NSG 6020 3P’s EXAM 2022
1. When performing a visual acuity test the nurse practitioner notes 20/30 in the left eye and 20/40 in the right eye using the Snellen eye chart. This means:
a) have the patient returning in two weeks for a follow up vision screen
b) dilated the eye and retest
c) refe...
nsg 6020 3p’s exam 2022 1 when performing a visual acuity test the nurse practitioner notes 2030 in the left eye and 2040 in the right eye using the snellen eye chart this means a have the patie
, NSG 6020 3P’s EXAM 2022
1. When performing a visual acuity test the nurse practitioner notes 20/30 in the
left eye and20/40 in the right eye using the Snellen eye chart. This means:
a) have the patient returning in two weeks for a follow up vision screen
b) dilated the eye and retest
c) refer the patient to an ophthalmologist
d) document this as a normal finding
2. The American psychiatric association’s diagnostic and statistical manual of mental
disorderdefines Munchausen Syndrome By Proxy
a) a self-inflicted injury to gain attention
b) a caregiver making up or causing an illness or injury in a person under his
or hercare
c) an abusive behavior that does not involve the caregiver
d) a situation in which the abuser is often inattentive and uncaring toward the victim
Munchausen syndrome by proxy is a mental illness and a form of child abuse. The
caretaker of achild, most often a mother, either makes up fake symptoms or causes real
symptoms to make it look like the child is sick.
3. Symptoms of depression are a side effect of which neurotransmitter medication?
a) dopamine
b) gabapentin
c) mil
d) cortisol
4. Which lesion is dark raised and asymmetric with irregular border? Quizlet Bates
Chapter 20
a) Nevus
b) Actinic keratosis
c) Keratoacanthoma
d) Melanoma
5. A 32 years old woman presents with dull puffiness of the ayes pronounced
not pittingperiorbital edema this finding is suggestive of this condition?
APEA
a) Nephrotic syndrome
b) Myxedema
c) Cushing syndrome
d) Sinusitis
Myxedema is a deposition of mucopolysaccarides in the dermis. Is commonly found if
patientswith advanced hypothyroidism. The classic skin changes are: swelling of face,
lips, eyelids, and tongue or swelling and thickening of skin anywhere on the body,
especially in the lower legs.
Myxedema is the hallmark of Grave’s disease, an autoimmune form of
hyperthyroidism.Myxedema can also occur in Hashimoto’s thyroiditis a form of
,hypothyroidism.
6. A 42 years old woman with a past medical history of migraine headaches is
requestingprophylactic medication treatment. Which medication should the
Nurse practitioner prescribe?
a) Sumatriptan (Imitrex)
b) Amitriptyline (Elavil)
c) Verapamil (verelan)
d) Metoprolol (Lopressor)
Amitriptyline (Elavil) is a tricyclic antidepresant and is considered offlabel use for
prophylactictreatment of migrane. Sumatriptan (Imimtrex) Is aTriptans used to abort
migraine
7. A pediatric patient has areas of scaling on the scalp with round patches of
alopecia. Thisclinical finding is consistent with:
a) Tinea capitis
b) Seborrheic dermatitis
c) Trichotillomania
d) Alopecia areata
8. What is the appropriate prophylactic medication for an 18 years old woman
with a pastmedical history of migraine headaches?
a) Sumatriptan
(Imitrex)
b) b) Propanolol
(Inderal)
c) Ibuprofeno (motrin)
d) Dihydroergotamine (DHE)
9. Why would a combined hormonal contraceptive be contraindicated in a 36 year
old patientwith a past medical history of type 2 diabetes, obesity, chronic smoking
and sedentary life
a) She is obese
b) She has type 2 diabetes mellitus
c) Her age and tobacco use
d) She leads a sedentary lifestyle
Combined oral contraceptive is contraindicated in women older than 45, breastfeeding,
smoking,HTN, diabetes or hx of stroke
10. During the breast examination of a perimenopausal woman the NP detects
a bloodyspontaneous discharge from the right nipple. This indicates
further evaluation.
a) Fibroadenoma
b) Polycystic breast disease Generalized breast pain or tenderness. Green or
dark brownnonbloody nipple discharge that tends to leak without pressure or
, squeezing
c) An intraductal papilloma
d) Pituitary prolactinoma
Intraductal papillomas are usually solitary and smaller than 1 cm. They are located in
largelactiferous sinuses or ducts and have a tendency to bleed. Quizlet Nipple
Discharge
11. Rh negative women should receive Rho (D) immunoglobulin at what gestational
time?
a) 6 weeks
b) 12 weeks
c) 28 weeks
d) 35 weeks
What happens is the client is Rh negative and has a negative antibody screen?
She will need repeat antibody screens and should receive Rho(D) immune globulin
(RhoGAM)at 28 weeks' gestation (Quizlet Antepartum Diagnostic Testing Saunders)
12. When interpreting a complete blood count (CBC) lab report which of the
following resultsdescribes the size of the RBCs?
a) Hemoglobin
b) Mean corpuscular volume (MCV)
c) Red cell distribution width (RDw)
d) Hematocrit
The mean corpuscle (cell) volume (MCV) is a measurement of the average size of
the RBCs.Small-sized RBCs result in a lower MCV, while larger RBCs result in a
higher MCV.
13. What medication should be avoided when prescribe prophylactic therapy for
headache
a) Verapamil
b) Propranolol
c) Venlataxin (Effexor)
d) Nimodipine
Serotonin Norepinephrine Reuptake inhibitor have the most serious side effect. Patients
should have drug free period for 3-4 weeks after every 6 months of treatment
(pharmacology book page1047)
14. Which of the following complaints best describes lower extremity calf pain
associated withperipheral artery disease
a) A sharp stabbing pains
b) A dull pain or cramp
c) An electric shock
d) A pulsating pain
Peripheral artery disease signs and symptoms include: Painful cramping in one or
both of yourhips, thighs or calf muscles after certain activities, such as walking or
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