A 52 year old female patient screened for diabetes has a fasting plasma glucose level of 123 mg/dl. The
nurse practitioners plan includes:
a. repeat fasting glucose in 1 month
b. prescribe memformin 500mg BID po
c. repeat fasting plasma glucose in one year
d. repeat fasting glucose in three years - c. repeat fasting plasma glucose in one year
A 56-year old male patient screened for diabetes has a fasting plasma glucose level of 96mg/dl. The
nurse practitioner management plan includes:
a. repeat fasting plasma glucose in three years
b. prescribe Metformin 500mg po BID
c. repeat fasting plasma glucose in one year
d. refer to ophthalmology for eye exam - a. repeat fasting plasma glucose in three years
RW, a 57 year old native American female, presents to the office. RW states she feels irritable and has
difficulty concentrating as well as fallingn asleep and staying aleep. She states she is worried about her
finances, her husband has just lost his job. The NP diagnoses anxiety. The NP prescribes a first line
treatment which is
a. Diazepam
b. Clonazepam
c. Ariprprazole
d. Paroxetine - d. Paroxetine
The most common sustained rhythmic disorder, which consists of fibrillatory p waves is:
a. AV block
b. atrial tachycardia
,c. atrial fibrillation
d. atrial flutter - c. atrial fibrillation
According to the Sexually presentation, atrophic vaginitis
a. the symptomsm are the same for each woman
b. creates a more acidic vaginal environment
c. is a contributing factor for frequent urinary tract infections
d. is not treated with vaginal lubricants - c. is a contributing factor for frequent urinary tract infections
Which of the following is the most appropriate screening tool for delirium?
a. St Louis University Mental Status Exam (SLUMS)
b. Montreal Cognitive Assessment
c. Lawton Scale of instrumental Activities of Daily Living
d. Confusion Assessment Model - d. Confusion Assessment Model
A drug that can be used to treat two very common symptoms in a dying patient (pain and dyspnea_ is:
a. lorazepam
b. Gabapentin
c. Methadone
d. Morphine - d. Morphine
Which of the following would you recommend annually for the elderly type 2 diabetic?
a. periodic visits to a gastroenterologist
b. colonoscopy
c. follow up with a urologist
, d. eye exam with an opthlamologist - d. eye exam with an opthlamologist
Which characteristic of delerium helps to distinguish it from dementia?
a, short term memory impairment
b. personality changes
c. acute onset
d. impaired attention - c. acute onset
The majority of patients enrolled in hospice care die:
a. in the hospital
b. in an inpatient hospice facility
c. in a nursing home
d. at home - d. at home
A middle aged patient has been diagnosed with Parkinson's disease. What influences the nurse
practitioners descision to begin pharmacological treatment for this patient?
a. medications initiated at first sign of unilateral involvement
b. gait instability requiring the use of a cane
c. intentional tremors
d. symptoms interfering with functional ability - d. symptoms interfering with functional ability
Which of the following is a role of the advanced practice nurse in palliative cancer care?
a. detecting cancer in asymptomatic paitents or those with specific symptoms
b. arranging for follow up including patiennts
c. identifying and managing complications of care
nurse practitioners plan includes:
a. repeat fasting glucose in 1 month
b. prescribe memformin 500mg BID po
c. repeat fasting plasma glucose in one year
d. repeat fasting glucose in three years - c. repeat fasting plasma glucose in one year
A 56-year old male patient screened for diabetes has a fasting plasma glucose level of 96mg/dl. The
nurse practitioner management plan includes:
a. repeat fasting plasma glucose in three years
b. prescribe Metformin 500mg po BID
c. repeat fasting plasma glucose in one year
d. refer to ophthalmology for eye exam - a. repeat fasting plasma glucose in three years
RW, a 57 year old native American female, presents to the office. RW states she feels irritable and has
difficulty concentrating as well as fallingn asleep and staying aleep. She states she is worried about her
finances, her husband has just lost his job. The NP diagnoses anxiety. The NP prescribes a first line
treatment which is
a. Diazepam
b. Clonazepam
c. Ariprprazole
d. Paroxetine - d. Paroxetine
The most common sustained rhythmic disorder, which consists of fibrillatory p waves is:
a. AV block
b. atrial tachycardia
,c. atrial fibrillation
d. atrial flutter - c. atrial fibrillation
According to the Sexually presentation, atrophic vaginitis
a. the symptomsm are the same for each woman
b. creates a more acidic vaginal environment
c. is a contributing factor for frequent urinary tract infections
d. is not treated with vaginal lubricants - c. is a contributing factor for frequent urinary tract infections
Which of the following is the most appropriate screening tool for delirium?
a. St Louis University Mental Status Exam (SLUMS)
b. Montreal Cognitive Assessment
c. Lawton Scale of instrumental Activities of Daily Living
d. Confusion Assessment Model - d. Confusion Assessment Model
A drug that can be used to treat two very common symptoms in a dying patient (pain and dyspnea_ is:
a. lorazepam
b. Gabapentin
c. Methadone
d. Morphine - d. Morphine
Which of the following would you recommend annually for the elderly type 2 diabetic?
a. periodic visits to a gastroenterologist
b. colonoscopy
c. follow up with a urologist
, d. eye exam with an opthlamologist - d. eye exam with an opthlamologist
Which characteristic of delerium helps to distinguish it from dementia?
a, short term memory impairment
b. personality changes
c. acute onset
d. impaired attention - c. acute onset
The majority of patients enrolled in hospice care die:
a. in the hospital
b. in an inpatient hospice facility
c. in a nursing home
d. at home - d. at home
A middle aged patient has been diagnosed with Parkinson's disease. What influences the nurse
practitioners descision to begin pharmacological treatment for this patient?
a. medications initiated at first sign of unilateral involvement
b. gait instability requiring the use of a cane
c. intentional tremors
d. symptoms interfering with functional ability - d. symptoms interfering with functional ability
Which of the following is a role of the advanced practice nurse in palliative cancer care?
a. detecting cancer in asymptomatic paitents or those with specific symptoms
b. arranging for follow up including patiennts
c. identifying and managing complications of care
