Test Bank For Family Nurse Practitioner Certification Intensive
Review, Fourth Edition By Maria T. Codina Leik All Chapter
1.
A 52-year-old woman presents for an annual examination. She has
no chronic illnesses and takes no medications. Which intervention is
most appropriate as part of routine preventive care?
A. Annual chest radiograph
B. Annual whole-body CT scan
C. Screening based on age, risk factors, and recommended guidelines
D. Routine tumor-marker testing
Answer: C. Screening based on age, risk factors, and recommended
guidelines
Rationale: Preventive screening should be individualized according to
age, sex, risk factors, family history, and current evidence-based
recommendations. Routine imaging or tumor-marker testing in
asymptomatic average-risk adults is generally not appropriate.
,2.
Which intervention is most effective for reducing cardiovascular
disease risk in a sedentary adult?
A. Increasing dietary sodium
B. Regular aerobic and resistance physical activity
C. Avoiding all dietary carbohydrates
D. Taking aspirin regardless of risk
Answer: B. Regular aerobic and resistance physical activity
Rationale: Regular physical activity improves blood pressure, lipid
profile, insulin sensitivity, body composition, and cardiovascular
health.
3.
A patient reports smoking one pack of cigarettes daily and wants to
quit. Which approach should the FNP use first?
A. Tell the patient to stop immediately without further discussion
B. Assess readiness to quit and provide evidence-based cessation
support
C. Recommend switching permanently to cigars
D. Advise reducing smoking without setting any goals
Answer: B. Assess readiness to quit and provide evidence-based
cessation support
Rationale: Tobacco cessation counseling begins with assessment of
tobacco use and readiness to quit, followed by behavioral
interventions and pharmacotherapy when appropriate.
4.
Which patient should receive counseling about fall prevention?
,A. A healthy 20-year-old athlete
B. A 35-year-old without medical problems
C. An older adult with gait instability
D. A 25-year-old with seasonal allergies
Answer: C. An older adult with gait instability
Rationale: Older adults with gait or balance impairment have
increased fall risk and benefit from medication review, exercise,
home-safety assessment, vision evaluation, and other preventive
measures.
5.
A 45-year-old patient has a BMI of 33 kg/m². Which counseling
strategy is most appropriate?
A. Recommend rapid fasting for several weeks
B. Establish realistic nutrition, activity, and behavioral goals
C. Tell the patient obesity is solely a matter of willpower
D. Recommend eliminating all dietary fat
Answer: B. Establish realistic nutrition, activity, and behavioral
goals
Rationale: Evidence-based obesity management emphasizes
sustainable nutrition, physical activity, behavioral modification, and
individualized goals.
6.
Which finding most strongly suggests that a patient is experiencing a
hypertensive emergency?
A. BP 146/88 mm Hg without symptoms
B. BP 158/94 mm Hg during a routine visit
, C. Severe hypertension accompanied by acute neurologic deficits
D. BP 138/84 mm Hg after exercise
Answer: C. Severe hypertension accompanied by acute neurologic
deficits
Rationale: A hypertensive emergency involves markedly elevated
blood pressure with acute target-organ injury, such as
encephalopathy, stroke, myocardial ischemia, pulmonary edema, or
acute kidney injury.
7.
Which dietary recommendation is generally appropriate for a patient
attempting to reduce cardiovascular risk?
A. Increase trans-fat intake
B. Emphasize vegetables, fruits, whole grains, and minimally
processed foods
C. Avoid all sources of dietary fiber
D. Consume unlimited processed meats
Answer: B. Emphasize vegetables, fruits, whole grains, and
minimally processed foods
Rationale: A dietary pattern rich in plant foods, fiber, and minimally
processed foods supports cardiovascular health.
8.
A 60-year-old patient asks about vaccination. Which factor is most
important when determining an adult immunization plan?
A. Hair color
B. Vaccination history, age, risk factors, and current
recommendations
Review, Fourth Edition By Maria T. Codina Leik All Chapter
1.
A 52-year-old woman presents for an annual examination. She has
no chronic illnesses and takes no medications. Which intervention is
most appropriate as part of routine preventive care?
A. Annual chest radiograph
B. Annual whole-body CT scan
C. Screening based on age, risk factors, and recommended guidelines
D. Routine tumor-marker testing
Answer: C. Screening based on age, risk factors, and recommended
guidelines
Rationale: Preventive screening should be individualized according to
age, sex, risk factors, family history, and current evidence-based
recommendations. Routine imaging or tumor-marker testing in
asymptomatic average-risk adults is generally not appropriate.
,2.
Which intervention is most effective for reducing cardiovascular
disease risk in a sedentary adult?
A. Increasing dietary sodium
B. Regular aerobic and resistance physical activity
C. Avoiding all dietary carbohydrates
D. Taking aspirin regardless of risk
Answer: B. Regular aerobic and resistance physical activity
Rationale: Regular physical activity improves blood pressure, lipid
profile, insulin sensitivity, body composition, and cardiovascular
health.
3.
A patient reports smoking one pack of cigarettes daily and wants to
quit. Which approach should the FNP use first?
A. Tell the patient to stop immediately without further discussion
B. Assess readiness to quit and provide evidence-based cessation
support
C. Recommend switching permanently to cigars
D. Advise reducing smoking without setting any goals
Answer: B. Assess readiness to quit and provide evidence-based
cessation support
Rationale: Tobacco cessation counseling begins with assessment of
tobacco use and readiness to quit, followed by behavioral
interventions and pharmacotherapy when appropriate.
4.
Which patient should receive counseling about fall prevention?
,A. A healthy 20-year-old athlete
B. A 35-year-old without medical problems
C. An older adult with gait instability
D. A 25-year-old with seasonal allergies
Answer: C. An older adult with gait instability
Rationale: Older adults with gait or balance impairment have
increased fall risk and benefit from medication review, exercise,
home-safety assessment, vision evaluation, and other preventive
measures.
5.
A 45-year-old patient has a BMI of 33 kg/m². Which counseling
strategy is most appropriate?
A. Recommend rapid fasting for several weeks
B. Establish realistic nutrition, activity, and behavioral goals
C. Tell the patient obesity is solely a matter of willpower
D. Recommend eliminating all dietary fat
Answer: B. Establish realistic nutrition, activity, and behavioral
goals
Rationale: Evidence-based obesity management emphasizes
sustainable nutrition, physical activity, behavioral modification, and
individualized goals.
6.
Which finding most strongly suggests that a patient is experiencing a
hypertensive emergency?
A. BP 146/88 mm Hg without symptoms
B. BP 158/94 mm Hg during a routine visit
, C. Severe hypertension accompanied by acute neurologic deficits
D. BP 138/84 mm Hg after exercise
Answer: C. Severe hypertension accompanied by acute neurologic
deficits
Rationale: A hypertensive emergency involves markedly elevated
blood pressure with acute target-organ injury, such as
encephalopathy, stroke, myocardial ischemia, pulmonary edema, or
acute kidney injury.
7.
Which dietary recommendation is generally appropriate for a patient
attempting to reduce cardiovascular risk?
A. Increase trans-fat intake
B. Emphasize vegetables, fruits, whole grains, and minimally
processed foods
C. Avoid all sources of dietary fiber
D. Consume unlimited processed meats
Answer: B. Emphasize vegetables, fruits, whole grains, and
minimally processed foods
Rationale: A dietary pattern rich in plant foods, fiber, and minimally
processed foods supports cardiovascular health.
8.
A 60-year-old patient asks about vaccination. Which factor is most
important when determining an adult immunization plan?
A. Hair color
B. Vaccination history, age, risk factors, and current
recommendations
