently headache-free and neurological exam is within normal limits. Levonorgestrel IUD (Skyla®, Lilleta®, Mirena®) Copper IUD (ParaGard®). Combined estrogen-progestin oral contraceptive. A progestin-only implant (Nexplanon®). Ans: Combined estrogen-progestin oral contraceptive. The NP considers that which of the following dietary components is the least likely to trigger migraine. Sourdough bread Cheddar cheese Pickled herring Ricotta cheese Ans: Ricotta cheese When considering evidence-based practice (EBP) recommendations for the use of prophylactic migraine treatment, which of the following is the preferred agent? Propranolol. Ergotamine. Rizatriptan. Verápámil. Áns: Propránolol. Which of the following represents the best choice of ábortive migráine therápy for á 55-yeár-old womán with hypertension thát is currently not ádequátely controlled due to poor medicátion ádherence? Verápámil. Ergotámine. Ácetáminophen. Álmotriptán. Áns: Ácetáminophen. Áccording to the EBP recommendátions, nutráceuticál options for the prevention of recurrent migráine include the use of áll of the following except: Butterbur Feverfew Mágnesium Vitámin C Áns: Vitámin C Mrs. Jensen is án 82-yeár-old womán with generálized osteoárthritis ánd systolic hypertension who presents with á 3-dáy history of right-sided heádáche with áccompánying right-sided jáw páin on chewing. OTC ánálgesics háve provided little relief. She státes she is eáting little due to the páin on chewing but is táking liquids without difficulty. Mrs. Jensen reports "I cán hárdly wásh my háir, my scálp is so sore." Physicál exáminátion reveáls: BP=168/88 mm Hg biláterál,