1
FINAL STUDY
GUIDE
1. Who started the first NP program? Loretta Ford, PhD
2. Recommended vaccines for age 65
Shingrix, PCV13 PPSV23; flu; Td q10y with one Tdap
3. Practice guidelines are designed to:
a. Be inflexible
b. Be utilized in every circumstance
c. Provide a reference point for decision making
d. Be created by a professional organization to guide the practice of a profession
4. What is an example of a secondary level of prevention measure for an older adult patient?
a. Dietary counseling
b. Focus on preventing complications related to a disease
process c. Assessment of vitamin D level
d. Identification of smoking based on self-report from the patient
5. What are tertiary prevention activities for an older adult woman who has had a stroke?
a. Annual mammogram
b. Annual ophthalmic examination to evaluate for
glaucoma c. Physical therapy
d. Annual flu vaccine
6. A patient is continuing his recovery at home after an extensive surgery. The NP would
instruct the patient to increase intake of which foods to promote healing?
a. Tomatoes, rice, and whole grain
cereal b. Red meat, oranges, and green
beans
c. Milk, poultry, and yellow vegetables
d. Liver, corn, and eggs
7. Which of the following management plans demonstrates an understanding of
primary prevention of falls among older adults?
a. Evaluate the need for assistive devices for ambulation after the patient has been
injured in a fall
b. Provide resources to correct hazards that contribute to falling in the home environment
c. Reinforce the need to use prescribed eyeglasses to prevent further injury resulting
from falls
d. Provide information about medications, side effects, and interactions
8. According to the CDC, which 2 immunizations are recommended as primary prevention
for adults age 60 and above? There are 2.
a. Flu
[AUTHOR NAME]
, 2
b. Shingles
c. Yearly tetanus prophylaxis
d. Adult who has had previous allergic reaction to immunizations
9. Which of the following patient situations requires the use of inactivated (not live)
vaccines? a. Immunocompromised
b. History of nonspecific allergies
c. Mild acute illness
[AUTHOR NAME]
, 3
d. Concurrent antimicrobial therapy
10. In taking the history of a healthy 50-year-old man, the NP determines the patient is an
avid gardener and spends much of his time enjoying outdoor activities. A health
maintenance recommendation for this patient is to obtain a:
a. Hep B vaccine
b. Pneumococcal vaccine
c. Tdap/Td vaccine
d. Varicella vaccine
11. Which authority regulates the scope of practice of NPs?
a. Federal law
b. Academic institutions
c. Individual state laws
d. Individual practice settings
12. Which risk assessment for coronary artery disease is recommended for all female patients?
a. Coronary artery calcium score
b. ECG
c. Exercise stress test
d. Framingham risk score p. 449
Mental Health
1. Who is at highest risk for suicide? P. 1066
Unemployment, fall in economic status, medical illness, family history, previous suicide attempt,
anniversary of a loss; males more likely, 65 and older; adolescents
SAD (sex, age, depression)
2. What labs need to be assessed before placing a pt on
lithium? Toxic due to low Na
Therapeutic level 0.6-1.2
3. True/False: Benzodiazepines cause dependence
4. What is the preferred antidepressant for older adults? Celexa
[AUTHOR NAME]
, 4
5. What are the symptoms of schizophrenia? Paranoid, delusions, hallucinations
6. How do you differentiate confusion of dememtia with confusion of delirium? Time of day
7. What is the medication for OCD? SSRI (Paxil)
8. What electrolyte imbalance do you watch for in a pt on Lasix and Celexa? hyponatremia
[AUTHOR NAME]
FINAL STUDY
GUIDE
1. Who started the first NP program? Loretta Ford, PhD
2. Recommended vaccines for age 65
Shingrix, PCV13 PPSV23; flu; Td q10y with one Tdap
3. Practice guidelines are designed to:
a. Be inflexible
b. Be utilized in every circumstance
c. Provide a reference point for decision making
d. Be created by a professional organization to guide the practice of a profession
4. What is an example of a secondary level of prevention measure for an older adult patient?
a. Dietary counseling
b. Focus on preventing complications related to a disease
process c. Assessment of vitamin D level
d. Identification of smoking based on self-report from the patient
5. What are tertiary prevention activities for an older adult woman who has had a stroke?
a. Annual mammogram
b. Annual ophthalmic examination to evaluate for
glaucoma c. Physical therapy
d. Annual flu vaccine
6. A patient is continuing his recovery at home after an extensive surgery. The NP would
instruct the patient to increase intake of which foods to promote healing?
a. Tomatoes, rice, and whole grain
cereal b. Red meat, oranges, and green
beans
c. Milk, poultry, and yellow vegetables
d. Liver, corn, and eggs
7. Which of the following management plans demonstrates an understanding of
primary prevention of falls among older adults?
a. Evaluate the need for assistive devices for ambulation after the patient has been
injured in a fall
b. Provide resources to correct hazards that contribute to falling in the home environment
c. Reinforce the need to use prescribed eyeglasses to prevent further injury resulting
from falls
d. Provide information about medications, side effects, and interactions
8. According to the CDC, which 2 immunizations are recommended as primary prevention
for adults age 60 and above? There are 2.
a. Flu
[AUTHOR NAME]
, 2
b. Shingles
c. Yearly tetanus prophylaxis
d. Adult who has had previous allergic reaction to immunizations
9. Which of the following patient situations requires the use of inactivated (not live)
vaccines? a. Immunocompromised
b. History of nonspecific allergies
c. Mild acute illness
[AUTHOR NAME]
, 3
d. Concurrent antimicrobial therapy
10. In taking the history of a healthy 50-year-old man, the NP determines the patient is an
avid gardener and spends much of his time enjoying outdoor activities. A health
maintenance recommendation for this patient is to obtain a:
a. Hep B vaccine
b. Pneumococcal vaccine
c. Tdap/Td vaccine
d. Varicella vaccine
11. Which authority regulates the scope of practice of NPs?
a. Federal law
b. Academic institutions
c. Individual state laws
d. Individual practice settings
12. Which risk assessment for coronary artery disease is recommended for all female patients?
a. Coronary artery calcium score
b. ECG
c. Exercise stress test
d. Framingham risk score p. 449
Mental Health
1. Who is at highest risk for suicide? P. 1066
Unemployment, fall in economic status, medical illness, family history, previous suicide attempt,
anniversary of a loss; males more likely, 65 and older; adolescents
SAD (sex, age, depression)
2. What labs need to be assessed before placing a pt on
lithium? Toxic due to low Na
Therapeutic level 0.6-1.2
3. True/False: Benzodiazepines cause dependence
4. What is the preferred antidepressant for older adults? Celexa
[AUTHOR NAME]
, 4
5. What are the symptoms of schizophrenia? Paranoid, delusions, hallucinations
6. How do you differentiate confusion of dememtia with confusion of delirium? Time of day
7. What is the medication for OCD? SSRI (Paxil)
8. What electrolyte imbalance do you watch for in a pt on Lasix and Celexa? hyponatremia
[AUTHOR NAME]
