Test Bank for Nurse Practitioner's Business Practice and L
s s s s s s s s
egal Guide, 7th Edition by Carolyn Buppert, 978128420854
s s s s s s s
2, Covering Chapters 1-118 | Includes Rationales
s s s s s s
•
Thesconceptsofshealthspromotionsconsistssofseffortsstospreventsrathersthanstoscuresdisea
sesorsdisability.sThissdescriptionsbestsdescribes:
a.stertiarysprevention
b.ssecondarysprevention
c.sprimarysprevention
d.smorbidityspreventions-sANSWERsc
Standardssforswellschildscaresandshealthspromotionsaressetsforthsbysthe:
a.sTasksForcesonsPreventativesServices,sUSsDepartmentsofsHealthsandsHumansservice
s
b.sAmericansAcademysofsFamilysPhysicians
c.sAmericansAcademysofspediatrics
d.sHealthysPeoples2010sands2020s-sANSWERsc
As15syosfemalescomesstosthesclinicsforsashealthsmaintenancesvisit.sThespatientsreportssn
oscomplaints.sShesdoesswellsinsschool,shassmanysfriends,sandsgetssalongswellswithshersp
arentssandstwossiblings.sSheshassrecentlysbecomessexuallysactiveswithshersboyfriendsofs
6mo.sThesphysicalsexamsissnormalsforshersage.sWhatsscreening,slabstests,sand/orsimmu
nizationssshouldsthesPNPsorder?
a.sVision,shearing,surinalysis,sSTDsscreen,spelvicsexam,sandsimmunizationssassneeded
b.sSTDsscreen,spneumococcalsvaccine,spelvicsexam,sandscholesterolsscreeningsassindi
cated
c.svision,shearing,sSTDsscreen,spelvicsexam,sandshemoglobinsifsindicated.
d.sMeaslessvaccine,svision,shearing,sSTDsscreen,spelvicsexamsexam,sandscholesterolss
creensifsindicated.s-sANSWERsa
Whichsofsthesfollowingsissthesbestswrittenschiefscomplaint?
a.s5yosasiansfemaleswithsitchysredsrash
b.s1smoswithsdifficultysfeeding
c.s15yosafricansamericansfemalescomplainingsofslowersabdominalspainsfors3sdays
d.s12yoscaucasianswithsitchyseyesfors1sweeks-sANSWERsc
Thespastshistorysshouldsinclude
a.sfamilyshistory
b.ssocialshx
c.ssymptomsanalysis
d.shospitalizations-sANSWERsd
Thesfamilyshistorysshouldsinclude:
a.stheshealthsstatussofsthespaternalsgrandparents
b.stheslivingsconditionssofsthesfamily
c.sthesworksstatussofsthesparents
d.sschoolsinformations-sANSWERsa
,Whichsofsthesfollowingsstatementsswouldsbesconsideredssubjectivesdatasobtainedsfromst
hesclientsduringsthesreviewsofssystemssforsthesskin?
a.sthesskinsappearssdrys&sexcoriated
b.saslesionsissnotedsonstheslateralsaspectsofsthesrightsleg
c.stheresissmoderatesacnesonsthesforeheadsandsback
d.sthespatientsdeniesschangessinsskinstextures-sANSWERsd
ThesPNPsisscompletingsthesROSsonsas4mo.sWhatsresponsesfromsthesmothersmightsindic
atesascardiacsproblemsinsthesinfants&srequiresasmoresthoroughshistory?s
a.sthesbabysgetsstheshiccupssoften.
b.sitstakessthesbabysovers30minstoscompletesasbottle
c.sthesbaby'ssheartsseemsstosbeatsrapidlyssometimes
d.ssometimessthesbabyssoundsscongesteds-sANSWERsb
ThesPNPsissobtainingsasreviewsofssystemssonsashealthys8yosgirl.sItswouldsbesimportantsto
sinclude:
a.sthesdatesofslastsbreastsself-exam.
b.sanyslimitationssrelatedstossportssparticipation.
c.stheslastshematocritsandshemoglobin
d.stheslastsleadsscreens-sANSWERsb
Thesmothersofsas3yosstatessthatsherssonswasscompletelystoiletstrainedsats18mo.sThesPN
Psexploressfurther,sasking:
a.showsthesmothersdidsthestoiletstraining
b.sifstheschildsissdrysatsnightsandsfullystrainedsforsurinesandsstoolsdaysandsnight
c.satswhatsagesdidsthesmothersbeginstoiletstrainingsthesotherschild.
d.sifstheschildsgetssupsatsnightstosusesthesbathrooms-sANSWERsb
Jasmine,sas5-month-
oldsinfantsissinsthesclinicsforsaswellschildsvisitsandsisssleepingsinshersmother'ssarms.sWhatss
houldsthesPNPsdosfirst?s
a.sExaminesthesears,ssincesthississuncomfortablesforsthesinfant.
b.sQuicklysgivesanysneededsimmunizations.
c.sBeginswithsassessmentsofsthesheadsandsproceedsfromsheadstostoe.
d.sauscultatestheshearts&slungsswhilesthesinfantsisssleeping.s-sANSWERsd
Thesmothersofsasnewbornsbringssthesbabystosthesclinicsbecausesshesissafraidssomethingsi
sswrongswithshersbabys("hissheadsisssosbig").sThesPNPsrespondssthat:
a.s"thississnormal.sThesheadsofsasnewbornsissproportionatelyslargestosthesrestsofsthesbody
"
b.s"Yes,sthissdoessappearsabnormal.sIswillsmakesansappointmentsforsthesbabystosbesseens
bysasneurologist."
d.s"yoursheadsappearsslargessositsissprobablysgenetic."s-sANSWERsa
Ashealthys12yosfemalesissatsthesclinicsforsaswellscheckup.sOnsphysicalsexamination,sasma
rkedselevationsofsthesrightsscapulasandsrightsthoracicshumpsandsspinalscurvesabnormally
saresnoted.sSpinalsfilmssindicates20sdegreescurve.sThesPNPsshould:
a.srefersthespatientstosansorthopedist
b.smonitorsthespatientseverys3smosuntilsmenarche
,c.srefersthespatientsforsphysicalstherapy
d.srecommendsbedrestsandsbacksbraces-sANSWERsa
Whatsissthes%sofsrisksansautosomalsdominantsgenesissbeingspassedsonstoseachsoffspring
?s
a.s25
b.s50
c.s100
d.snones-sANSWERsb
As13yosfemalesissatsthesclinicsforsasroutineschecksup.sWhatspresentingssymptomssmights
alertsthesPNPstosthespresencesofsaspossiblesgeneticsdisorder?
a.s<10%sonsgrowthschart,sTannersI,sandslearningsdifficulties
b.sPrecociousspuberty,sdevelopmentalsdelays,sgiftedspianosplayer
c.sLactosesintolerance,sfrequentsearsinfections,sspeechsdelays
d.sPeanutsallergy,sright-sidedsweakness,sandsexhibitssbullyingsbehaviors-sANSWERsa
Thesparentssofsaschildswithscysticsfibrosissaresconsideringsanotherspregnancy.sTheyswa
ntstosknowswhatstheirschancessaresofshavingsanotherschildswithscysticsfibrosis.sThesPNPs
explainssthatscysticsfibrosississansautosomalsrecessivesdisordersandsthatseachsconceptio
nsofscarriersparentsshassa:
a.s25%schancesofsbeingsaffected
b.s50%schancesofsbeingsaffected
c.s75%schancesofsbeingsaffected
d.s100%schancesofsbeingsaffecteds-sANSWERsa
Thesparentssofsassonswithshemophiliasaresconsideringsanotherspregnancy.sThesmothers
hassbeensidentifiedsassascarriersofstheshemophiliasgene.sWhatschancesdoesseachsfemal
esoffspringshavesofshavingshemophilia.s
a.s100%
b.s50%
c.s25%
d.snones-sANSWERsd
AsmaleswithsVitaminsD-
resistantsricketssasksswhatshisschancessaresofspassingshissdiseasestoshissparents.sThesP
NPsanswers:
a.sallssonsswillsbesaffectedsbysonlys25%sdaughters
b.sallsdaughterssaresaffectedsbysonlys25%ssons
c.s50%sofsallsoffspringswillshavesthesdisease
d.sallsdaughtersswillsbesaffectedsbutsnossons.s-sANSWERsd
ThesPNPsissfollowingsas15-year-
oldsmalesadolescentswithsconsistentsbloodspressuresreadingssofs132stos138/84stos86sm
msHg,swhichsissclassifiedsasssignificantshypertension.sAftersperformingsasworkup,sthesP
NPsdeterminessthatsthesadolescentshassprimaryshypertension.sThesmostsjudicioussreco
mmendationsforstherapysis:
A)sDietsandsexercisescounselingsandsreferralstosasspecialist
B)sAsdiuretic,slow-saltsdiet,sexercise,sandscounselingsbysasdietician
C)sPerformsansextensivesfamilyshistorystosdeterminesothersrisksfactors
, D)sAsvasodilator,srestrictedsactivity,sandsaslow-fatsdiets-sANSWERsa
ThesPNPsissexaminingsasneonateswithsasheartsmurmur.sThesS2ssoundsissloudestsatsthesa
pex.sThesrespiratorysratesiss65sbreathsspersminute,sandsthesheartsratesiss180sbeatsspers
minute.sWhichsofsthesfollowingswouldsbesansappropriatesactionsbysthesPNP?
A)sReevaluatesthesneonatesins24shours
B)sIncreasesthesnumbersofsoralsfeedings
C)sOrderscardiacscatheterization
D)sRefersthesneonatestosascardiologists-sANSWERsd
As2-week-
oldsneonatesissbroughtstosthesclinicswithsexcessiveslacrimationsofsbothseyes.sTheseyessar
esclear,swithsnosareassofsredness,sbutsthescorneassappearshazy.sThesPNPsexplainsstosth
esparentssthespossiblesdiagnosissandstreatmentsassfollows:
A)sCongenitalsglaucomasrequiringsansophthalmologysreferral
B)sCornealsforeignsbodysrequiringsfluoresceinsstainingsandsremoval
C)sChalazionsrequiringstreatmentswithsantibioticseyedrops
D)sAllergicsconjunctivitissrequiringstreatmentswithsBenadrylseyedropss-sANSWERsa
Onsexaminationsofsas3-month-
oldsinfantsthesPNPsissunablestoselicitsasredsreflexsinsthesrightseye.sPrevioussexaminationss
failedstosnotesthespresencesorsabsencesofsasredsreflex.sThesPNP'ssresponsesissto:
A)sReassuresthesparentssthatsthississnotsasproblemsbecausesthesinfantshassdarkseyes
B)sNotesthissfindingsinsthesinfant'sschartsandschecksagainsinsasfewsmonths
C)sRefersthesinfantstosansophthalmologiststosrulesoutsretinalstrauma
D)sImmediatelysrefersthesinfantstosaspediatricsophthalmologiststosrulesoutsascongenitalsca
taractsorsretinoblastomas-sANSWERsd
As4-year-
oldschildswithschickenpoxshassvesiclessonsthesskinsofsthesrightseyelid.sTheschildscomplain
ssofseyespainsandsblurredsvision.sThesPNPsshouldstreatsthesconditionsby:
A)sApplyingscoolscompressesstostheseyesandslesions
B)sPrescribingseyedropsscontainingssteroidsstosdecreasesinflammationsandspain
C)sPrescribingspolyspoiumsophthalmicsointmentsforsthessecondarysbacterialsinfection
D)sImmediatelysreferringstheschildstosansophthalmologists-sANSWERsd
Ansadolescentsissbeingsseensatsascommunityshealthscentersbecausesofsrecurrentsrespira
torystractsinfections.sThescompletesbloodscellscounts(CBC)swithsdifferentialsshowssaswhit
esbloodscellscountsofs20,500swiths35%sblastscells.sThesnextsstepsinsmanagingsthesadoles
cent'sscaresissto:
A)sRepeatsthesCBCswithsdifferentialsins1sweek
B)sReferstosasspecialistsinspediatricshematology
C)sPerformsbonesmarrowsaspiration
D)sHospitalizesthesadolescentsimmediatelys-sANSWERsb
As9-month-
oldsinfantswassdiagnosedswithssicklescellsdiseasesshortlysaftersbirth.sThesmotherstelepho
nessthesPNPstosreportsthatsthesinfantshassasfeversofs103.2°F.sThesbestsresponsestosthesm
othersis:
A)s"Takesthesinfantstosthesemergencysroomsimmediately."
s s s s s s s s
egal Guide, 7th Edition by Carolyn Buppert, 978128420854
s s s s s s s
2, Covering Chapters 1-118 | Includes Rationales
s s s s s s
•
Thesconceptsofshealthspromotionsconsistssofseffortsstospreventsrathersthanstoscuresdisea
sesorsdisability.sThissdescriptionsbestsdescribes:
a.stertiarysprevention
b.ssecondarysprevention
c.sprimarysprevention
d.smorbidityspreventions-sANSWERsc
Standardssforswellschildscaresandshealthspromotionsaressetsforthsbysthe:
a.sTasksForcesonsPreventativesServices,sUSsDepartmentsofsHealthsandsHumansservice
s
b.sAmericansAcademysofsFamilysPhysicians
c.sAmericansAcademysofspediatrics
d.sHealthysPeoples2010sands2020s-sANSWERsc
As15syosfemalescomesstosthesclinicsforsashealthsmaintenancesvisit.sThespatientsreportssn
oscomplaints.sShesdoesswellsinsschool,shassmanysfriends,sandsgetssalongswellswithshersp
arentssandstwossiblings.sSheshassrecentlysbecomessexuallysactiveswithshersboyfriendsofs
6mo.sThesphysicalsexamsissnormalsforshersage.sWhatsscreening,slabstests,sand/orsimmu
nizationssshouldsthesPNPsorder?
a.sVision,shearing,surinalysis,sSTDsscreen,spelvicsexam,sandsimmunizationssassneeded
b.sSTDsscreen,spneumococcalsvaccine,spelvicsexam,sandscholesterolsscreeningsassindi
cated
c.svision,shearing,sSTDsscreen,spelvicsexam,sandshemoglobinsifsindicated.
d.sMeaslessvaccine,svision,shearing,sSTDsscreen,spelvicsexamsexam,sandscholesterolss
creensifsindicated.s-sANSWERsa
Whichsofsthesfollowingsissthesbestswrittenschiefscomplaint?
a.s5yosasiansfemaleswithsitchysredsrash
b.s1smoswithsdifficultysfeeding
c.s15yosafricansamericansfemalescomplainingsofslowersabdominalspainsfors3sdays
d.s12yoscaucasianswithsitchyseyesfors1sweeks-sANSWERsc
Thespastshistorysshouldsinclude
a.sfamilyshistory
b.ssocialshx
c.ssymptomsanalysis
d.shospitalizations-sANSWERsd
Thesfamilyshistorysshouldsinclude:
a.stheshealthsstatussofsthespaternalsgrandparents
b.stheslivingsconditionssofsthesfamily
c.sthesworksstatussofsthesparents
d.sschoolsinformations-sANSWERsa
,Whichsofsthesfollowingsstatementsswouldsbesconsideredssubjectivesdatasobtainedsfromst
hesclientsduringsthesreviewsofssystemssforsthesskin?
a.sthesskinsappearssdrys&sexcoriated
b.saslesionsissnotedsonstheslateralsaspectsofsthesrightsleg
c.stheresissmoderatesacnesonsthesforeheadsandsback
d.sthespatientsdeniesschangessinsskinstextures-sANSWERsd
ThesPNPsisscompletingsthesROSsonsas4mo.sWhatsresponsesfromsthesmothersmightsindic
atesascardiacsproblemsinsthesinfants&srequiresasmoresthoroughshistory?s
a.sthesbabysgetsstheshiccupssoften.
b.sitstakessthesbabysovers30minstoscompletesasbottle
c.sthesbaby'ssheartsseemsstosbeatsrapidlyssometimes
d.ssometimessthesbabyssoundsscongesteds-sANSWERsb
ThesPNPsissobtainingsasreviewsofssystemssonsashealthys8yosgirl.sItswouldsbesimportantsto
sinclude:
a.sthesdatesofslastsbreastsself-exam.
b.sanyslimitationssrelatedstossportssparticipation.
c.stheslastshematocritsandshemoglobin
d.stheslastsleadsscreens-sANSWERsb
Thesmothersofsas3yosstatessthatsherssonswasscompletelystoiletstrainedsats18mo.sThesPN
Psexploressfurther,sasking:
a.showsthesmothersdidsthestoiletstraining
b.sifstheschildsissdrysatsnightsandsfullystrainedsforsurinesandsstoolsdaysandsnight
c.satswhatsagesdidsthesmothersbeginstoiletstrainingsthesotherschild.
d.sifstheschildsgetssupsatsnightstosusesthesbathrooms-sANSWERsb
Jasmine,sas5-month-
oldsinfantsissinsthesclinicsforsaswellschildsvisitsandsisssleepingsinshersmother'ssarms.sWhatss
houldsthesPNPsdosfirst?s
a.sExaminesthesears,ssincesthississuncomfortablesforsthesinfant.
b.sQuicklysgivesanysneededsimmunizations.
c.sBeginswithsassessmentsofsthesheadsandsproceedsfromsheadstostoe.
d.sauscultatestheshearts&slungsswhilesthesinfantsisssleeping.s-sANSWERsd
Thesmothersofsasnewbornsbringssthesbabystosthesclinicsbecausesshesissafraidssomethingsi
sswrongswithshersbabys("hissheadsisssosbig").sThesPNPsrespondssthat:
a.s"thississnormal.sThesheadsofsasnewbornsissproportionatelyslargestosthesrestsofsthesbody
"
b.s"Yes,sthissdoessappearsabnormal.sIswillsmakesansappointmentsforsthesbabystosbesseens
bysasneurologist."
d.s"yoursheadsappearsslargessositsissprobablysgenetic."s-sANSWERsa
Ashealthys12yosfemalesissatsthesclinicsforsaswellscheckup.sOnsphysicalsexamination,sasma
rkedselevationsofsthesrightsscapulasandsrightsthoracicshumpsandsspinalscurvesabnormally
saresnoted.sSpinalsfilmssindicates20sdegreescurve.sThesPNPsshould:
a.srefersthespatientstosansorthopedist
b.smonitorsthespatientseverys3smosuntilsmenarche
,c.srefersthespatientsforsphysicalstherapy
d.srecommendsbedrestsandsbacksbraces-sANSWERsa
Whatsissthes%sofsrisksansautosomalsdominantsgenesissbeingspassedsonstoseachsoffspring
?s
a.s25
b.s50
c.s100
d.snones-sANSWERsb
As13yosfemalesissatsthesclinicsforsasroutineschecksup.sWhatspresentingssymptomssmights
alertsthesPNPstosthespresencesofsaspossiblesgeneticsdisorder?
a.s<10%sonsgrowthschart,sTannersI,sandslearningsdifficulties
b.sPrecociousspuberty,sdevelopmentalsdelays,sgiftedspianosplayer
c.sLactosesintolerance,sfrequentsearsinfections,sspeechsdelays
d.sPeanutsallergy,sright-sidedsweakness,sandsexhibitssbullyingsbehaviors-sANSWERsa
Thesparentssofsaschildswithscysticsfibrosissaresconsideringsanotherspregnancy.sTheyswa
ntstosknowswhatstheirschancessaresofshavingsanotherschildswithscysticsfibrosis.sThesPNPs
explainssthatscysticsfibrosississansautosomalsrecessivesdisordersandsthatseachsconceptio
nsofscarriersparentsshassa:
a.s25%schancesofsbeingsaffected
b.s50%schancesofsbeingsaffected
c.s75%schancesofsbeingsaffected
d.s100%schancesofsbeingsaffecteds-sANSWERsa
Thesparentssofsassonswithshemophiliasaresconsideringsanotherspregnancy.sThesmothers
hassbeensidentifiedsassascarriersofstheshemophiliasgene.sWhatschancesdoesseachsfemal
esoffspringshavesofshavingshemophilia.s
a.s100%
b.s50%
c.s25%
d.snones-sANSWERsd
AsmaleswithsVitaminsD-
resistantsricketssasksswhatshisschancessaresofspassingshissdiseasestoshissparents.sThesP
NPsanswers:
a.sallssonsswillsbesaffectedsbysonlys25%sdaughters
b.sallsdaughterssaresaffectedsbysonlys25%ssons
c.s50%sofsallsoffspringswillshavesthesdisease
d.sallsdaughtersswillsbesaffectedsbutsnossons.s-sANSWERsd
ThesPNPsissfollowingsas15-year-
oldsmalesadolescentswithsconsistentsbloodspressuresreadingssofs132stos138/84stos86sm
msHg,swhichsissclassifiedsasssignificantshypertension.sAftersperformingsasworkup,sthesP
NPsdeterminessthatsthesadolescentshassprimaryshypertension.sThesmostsjudicioussreco
mmendationsforstherapysis:
A)sDietsandsexercisescounselingsandsreferralstosasspecialist
B)sAsdiuretic,slow-saltsdiet,sexercise,sandscounselingsbysasdietician
C)sPerformsansextensivesfamilyshistorystosdeterminesothersrisksfactors
, D)sAsvasodilator,srestrictedsactivity,sandsaslow-fatsdiets-sANSWERsa
ThesPNPsissexaminingsasneonateswithsasheartsmurmur.sThesS2ssoundsissloudestsatsthesa
pex.sThesrespiratorysratesiss65sbreathsspersminute,sandsthesheartsratesiss180sbeatsspers
minute.sWhichsofsthesfollowingswouldsbesansappropriatesactionsbysthesPNP?
A)sReevaluatesthesneonatesins24shours
B)sIncreasesthesnumbersofsoralsfeedings
C)sOrderscardiacscatheterization
D)sRefersthesneonatestosascardiologists-sANSWERsd
As2-week-
oldsneonatesissbroughtstosthesclinicswithsexcessiveslacrimationsofsbothseyes.sTheseyessar
esclear,swithsnosareassofsredness,sbutsthescorneassappearshazy.sThesPNPsexplainsstosth
esparentssthespossiblesdiagnosissandstreatmentsassfollows:
A)sCongenitalsglaucomasrequiringsansophthalmologysreferral
B)sCornealsforeignsbodysrequiringsfluoresceinsstainingsandsremoval
C)sChalazionsrequiringstreatmentswithsantibioticseyedrops
D)sAllergicsconjunctivitissrequiringstreatmentswithsBenadrylseyedropss-sANSWERsa
Onsexaminationsofsas3-month-
oldsinfantsthesPNPsissunablestoselicitsasredsreflexsinsthesrightseye.sPrevioussexaminationss
failedstosnotesthespresencesorsabsencesofsasredsreflex.sThesPNP'ssresponsesissto:
A)sReassuresthesparentssthatsthississnotsasproblemsbecausesthesinfantshassdarkseyes
B)sNotesthissfindingsinsthesinfant'sschartsandschecksagainsinsasfewsmonths
C)sRefersthesinfantstosansophthalmologiststosrulesoutsretinalstrauma
D)sImmediatelysrefersthesinfantstosaspediatricsophthalmologiststosrulesoutsascongenitalsca
taractsorsretinoblastomas-sANSWERsd
As4-year-
oldschildswithschickenpoxshassvesiclessonsthesskinsofsthesrightseyelid.sTheschildscomplain
ssofseyespainsandsblurredsvision.sThesPNPsshouldstreatsthesconditionsby:
A)sApplyingscoolscompressesstostheseyesandslesions
B)sPrescribingseyedropsscontainingssteroidsstosdecreasesinflammationsandspain
C)sPrescribingspolyspoiumsophthalmicsointmentsforsthessecondarysbacterialsinfection
D)sImmediatelysreferringstheschildstosansophthalmologists-sANSWERsd
Ansadolescentsissbeingsseensatsascommunityshealthscentersbecausesofsrecurrentsrespira
torystractsinfections.sThescompletesbloodscellscounts(CBC)swithsdifferentialsshowssaswhit
esbloodscellscountsofs20,500swiths35%sblastscells.sThesnextsstepsinsmanagingsthesadoles
cent'sscaresissto:
A)sRepeatsthesCBCswithsdifferentialsins1sweek
B)sReferstosasspecialistsinspediatricshematology
C)sPerformsbonesmarrowsaspiration
D)sHospitalizesthesadolescentsimmediatelys-sANSWERsb
As9-month-
oldsinfantswassdiagnosedswithssicklescellsdiseasesshortlysaftersbirth.sThesmotherstelepho
nessthesPNPstosreportsthatsthesinfantshassasfeversofs103.2°F.sThesbestsresponsestosthesm
othersis:
A)s"Takesthesinfantstosthesemergencysroomsimmediately."
