Intensive Review
O
FD
O
C
,About the Author
PR
Maria T. Codina Leik(MSN, ARNP, BC, NP-C(GNP, ANP, FNP)), developed ma-
terials for the nurse practitioner review courses that she has presented nationally
O
since 1997 through her company, National ARNP Services, Inc. She received her
advanced practice nursing licensure in 1991 and certification as an Adult Nurse
Practitioner. She was certified as a Gerontological Nurse Practitioner in 1995 and
FD
as a Family Nurse Practitioner in 1999. She maintains an NP practice for students
on a per diem basis at Florida International University and a primary care practice
at the Plantation Medical Clinic.
O
C
ii
,PR
Intensive Review
O
Maria T. Codina Leik, MSN, APRN, BC, FNP-C
FD
O
C
,Copyright ⃝C 2007 Springer Publishing Company, LLC
All rights reserved.
No part of this publication may be reproduced, stored in a retrieval system, or transmitted
in any form or by any means, electronic, mechanical, photocopying, recording, or
otherwise, without the prior permission of Springer Publishing Company, LLC.
Springer Publishing Company, LLC
11 West 42nd Street
New York, NY 10036–8002
www.springerpub.com
Acquisitions Editor: Sally J. Barhydt
Managing Editor: Mary Ann McLaughlin
Production Editor: Tenea Johnson
PR
Cover Design: Joanne E. Honigman
Composition: Aptara, Inc
07 08 09 10/ 5 4 3 2 1
Library of Congress Cataloging-in-Publication Data
O
Codina Leik, Maria T.
Family nurse practitioner certification : intensive review / Maria T.
Codina Leik.
FD
p. cm.
Includes bibliographical references and index.
ISBN-13: 978–0–8261–0296–6 (pbk.)
1. Nurse practitioners—Examinations, questions, etc. I. Title.
[DNLM: 1. Nurse Practitioners–Problems and Exercises. 2. Family
Practice—Problems and Exercises. WY 18.2 C669f 2007]
O
RT82.8.C63 2007
610.73076—dc22
2007017431
C
Printed in the United States of America by Victor Graphics.
Notice: The author and the publisher of this work have made every effort to use sources
believed to be reliable to provide information that is accurate and compatible with the
standards generally accepted at the time of publication. Because medical science and the
science of pharmacology are continually advancing, our knowledge base continues to
expand. Therefore, as new information becomes available, changes in treatments and in
the use of drugs become necessary. We recommend that the reader always refer to the
manufacturer’s product information, especially in the case of drug dosages,
contraindications, and administration guidelines before giving any medication. This is
particularly important with new or rarely used drugs. The author and publisher shall not
be liable for any special, consequential, or exemplary damages resulting, in whole or in
part, from the readers’ use of, or reliance on, the information contained in this book.
,Writing this book taught me many things.
Most important, how blessed and lucky I am
to have E.J.L., my wonderful husband,
and my daughters, Maryfaye and Christina.
I am truly grateful for your love and support.
Many heartfelt thanks to my talented and patient editor,
Sally J. Barhydt, who helped make a dream into reality.
And to all my review course students,
May your salary hit the stratosphere.
PR
Of course, good dark chocolate is an absolute necessity,
when one is writing review books way past midnight.
And most of all, thank you dear God.
O
FD
O
C
, C
O
FD
O
PR
, PR
The purpose of this family nurse practitioner (FNP) review book is simple. It is
designed to save you valuable time reviewing for the FNP certification exam. The
O
content is applicable for both exams from the American Nurses Credentialing
Center (ANCC) and the American Academy of Nurse Practitioners (AANP).
A special effort has been made to cut down as much extraneous information
FD
as possible without sacrificing the quality of the book’s contents. The end result
is a review guide that will not only help to cut down your total review time, but
will also give you a more productive and less frustrating experience.
The guidingprinciplethat I keptinmindwhenwritingthisreview guideis that
most of you have a limited amount of time to study. Your review time is valuable.
Ultimately, I designed this book to assist youthoroughly study for thefamily nurse
O
practitioner certification exam in an efficient manner. The end result of this idea
is the format that I used when writing this book. I call it the “Fast Facts” method.
Information is delivered in a brief, yet concise manner. It is easier to comprehend.
C
It is also more realistic.
The entire lifespan, ranging from pediatrics, adolescence, adulthood, into
geriatrics including pregnancy is reviewed. In addition, nonclinical content such
as ethics, medico-legal issues, advanced practice law, reimbursement and others
are included. For the adult nurse practitioner (ANP) who wants to use this book to
study, simply skip the pediatric and obstetrics sections.Your review should start
with the adolescence section and continue until the geriatrics section, including
the nonclinical content.
I have combined five resources into one “Mega Review” study guide. It con-
tains (1) specific certification exam information which includes instructions on
speeding up the application process, (2) test-taking techniques that are highly rel-
evant for both the ANCC and AANP exam, (3) a question dissection and analysis
section where you learn to pick out the “Best Clues” to solve problems along with
the necessary clinical knowledge, (4) a review of primary care disorders including
vii
,Preface
specific “Exam Tips” with advice on some current exam topics, and finally, (5) a
total of 500 sample questions and answers to practice your new skills.
Included in this review guide are many pictures and tables. Physical exam
maneuvers (i.e., the Drawer sign, McMurrays sign, etc.) are beautifully illustrated
by photographs and notes. In addition, unlike the other nurse practitioner review
books out in the market today, this book approaches the organ systems review in
an unusual manner.
This review guide does not follow the usual head-to-toe order while writing
the systems review section. The first section is on dermatology. I have chosen
to do this because of feedback from new nurse practitioner graduates; many of
whom report that they felt deficient in their knowledge of skin disorders.
I have been teaching and designing review courses for 10 years. I am also
in active clinical practice. If you would like an ANP, FNP, pediatric (PNP) review
PR
course at your school or have comments and suggestions about this book, please
contact me by email from my company’s web site at www.NPreview.com.
O
FD
O
C
viii
,Contributors
PR
The following Nurse Practitioners have graciously contributed questions for this
review book.
O
Ivette Baker, MSN, ARNP, BC Nancy Gonzalez, MSN, ARNP, BC,
Adult Nurse Practitioner and Pediatric CLNC
FD
Nurse Practitioner Pediatric Nurse Practitioner
Adjunct Faculty Private Practice
Florida International University Medical Legal Consulting Service
Graduate School of Nursing Pembroke Pines, Florida
Adult and Family Nurse Practitioner
Track Mayra Lima, MSN, ARNP, BC
O
Miami, Florida Family Nurse Practitioner
Memorial Cancer Institute
Therese A. Boyd, EdD, ARNP, BC Breast Cancer Center
C
Adult Nurse Practitioner Hollywood, Florida
Florida International University
Health Care & Wellness Center Lourdes Lizardo, MSN, ARNP, EdD
Biscayne Bay Campus Clinical Professor
North Miami, Florida Florida International University
Graduate School of Nursing
Susanne Pavlovich-Danis, MSN, Family and Adult Nurse Practitioner
ARNP, BC, CDE Track
Adult Nurse Practitioner Miami, Florida
Plantation Medical Clinic
University of Phoenix
Area Chair, Nursing Program
Plantation, Florida
ix
, PR
O
FD
O
C