APEA PREDICTOR NP EXAM TEST BANK QUESTIONS AND
ANSWERS WITH RATIONALES 2024-2025
The NP with a traditional nursing care role is a primary health care provider. Increasing
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
numbers of nurse practitioners are assuming indirect roles such as educator,
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
administrator, researcher, and consultant.
,f ,f ,f ,f
An 8-mo male presents with hemarthrosis of both knees and hematuria. The parents give no
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
history of trauma, but say " he has always bruised easily" The most likely diagnosis is: - A
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
type of hemophilia.
,f ,f ,f
Hemophilia is usually diagnosed within the first year of life. It commonly presents with ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
hemarthrosis, bleeding into soft tissue, hematuria, and prolonged bleeding times.
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
The nurse practitioner is following a child with juvemile rheumatoid arthritis (JRA) who has
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
been previously diagnosed and is being managed for the disease by a pediatric
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
rheumatologist. The mother asks for information about the child's long-term prognosis. The
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
appropriate reply is that: - most children with JRA achieve complete remission by
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
adulthood, but its effects might cause lifelong limitations.
,f ,f ,f ,f ,f ,f ,f ,f
Although the active disease does not continue into adulthood, the contractures, growth
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
retardation, bone deformities, and visual impairment associated with JRA may lead to
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
lifelong functional impairments. A comprehensive treatment program involving physical
,f ,f ,f ,f ,f ,f ,f ,f ,f
therapy, occupational therapy, nutrition, education, and regular opthalmologic care can limit
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
residual functional limitations.
,f ,f ,f
Cranial Nerve VIII - Acoustic (Hearing and balance)
,f ,f ,f ,f ,f ,f ,f
Cranial nerve IX - Glossopharyngeal- swallowing and rise of the palate, gag reflex Cranial
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
,f Nerve XI - Spinal Accessory (upper trapezius)
,f ,f ,f ,f ,f ,f
Deep tendon reflex - Ankle- S1 primarily
,f ,f ,f ,f ,f ,f
Knee- Lumbar 2,3,4
,f ,f ,f
Supinator(brachioradialis)-C5,6
,f
BicepTriceps-C6,7
,f
Stroke risk scale-CHADS2 ,f ,f ,f ,f
C-Congestive heart failure
,f ,f ,f
H-Hypertension
,f
A-Age>75years ,f ,f
D- Diabetes
,f ,f
S-prior Stroke/TIA ,f
,In the majority of children, the first permanent teeth start to erupt at the age of 6 years. Which
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
of the following are the first permanent teeth to erupt in this time period?
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
A. First Molars ,f
B. Second Molars ,f
C. Lower or upper incisors ,f ,f ,f
D. Canines - A. First Molars ,f ,f ,f ,f
All of the following are classified as activities of daily living (ADLs) except:
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
A. ability to feed self ,f ,f ,f
B. Ability to manage bladder and bowel elimination ,f ,f ,f ,f ,f ,f
C. Personal hygiene and grooming ,f ,f ,f
D. Grocery Shopping - D. Grocery shopping ,f ,f ,f ,f ,f
You note the following result on a routine urinalysis of a 37-year old primigravida who is at 30
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
weeks gestation. Leukocyte=trace, nitrite=negative, protein=2+, blood=negative. Her
,f ,f ,f ,f ,f ,f ,f
weight has increased by 5 lbs during the past week. Which of the following is most likely?
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
A. HELLP syndrome ,f
B. Pregnancy-inducedhypertension (pre-eclampsia) ,f ,f
C. Eclampsia of pregnancy ,f ,f
D. Primary hypertension - B. Pregnancy-induced hypertension (pre-eclampsia). Classic ,f ,f ,f ,f ,f ,f ,f
triad of symptoms of preeclampsia include hypertension, edema (weight gain), and
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
proteinuria. ,f
The mother of a 12 month old infant reports to the nurse practitioner that her child had a high
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
fever for several days, which spontaneously resolved. After the fever resolved, the child
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
developed a maculopapular rash. Which of the following is the most likely diagnosis?
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
A. Fifth Disease (erythema infectiosum) ,f ,f ,f
B. Roseola infantum (exanthema subitum) ,f ,f ,f
C. Varicella
D. Infantile maculopapular rashes - B. Roseola Infantum (Exanthema subitum) ,f ,f ,f ,f ,f ,f ,f ,f
A 70-year old male patient complains of a bright red-colored spot in his left eye for 2 days.
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
He denies eye pain, visual changes, or headaches. He has a new onset of cough from a
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
recent viral upper respiratory infection. The only medicine he is on Bayer aspirin, 1 tablet a
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
day. Which of the following is most likely?
,f ,f ,f ,f ,f ,f ,f ,f
A. Corneal abrasion ,f
B. Acute bacterial conjunctivitis ,f ,f
C. Acute uveitis ,f
D. Subconjunctival hemorrhage - D. Subconjunctival hemorrhage. Bright red blood in a ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
sharply defined area surrounded by normal-appearing conjunctiva indicates
,f ,f ,f ,f ,f ,f ,f ,f
subconjunctival hemorrhage.
,f ,f
,A woman is being evaluated by the nurse practitioner for complaints of dyspareunia. A
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
microscopy slide reveals a large number of atrophic squamous epithelial cells. The vaginal
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
pH is 4.0. There are very few leukocytes and no RBCs are seen on the wet smear. Which of
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
the following is most likely?
,f ,f ,f ,f ,f
A. Atrophic vaginitis ,f
B. Bacterial Vaginosis ,f
C. Trichomoniasis
D. This is a normal finding. - A. Atrophic vaginitis. Symptoms of atrophic vaginitis include
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
painful intercourse, atrophic squamous epithelial cells, and a decrease in pH. Vaginal
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
atrophy is caused by lack of or imbalance of estrogen. Normal pH of the vagina is 4.0-5.0
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
(acidic) ,f
The most common type of skin malignancy is:
,f ,f ,f ,f ,f ,f ,f
A. Squamous cell cancer ,f ,f
B. Basal skin cancer ,f ,f
C. Melanoma
D. Dysplastic nevi - B. Basal skin cancer. It is several times more common that ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
squamous cell skin cancer according to the NIH.
,f ,f ,f ,f ,f ,f ,f ,f
Koplik's spots are associated with: ,f ,f ,f ,f
A. Poxvirius infections ,f
B. Measles
C. Kawasaki's disease ,f
D. Reye's syndrome - B. Measles. S/S include fever over 101, coryza, cough, ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
conjunctivitis, rash, and koplik's spots on buccal mucosa
,f ,f ,f ,f ,f ,f ,f ,f
At what level of prevention would you classify for lung cancer?
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
A. Primary prevention ,f
B. Secondary prevention ,f
C. Tertiary prevention ,f
D. Primordial prevention - D. primordial prevention. Screening for lung cancer is not ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
currently recommended in the general population, but it is secondary prevention.
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
A test called the visual fields by confrontation is used to evaluate for:
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
A. Peripheral vision ,f
B. Central vision ,f
C. Visual acuity ,f
D. Accomodation - A. Peripheral vision ,f ,f ,f ,f
What is the most common cause of Cushing's syndrome? - Administration of a glucocorticoid
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
or ACTH.
,f ,f
, Iatrogenic Cushing's syndrome is the most common type. Exogenous glucocorticoid
,f ,f ,f ,f ,f ,f ,f ,f ,f
administration produces a Cushing's Syndrome that is reversible by discontinuation of the
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
medication.
,f
A patient with no significant medical history has vericose veins. She complains of '"aching
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
legs". The intervention that will provide the greatest relief for her complaint is to:
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
- Elevate her legs periodically.
,f ,f ,f ,f
The intervention that will provide the greatest relief for this patient is elevating her legs
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
periodically. This will facilitate venous return. Use of support stockings will prolong the
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
length of time she is able to stand in place, but will not provide relief after her legs begin
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
aching. Support stockings should be applied prior to getting out of bed.
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
A 25-yo female patient presents for a routine well-women exam. On physical exam, the NP
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
notes a scant nipple discharge, absence of palpable mass, and absence of lymph node
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
enlargement. What is the most likely diagnosis? - Itraductal papilloma.
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
Intraductal papilloma often presents as a non-tender mass with serous or bloody nipple ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
discharge located in the ductal system near the areola. Breast cancer, although usually
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
non-tender, may present with pain. Chest wall syndrome may present in some women as
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
breast pain. Fibrocystic breast disease often presents with bilateral breast pain.
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
According to the ANA, the role of the NP who provides primary health care is the: - Direct
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
nursing care role.
,f ,f ,f
Approximately 70% of the organisms found in canine oral and nasal fluids, and ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
consequently in fresh dog bite wounds, are: - Staphylococcus and Pasteurella
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
multocida.
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All of these organisms are found in canine oral and nasal fluids, and cultured from fresh dog
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
bite wounds, but the most common (70%) are Staph and Pasteurella multocida.
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
Education of women with fibrocystic breast disease should include which of the following
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
statements? - Caffeine may trigger breast pain.
,f ,f ,f ,f ,f ,f ,f
Avoidance of all methylxanthines (eg coffee, tea, chocolate) has been shown to reduce ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
breast pain in women with fibrocystic breast disease. It is usually a benign condition, not a
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
precursor of malignancy. Mammography is recommended once at age 35 years, at least
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
every 1-2 years after age 40, and then annually beginning at age 50 years. Oral
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
contraceptives may help reduce cyclical pain and swelling.
,f ,f ,f ,f ,f ,f ,f ,f
Congenital heart disorders present with symptoms at: - birth, infancy, or in childhood. A ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f , f
common misconception is that congenital disorders always present symptomatically at
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
birth. They can present at various times throughout childhood and are classified as
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
cyanotic or acyanotic. Cardiac disorders in infants and children may be acquired from
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
rheumatic fever or kawasaki syndrome.
,f ,f ,f ,f ,f
ANSWERS WITH RATIONALES 2024-2025
The NP with a traditional nursing care role is a primary health care provider. Increasing
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
numbers of nurse practitioners are assuming indirect roles such as educator,
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
administrator, researcher, and consultant.
,f ,f ,f ,f
An 8-mo male presents with hemarthrosis of both knees and hematuria. The parents give no
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
history of trauma, but say " he has always bruised easily" The most likely diagnosis is: - A
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
type of hemophilia.
,f ,f ,f
Hemophilia is usually diagnosed within the first year of life. It commonly presents with ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
hemarthrosis, bleeding into soft tissue, hematuria, and prolonged bleeding times.
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
The nurse practitioner is following a child with juvemile rheumatoid arthritis (JRA) who has
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
been previously diagnosed and is being managed for the disease by a pediatric
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
rheumatologist. The mother asks for information about the child's long-term prognosis. The
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
appropriate reply is that: - most children with JRA achieve complete remission by
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
adulthood, but its effects might cause lifelong limitations.
,f ,f ,f ,f ,f ,f ,f ,f
Although the active disease does not continue into adulthood, the contractures, growth
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
retardation, bone deformities, and visual impairment associated with JRA may lead to
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
lifelong functional impairments. A comprehensive treatment program involving physical
,f ,f ,f ,f ,f ,f ,f ,f ,f
therapy, occupational therapy, nutrition, education, and regular opthalmologic care can limit
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
residual functional limitations.
,f ,f ,f
Cranial Nerve VIII - Acoustic (Hearing and balance)
,f ,f ,f ,f ,f ,f ,f
Cranial nerve IX - Glossopharyngeal- swallowing and rise of the palate, gag reflex Cranial
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
,f Nerve XI - Spinal Accessory (upper trapezius)
,f ,f ,f ,f ,f ,f
Deep tendon reflex - Ankle- S1 primarily
,f ,f ,f ,f ,f ,f
Knee- Lumbar 2,3,4
,f ,f ,f
Supinator(brachioradialis)-C5,6
,f
BicepTriceps-C6,7
,f
Stroke risk scale-CHADS2 ,f ,f ,f ,f
C-Congestive heart failure
,f ,f ,f
H-Hypertension
,f
A-Age>75years ,f ,f
D- Diabetes
,f ,f
S-prior Stroke/TIA ,f
,In the majority of children, the first permanent teeth start to erupt at the age of 6 years. Which
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
of the following are the first permanent teeth to erupt in this time period?
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
A. First Molars ,f
B. Second Molars ,f
C. Lower or upper incisors ,f ,f ,f
D. Canines - A. First Molars ,f ,f ,f ,f
All of the following are classified as activities of daily living (ADLs) except:
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
A. ability to feed self ,f ,f ,f
B. Ability to manage bladder and bowel elimination ,f ,f ,f ,f ,f ,f
C. Personal hygiene and grooming ,f ,f ,f
D. Grocery Shopping - D. Grocery shopping ,f ,f ,f ,f ,f
You note the following result on a routine urinalysis of a 37-year old primigravida who is at 30
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
weeks gestation. Leukocyte=trace, nitrite=negative, protein=2+, blood=negative. Her
,f ,f ,f ,f ,f ,f ,f
weight has increased by 5 lbs during the past week. Which of the following is most likely?
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
A. HELLP syndrome ,f
B. Pregnancy-inducedhypertension (pre-eclampsia) ,f ,f
C. Eclampsia of pregnancy ,f ,f
D. Primary hypertension - B. Pregnancy-induced hypertension (pre-eclampsia). Classic ,f ,f ,f ,f ,f ,f ,f
triad of symptoms of preeclampsia include hypertension, edema (weight gain), and
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
proteinuria. ,f
The mother of a 12 month old infant reports to the nurse practitioner that her child had a high
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
fever for several days, which spontaneously resolved. After the fever resolved, the child
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
developed a maculopapular rash. Which of the following is the most likely diagnosis?
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
A. Fifth Disease (erythema infectiosum) ,f ,f ,f
B. Roseola infantum (exanthema subitum) ,f ,f ,f
C. Varicella
D. Infantile maculopapular rashes - B. Roseola Infantum (Exanthema subitum) ,f ,f ,f ,f ,f ,f ,f ,f
A 70-year old male patient complains of a bright red-colored spot in his left eye for 2 days.
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
He denies eye pain, visual changes, or headaches. He has a new onset of cough from a
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
recent viral upper respiratory infection. The only medicine he is on Bayer aspirin, 1 tablet a
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
day. Which of the following is most likely?
,f ,f ,f ,f ,f ,f ,f ,f
A. Corneal abrasion ,f
B. Acute bacterial conjunctivitis ,f ,f
C. Acute uveitis ,f
D. Subconjunctival hemorrhage - D. Subconjunctival hemorrhage. Bright red blood in a ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
sharply defined area surrounded by normal-appearing conjunctiva indicates
,f ,f ,f ,f ,f ,f ,f ,f
subconjunctival hemorrhage.
,f ,f
,A woman is being evaluated by the nurse practitioner for complaints of dyspareunia. A
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
microscopy slide reveals a large number of atrophic squamous epithelial cells. The vaginal
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
pH is 4.0. There are very few leukocytes and no RBCs are seen on the wet smear. Which of
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
the following is most likely?
,f ,f ,f ,f ,f
A. Atrophic vaginitis ,f
B. Bacterial Vaginosis ,f
C. Trichomoniasis
D. This is a normal finding. - A. Atrophic vaginitis. Symptoms of atrophic vaginitis include
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
painful intercourse, atrophic squamous epithelial cells, and a decrease in pH. Vaginal
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
atrophy is caused by lack of or imbalance of estrogen. Normal pH of the vagina is 4.0-5.0
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
(acidic) ,f
The most common type of skin malignancy is:
,f ,f ,f ,f ,f ,f ,f
A. Squamous cell cancer ,f ,f
B. Basal skin cancer ,f ,f
C. Melanoma
D. Dysplastic nevi - B. Basal skin cancer. It is several times more common that ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
squamous cell skin cancer according to the NIH.
,f ,f ,f ,f ,f ,f ,f ,f
Koplik's spots are associated with: ,f ,f ,f ,f
A. Poxvirius infections ,f
B. Measles
C. Kawasaki's disease ,f
D. Reye's syndrome - B. Measles. S/S include fever over 101, coryza, cough, ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
conjunctivitis, rash, and koplik's spots on buccal mucosa
,f ,f ,f ,f ,f ,f ,f ,f
At what level of prevention would you classify for lung cancer?
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
A. Primary prevention ,f
B. Secondary prevention ,f
C. Tertiary prevention ,f
D. Primordial prevention - D. primordial prevention. Screening for lung cancer is not ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
currently recommended in the general population, but it is secondary prevention.
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
A test called the visual fields by confrontation is used to evaluate for:
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
A. Peripheral vision ,f
B. Central vision ,f
C. Visual acuity ,f
D. Accomodation - A. Peripheral vision ,f ,f ,f ,f
What is the most common cause of Cushing's syndrome? - Administration of a glucocorticoid
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
or ACTH.
,f ,f
, Iatrogenic Cushing's syndrome is the most common type. Exogenous glucocorticoid
,f ,f ,f ,f ,f ,f ,f ,f ,f
administration produces a Cushing's Syndrome that is reversible by discontinuation of the
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
medication.
,f
A patient with no significant medical history has vericose veins. She complains of '"aching
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
legs". The intervention that will provide the greatest relief for her complaint is to:
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
- Elevate her legs periodically.
,f ,f ,f ,f
The intervention that will provide the greatest relief for this patient is elevating her legs
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
periodically. This will facilitate venous return. Use of support stockings will prolong the
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
length of time she is able to stand in place, but will not provide relief after her legs begin
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
aching. Support stockings should be applied prior to getting out of bed.
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A 25-yo female patient presents for a routine well-women exam. On physical exam, the NP
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notes a scant nipple discharge, absence of palpable mass, and absence of lymph node
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enlargement. What is the most likely diagnosis? - Itraductal papilloma.
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Intraductal papilloma often presents as a non-tender mass with serous or bloody nipple ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
discharge located in the ductal system near the areola. Breast cancer, although usually
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non-tender, may present with pain. Chest wall syndrome may present in some women as
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breast pain. Fibrocystic breast disease often presents with bilateral breast pain.
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According to the ANA, the role of the NP who provides primary health care is the: - Direct
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nursing care role.
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Approximately 70% of the organisms found in canine oral and nasal fluids, and ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
consequently in fresh dog bite wounds, are: - Staphylococcus and Pasteurella
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multocida.
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All of these organisms are found in canine oral and nasal fluids, and cultured from fresh dog
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bite wounds, but the most common (70%) are Staph and Pasteurella multocida.
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Education of women with fibrocystic breast disease should include which of the following
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statements? - Caffeine may trigger breast pain.
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Avoidance of all methylxanthines (eg coffee, tea, chocolate) has been shown to reduce ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
breast pain in women with fibrocystic breast disease. It is usually a benign condition, not a
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precursor of malignancy. Mammography is recommended once at age 35 years, at least
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every 1-2 years after age 40, and then annually beginning at age 50 years. Oral
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contraceptives may help reduce cyclical pain and swelling.
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Congenital heart disorders present with symptoms at: - birth, infancy, or in childhood. A ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f , f
common misconception is that congenital disorders always present symptomatically at
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birth. They can present at various times throughout childhood and are classified as
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cyanotic or acyanotic. Cardiac disorders in infants and children may be acquired from
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rheumatic fever or kawasaki syndrome.
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