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, Nurse Practitioner
Certification
Exam Prep
SIXTH EDITION
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, Nurse Practitioner
Certification
Exam Prep
SIXTH EDITION
Margaret A. Fitzgerald,
DNP, FNP-BC, NP-C, FAANP, CSP, DCC, FAAN, FNAP
Founder, Fitzgerald Health Education Associates
North Andover, Massachusetts
Family Nurse Practitioner
Greater Lawrence Family Health Center
Lawrence, Massachusetts
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, F. A. Davis Company
1915 Arch Street
Philadelphia, PA 19103
www.fadavis.com
Copyright © 2021 by F. A. Davis Company
Copyright © 2021 by F. A. Davis Company. All rights reserved. This book is protected by copyright. No part of it may be reproduced,
stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise,
without written permission from the publisher.
Printed in the United States of America
Last digit indicates print number: 10 9 8 7 6 5 4 3 2 1
Publisher: Susan Rhyner
Manager of Project and eProject Management: Catherine Carroll
Content Project Manager: Amanda Minutola
Design & Illustration Manager: Carolyn O’Brien
As new scientific information becomes available through basic and clinical research, recommended treatments and drug therapies
undergo changes. The author(s) and publisher have done everything possible to make this book accurate, up to date, and in accord
with accepted standards at the time of publication. The author(s), editors, and publisher are not responsible for errors or omissions
or for consequences from application of the book, and make no warranty, expressed or implied, in regard to the contents of the book.
Any practice described in this book should be applied by the reader in accordance with professional standards of care used in regard
to the unique circumstances that apply in each situation. The reader is advised always to check product and prescribing information
for changes and new information regarding dose and contraindications before administering any drug. Caution is especially urged
when using new or infrequently ordered drugs.
Library of Congress Cataloging-in-Publication Data
Names: Fitzgerald, Margaret A., author.
Title: Nurse practitioner certification exam prep /
Margaret A. Fitzgerald.
Description: Sixth edition. | Philadelphia, PA : F.A. Davis Company, [2021] |
Includes bibliographical references and index.
Identifiers: LCCN 2016053464 | ISBN 9780803677128
Subjects: | MESH: Nursing Care—methods | Family Nursing | Nurse
Practitioners | Certification | Examination Questions
Classification: LCC RT120.F34 | NLM WY 18.2 | DDC 610.73076—dc23
LC record available at https://lccn.loc.gov/2016053464
Authorization to photocopy items for internal or personal use, or the internal or personal use of specific clients, is granted by
F. A. Davis Company for users registered with the Copyright Clearance Center (CCC) Transactional Reporting Service, provided that
the fee of $.25 per copy is paid directly to CCC, 222 Rosewood Drive, Danvers, MA 01923. For those organizations that have been
granted a photocopy license by CCC, a separate system of payment has been arranged. The fee code for users of the Transactional
Reporting Service is: 978-0-8036-7712-8/20 0 + $.25.
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, Dedication
With much admiration and great affection, and on behalf of the NP
community, I dedicate this book to Dr. Loretta Ford, co-founder of the
NP profession. We thank you for your vision and commitment to improv-
ing the health of our nation. We honor your work and give thanks as well
to your beloved husband, the late Mr. Bill Ford, whom you described as
“the wind beneath your wings.” One of the greatest joys of my many years
of work with the NP community, and that of my husband and business
partner, Marc Comstock, has been counting you and Bill as dear friends.
Happy 100th Birthday (December 28, 2020)
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, Contributor
Kara L. Ashley, M.Ed.
Northeast Association of Learning Specialists
West Hartford, CT
vii
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, Acknowledgments
This book represents a sum of the efforts of many people. I thank Susan Rhyner, Amanda Minutola, and the
I thank my family, especially my husband, and business F.A. Davis staff for their ongoing encouragement.
partner, Marc Comstock, for their support and patience as Last, but not least, I thank the tens of thousands of nurse
they lived through this experience. practitioners who, over the years, have participated in the
I thank the staff of Fitzgerald Health Education Asso- Fitzgerald Health Education Associates Nurse Practitioner
ciates for sharing me with this project for many months. Certification and continuing education programs. Your
I thank the patients and staff of the Greater Lawrence eagerness to learn, thirst for knowledge, dedication to suc-
(MA) Family Health Center, where I have practiced for cess, and commitment to excellence in health-care provi-
more than 30 years, as they continue to serve as a source of sion continue to inspire me. I am privileged to be part of
inspiration as I developed this book. Gracias. your professional development.
ix
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, Preface
The scope of practice of the nurse practitioner (NP) is wide, and critical thinking skills needed for safe, entry-level NP
encompassing the care of the young, the old, the sick, and the practice. The reader is encouraged to answer the ques-
well. This book has been developed to help the NP develop tions given in each section and then check on the accu-
the knowledge and skills to successfully enter NP practice racy of the responses. The discussion section is intended
and earn certification, an important landmark in professional to enhance learning through highlighting the essentials of
achievement. primary care NP practice. The numerous tables can serve
This book represents a perspective on learning and prac- as a quick-look resource, not only as the NP prepares for
tice developed during my years of practice at the Greater entry to practice and certification but also in the delivery
Lawrence (MA) Family Health Center and as an NP and of ongoing care.
professional speaker. In addition, my experiences through-
out the years of helping thousands of NPs achieve pro- —MARGARET A. FITZGERALD, DNP, FNP-BC, NP-C,
fessional success through conducting Fitzgerald Health FAANP, CSP, FAAN, DCC, FNAP
Education Associates NP Certification and Advance Prac- Founder
tice Update Courses influenced the development and pre- Fitzgerald Health Education Associates, LLC
sentation of the information held within. North Andover, Massachusetts
This book is not intended to be a comprehensive clinical Family Nurse Practitioner
text; rather, it is meant to be a source to reinforce learning Greater Lawrence (MA) Family Health Center
and a guide for the development of the knowledge base Lawrence, Massachusetts
xi
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, Contents
Chapter 1 Chapter 11
Understanding Test Design and Theory 1 Peripheral Vascular Disease 573
Chapter 2 Chapter 12
Health Promotion and Disease Prevention 11 Endocrine Disorders 597
Chapter 3 Chapter 13
Neurological Disorders 53 Renal and Urinary Tract Disorders 661
Chapter 4 Chapter 14
Skin Disorders 107 Hematological and Select
Chapter 5 Immunological Disorders 695
Eye, Ear, Nose, and Throat Problems 181 Chapter 15
Chapter 6 Psychosocial Disorders 721
Cardiac Disorders 235 Chapter 16
Chapter 7 Older Adults 777
Respiratory Disorders 283 Chapter 17
Chapter 8 Pediatrics 819
Gastrointestinal Disorders 335 Chapter 18
Chapter 9 Childbearing 937
Genitourinary System, Reproductive Chapter 19
System, and Gender-Related Health Care 407 Professional Issues 985
Chapter 10 Index 1011
Musculoskeletal Disorders 491
xiii
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