The primary care nurse practitioner attempts to learn more about the emotional health of an 18-month-old child through which assessment strategy? correct answersObservation of the child with caretakers in structured and unstructured situation
What is an important purpose of conducting an intervi...
The primary care nurse practitioner attempts to learn more about the emotional health of an 18-month-
old child through which assessment strategy? correct answersObservation of the child with caretakers in
structured and unstructured situation
What is an important purpose of conducting an interview prior to beginning neuropsychological testing
on an older adult suspected of having dementia? correct answersTo assess the patient's ability to
cooperate with the testing
A patient has unexplained weight loss and the provider notes increased skin pigmentation on light-
exposed skin folds along with darkened palmar creases. Which laboratory test will the provider NOT
order? correct answersSerum cortisol
A patient with cancer is expected to require long-term pain medication to manage cancer pain. Which
agent will be best for this patient? correct answersMorphine
A 16-year-old female has primary amenorrhea. A pregnancy test is negative. Further testing reveals a
normal TSH and an elevated prolactin level. Which test will the provider order next? correct
answersMagnetic resonance imaging
During a well-baby exam on a 9-month-old infant, the parent reports that the baby always uses the left
hand to pick up objects and asks if the baby will be left-handed. What will the primary care nurse
practitioner do? correct answersPerform a careful assessment of fine and gross motor skills.
An asymptomatic female learns that her boyfriend has gonorrhea and asks about antibiotics. What will
the provider recommend? correct answersEmpiric ceftriaxone and azithromycin
A 16-year-old sexually active female has symptoms of PID with fever. Cultures are pending. For
outpatient treatment, what will the provider order? correct answersRocephin, doxycycline, and
metronidazole
,A 30-year-old male patient has a positive leukocyte esterase and nitrites on a random urine dipstick
during a well patient exam. What type of urinary tract infection does this represent? correct
answersComplicated
A woman who has had routine Pap tests all of her adult life has an abnormal Pap with low-grade
intraepithelial lesion. What will the provider tell her about this result? correct answersColposcopy with
biopsy is necessary
A patient has bone pain and laboratory testing reveals an elevated serum alkaline phosphatase (SAP).
Which test can help distinguish Paget's from malignant bone disease? correct answersBone radiograph
What is the most important role of the primary care provider in cancer management? correct
answersCounseling about healthy practices to reduce risk factors
A 35-year-old woman without a previous history of dysmenorrhea reports lower pelvic pain and irregular
bleeding between periods. What is the initial action in managing this patient? correct
answersPerforming an abdominal, pelvic, and rectovaginal examination
A patient being treated for cancer has had chemotherapy within the past two weeks and comes to the
primary care clinic with a fever of 38.5° C. What is the initial action? correct answersObtain a STAT CBC
with differential
What is a possible cause of decreased arousal, libido, and orgasm in a postmenopausal woman? correct
answersDiminished testosterone
A middle-school-age child is skipping school frequently and getting poor grades since the child's father
was killed while deployed in the military. How will the primary care nurse practitioner manage this
situation? correct answersRefer the child to a mental health specialist for evaluation and treatment.
A 40-year-old patient with primary hyperparathyroidism has increased serum calcium 0.5 mg/dL above
normal without signs of nephrolithiasis. What is the recommended treatment for this patient? correct
answersAnnual monitoring of calcium, creatinine, and bone density
, What is true about HPV infection in women? correct answersMost HPV lesions will resolve
spontaneously without causing cancer.
An elderly patient is diagnosed with osteoporosis. What is the recommended treatment once the
diagnosis is made? correct answersBisphosphonate therapy
A postmenopausal woman reports unilateral breast pain that she describes as sharp and burning and
localized to one area. A breast examination reveals no dimpling, discharge, or masses. Which diagnostic
test will the provider order? correct answersBilateral mammography
An adolescent female has amenorrhea. The provider notes short stature, neck webbing, and a pigeon
chest deformity. Based on these symptoms, what is the underlying disorder causing this patient's
amenorrhea? correct answersTurner's syndrome
A young female has a Pap test which reveals atypical squamous cells of undetermined significance. What
will the next step be in managing this patient? correct answersRepeat cytology in 12 months
Which drug is used to treat patients with focal epilepsy and complex partial seizures? correct
answersCarbamazepine
A 35-year-old patient reports suddenly experiencing an asymmetric smile along with drooping and
tearing in one eye. The patient has a history of a recent viral illness, but is otherwise healthy. During the
exam, the provider notes that there is unilateral full face paralysis on the right side. What is the initial
intervention for this patient? correct answersPrescribe oral prednisolone
A primary care provider suspects Parkinson's disease (PD) in a 70-year-old patient. Which tests may be
performed to diagnose this disorder? correct answersPresence of 2 cardinal signs which improve with
levodopa
A toddler has begun hitting and biting other children at a day care center and is exhibiting temper
tantrums and bad language at home. The parent reports that these behaviors began shortly after a
sibling was born. What will the primary care nurse practitioner do? correct answersEngage the parent in
positive parenting strategies to facilitate appropriate child coping.
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