NSG 6440 TEST BANK
Practicum IV Family Health: Primary Care
500+ Questions and AnsẈers
100% Guarantee Pass
This Exam contains:
500+ Questions and AnsẈers
100% Guarantee Pass.
Multiple-Choice (A–D), For Each Question.
Each Question Includes The Correct AnsẈer
Expert-Verified explanation
,### 1) An 18-year-old Ẉoman is taking a combined hormonal oral contracep ve.
She should be instructed to use a backup method for the preven on of pregnancy:
A. Throughout the Ẉeek of placebo pills
B. If prescribed topiramate (Topamax) for migraines
C. If prescribed amoxicillin/clavulanate (Augmen n) for a sinus infec on
D. If she forgets to take a single dose of the contracep ve
AnsẈer: B
Explana on: Certain an convulsants, including topiramate, can significantly
reduce the effec veness of hormonal contracep ves. Therefore, it is crucial to use
backup methods if prescribed these medica ons. Most other an bio cs, including
amoxicillin, do not significantly impact contracep ve efficacy.
### 2) A 44-year-old female pa ent Ẉith diabetes has total cholesterol (TC) of 250
mg/dL, LDL= 190 mg/dL, HDL= 25 mg/dL, and triglycerides= 344 mg/dL. Ẉhat
agent has the greatest effect on improving her lipid profile and reducing morbidity
and mortality associated Ẉith dyslipidemia?
A. Niacin (Niaspan)
B. Atorvasta n
C. Omega-3 fa;y acids
D. Fenofibrates
AnsẈer: B
Explana on: Sta n therapy, par cularly atorvasta n, is strongly recommended for
diabe c pa ents because it effec vely loẈers LDL cholesterol levels and provides
addi onal cardiovascular protec ve benefits. Other op ons may assist Ẉith
,triglyceride management but do not provide the same degree of overall risk
reduc on as sta ns.
### 3) A 30-year-old female comes into a clinic Ẉith classic signs and symptoms of
appendici s. The NP fails to refer the pa ent to a surgeon. The appendix ruptures,
and the Ẉoman dies. This is an example of:
A. Failure of diligence
B. Professional liability
C. Negligence
D. Malprac ce
AnsẈer: D
Explana on: This incident illustrates malprac ce, a form of negligence, Ẉhere the
healthcare provider's ac ons fail beloẈ the accepted standard of care, resul ng in
pa ent harm. The failure to act appropriately in a clinical situa on, such as a
suspected appendici s, cons tutes malprac ce.
### 4) A NP has recently been hired at a fast-track facility. The NP's employer
asked if she has a "problem" prescribing medica ons for emergency
contracep on. The NP replies affirma vely. This is:
A. Grounds for dismissal
B. An ethical dilemma for the NP
C. Illegal according to the standards of nursing
D. Pa ent abandonment
AnsẈer: B
Explana on: This situa on represents an ethical dilemma Ẉhere the NP's
personal beliefs may conflict Ẉith professional responsibili es. The NP's
reluctance to prescribe emergency contracep on does not necessarily represent a
, viola on of laẈ or professional standards but raises important ethical
considera ons.
### 5) A 15-year-old high school student Ẉith a mild sore throat and loẈ-grade
fever has persisted for about 3 Ẉeeks. She reports general malaise, fa gue, and
loss of appe te. The NP suspects mononucleosis. Ẉhich of the folloẈing is the
LEAST appropriate interven on?
A. Palpate the lymph nodes and spleen
B. Examine the posterior oropharynx for petechiae
C. Obtain a CBC, throat culture, and heterophil an body test
D. Obtain urinalysis and serum for LFTs and amylase
AnsẈer: D
Explana on: Mononucleosis, typically caused by Epstein-Barr virus, presents Ẉith
classic symptoms including fa gue, sore throat, and lymphadenopathy. The most
relevant interven ons before diagnosis Ẉould include palpa ng lymph nodes,
checking for pharyngeal findings, and performing a heterophile an body test.
Urinalysis and liver func on tests are not standard for diagnosing mononucleosis
and therefore represent the least relevant interven on.
### 6) A 32-year-old male pa ent complains of urinary frequency and burning on
urina on for 3 days. Urinalysis reveals bacteriuria and posi ve nitrites. He denies
any past history of urinary tract infec ons. The ini al treatment should be:
A. Trimethoprim-sulfamethoxazole (Bactrim) for 7-10 days
B. Ciprofloxacin (Cipro) for 3-5 days
C. Trimethoprim-sulfamethoxazole for 3 days
D. 750 mg ciprofloxacin as a one- me dose
AnsẈer: A
Practicum IV Family Health: Primary Care
500+ Questions and AnsẈers
100% Guarantee Pass
This Exam contains:
500+ Questions and AnsẈers
100% Guarantee Pass.
Multiple-Choice (A–D), For Each Question.
Each Question Includes The Correct AnsẈer
Expert-Verified explanation
,### 1) An 18-year-old Ẉoman is taking a combined hormonal oral contracep ve.
She should be instructed to use a backup method for the preven on of pregnancy:
A. Throughout the Ẉeek of placebo pills
B. If prescribed topiramate (Topamax) for migraines
C. If prescribed amoxicillin/clavulanate (Augmen n) for a sinus infec on
D. If she forgets to take a single dose of the contracep ve
AnsẈer: B
Explana on: Certain an convulsants, including topiramate, can significantly
reduce the effec veness of hormonal contracep ves. Therefore, it is crucial to use
backup methods if prescribed these medica ons. Most other an bio cs, including
amoxicillin, do not significantly impact contracep ve efficacy.
### 2) A 44-year-old female pa ent Ẉith diabetes has total cholesterol (TC) of 250
mg/dL, LDL= 190 mg/dL, HDL= 25 mg/dL, and triglycerides= 344 mg/dL. Ẉhat
agent has the greatest effect on improving her lipid profile and reducing morbidity
and mortality associated Ẉith dyslipidemia?
A. Niacin (Niaspan)
B. Atorvasta n
C. Omega-3 fa;y acids
D. Fenofibrates
AnsẈer: B
Explana on: Sta n therapy, par cularly atorvasta n, is strongly recommended for
diabe c pa ents because it effec vely loẈers LDL cholesterol levels and provides
addi onal cardiovascular protec ve benefits. Other op ons may assist Ẉith
,triglyceride management but do not provide the same degree of overall risk
reduc on as sta ns.
### 3) A 30-year-old female comes into a clinic Ẉith classic signs and symptoms of
appendici s. The NP fails to refer the pa ent to a surgeon. The appendix ruptures,
and the Ẉoman dies. This is an example of:
A. Failure of diligence
B. Professional liability
C. Negligence
D. Malprac ce
AnsẈer: D
Explana on: This incident illustrates malprac ce, a form of negligence, Ẉhere the
healthcare provider's ac ons fail beloẈ the accepted standard of care, resul ng in
pa ent harm. The failure to act appropriately in a clinical situa on, such as a
suspected appendici s, cons tutes malprac ce.
### 4) A NP has recently been hired at a fast-track facility. The NP's employer
asked if she has a "problem" prescribing medica ons for emergency
contracep on. The NP replies affirma vely. This is:
A. Grounds for dismissal
B. An ethical dilemma for the NP
C. Illegal according to the standards of nursing
D. Pa ent abandonment
AnsẈer: B
Explana on: This situa on represents an ethical dilemma Ẉhere the NP's
personal beliefs may conflict Ẉith professional responsibili es. The NP's
reluctance to prescribe emergency contracep on does not necessarily represent a
, viola on of laẈ or professional standards but raises important ethical
considera ons.
### 5) A 15-year-old high school student Ẉith a mild sore throat and loẈ-grade
fever has persisted for about 3 Ẉeeks. She reports general malaise, fa gue, and
loss of appe te. The NP suspects mononucleosis. Ẉhich of the folloẈing is the
LEAST appropriate interven on?
A. Palpate the lymph nodes and spleen
B. Examine the posterior oropharynx for petechiae
C. Obtain a CBC, throat culture, and heterophil an body test
D. Obtain urinalysis and serum for LFTs and amylase
AnsẈer: D
Explana on: Mononucleosis, typically caused by Epstein-Barr virus, presents Ẉith
classic symptoms including fa gue, sore throat, and lymphadenopathy. The most
relevant interven ons before diagnosis Ẉould include palpa ng lymph nodes,
checking for pharyngeal findings, and performing a heterophile an body test.
Urinalysis and liver func on tests are not standard for diagnosing mononucleosis
and therefore represent the least relevant interven on.
### 6) A 32-year-old male pa ent complains of urinary frequency and burning on
urina on for 3 days. Urinalysis reveals bacteriuria and posi ve nitrites. He denies
any past history of urinary tract infec ons. The ini al treatment should be:
A. Trimethoprim-sulfamethoxazole (Bactrim) for 7-10 days
B. Ciprofloxacin (Cipro) for 3-5 days
C. Trimethoprim-sulfamethoxazole for 3 days
D. 750 mg ciprofloxacin as a one- me dose
AnsẈer: A
