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WT FNP study guide Questions and Answers
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Exam of 52 pages for the course Sarah Michelle Crash Courses at Sarah Michelle Crash Courses (WT FNP study guide)
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WT FNP 2023-2024 study guideYour patient Kenneth, age 62, presents to the clinic with pruritis and complaints of lymphadenopathy in his neck. He also complains of night sweats and a low grade fever.
He has no weight loss and otherwise feels well today. He is widowed and has been dating a new woman recently. On physical exam, you find enlarged supraclavicular nodes. You suspect a diagnosis of - answer hodgkins lymphoma
The majority of the body's iron is obtained from: - answer recycled iron content from aged RBCs
Physical examination findings in otitis externa include: - answer increased ear pain with tragus palpation
When should a rescue course of prednisolone be initiated for an attack of asthma? - answer Whenever the client needs it, at any time and any step
Decongestants work primarily through: - answer Vasoconstriction
The first choice of therapy for a client who is positive for HIV and has oral candidiasis is : - answer Clotrimazole troches (10mg) five times daily or nystatin (Mycostatin) suspension 500,000-1,000,000 units three to five times daily
- Because of the common recurrence of oral candidiasis and increased rates of drug resistance, systemic fungicides, such as fluconazole, ketoconazole, and griseofulvin, should be reserved for severe cases, such as esophageal candidiasis and clients with dysphagia.
When a neonate is initially protected against measles, mumps, and rubella because the mother is immune, this is an example of which type of immunity? - answer natural passive
Which of the following best describes asthma? - answer chronic airway inflammation with superimposed bronchospasm
One of the most prominent clinical features of bronchiolitis is: - answer Wheezing
Antihistamines work primarily through: - answer action on the histamine-1 (H1) receptor sites What would you expect to find in a patient with acute rhinosinusitis? - answer Erythematous & edematous nasal mucosa w/o purulence & watery discharge
Which of the following best describes hearing loss associated with presbycusis? - answer slowly progressive, usually symmetric, and predominantly high frequency
A risk factor for external otitis is: - answer -Swimming
-Hot/humid climates
-Trauma (qtips, pens etc)
-Hearing aids (trauma)
-Atopic dermatitis
Treatment of viral conjunctivitis can include: - answer No Antibiotic Therapy Needed
The Epstein-Barr virus is primarily transmitted via: - answer oropharyngeal secretions
Joanne, age 16, has had her asthma well controlled by using only a beta-adrenergic metered-dose inhaler. Lately, she has had difficult breathing during the night, and her sleep has been interrupted about three times a week. What do you do? - answer Prescribe an inhaled steroid
Expected findings in acute otitis media include: - answer tympanic membrane immobility
What is the most common rosacea trigger? - answer Sun exposure
The "herald patch" is present in almost all cases of - answer Pityriasis rosea
John, age 49, is a construction worker. He has a nevus on his shoulder that has recently changed from brown to bluish black in color. You advise him to - answer Have an excisional biopsy
Choose the correct description of fissure. - answer a linear crack extending from the epidermis to the dermis
Expected findings in acute otitis media include: - answer tympanic membrane immobility
One of the more common sites for atopic dermatitis in an adult is: - answer Flexor surfaces
Which of the following is a predisposing condition for furunculosis? - answer Diabetes mellitus
- Predisposing conditions for furunculosis or carbuncles include diabetes mellitus, HIV, and injection drug use Which of the following is among the most common causes of congestive heart failure? - answer hypertensive heart disease
You are suspecting an appendicitis in Andrew, who is age 18 years. With his right hip and knee flexed, you slowly rotate his right leg internally to stretch a muscle. He states that it is painful over his right lower quadrant area. Which sign did you elicit? - answer Obturator Sign
The progestin component of hormone therapy is given to: - answer minimize the endometrial hyperplasia
Which of the following laboratory tests are utilized to confirm diagnosis of HIV? - answer
ELISA, Western Blot
Daniel is a 12 month old male who is new to your practice. His mother brings him in one
day with a chief complaint of vomiting for 2 days. Before you step into the exam room to
see him you know the most frequent cause of vomiting in this age group is related to which of the following? - answer Gastroenteritis (I'm pretty sure)
All of the following are likely reported in the woman with an initial episode of genital human herpesvirus-2 infection except: - answer Pustular lesions
Which of the following women is the best candidate for progestin-only pill use? - answer
A 32 year old woman who is breastfeeding
What immunizations may be safely administered during the first trimester of pregnancy?
- answer Influenza
-TDAP can technically be given, but is recommended at third trimester
Developmental tasks of early adulthood (ages 20-45) include which of the following? - answer Psychological separation from parents and developing a capacity for intimacy with a partner
Which of the following antihypertensive agents would most likely produce a rebound hypertensive crisis following its abrupt withdrawal? - answer Clonidine
The most likely causative pathogen in a 26 year old woman with PID is: - answer C. Trichamotis
Marvin asks you for a prescription for sildenafil (Viagra). The only medication he takes is
isosorbide mononitrate. He has a history of diet controlled diabetes. What do you tell him? - answer It's contraindicated with isosorbide mononitrate, let's discuss other options What is the best treatment for a child with asymptomatic swallowed foreign body? - answer I'm not sure what answer I chose at the moment or what the correct answer actually is, but I believe that with any non-toxic substance lacking sharp edges the answer is Careful observation for 24 hours post ingestion
In patients with varicose veins, which vessel is most often affected? - answer Saphenous
Deep vein thrombosis may result in: - answer generalized edema of the involved extremity
After a history, exam and lab tests, a patient is diagnosed with irritable bowel syndrome.
Which initial treatment is considered most appropriate? - answer Either adoption of high fiber diet or excluding trigger foods from diet
Sue has an acute exacerbation of Crohn's disease. Which laboratory test value(s) would
you expect to be decreased? - answer Vitamins A, B complex, and C levels
The proper order of assessing the abdomen is: - answer Inspection, auscultation, percussion, palpation
The clinical presentation of Irritable Bowel Syndrome most likely includes which set of symptoms? - answer abdominal pain, diarrhea, constipation
Kathy has celiac disease. You place her on which diet? - answer Gluten-free diet
Dan, age 76, has GERD. When teaching him how to reduce his lower esophageal sphincter pressure, which substances do you recommend that he avoid? - answer Peppermint
Which of the following laxatives listed below is safe for long-term use? - answer *With this text there was no option for polyethylene glycol, which has been the answer on previous exams*
Bulk-forming laxatives (Metamucil, Citrucel, etc.)
A patient asks for advice about a medication that will produce rapid relief if he is having heartburn symptoms. What should the nurse practitioner recommend? - answer Calcium carbonate
Urinary tract infections in the male patient are divided into upper and lower tract infections. What is an example of an upper tract infection in a male patient? - answer Pyelonephritis
Which of the following medications can cause acute urinary retention in a man with BPH? - answer Amitriptyline
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