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NSG 6006 FINAL EXAM
1. A nurse practitioner is applying for their first position. In researching different hospitals types, there are various
descriptions of their type. Some of these include public, proprietary, and voluntary (not-for-profit) hospitals. What
qualification would determine the hospital type?
a. The degree of reimbursement provided for nurse practitioners
b. The determination of whether or not profits are made
c. The type of specialty services offered
d. How profits are distributed
2. A Latino patient in your clinic has been perpetually late for their appointments. Which action by the nurse practitioner
would be most appropriate?
a. Confront the patient and advise them the next time you will reschedule
c. Assess how the patient interprets the appointment time
d. Ignore the situation to avoid having the patient go elsewhere
3. To meet Medicare’s coverage requirements, the Nurse Practitioner’s services must be:
a. Provided subject to state restrictions and supervision requirements
b. Provided under direct supervision
c. Provided in a rural health clinic or federally qualified health center
d. Billed through a physician-directed clinic, heath agency or hospital
4. The family nurse practitioner examines a patient who has sustained a non-work-related injury that interferes with the
patient’s ability to perform their job. The patient does not qualify for medical disability and has a reasonable chance of
engaging in a suitable occupation with proper therapy. The nurse practitioner recommends that the patient apply for:
a. Family and Medical Leave Act benefits
b. Vocational rehabilitation services
c. Home health services
d. Social security benefits
,5. A 20-year-old female comes to the primary care clinic with clinical findings consistent with acute bronchitis. She is
sexually active with a male partner, although she states prior to this relationship she did have two sexual partners. Her
menses comes every 28 days and is regular. An example of a primary prevention activity for this patient is:
a. Screening for a sexually transmitted disease
b. Prescribing therapies to decrease a cough
c. Obtaining a Papanicolaou (PAP) test
d. Counseling about safer sexual practices
6. A 42-year-old male presents to the clinic with the chief complaint of sinus congestion for 2 weeks associated with
facial pain. He is ultimately diagnosed with acute sinusitis, and is prescribed Amoxicillin/clavulanic acid. He has not had a
fever, shortness of breath, or any gastrointestinal symptoms. Upon discharge, he is requesting a “flu shot.” You inform
him that:
a. He needs to return for the shot after he has completed his antibiotic therapy
b. Is not an appropriate candidate due to age for the shot
c. Is at risk of developing a reaction if the shot is given today
d. He can receive the shot in the clinic today
7. Concerning the MMR vaccine, which of the following is a correct statement?
a. The link between use of MMR vaccine and autism has been firmly supported
b. There is no scientific evidence to support MMR use increases autism risk
c. The use of the combination increases autism risk, but dividing them into separate injections minimized this
d. The injection contain thimerosal, a mercury agent
8. You are seeing a 40-year-old patient who has started varenicline (Chantix) 3 weeks ago as a tool for smoking
cessation. Which of the following is the most important question to ask during this visit?
a. “How many cigarettes per day are you currently smoking?”
b. “Are you having any difficulty sleeping?”
c. “Have you noticed in your mood?”
d. “On a scale of 1-10, what is your current desire to stop smoking?”
9. A nurse practitioner is instructing a senior citizen’s group about hazards in the home. One of these is identified as
burns. Which of the following would support primary prevention of this hazard?
a. Use of a fire extinguisher
b. No smoking in bed
c. Installation of a smoke detector
, d. Creating a planned escape route
10. A difficult aspect of determining occupational exposure to disease is the:
a. Confidentiality of the information with company records
b. Inaccuracy of occupational exposure
c. Long latency period between exposure and disease reporting
d. Reliance on worker’s recall
11. In the following patients who is at most risk for invasive pneumococcal infection?
a. A 72-year-old man with a history of COPD
b. A 32-year-old woman who underwent a splenectomy after a motor vehicle accident
c. A 45-year-old man with a 10 year history of type 2 diabetes
d. A 80-year-old female with a history of severe osteoporosis and decreased functional status
12. Risks associated with chronic hepatitis B include all the following except:
a. Continued infectivity
b. Cirrhosis
c. Hepatocellular carcinoma
d. Malignant hypertension
13. How does health policy specifically influence health care practice in the US?
a. Directs efforts by the CDC and protects Americans against population based disease.
b. Influences how health care is reimbursed and determines APN payment for services.
c. Directs specific evidence based practice guideline development and dissemination
d. All of the above
14. What specific developments have primarily occurred because of the Affordable Care Act (ACA)?
a. ACA has been appealed and no longer enacted
b. Development of patient centered outcomes, use of comparative effectiveness research, quality payment structures
that impact APN reimbursement
c. Nothing has been changed by the ACA other than Medicaid Expansion and Affordable Health Care
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