The cleansing of the stomach with solution delivered through a nasogastric tube is known as
what?
Gavage
Emesis
Lavage
Stomach pumping - ANSWER Lavage
Gastric lavage is used to cleanse the stomach of a poison, overdose of medication, or other
toxic substance. It is delivered through a nasogastric tube
You are providing care to a patient who has recently begun dialysis. Her daughter, with
whom she lives and who prepares many of her meals, asks what types of foods she should
incorporate into her diet and which she should avoid. Which of the following is NOT a food
that this patient should be advised to avoid?
Avocado.
Lean red meat.
Dried fruit.
Bananas. - ANSWER Lean red meat
Dialysis patients are encouraged to eat lean meat, including red meat. High quality proteins
produce less waste and help the body heal and maintain regular processes. Dialysis patients
should avoid foods high in potassium, including avocado, banana, and dried fruit, and should
eat other potassium-containing foods in moderation.
1
,Your 89-year-old patient presents with dyspepsia and nausea. After testing, you determine
she is positive for Peptic Ulcer Disease. Of the following, which would LEAST likely be a dif-
ferential diagnosis for Peptic Ulcer Disease?
Cholecystitis.
Migraines.
Gastric carcinoma.
Cardiovascular disease. - ANSWER Migraines
Peptic Ulcer Disease is a gastrointestinal disorder. Other differential diagnoses of the condi-
tion are pancreatitis and biliary tract disease.
There are a good many diseases affecting the elderly that are the result of smoking. Counsel-
ing regarding smoking cessation is part of the GNP's job. The components of brief interven-
tion for treating tobacco use are:
Counsel, Document, Caution, Describe, Demonstrate
Advise, Confer, Describe, Document, Prescribe
Advise, Counsel, Intervene, Prescribe, Follow-up
Ask, Advise, Assess, Assist, Arrange - ANSWER Ask, Advise, Assess, Assist, Arrange
Ask about tobacco use, Advise to quit, Assess willingness to make an attempt to quit, Assist
in this quit attempt. Arrange a follow-up.
Mrs. Frasier, an 50-year-old patient, presents with a mosquito bite that she is concerned
about. How do you diagnose this?
Cyst.
Bulla.
Wheal.
2
,Plaques. - ANSWER Wheal
Cyst: encapsulated, fluid-filled mass that varies in size. Bulla: fluid-filled, elevated, circum-
scribed lesion that's larger than 5mm. Wheal: circumscribed, reddening with transient eleva-
tion lesion that's 0.5 to 10mm diameter. Plaques: usually a grouping of papules; elevated
and a variety of shapes; larger than 5mm.
Which of the following groups should be tested for abdominal aortic aneurysm?
males aged 65-75 who have ever smoked
females aged 65-75 who have hypertension
males and females over 75
females over 75 - ANSWER males aged 65-75 who have ever smoked
Abdominal aortic aneurysm (AAA) is more prevalent in males than in females. The American
Heart Association recommends screening males once between ages 65-75 if they have ever
smoked since that increases the risk of AAA.
With a giardia lamblia diagnosis, the NP would MOST likely prescribe what medication?
Metronidazole.
Erythromycin.
Ampicillin.
Trimethoprim-sulfamethoxazole. - ANSWER Metronidazole.
The preceding drugs are typically used in treating the following: - Campylobacter jejuni:
Erythromycin - Salmonella: Ampicillin - Shigella: Trimethoprim-sulfamethoxazole - Giardia
lamblia: Metronidazole
3
, A 65-year-old Caucasian male calls your office. He tells you he just came in from the woods
and discovered a tick on his upper right thigh. He reports self removal of the tick and now
the area is slightly red. What should you advise him to do?
He should come to the office for a ceftriaxone (Rocephin) injection.
He should be prescribed doxycycline.
He needs no treatment.
He needs a topical scrub to prevent Lyme Disease. - ANSWER He needs no treatment.
To develop Lyme Disease from a tick bite, many factors must be present. The tick must be-
long to Ixodes species and must have been attached for at least 48 hours before the disease
can spread. There is no need for prophylactic treatment in this case because the tick has not
been present long enough.
As part of the treatment plan for your elderly patient, you recommend he see an Ophthal-
mologist. What body part(s) will this doctor evaluate?
Brain / nerves.
Eyes.
Bones / Joints / Muscles.
Ears / Throat. - ANSWER Eyes
Neurologist - Brain / nerves Ophthalmologist - Eyes Orthopedist - Bones / Joints / Muscles
Otolaryngologist - Ears / Throat
As a GNP you understand that due to physiological changes of aging, some laboratory test
results will have age-related changes. Which of the following values would be the least likely
to be affected?
red blood cell values
4
what?
Gavage
Emesis
Lavage
Stomach pumping - ANSWER Lavage
Gastric lavage is used to cleanse the stomach of a poison, overdose of medication, or other
toxic substance. It is delivered through a nasogastric tube
You are providing care to a patient who has recently begun dialysis. Her daughter, with
whom she lives and who prepares many of her meals, asks what types of foods she should
incorporate into her diet and which she should avoid. Which of the following is NOT a food
that this patient should be advised to avoid?
Avocado.
Lean red meat.
Dried fruit.
Bananas. - ANSWER Lean red meat
Dialysis patients are encouraged to eat lean meat, including red meat. High quality proteins
produce less waste and help the body heal and maintain regular processes. Dialysis patients
should avoid foods high in potassium, including avocado, banana, and dried fruit, and should
eat other potassium-containing foods in moderation.
1
,Your 89-year-old patient presents with dyspepsia and nausea. After testing, you determine
she is positive for Peptic Ulcer Disease. Of the following, which would LEAST likely be a dif-
ferential diagnosis for Peptic Ulcer Disease?
Cholecystitis.
Migraines.
Gastric carcinoma.
Cardiovascular disease. - ANSWER Migraines
Peptic Ulcer Disease is a gastrointestinal disorder. Other differential diagnoses of the condi-
tion are pancreatitis and biliary tract disease.
There are a good many diseases affecting the elderly that are the result of smoking. Counsel-
ing regarding smoking cessation is part of the GNP's job. The components of brief interven-
tion for treating tobacco use are:
Counsel, Document, Caution, Describe, Demonstrate
Advise, Confer, Describe, Document, Prescribe
Advise, Counsel, Intervene, Prescribe, Follow-up
Ask, Advise, Assess, Assist, Arrange - ANSWER Ask, Advise, Assess, Assist, Arrange
Ask about tobacco use, Advise to quit, Assess willingness to make an attempt to quit, Assist
in this quit attempt. Arrange a follow-up.
Mrs. Frasier, an 50-year-old patient, presents with a mosquito bite that she is concerned
about. How do you diagnose this?
Cyst.
Bulla.
Wheal.
2
,Plaques. - ANSWER Wheal
Cyst: encapsulated, fluid-filled mass that varies in size. Bulla: fluid-filled, elevated, circum-
scribed lesion that's larger than 5mm. Wheal: circumscribed, reddening with transient eleva-
tion lesion that's 0.5 to 10mm diameter. Plaques: usually a grouping of papules; elevated
and a variety of shapes; larger than 5mm.
Which of the following groups should be tested for abdominal aortic aneurysm?
males aged 65-75 who have ever smoked
females aged 65-75 who have hypertension
males and females over 75
females over 75 - ANSWER males aged 65-75 who have ever smoked
Abdominal aortic aneurysm (AAA) is more prevalent in males than in females. The American
Heart Association recommends screening males once between ages 65-75 if they have ever
smoked since that increases the risk of AAA.
With a giardia lamblia diagnosis, the NP would MOST likely prescribe what medication?
Metronidazole.
Erythromycin.
Ampicillin.
Trimethoprim-sulfamethoxazole. - ANSWER Metronidazole.
The preceding drugs are typically used in treating the following: - Campylobacter jejuni:
Erythromycin - Salmonella: Ampicillin - Shigella: Trimethoprim-sulfamethoxazole - Giardia
lamblia: Metronidazole
3
, A 65-year-old Caucasian male calls your office. He tells you he just came in from the woods
and discovered a tick on his upper right thigh. He reports self removal of the tick and now
the area is slightly red. What should you advise him to do?
He should come to the office for a ceftriaxone (Rocephin) injection.
He should be prescribed doxycycline.
He needs no treatment.
He needs a topical scrub to prevent Lyme Disease. - ANSWER He needs no treatment.
To develop Lyme Disease from a tick bite, many factors must be present. The tick must be-
long to Ixodes species and must have been attached for at least 48 hours before the disease
can spread. There is no need for prophylactic treatment in this case because the tick has not
been present long enough.
As part of the treatment plan for your elderly patient, you recommend he see an Ophthal-
mologist. What body part(s) will this doctor evaluate?
Brain / nerves.
Eyes.
Bones / Joints / Muscles.
Ears / Throat. - ANSWER Eyes
Neurologist - Brain / nerves Ophthalmologist - Eyes Orthopedist - Bones / Joints / Muscles
Otolaryngologist - Ears / Throat
As a GNP you understand that due to physiological changes of aging, some laboratory test
results will have age-related changes. Which of the following values would be the least likely
to be affected?
red blood cell values
4
