adult geropractice QUESTIONS

1. During a physical examination, the nurse practitioner instructs the patient to make a fist by folding his thumb and then covering the thumb with the other fingers. The patient complains of pain (positive Finkelstein’s sign). Which of the following conditions is this test indicative of? A) Depuytren’s contracture B) DeQuervain’s tenosynovitis C) A “trigger” finger D) A severe case of carpal tunnel syndrome 2. Which of the following statements is true regarding claims-based professional malpractice insurance? A) All malpractice claims made are paid as long as the nurse practitioner is in active practice B) Claims made during the insured periods are covered provided the nurse practitioner is currently enrolled in the malpractice insurance program with the company C) Although the nurse practitioner is no longer insured by the same insurance company, any claims made against her on the dates that her malpractice insurance was active are still eligible for coverage D) Malpractice insurance will pay claims that are eligible if the nurse practitioner is found to be not at fault 3. Which of the following is a true statement regarding the serum glycosylated hemoglobin test? A) It is the average blood glucose level during the previous 3 months B) It detects the fasting blood glucose level in the previous 3 months C) It is a test to detect the amount of glucose and lactose in the blood D) The test is more sensitive in type 2 diabetes than in type 1 diabetes 429 Leik, Maria T. Codina, MSN, APN, BC, FNP-C, and T Codina Leik Msn, Fnp-C Maria. Adult-Gerontology Nurse Practitioner Certification Intensive Review : Fast Facts and Practice Questions, Second Edition, Springer Publishing Company, 2013. ProQuest Ebook Central, VI. PRACTICE QUESTIONS AND ANSWERS 430 4. A 21-year-old female, complaining of random palpitations along with dizziness, is diagnosed with mitral valve prolapse (MVP) by the nurse practitioner. Her echocardiogram reveals redundant and thickened leaflets. On physical examination, a grade III/VI systolic murmur with an ejection click is noted. Which of the following is a true statement regarding this condition? A) Endocarditis prophylaxis is indicated for some dental, urologic, and gastrointestinal invasive procedures B) No endocarditis prophylaxis is indicated for any procedures C) Warfarin sodium (Coumadin) is always indicated for older patients D) Endocarditis prophylaxis is necessary for dental procedures only 5. All of the following services are covered under Medicare Part A except: A) Inpatient hospitalizations B) Medicines administered to a patient while hospitalized C) Nursing home care D) Radiology tests done in a hospital 6. The nurse practitioner would test the obturator and iliopsoas muscles to evaluate a possible case of which of the following conditions? A) Acute cholecystitis B) Acute appendicitis C) Inguinal hernia D) Gastric ulcer