Prep & Practice Questions
In terms of provider credentialing by an MCO, all of the following may be part of the
credentialing process EXCEPT:
a. collecting data that includes educational, license, malpractice, employment and
certification data on each provider
b. formal issuance of a certification document to the provider
c. making a site visit
d. investigating systems for admitting patients - correct answerCorrect answer:
formal issuance of a certification document to the provider
Provider credentialing by an MCO does not include formally certifying the provider. It
does include all of the other choices, however.
The available screening tests for osteoporosis include all but which of the following?
a. dual-energy x-ray absorptiometry
b. ultrasound
c. peripheral quantitative computed tomography
d. Spurling test - correct answerCorrect answer:
Spurling test
Available screening tests for osteoporosis include: dual-energy x-ray absorptiometry
(DXA), ultrasound, radiographic absorptiometry, single-energy x-ray, absorptiometry,
peripheral DXA and peripheral quantitative computed tomography. The Spurling test is
a very specific, but not sensitive physical examination maneuver in diagnosing cervical
spondylosis or acute cervical (neck) radiculopathy.
Erythema migrans in Lyme disease has an annular pattern. This is indicated by a
pattern in the shape of which of the following?
a. Christmas tree
b. horizontal scale
c. ring
d. unformed edges - correct answerCorrect answer:
ring
Annular is the term used for the ring pattern of skin lesions. This is typical of the skin
condition in Lyme disease.
A father brings in his teenage son. He is sure that the boy is sick because he is lethargic
even though he is in bed 8 hours a night. The boy says that he is tired. When asked if
,he is sleeping the full 8 hours, he says that he does not fall asleep immediately. What is
a probable explanation?
a. He has a cold.
b. He is sleep deprived.
c. He is taking drugs.
d. He is faking for attention. - correct answerCorrect Answer:
He is sleep deprived.
Many teenagers need close to nine hours of sleep a night. Additionally, their natural
sleep patterns are later, and he probably is awake later than his father believes. Sleep
deprivation is common among teenagers.
A young patient is brought in after an injury to the neck. What diagnostic exam is
necessary?
a. Pelvic exam.
b. CBC.
c. Sensory exam.
d. Pharyngeal exam. - correct answerCorrect answer:
Sensory exam
The sensory exam is included in a neurological assessment. This exam is
recommended if there is a risk of a spinal cord injury.
Helen comes to the clinic complaining of a skin problem. Your examination reveals
silvery-white scaling papules and plaques that are symmetrical. The patient's nails are
pitted. Your diagnosis would be which of the following?
a. candidiasis
b. erysipelas
c. psoriasis
d. acute cellulitis - correct answerCorrect answer:
psoriasis
Psoriasis is a silvery-white scaling that is usually symmetrical. It involves scalp,
extensor surfaces, and areas subject to trauma. It may also involve pitting of the nails.
You use the learning theory that appreciates that learners are unique and learn best
when treated with positive regard. This learning theory is which of the following?
a. cognitive theory
b. behaviorist theory
c. humanistic theory
d. andragogy - correct answerCorrect answer:
humanistic theory
, The humanistic theory appreciates that learners are unique persons. It recognizes that
they learn optimally when treated with positive regard, when their uniqueness is
considered, and when they are involved in decision making.
A father brings his 14-year-old son into the clinic with complaints of knee pain. The boy
plays basketball and states that it gets worse with jumping. It is important for the nurse
practitioner to consider Osgood's Schlatter's disease and to know that:
a. The pain is the result of microtears of the patellar tendon and overuse of the
quadricep muscles of the knees.
b. This is a condition caused by stress and trauma of the femoral tendon.
c. This condition is more common in girls but boys have it too.
d. Athletic individuals are not at risk for this condition. - correct answerThe Correct
answer is:
The pain is the result of microtears of the patellar tendon and overuse of the quadricep
muscles of the knees
Osgood's Schlatter's disease is more common in boys from ages 10 to 17 years.
Repetitive stress and trauma from excessive traction to the patellar tendon causes
overstress or overuse of the quadricep muscles. Further, this condition is more
commonly seen in physically active adolescents.
The FNP is caring for a child with celiac disease. Which of the following foods would
NOT be recommended for this child?
a. beans
b. wheat bread
c. corn
d. dates - correct answerCorrect answer:
wheat bread
Celiac disease is an immune-mediated systemic disease due to intestinal intolerance to
gluten. Those with celiac disease should not eat wheat, oats, rye or barley, among other
things.
You have a 24-month-old male patient whom you have diagnosed with epiglottitis.
Which of the following would you expect to find in this child upon assessment?
a. barking cough
b. muffled voice
c. insidious onset
d. normal posture - correct answerCorrect answer:
muffled voice
Epiglottitis is a rapid development of cellulitis of the epiglottis and surrounding tissues
that potentially results in acute airway obstruction. It typically occurs in children 2 - 6
years of age. It is accompanied by a muffled voice and fever. Onset is sudden and may
be life-threatening.