Nurse Practitioner Certification
Examination and Practice Preparation
#1 fully solved
reviewing the use of prescribed medications. - correct answer ✔✔ An example of a primary
prevention measure for a 78-year-old man with chronic obstructive pulmonary disease is:
calcium supplementations - correct answer ✔✔ Which of the following is an example of a
primary prevention activity in a 76-year-old woman with osteoporosis?
screening for mood disorders. - correct answer ✔✔ Secondary prevention measures for a 78-
year-old man with chronic obstructive pulmonary disease include:
adjusting therapy to minimize dyspnea. - correct answer ✔✔ Tertiary prevention measures for a
69-year-old woman with heart failure include:
hepatitis B immune globulin (HBIG) - correct answer ✔✔ Which of the following provides
passive immunity?
resistance developed in response to an antigen. - correct answer ✔✔ Active immunity is
defined as:
II. - correct answer ✔✔ Assessing vision and visual fields involves testing cranial nerve (CN):
III. - correct answer ✔✔ You perform an extraocular movement test on a middleaged patient.
He is unable to move his eyes upward and inward. This indicates a possibility of paralysis of CN:
,V. - correct answer ✔✔ Loss of corneal reflex is in part seen in dysfunction of CN:
confluent or coalescent - correct answer ✔✔ multiple lesions blending together
macule - correct answer ✔✔ flat discoloration less than 1 cm in diameter
wheal - correct answer ✔✔ circumscribed area of skin edema
fissure - correct answer ✔✔ narrow linear crack into epidermis, exposing dermis
pustule - correct answer ✔✔ vesicle-like lesion with purulent content
patch - correct answer ✔✔ flat discoloration greater than 1 cm in diameter
plaque - correct answer ✔✔ raised lesion, larger than 1 cm, may be same or different color
from the surrounding skin
reticular - correct answer ✔✔ netlike cluster
ulcer - correct answer ✔✔ loss of epidermis and dermis
atrophy - correct answer ✔✔ loss of skin markings and full skin thickness
lichenification - correct answer ✔✔ skin thickening usually found over pruritic or friction areas
annular - correct answer ✔✔ in a ring formation
,giant cell arteritis. - correct answer ✔✔ A 74-year-old woman with well-controlled hypertension
who is taking hydrochlorothiazide presents with a 3-day history of unilateral throbbing
headache with difficulty chewing because of pain. On physical examination, you find a tender,
noncompressible temporal artery. Blood pressure (BP) is 160/88 mm Hg, apical pulse is 98 bpm,
and respiratory rate is 22/min; the patient is visibly uncomfortable. The most likely diagnosis is:
systemic corticosteroid therapy for many months. - correct answer ✔✔ Therapeutic
interventions for the patient in Question 1 should include:
polymyalgia rheumatica. - correct answer ✔✔ Concomitant disease seen with giant cell arteritis
includes:
blindness. - correct answer ✔✔ One of the most serious complications of giant cell arteritis is:
chronic airway inflammation with superimposed bronchospasm - correct answer ✔✔ Which of
the following best describes asthma?
hyperresonance on thoracic percussion - correct answer ✔✔ The patient you are evaluating is
having an asthma flare. You have assessed that his condition is appropriate for office treatment.
You expect to find the following on physical examination:
peak expiratory flow (PEF) measurement. - correct answer ✔✔ A 44-year-old man has a long-
standing history of moderate persistent asthma that is normally well controlled by fluticasone
with salmeterol (Advair) via metered-dose inhaler, 1 puff twice a day, and the use of albuterol
one to two times a week as needed for wheezing. Three days ago, he developed a sore throat,
clear nasal discharge, body aches, and a dry cough. In the past 24 hours, he has had intermittent
wheezing that necessitated the use of albuterol, 2 puffs every 3 hours, which produced partial
relief. Your next most appropriate action is to obtain a:
, prednisone. - correct answer ✔✔ You examine a 24-year-old woman who has an acute asthma
flare. She is using budesonide (Pulmicort) and albuterol as directed and continues to have
difficulty with coughing and wheezing. Her PEF is 55% of personal best. Her medication regimen
should be adjusted to include:
hyperinflation - correct answer ✔✔ Which of the following is most likely to appear on a chest
radiograph of a person during an acute asthma attack?
propranolol - correct answer ✔✔ A 36-year-old man with asthma also needs antihypertensive
therapy. Which of the following products should you avoid prescribing?
morning sputum production
Consistent:
-a troublesome nocturnal cough at least 2 nights per week
-need for albuterol to relieve shortness of breath at least twice a week
-patient report that asthma is somewhat controlled - correct answer ✔✔ Which of the following
is inconsistent with the clinical presentation of poorly controlled asthma?
inhaled corticosteroids - correct answer ✔✔ The cornerstone of moderate persistent asthma
drug therapy is the use of:
excessive albuterol use is a risk factor for asthma death. - correct answer ✔✔ Sharon is a 29-
year-old woman with moderate intermittent asthma. She is not using prescribed inhaled
corticosteroids, but is using albuterol prn to relieve her cough and wheeze with reported
satisfactory clinical effect. Currently she uses about 2 albuterol metered-dose inhalers per
month and is requesting a prescription refill. You consider that:
inflammatory inhibitors. - correct answer ✔✔ In the treatment of asthma, leukotriene receptor
antagonists should be used as:
Examination and Practice Preparation
#1 fully solved
reviewing the use of prescribed medications. - correct answer ✔✔ An example of a primary
prevention measure for a 78-year-old man with chronic obstructive pulmonary disease is:
calcium supplementations - correct answer ✔✔ Which of the following is an example of a
primary prevention activity in a 76-year-old woman with osteoporosis?
screening for mood disorders. - correct answer ✔✔ Secondary prevention measures for a 78-
year-old man with chronic obstructive pulmonary disease include:
adjusting therapy to minimize dyspnea. - correct answer ✔✔ Tertiary prevention measures for a
69-year-old woman with heart failure include:
hepatitis B immune globulin (HBIG) - correct answer ✔✔ Which of the following provides
passive immunity?
resistance developed in response to an antigen. - correct answer ✔✔ Active immunity is
defined as:
II. - correct answer ✔✔ Assessing vision and visual fields involves testing cranial nerve (CN):
III. - correct answer ✔✔ You perform an extraocular movement test on a middleaged patient.
He is unable to move his eyes upward and inward. This indicates a possibility of paralysis of CN:
,V. - correct answer ✔✔ Loss of corneal reflex is in part seen in dysfunction of CN:
confluent or coalescent - correct answer ✔✔ multiple lesions blending together
macule - correct answer ✔✔ flat discoloration less than 1 cm in diameter
wheal - correct answer ✔✔ circumscribed area of skin edema
fissure - correct answer ✔✔ narrow linear crack into epidermis, exposing dermis
pustule - correct answer ✔✔ vesicle-like lesion with purulent content
patch - correct answer ✔✔ flat discoloration greater than 1 cm in diameter
plaque - correct answer ✔✔ raised lesion, larger than 1 cm, may be same or different color
from the surrounding skin
reticular - correct answer ✔✔ netlike cluster
ulcer - correct answer ✔✔ loss of epidermis and dermis
atrophy - correct answer ✔✔ loss of skin markings and full skin thickness
lichenification - correct answer ✔✔ skin thickening usually found over pruritic or friction areas
annular - correct answer ✔✔ in a ring formation
,giant cell arteritis. - correct answer ✔✔ A 74-year-old woman with well-controlled hypertension
who is taking hydrochlorothiazide presents with a 3-day history of unilateral throbbing
headache with difficulty chewing because of pain. On physical examination, you find a tender,
noncompressible temporal artery. Blood pressure (BP) is 160/88 mm Hg, apical pulse is 98 bpm,
and respiratory rate is 22/min; the patient is visibly uncomfortable. The most likely diagnosis is:
systemic corticosteroid therapy for many months. - correct answer ✔✔ Therapeutic
interventions for the patient in Question 1 should include:
polymyalgia rheumatica. - correct answer ✔✔ Concomitant disease seen with giant cell arteritis
includes:
blindness. - correct answer ✔✔ One of the most serious complications of giant cell arteritis is:
chronic airway inflammation with superimposed bronchospasm - correct answer ✔✔ Which of
the following best describes asthma?
hyperresonance on thoracic percussion - correct answer ✔✔ The patient you are evaluating is
having an asthma flare. You have assessed that his condition is appropriate for office treatment.
You expect to find the following on physical examination:
peak expiratory flow (PEF) measurement. - correct answer ✔✔ A 44-year-old man has a long-
standing history of moderate persistent asthma that is normally well controlled by fluticasone
with salmeterol (Advair) via metered-dose inhaler, 1 puff twice a day, and the use of albuterol
one to two times a week as needed for wheezing. Three days ago, he developed a sore throat,
clear nasal discharge, body aches, and a dry cough. In the past 24 hours, he has had intermittent
wheezing that necessitated the use of albuterol, 2 puffs every 3 hours, which produced partial
relief. Your next most appropriate action is to obtain a:
, prednisone. - correct answer ✔✔ You examine a 24-year-old woman who has an acute asthma
flare. She is using budesonide (Pulmicort) and albuterol as directed and continues to have
difficulty with coughing and wheezing. Her PEF is 55% of personal best. Her medication regimen
should be adjusted to include:
hyperinflation - correct answer ✔✔ Which of the following is most likely to appear on a chest
radiograph of a person during an acute asthma attack?
propranolol - correct answer ✔✔ A 36-year-old man with asthma also needs antihypertensive
therapy. Which of the following products should you avoid prescribing?
morning sputum production
Consistent:
-a troublesome nocturnal cough at least 2 nights per week
-need for albuterol to relieve shortness of breath at least twice a week
-patient report that asthma is somewhat controlled - correct answer ✔✔ Which of the following
is inconsistent with the clinical presentation of poorly controlled asthma?
inhaled corticosteroids - correct answer ✔✔ The cornerstone of moderate persistent asthma
drug therapy is the use of:
excessive albuterol use is a risk factor for asthma death. - correct answer ✔✔ Sharon is a 29-
year-old woman with moderate intermittent asthma. She is not using prescribed inhaled
corticosteroids, but is using albuterol prn to relieve her cough and wheeze with reported
satisfactory clinical effect. Currently she uses about 2 albuterol metered-dose inhalers per
month and is requesting a prescription refill. You consider that:
inflammatory inhibitors. - correct answer ✔✔ In the treatment of asthma, leukotriene receptor
antagonists should be used as:
