FNP questions
Some contributing reasons for obesity in the youth include: (select all that apply) A. Super-sized meals at fast food businesses. B. Development of insulin resistance. C. Increased emotional stress from school. D. Obsession with playing video games. E. Parental patterns of nutritional intake and activity patterns.
A. Super-sized meals at fast food businesses. B. Development of insulin resistance. C. Increased emotional stress from school. D. Obsession with playing video games. E. Parental patterns of nutritional intake and activity patterns.
Mrs. Leonard is a 72-year-old woman with chronic bronchitis who is a former cigarette smoker. Her medications include ipratropium bromide (Atrovent) and albuterol. Her primary prevention needs include: A. Reviewing appropriate use of her medications B. Receiving an annual influenza immunization C. Obtaining spirometry measurement D. Periodic colonoscopy.
B. Influenza vaccine is the only activity that is aimed at disease prevention (Primary Prevention) Medication teaching and assessment of pulmonary function are part of treating her established disease. Periodic colonoscopy is an example of secondary prevention as it is a screening test for colorectal cancer.
Ms. Giordano is a 68-year-old woman with hypertension who resides alone in a private home. Her secondary prevention needs include: A. Administration of pneumococcal vaccine B. Mammography C. Discussion of home safety to minimize fall risks D. Assessment of the presence of S4 heart sound
B. Secondary prevention activities are aimed at early disease detection mammography is an example. Pneumococcal vaccine is an example of primary prevention as is education to minimize falls. The presence of S4 heard sound, indicative of diastolic dysfunction and frequently found in the presence of protracted blood pressure elevation, is part of the ongoing evaluation of the person with established hypertension. The goal of treating a person with hypertension is not simply to achieve normotensive status. Rather, tertiary prevention measures for Ms. Giordano include avoiding or minimizing damage in the target organs of hypertensive; brain, eye, cardiovascular system, and kidney.
IPA - integrated practice agreement is:
IPA - integrated practice agreement: a written agreement between a nurse practitioner and a collaborating physician in which the nurse practitioner and the collaborating physician provide for the delivery of health care through an integrated practice. (supervision of NP)
Managed care plan is:
Managed care plans are a type of health insurance. They have contracts with health care providers and medical facilities to provide care for members at reduced costs. These providers make up the plan's network.
Medical home is:
Medical home: Necessary for health plan reimbursement: The medical home, also known as the patient-centered medical home (PCMH), is a team-based health care delivery model led by a health care provider that is intended to provide comprehensive and continuous medical care to patients with the goal of obtaining maximized health outcomes.
PCP: Primary care provider is:
PCP: Primary care provider: the individual responsible for the primary care of a patient enrolled in a managed-care plan.
Definition Primary care
Primary care: is that which occurs when a consumer makes contact with a healthcare provider who assumes responsibility and accountability for the continuity of health care regardless of the presence or absence of disease.
Sleep disturbance issues are important to address with patients as sleep deprivation can: (select all that apply) a. Contribute to a child's poor behavior and difficulty concentrating. b. Increase the risk for motor vehicle accidents. c. Can be the primary cause serious mental health problems d. Contribute to decrease productivity at work. e. Contribute to family stress.
a. Contribute to a child's poor behavior and difficulty concentrating. b. Increase the risk for motor vehicle accidents. d. Contribute to decrease productivity at work. e. Contribute to family stress.
According to the USPSTF, recommendations for the use of aspirin for the prevention CVD include: (select all that apply) a. Men ages 45-79 years old should encourage the use of aspirin when the potential CVD benefit outweighs the risk of GI bleed. b. A 50 year old woman should be encouraged to use aspirin for stroke prevention c. Men and women over the age of 80, the USPSTF gives an "I" recommendation. d. A 62 year-old female who is a smoker should be started on aspirin therapy for the prevention of CVD if there is no history of GI bleed. e. a 45 year-old male who is a non-insulin diabetic, a non-smoker but whose brother just had a heart attack should be encouraged to take aspirin for prevention of CVD.
a. Men ages 45-79 years old should encourage the use of aspirin when the potential CVD benefit outweighs the risk of GI bleed. c. Men and women over the age of 80, the USPSTF gives an "I" recommendation. d. A 62 year-old female who is a smoker should be started on aspirin therapy for the prevention of CVD if there is no history of GI bleed. e. a 45 year-old male who is a non-insulin diabetic, a non-smoker but whose brother just had a heart attack should be encouraged to take aspirin for prevention of CVD.
The state board of nursing in NE governs the Nurse Practitioner in regards to: (Select all that apply) a. Requirements for license b. Standards and scope of practice c. Prescriptive authority d. DEA applications e. Transition to Practice Requirements.
a. Requirements for license b. Standards and scope of practice c. Prescriptive authority e. Transition to Practice Requirements.
What type of reaction commonly occurs after the diphtheria, tetanus and acellular pertussis (DTaP) vaccine? a. Swelling and tenderness at the injection site b. Fever up to 103 degrees c. Continual crying d. Limp, listless behavior
a. Swelling and tenderness at the injection site
Select all that apply to primary prevention a. The goal is to promote optimal health b. The focus is on wellness c. Early screening for the presence of a disease d. Includes the assessment of the risks for an illness
a. The goal is to promote optimal health b. The focus is on wellness d. Includes the assessment of the risks for an illness
Drowning may occur for persons across the lifespan. Please select the following statements that are true. a. There is a high number of drownings in children that occur in home swimming pools. b. In a boating accident, the death rate is higher for those persons who did not wear a life jacket. c. A 4-sided fence surrounding the home swimming pool is one effective intervention to decrease the percentage of children who drown. d. Alcohol intake, sun and heat exposure, and the use of recreational drugs contribute to increase risk of death from drowning with water recreational activities. e. Non-fatal drowning can carry with it severe brain damage or other long-term disabilities.
all answers
Head injuries and concussions can cause serious harm. Preventive measures include: (Select all that aply) a. Consistent helmet use. b. Increased rider visibility through lights and reflective clothing. c. Tougher regulations that increase helmet use. d. School and community based education programs about bicycle safety. e. Installation of bike lanes. f. Consistent seat belt use. g. Using appropriate child safety seats. h. Improved safety measures in playgounds. i. Appropriate protective gear during athletic events. j. Avoiding alcohol use when driving.
all of the answers
The daily recommendations for calcium intake from the IOM for a 45 year-old post-menopausal woman is: (assume that vitamin D3 is also given) a. 600mg/day b. 1,000 mg/day c. 1,200 mg/day d. 1300 mg/day
b. 1,000 mg/day c. 1,200 mg/day (1000mg is usual for 45 yr old...post menopausal though should have 1200mg
For an adult, the normal or healthy BMI is: a. 18.0-25.0 b. 18.5-24.9 c. 19.0-26.0 d. 20.0-24.9
b. 18.5-24.9
What is the most recognized resource for health care providers to access information and recommendations on vaccine administration in the united states? a. State boards of nursing b. Center for disease control and prevention c. World health organization d. Parenting magazines
b. Center for disease control and prevention
According to the schedule published by the CDC, what vaccination is recommended for adults starting at age 60 and up? a. Hepatitis B b. Herpes Zoster c. MMR d. HPV
b. Herpes Zoster
Bacterial meningitis strikes infants more often than any other age group. Which vaccine will help prevent one previously common type of meningitis? a. Tetanus b. Hib c. Hep B d. Varicella
b. Hib
For optimal pediatric nutritional intake, guidelines include all except: a. Formula or breastfeeding until 1 year of age b. Rice cereal may be added at 3 months of age if the infant is not sleeping through the night. c. Use whole milk after age 1 year of age and continue until 2 years of age. d. Formula requirements for an infant are 50 cal/pound/day
b. Rice cereal may be added at 3 months of age if the infant is not sleeping through the night.
In taking the history of a healthy 50 year old adult, the NP determines the client is an avid gardener and spends a lot of time enjoying the outdoors. A health maintenance recommendation for this client is to obtain a a. Pneumococcal vaccine b. Tetanus vaccine c. Varicella vaccine d. Hepatitis b vaccine
b. Tetanus vaccine
Using the USPSTF grading system, a "recommendation: B" states (choose one answer): a. There is a high certainty that the net benefit is significant b. This service should be offered or provided in the clinical practice setting c. Is the same as an "a" recommendation d. Always includes a moderate level of certainty
b. This service should be offered or provided in the clinical practice setting
Children are in a high-risk group for seasonal flu, and should be vaccinated yearly, starting at what age? a. Birth b. 3 months c. 6 months d. 1 year
c. 6 months
The safe Maximum Heart Rate (HR max) for a 60 year-old male doing moderately intense exercise is: a. 70-120 beats per minute (BPM) b. 100-120bpm c. 70-98 bpm d. 100-140 bpm
c. 70-98 bpm
Blood pressure control is important. All of the following statements about hypertension (HTN) or uncontrolled HTN except: a. At risk populations include black and Mexican American males as well as persons between 20-39 years of age b. 1 in 3 adults ages 18 years of age or older have HTN in the US c. A reduction in those with uncontrolled HTN will have no effect on reducing the mortality associated with stroke and heart disease d. USPSTF guidelines recommend screening for high blood pressure every 2 years if BP is less than 120/80 but annually for those with BP readings 120-139mmHg systolic or 80-90mmHg diastolic.
c. A reduction in those with uncontrolled HTN will have no effect on reducing the mortality associated with stroke and heart disease
Legal hurdles encountered by nurse practitioners have included all of the following except a. NP license and scope of practice b. Prescriptive authority c. Acceptance by the general public d. NP autonomy to bill for services e. The role of the Integrated Practice Agreement
c. Acceptance by the general public
What is the difference between whole cell pertussis and acellular pertussis a. There is no difference b. Whole cell pertussis is a live vaccine and acellular pertussis is a killed vaccine c. Acellular pertussis vaccine contains detoxified pertussis toxin and is associated with a much lower incidence of side effects d. Whole cell pertussis vaccine contains detoxified pertussis toxin
c. Acellular pertussis vaccine contains detoxified pertussis toxin and is associated with a much lower incidence of side effects
For optimal childhood safety, Car Safety Seat Guidelines include: a. Age-based guidelines b. Height and weight guidelines c. Age-based and manufacturers' height and weight guidelines. d. Guidelines vary from state to state
c. Age-based and manufacturers' height and weight guidelines.
CDC recommendations for Healthy Activity for adults ages 18-64 years of age include all of the following except: a. At least 150 minutes of moderate-intense aerobic activity per week and muscle strengthening activities 2 days a week. b. An equivalent mix of moderate and vigorous intense aerobic activity per week and muscle strengthening activities 2 days a week c. At least 200 minutes of light-intense aerobic activity per week and muscle strengthening activities 2 days a week. d. 75 minutes of vigorous intense aerobic activity per week and muscle strengthening activities 2 days a week.
c. At least 200 minutes of light-intense aerobic activity per week and muscle strengthening activities 2 days a week.
For overweight children, all of following are true except: a. Overweight is defined as a BMI for age and gender greater than or equal to 85th percentile b. Activity levels should increase c. Calorie reduction should be the focus of interventions. d. This issue can be difficult for both the child and parent to handle
c. Calorie reduction should be the focus of interventions.
Vaccinating against which disease has been shown to prevent the occurrence of cervical cancer in women? a. HAV b. HIV c. HPV d. HBV
c. HPV
Which of the following diseases has both a polysaccharide and a polysaccharide conjugate vaccine currently available and sold in the US market for disease prevention? a. Influenza b. Pertussis c. Pneumococcal disease d. Rabies
c. Pneumococcal disease
Prevention with LDL-lowering therapy includes all of the following statements except: a. Always involves teaching and supporting the patient as they pursue therapeutic lifestyle choices b. Contributes to an overall reduction in the incidence of and mortality associated with coronary events, coronary procedures and strokes. c. The target LDL goal is less than 150 mg/dl according to the new ATPIII guidelines. d. Considers coronary heart disease equivalents such as diabetes.
c. The target LDL goal is less than 150 mg/dl according to the new ATPIII guidelines.
Of the vaccines included in the CDC Recommended Childhood and Adolescent Immunization Schedule, which one of the following contains live viruses? a. Meningitis b. Pneumococcal conjugate vaccine c. Varicella d. Haemophilus influenza type b (HIB)
c. Varicella
In the state of Nebraska and asa newly licensed and credentialed Nurse practitioner, you are required to have the following except a. A transition to practice agreement b. The transition to practice agreement continues until you have achieved 2 years and 2000 hours of clinical practice c. Your preceptor may include and MD, DO, PA and FNP d. Your preceptor is to have practiced for 5 years and 10,000hours
c. Your preceptor may include and MD, DO, PA and FNP
When using Screening tests it is important to consider: a. Specificity b. Positive predictive value c. Sensitivity d. All of the above
d. All of the above
Baby Bottle Tooth Decay facts to communicate with the infant's mother include: a. This can progress to the effect the infant's entire dentition b. At naps or at bedtime the baby may have a bottle with water only, no juices or milk c. The mother may see the destruction of the front teeth and the first molars d. All of the above.
d. All of the above.
To assess for possible reasons for inadequate sleep it is important to ask the patient about: a. A new child in the family or a new partner in their lives b. Caffeine, alcohol and tobacco use c. Stress, anxiety and depression d. All of the above.
d. All of the above.
Which of the following is an example of herd immunity? a. Immunizations that contain an infectious agent b. Human or animal antibody is administered to an individual who has been exposed or is about to be exposed to a disease c. Antibodies are passed from mother to child during breastfeeding d. As more individuals in the community become immune to any given disease, there are fewer opportunities for those still susceptible to that disease to come in contact with it.
d. As more individuals in the community become immune to any given disease, there are fewer opportunities for those still susceptible to that disease to come in contact with it.
Adolescents have a potential for high number of dental caries due to all of the following except: a. Their sense of independence, often choosing not to follow good oral hygiene practices b. Increased risk for traumatic injury due to sports or other risk taking behaviors c. The potential use of tobacco and recreational substance use d. High school requirement of the use of mouth guards for many sports.
d. High school requirement of the use of mouth guards for many sports.
Immunizations offered routinely to clients who are 65 years of age or older include: a. Diphtheria, tetanus toxoid, and pertussis absorbed (DPT); influenza; and HPV b. Td, influenza and pneumococcal vaccine c. Td, influenza, and offer pneumococcal to those with chronic diseases d. Influenza, pneumococcal pneumonia vaccine and Td to those who have not had one in last 10 years.
d. Influenza, pneumococcal pneumonia vaccine and Td to those who have not had one in last 10 years.
When considering the modifiable risk factors associated with Cardiovascular Disease (CVD), the following are true statements except: a. Poor blood sugar control in the diabetic patient increases the risk for CVD b. The use of "comfort foods" as coping mechanisms during high stress times very often contribute to the development of CVD c. Smoking is one of the greatest modifiable-risk factors for CVD d. Little steps of making healthy lifestyle choices do nothing to prevent CVD e. The high sodium and fat content found in the fast food market contribute to hypertension and obesity which increase the risk for CVD f. For ideal cardiovascular health, exercise of 150minutes of moderate-intense exercise is recommended.
d. Little steps of making healthy lifestyle choices do nothing to prevent CVD
Which of the following is a true contraindication to receipt of influenza vaccine? a. Azithromycin allergy b. Minor ambulatory illness c. Breast feeding d. Previous anaphylactic reaction to a component in influenza vaccine
d. Previous anaphylactic reaction to a component in influenza vaccine
Which of the following is not a precaution that should be considered prior to administering any form of the influenza vaccinations to adults? a. Moderate or severe acute illness with or without fever b. History of Guillian-Barre Syndrome (GBS) within 6 weeks of previous influenza vaccination c. Current diagnosis of asthma d. pregnancy
d. pregnancy
Excessive nutritional intake is associated with an increased risk for: a. Heart disease b. Some cancers c. Type 2 diabetes d. Stroke e. All of the above
e. All of the above
Lifestyle modifications for improvement of blood pressure include: a. Smoking cessation b. Sodium restriction c. Weight reduction d. Increasing physical activity e. All of the above.
e. All of the above.