FNP (boards study review) Test Questions with 100% Complete Solutions, Graded to Pass

Nurse Practitioner Process - 1. History 2. Assessments 3. Labs/Diagnostic 4. Diagnosis 5. Least invasive, least expensive 6. First Line treatment Nurse Practitioner Process Continues - 1. Introduction 2. CC 3. ROS 4. Physical Exam 5. Plan 6. First line tx Infection Markers Erythrocyte Sedimentation rate (ESR) Antinuclear antibodies (ANA) C-Reactive Protein - Rheumatic Fever- (ESR), (C-reactive) Lupus- (ESR), C-reactive, ANA Rheumatoid Arthritis - ESR, ANA Lymph Nodes - Located throughout the body, but visible and palpable when they are enlarged or swollen. Epitrochlear Lymph Nodes - Epitrochlear lymph nodes- drains from the hand and forearm proximally via epitrochlear lymph node High Potency Steroids - causes atrophy, telangiecatasia (spider veins), purport, and striae if used on the face Fundoscope Exam - The examiner a. Uses right hand for ophthalmoscope, uses right eye for pts right eye b. Start with wheel at 0 c. Starts about 12'' from the patient with both eyes open d. Moves in to within 1-2'' from the patient's eye e. Should function as one with ophthalmoscope 2. After obtaining a red reflex, exam should proceed from the optic disc and end with fovea of each eye Inspection of the Optic Disc 1. Shape: Doughnut-like with an orange/pink neuroretinal rim and a central white depression (physiological cup) 2. Cup disk ratio: Cup should not be more than 1/2 the size of the diameter of disk diameter, the optic disk is area where optic nerve and blood vessels enter the retina (if larger, consider glaucoma) Retinal vessels 1. Arteries are brighter and narrower than veins; A:V ratio = 2:3 or 4:5, if raised area where a artery and a vein meet - Hypertension (AV Nickling)