Exam (elaborations)

Leik 2024/ExamEdge FNP Review, First Exam Edge - ANCC prep test Part 1., PSI FNP Practice Questions and Verified Answers

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Leik 2024/ExamEdge FNP Review, First Exam Edge - ANCC prep test Part 1., PSI FNP Practice Questions and Verified Answers A nurse practitioner working in a community health clinic sees a male patient who expresses concern about starting a homosexual relationship with a new partner. Which of the...

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Uploaded on October 18, 2024
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leik 2024examedge fnp review first exam edge a

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©SIRJOEL EXAM SOLUTIONS
10/11/2024 1:41 PM

Leik 2024/ExamEdge FNP Review, First
Exam Edge - ANCC prep test Part 1., PSI
FNP Practice Questions and Verified
Answers

A nurse practitioner working in a community health clinic sees a male patient who expresses

concern about starting a homosexual relationship with a new partner. Which of the following is

the best plan to follow during this visit? (Select all that apply.)

Contact the patient's partner to schedule HIV testing

Educate the patient about using barrier devices during sex

Prescribe daily oral PrEP

Draw a blood sample for a combination HIV antigen/antibody test

Schedule a follow-up appointment in 1 month to review test results and discuss options for PrEP

- answer✔Educate the patient about using barrier devices during sex; draw a blood sample for a

combination HIV antigen/antibody test; schedule a follow-up appointment in 1 month to review

test results and discuss options for PrEP

, ©SIRJOEL EXAM SOLUTIONS
10/11/2024 1:41 PM

Education on using barriers during sexual activity (e.g., condom/dental dams) is important. Daily

oral preexposure prophylaxis (PrEP), such as tenofovir emtricitabine, is recommended for

sexually active persons who are at risk for HIV. PrEP is used in HIV-negative persons, so the

nurse practitioner must wait for the test results before prescribing. It is appropriate to schedule a

1-month follow-up to review the test results and discuss PrEP options (if test is negative). It is

not appropriate ethically or legally to contact the partner; however, it would be appropriate for

the patient to encourage his partner to get tested.

An older adult male presents with complaints of sharp flank and back pain. The patient has

difficulty answering questions because of severity of pain. Blood pressure is 90/60 mmHg. The

patient has a 20-pack-year smoking history. Abdomen is distended upon palpitation. Which

diagnosis is most likely?

Congestive heart failure

Infective endocarditis

Dissecting abdominal aortic aneurysm

Acute myocardial infarction - answer✔Dissecting abdominal aortic aneurysm.

Dissecting abdominal aortic aneurysm is a sudden onset of severe, sharp, excruciating pain

located in the abdomen, back, or flank area, accompanied by a distended abdomen and

hypotension. Older male adults with a smoking history and hypertension are at higher risk.

Congestive heart failure symptoms are dyspnea, fatigue, dry cough, and swollen feet and ankles.

, ©SIRJOEL EXAM SOLUTIONS
10/11/2024 1:41 PM

Patients with infective endocarditis present with fever, chills, and malaise, along with the

presence of a new murmur. Acute myocardial infarction generally presents with a gradual onset

of intense and heavy chest discomfort that feels like a squeezing, tightness, and heavy pressure in

the chest.

Mrs. Harris a 67-year-old woman who is in the early stages of Alzheimer disease. She suffers

from mild dementia. In this type of Alzheimer dementia which of the following would you use as

the mainstay treatment?

Vitamin E 1000 IU twice daily

cholinesterase inhibitors

NSAIDS

Selgiline 5 mg twice daily - answer✔cholinesterase inhibitors

The mainstay treatment for mild to moderate stage Alzheimer-type dementia is the use of

cholinesterase inhibitors. These include donepezil (Aricept), rivastigmine (Exelon), and

galantamine (Razadyne). They have a clear, although minor and time-limited benefit.

When listening to your 86-year-old patient's heart murmur, you note that it is so loud that it can

be heard with the stethoscope completely off the chest. How do you grade the murmur?

, ©SIRJOEL EXAM SOLUTIONS
10/11/2024 1:41 PM

IV/VI.

I/VI.

V/VI.

VI/VI. - answer✔VI/VI.

Grading heart murmurs follows this system: I/VI: Heart murmur makes faint sound and may not

be heard when patient changes position. II/VI: Heart murmur is quiet but can be heard as soon as

the stethoscope is placed on the chest. III/VI: Heart murmur is moderately loud. IV/VI: Heart

murmur is loud and accompanied by a palpable thrill. V/VI: Heart murmur is very loud and can

be heard with the stethoscope partially off the chest. VI/VI: Heart murmur is very loud and can

be heard with the stethoscope completely off the patient's chest.

Which of the following persons would not be a candidate for the antipneumococcal vaccine?

a 65-year-old healthy female living with her family

a 35-year-old patient with HIV infection

a 58-year-old male resident of a nursing home

a 55-year-old female living alone - answer✔a 55-year-old female living alone

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