UTA FNP 3 Final Exam Questions With Complete Solutions
"_______" is considered first-line therapy for patients with
chronic neuropathic pain. Correct Answers Gabapentin
A patient with chronic pain is inquiring about more natural
therapies to augment his pain management plan. Which of the
following may be effective in managing pain for patients with
chronic pain?" Select all that apply.
Physical therapy
Cognitive behavioral therapy
High dose vitamin C
Massage
Cryotherapy
Manual therapy Correct Answers Physical therapy
Cognitive behavioral therapy
Massage
Manual therapy
Aaron is a 45-year-old lawyer who presents complaining of a
sudden onset of dizziness. He has noticed ringing in his ear and
difficulty hearing for the past week. His past medical history is
negative. On exam you note nystagmus. Your management plan
for this patient includes:
A prescription for corticosteroids
Recommendation to increase fluids
Vestibular therapy
Referral to an ENT Correct Answers Referral to an ENT
,All of the following are associated with delirium as opposed to
dementia EXCEPT:
Mental status will return to baseline with recovery
Associated use of anticholinergic medications
Insidious onset over months
Acute onset of change in mental status Correct Answers
Insidious onset over months
Chronic pain often coexists with:
Opioid-induced constipation (OIC)
Changes in GnRH from the hypothalamus
Depression and anxiety
Numbness and tingling down bilateral lower extremities Correct
Answers Depression and anxiety
Match the facts about dementia or delirium to the correct
diagnosis:
Slow, progressive condition, Level of consciousness is not
disturbed, There is no cure for this disease Correct Answers
Dementia
Match the facts about dementia or delirium to the correct
diagnosis:
Sudden onset of symptoms, Goal of management is to treat
underlying etiology, Common etiologies include infection,
medications, stroke, and alcohol withdrawal. Correct Answers
Delirium
,Palliative care provides relief from symptoms, pain, and stress
of serious illness. It is a team approach to a serious problem.
Both providers and patients do not recognize those patients who
may benefit from palliative care. At what point during the
course of disease should a NP consider hospice care for a
patient?
When the patient has progression of disease, including
functional decline
When the patient has pain and/or other symptoms not
responding to optimal medical treatment
When the patient has a need for advanced care planning
including designation of a surrogate decision-maker
When a patient has a life expectancy of less than 6 months
Correct Answers When a patient has a life expectancy of less
than 6 months
Strategies for promoting health literacy in clinical practice
should include:
Keep the visit to only 30 minutes to avoid overloading the
patient.
Utilize visual aids and/or other education devices when possible.
Provide written materials at the 9th-grade level.
Patient participation should be kept to a minimum. Correct
Answers Utilize visual aids and/or other education devices
when possible.
Tertiary prevention activities for an elderly female patient who
has experienced an ischemic CVA include:
, The use of Coumadin to prevent thrombus formation
The use of a statin medication to prevent atherosclerosis
The use of aspirin to prevent progression of an atheroma
A physical therapy program to prevent disability Correct
Answers A physical therapy program to prevent disability
The palliative care NP is providing care to a patient with end-
stage COPD; she reports air hunger, seems anxious, and is using
accessory muscles to breathe. The oxygen saturation level is
94%, the respiratory rate is 26, and the heart rate is 112. The NP
has already maximized the use of inhaled bronchodilators and
corticosteroid medication. The NP now should:
Initiate oxygen therapy via face mask.
Add oral theophylline.
Begin oral pharyngeal suctioning.
Provide an opioid around the clock to achieve a steady state of
relief. Correct Answers Provide an opioid around the clock to
achieve a steady state of relief.
The primary feature of trigeminal neuralgia is recurrent
paroxysms of pain in the distribution of any branch of the
trigeminal nerve. The cause of trigeminal neuralgia is believed
to be:
A neurodegenerative disorder
A dysfunction of the 7th cranial nerve root
Compression of the 5th cranial nerve root
An autoimmune disorder Correct Answers Compression of the
5th cranial nerve root
"_______" is considered first-line therapy for patients with
chronic neuropathic pain. Correct Answers Gabapentin
A patient with chronic pain is inquiring about more natural
therapies to augment his pain management plan. Which of the
following may be effective in managing pain for patients with
chronic pain?" Select all that apply.
Physical therapy
Cognitive behavioral therapy
High dose vitamin C
Massage
Cryotherapy
Manual therapy Correct Answers Physical therapy
Cognitive behavioral therapy
Massage
Manual therapy
Aaron is a 45-year-old lawyer who presents complaining of a
sudden onset of dizziness. He has noticed ringing in his ear and
difficulty hearing for the past week. His past medical history is
negative. On exam you note nystagmus. Your management plan
for this patient includes:
A prescription for corticosteroids
Recommendation to increase fluids
Vestibular therapy
Referral to an ENT Correct Answers Referral to an ENT
,All of the following are associated with delirium as opposed to
dementia EXCEPT:
Mental status will return to baseline with recovery
Associated use of anticholinergic medications
Insidious onset over months
Acute onset of change in mental status Correct Answers
Insidious onset over months
Chronic pain often coexists with:
Opioid-induced constipation (OIC)
Changes in GnRH from the hypothalamus
Depression and anxiety
Numbness and tingling down bilateral lower extremities Correct
Answers Depression and anxiety
Match the facts about dementia or delirium to the correct
diagnosis:
Slow, progressive condition, Level of consciousness is not
disturbed, There is no cure for this disease Correct Answers
Dementia
Match the facts about dementia or delirium to the correct
diagnosis:
Sudden onset of symptoms, Goal of management is to treat
underlying etiology, Common etiologies include infection,
medications, stroke, and alcohol withdrawal. Correct Answers
Delirium
,Palliative care provides relief from symptoms, pain, and stress
of serious illness. It is a team approach to a serious problem.
Both providers and patients do not recognize those patients who
may benefit from palliative care. At what point during the
course of disease should a NP consider hospice care for a
patient?
When the patient has progression of disease, including
functional decline
When the patient has pain and/or other symptoms not
responding to optimal medical treatment
When the patient has a need for advanced care planning
including designation of a surrogate decision-maker
When a patient has a life expectancy of less than 6 months
Correct Answers When a patient has a life expectancy of less
than 6 months
Strategies for promoting health literacy in clinical practice
should include:
Keep the visit to only 30 minutes to avoid overloading the
patient.
Utilize visual aids and/or other education devices when possible.
Provide written materials at the 9th-grade level.
Patient participation should be kept to a minimum. Correct
Answers Utilize visual aids and/or other education devices
when possible.
Tertiary prevention activities for an elderly female patient who
has experienced an ischemic CVA include:
, The use of Coumadin to prevent thrombus formation
The use of a statin medication to prevent atherosclerosis
The use of aspirin to prevent progression of an atheroma
A physical therapy program to prevent disability Correct
Answers A physical therapy program to prevent disability
The palliative care NP is providing care to a patient with end-
stage COPD; she reports air hunger, seems anxious, and is using
accessory muscles to breathe. The oxygen saturation level is
94%, the respiratory rate is 26, and the heart rate is 112. The NP
has already maximized the use of inhaled bronchodilators and
corticosteroid medication. The NP now should:
Initiate oxygen therapy via face mask.
Add oral theophylline.
Begin oral pharyngeal suctioning.
Provide an opioid around the clock to achieve a steady state of
relief. Correct Answers Provide an opioid around the clock to
achieve a steady state of relief.
The primary feature of trigeminal neuralgia is recurrent
paroxysms of pain in the distribution of any branch of the
trigeminal nerve. The cause of trigeminal neuralgia is believed
to be:
A neurodegenerative disorder
A dysfunction of the 7th cranial nerve root
Compression of the 5th cranial nerve root
An autoimmune disorder Correct Answers Compression of the
5th cranial nerve root
