100% CORRECT ANSWERS
The process by which a professional association confers recognition that a licensed
professional has demonstrated mastery of a specialized body of knowledge and skills is
termed:
A. licensure.
B. quality assurance.
C. certification.
D. policy and procedure. - ANSWERSC
1. A 46 year old female has hypertension and is well managed with propanolol (Inderal).
Which of the following is a beneficial secondary effect of this drug?
A. Improved glycemic control.
B. Improved lipid profile
C. Weight loss
D. Migraine prophylaxis - ANSWERSD
What is the recommended timing for gestational diabetes screening?
A. 12-16 weeks gestation
B. 24-28 weeks gestation
C. 30-34 weeks gestation
D. 34-38 weeks gestation - ANSWERSB
19. A patient is 26 weeks pregnant. She presents today with very tender vesicles on an
erythematous base in the genital area. She complains of malaise and fever and states
that she's never felt anything like this before. How soon should the lesions and
symptoms resolve:
A. at delivery
B. in about 3 days
C. in about 14 to 21 days
D. in about 7 days - ANSWERS
20. Which of the following is NOT an appropriate suppression therapy for chronic
bacterial prostatitis (CBP)?
A. doxycycline 100 mg qd
B. nitrofurantoin (Macrobid) 100 mg qd
C. Bactrim DS (Sulfatrim) qd
,D. erythromycin qd - ANSWERSD
4. An 87 year old patient was placed on low dose amlodipine (Norvasc) for treatment of
hypertension and angina. She takes an ASA daily, but, takes no other medications.
What side effects might be expected from taking amolodipine?
A. diarrhea.
B. orthostatic hypotension.
C. decreased heart rate.
D. nocturnal cough. - ANSWERSB. orthostatic hypotension
Six weeks gestation is confirmed in a 23 year old, moderately overweight, patient. She
asks the nurse practitioner, "Should I diet so I won't gain too much baby fat" The nurse
practitioner appropriately responds:
A. "It is probably a good idea to lose a few pounds in the first trimester since it will be
harder to control weight gain later."
B. "A weight gain of approximately 25 pounds is ideal for mother and baby."
C. "It doesn't matter how much weight you gain or lose as long as you eat a well-
balanced diet."
D. "Just try to limit your weight gain as much as you comfortably are able." -
ANSWERSB
When, in childhood, do the frontal sinuses usually present?
A. Birth
B. 2 to 3 years
C. 4 to 6 years
D. 10 to 11 years - ANSWERS
A patient presents with sudden onset of "crushing chest pressure," diaphoresis, pallor,
and extreme weakness. Electrocardiogram and serum enzyme changes support a
diagnosis of acute myocardial infarction (AMI). The nurse practitioner would expect:
A. widened QRS intervals, AV dissociation, elevated CPK-MP and LDH, and negative
troponin.
B. ST changes, prominent Q wave, elevated CPK-MB and LDH, and cardiac troponin I.
C. prolonged PR interval, bradycardia, and increased CPK-MB and LDH.
D. peaked T waves, tachycardia, and elevated CPK-MB and LDH, and cardiac
Troponin I. - ANSWERSB
Untreated infection with human papilloma virus (HPV-16) increases the female's risk for:
,A. pelvic inflammatory disease.
B. ovarian cancer.
C. infertility
D. cervical cancer. - ANSWERSD
10. Which APRN is the exception to the graduate level preparation requirement for
certification for advanced practice registered nurses?
A. Advanced practice registered nurses who have completed an approved educational
program prior to implementation of graduate level education are considered to have met
the requirements for advanced practice registered nursing.
B. Advanced practice registered nurses who plan to practice in a hospital or other
controlled setting are not required to have graduate education.
C. Advanced practice registered nurses who can pass both the American Nurses
Credentialing Center (ANCC) and the American Academy of Nurse Practitioners
(AANP) certification examinations are allowed to practice without graduate level
education.
D. There are no exceptions to the rule requiring graduate education to practice as an
advanced practice registered nurse - ANSWERSA
Strabismus is observed in a 13 month old child. The most appropriate action for the
nurse practitioner to take is to:
A. refer the patient to an ophthalmologist.
B. patch the child's affected eye.
C. follow the child closely for 2 more months.
D. teach the patient and parent eye muscle exercises. - ANSWERSA
The Dubowitz Clinical Assessment is a:
A. standardized scoring system for assessing gestational age of newborns.
B. scale developed for rating the newborn's appearance, heart rate, reflexes, activity,
and respirations.
C. system for identifying children who have been sexually or physically abused.
D. screening system to identify congenital anomalies. - ANSWERSA
14. The nurse practitioner examines a 6 year old who has had sore throat and fever for
less than 24 hours. Based on the most common cause of pharyngitis in this age group,
the most appropriate action is to?
, A. prescribe amoxicillin in a weight-appropriate dose.
B. ask if any other family members have the same symptoms.
C. encourage supportive and symptomatic care.
D. prescribe an antihistamine and decongestant. - ANSWERSC
The nurse practitioner is counseling a young woman who desires pregnancy. She
discontinued her oral ontraceptives four months ago. Her urine pregnancy test (UPT) is
negative. She expresses concern that she might have an infertility problem. The nurse
practitioner accurately tells her that a couple is not considered infertile until there has
been unprotected intercourse without conception for what period of time?
A. 4 months
B. 8 months
C. 1 year
D. 1 ½ years - ANSWERSC
Licensure is:
A. another term for certification.
B. contingent on certification.
C. used to establish minimal competence.
D. necessary for reimbursement. - ANSWERSC
Which class of drugs increases a patient's risk for developing rhabdomyolysis?
A. Anti-hypertensives
B. Thiazide diuretics
C. The "statins"
D. Anti-coagulants - ANSWERSC
Which of the following is the best response to a woman who has just admitted she is a
victim of spousal abuse?
A. "What was it you did to make him angry?"