Pre-Quiz
On the national NP certification exam, you should expect to find specific questions on your state’s APRN practice act.
False
You plan to sit for the certification exam in a state where NPs have limited or no controlled substance prescribing
authority. As a result, your certification ...
On the national NP certification exam, you should expect to find specific questions on your state’s APRN practice act.
False
You plan to sit for the certification exam in a state where NPs have limited or no controlled substance prescribing
authority. As a result, your certification exam will not contain questions about prescribing opioids.
False
Once an NP has achieved nationally recognized certification from a state and nationally recognized certification
agency, this person can now practice as a nurse practitioner.
False
1
Assessment of the optic disc is a component of the evaluation of cranial nerve:
2 (II)
A 47-year-old woman with long-standing depression returns today for a medication recheck. On exam you find her
affect is blunted and her hair is unwashed and unkempt. Usually she comes to her visits alone; however her husband is
with her today. This patient’s symptom history is likely to include a report of:
Suicidal Thoughts
Of the following, which should be performed first in assessing a 48-year-old woman with suicidal ideation?
What is the content of her thoughts?
You are setting up a healthcare clinic for migrant farm workers. Which of the following sites is most desirable?
Mobile van
An 8-year-old boy presents for an evaluation for possible attention-deficit/hyperactivity disorder (ADHD). His parents
report him to be a healthy 3rd-grader with “plenty of good friends.” They are concerned he could have ADHD because
he is “hyperactive” and because his father had ADHD. The Vanderbilt screening tools completed by his parents
strongly indicate inattention, with moderate hyperactivity symptoms.
Your next best action is to:
Arrange for parents to obtain Vanderbilt screening tool or other written feedback from his teacher and return in 2
weeks.
The NP demonstrates fulfillment of the advanced practice nursing leadership role by participating in which of the
following activities?
Collaborating with the regional public health department on an initiative to prevent suicides by increasing awareness
of community resources
You are asked to speak to a group of healthcare executives on the NP role. Which of the following provides the
strongest support for NP practice?
NP practice outcomes
Rank the following from highest to lowest level of research design.
Case reports = 2 Randomized Control Trials = 1 Expert Opinion = 3
2
Which of the following constitutes a primary prevention strategy in a 78-year-old man with depression?
Ensuring adequate home illumination
A 46-year-old woman with type 2 diabetes mellitus and schizophrenia that is well-controlled with ziprasidone
(Geodon®) presents for a check-up. Which of the following is a secondary prevention strategy?
Checking stool for occult blood
A 35-year-old man with bipolar disorder was recently hospitalized for a manic episode. On returning to work as an
accountant in a large company, he accesses his company’s employee assistance program (EAP) to facilitate his
return to work. This is an example of which prevention strategy?
Tertiary Prevention
ind
Conducting a parent class to new parents on how to cope with stressors of having a newborn in the home
True/False
Influenza and pneumococcal immunizations cannot be given on the same day False
Immune globulin is a concentrated solution of antibodies derived from pooled donated blood. True
The 3-dose series of HPV vaccine should be given to males age 9 through 26 years to reduce the likelihood of genital
wart acquisition. True
,Tdap (tetanus, diphtheria, acellular pertussis [Adacel®, Boostrix®]) vaccine should replace a single dose of Td
(tetanus, diphtheria) vaccine for most adults who have not previously received a dose of Tdap in order to provide
additional protection against pertussis. True
Vaccination of incarcerated adults against hepatitis B is discouraged because it is a 3-shot series False
According to the latest ACIP guidelines, routine influenza immunization is recommended for all of the following
persons except:
Infants under 6 months
According to the ACIP guidelines, zoster vaccination should be given to all adults ≥ age ____ years.
60
3
Which of the following is not considered a secondary prevention strategy in a 48-year-old woman with bipolar I
disorder?
Correct answer: Administering influenza vaccination
Which of the following provides the most accurate indicator for alcoholism?
Positive response to two items on the CAGE questionnaire
A 64-year-old male with COPD reports having smoked 2 packs-per-day for the past 20 years.
You calculate that he has a pack-year history of:
40
According to ACS guidelines, an annual fecal occult blood test (FOBT) or fecal immunochemical test (FIT) should begin
for men and women with average risk for colorectal cancer at age:
50 years
According to the American College of Obstetricians and Gynecologists (ACOG), t should
begin for women at age:
21 years
4
For a patient receiving valproate therapy, regular monitoring for all of the following is recommended except:
TSH
A 76-year-old woman presents with fatigue and the following laboratory results:
Hb=9.3 g/dL (13–17) (93 g/L [130−170])
MCV=71 fL (80–96 fL)
A critical diagnosis to consider is:
Gastrointestinal Blood Loss
A potential laboratory indicator for alcohol abuse is:
Elevated ALT
The most accurate laboratory measurement for kidney function is:
serum glomelular filtration rate (GFR)
Which of the following medications does not require initial laboratory testing prior to implementing therapy?
Lamotrigine
In order to prevent an outbreak of hepatitis D infection, the NP plans to:
Immunize against Hepatitis B
True/False
True The hepatitis B virus is efficiently transmitted via sexual fluids.
False The most efficient route of transmission for the hepatitis C virus is sexual activity.
False Vertical transmission of hepatitis C is quite common.
A 45-year-old man with schizophrenia and alcohol dependence presents with the following laboratory results:
Anti-HCV with HCV RNA
HBsAb: Positive
Anti-HAV: Negative
You offer immunization against:
Hepatitis A
A 44-year-old woman is referred to you from her primary care provider for possible bipolar disorder. On review of her
records you note the following laboratory data:
, HBsAg=Present
AST=56 units/L (0–40 units/L)
ALT=98 units/L (0–40 units/L)
These findings are most consistent with:
Chronic Hepatitis B
The cranial nerve responsible for facial expressions and secretion of tears and saliva is:
VII
The cranial nerve responsible for chewing is:
V
Untreated Hyperthyroidism or Hypothyroidism or both?
Hypothyroidism Dry Skin
Hyperthyroidism Fine Tremor
Hypothyroidism Hung Up DTR
Both Mental Status Change
Both Atypical Presentation in elder
Both Thyroid enlargement
Hypothyroidism Menorrhagia
Hyperthyroidism Exopthalmos
Hyperthyroidism Lid Retraction
Which of the following is most consistent with untreated hypothyroidism?
Correct answer: TSH=24 mIU/mL (0.5–4.0 mIU/mL), free T4=3 pmol/L (10–27 pmol/L)
Which of the following is most consistent with untreated hyperthyroidism?
Correct answer: TSH <0.15 mIU/mL (0.5–4.0 mIU/mL), free T4=79 pmol/L (10–27 pmol/L)
Which of the following second-generation antipsychotics should be avoided in an overweight patient at risk for
diabetes?
Olanzapine
On medication review your patient states that he is taking something for “heart burn.” Which of the following
medications would be most concerning for a drug-drug interaction?
Omeprazole
Melvin is a 45-year-old man with obsessive compulsive disorder, schizoid personality disorder, hypertension,
hyperlipidemia, and type 2 diabetes. Which of the following is Melvin least likely to be taking?
Pravastatin 20mg
Melvin develops psychotic symptoms requiring medication treatment. Based on his metabolic profile, which medication
would be most appropriate for Melvin?
Based on below scenario:
Melvin is a 45-year-old man with obsessive compulsive disorder, schizoid personality disorder, hypertension,
hyperlipidemia, and type 2 diabetes.
Ziprasidone
Laboratory testing of a 34-year-old male who has been receiving valproate therapy for the past 2 months for bipolar
disorder reveals AST=168 units/L and ALT=132 units/L. The PMHNP considers:
Discontinuing valproate therapy
A 54-year-old man presents in the ED with symptoms of lethargy, weakness, blurred vision, and confusion. His
medical history includes manic depression, dyslipidemia, and hypertension. He is currently being treated with
lithium, a statin, and an antihypertensive medication that was started in the past week. Suspecting lithium toxicity,
which of the following is least likely to contribute to his current symptoms?
Calcium Channel Blocker
When considering the use of clozapine, regular monitoring of which of the following is required?
ANC
5
Match the concepts or theorists to the theories.
Stresses wholism Person-centered
Unconditional positive regard Gestalt
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