Nurse Practitioner Certification
Examination and Practice Preparation
Testbank by Margaret A. Fitzgerald
,Health Promotion
and Disease Prevention 1
6. Active/immunity/is/defined/as:
1. resistance/developed/in/response/to/an/antigen.
2. immunity/conferred/by/an/antibody/produced/in
/another/host.
1. An/example/of/a/primary/prevention/measure/for/a78 3. theresistanceofagroup/toan/infectious/agent.
-/year- 4. defense/against/disease/acquired/naturally/by/the
old/man/with/chronic/obstructive/pulmonary/dise /infant/from/the/mother.
ase/is:
1. reviewing/the/use/of/prescribed/medications. 7. Which/of/the/following/is/usually/viewed/as/the/mos
2. conducting/a/home/survey/to/minimize/fall/risk. t/cost-effective/form/ofhealthcare?
3. checking/FEV1/(force/expired/volume/at/1/second)/t 1. primary/ prevention
o/FVC/(forced/vital/capacity)/ratio. 2. secondary/ prevention
4. ordering/fecal/occult/blood/test/(FOBT). 3. tertiary/ prevention
4. cancer-reduction/ measures
2. Which/of/the/following/is/an/example/of/a/primary/preven
-/tion/activity/in/a/76-year- 8. An/18-year-
old/woman/with/osteoporosis? old/woman/with/allergic/rhinitis/presents/for/primary/ca
1. bisphosphonate/ therapy re./She/is/sexually/active/with/a/male/partner/and/is/1/ye
2. calcium/ supplementation ar/post-
3. ensuring/adequate/illumination/in/the/home coitarche;/during/this/time/she/had/had/two/sex/partners
4. useofaback/brace ./An/example/of/a/primary/prevention/activity/for/this
/patient/is:
3. Secondary/prevention/measures/for/a/78-year- 1. screening/for/sexually/transmitted/infection.
old/man/with/chronic/obstructive/pulmonary/disease 2. counseling/about/safer/sexual/practices.
/include: 3. prescribing/therapies/for/minimizing/allergy.
1. screening/for/mood/disorders. 4. obtaining/a/liquid-based/Papanicolaou/(Pap)/test.
2. administering/influenzavaccine.
3. obtaining/a/serum/theophylline/level. 9. When/a/critical/portion/of/a/community/is/immunized/
4. advising/about/appropriate/use/of/car/passenger against/a/contagious/disease,/most/members/of/the/com
/restraints. -
/munity,/even/the/unimmunized,/are/protected/against
4. Tertiary/prevention/measures/for/a/69-year- /that/disease/because/there/is/little/opportunity/for/an/
old/woman/with/heart/failure/include: outbreak./This/is/known/as immunity.
1. administering/antipneumococcal/vaccine. 1. passive
2. adjusting/therapy/to/minimize/dyspnea. 2. humoral
3. surveying/skin/for/precancerous/lesions. 3. epidemiologic
4. reviewing/safe/handling/of/food. 4. community
5. Which/of/the/following/products/provides/passive
immunity? Answers
A./hepatitis/B/immune/globulin/(HBIG)
B./ measles,/mumps,/and/rubella/(MMR)/vaccine 1./ B. 4./ B. 7./ A.
C./ pneumococcal/conjugate/vaccine 2./ C. 5./ A. 8./ B.
D./ live/attenuated/influenza/vaccine/(LAIV) 3./ A. 6./ A. 9./ D.
,2 C/H/A/P/T/E/R/ / 1 ■/ / Health/Promotion/and/Disease/Prevention
Primary/prevention/measures/include/activities/provide
d/to/individuals/to/prevent/the/onset/or/acquisition/of/a/gi
Influenza /Im
ven/disease./The/goal/of/primary/prevention/measures/is/to/ munization
spare/individuals/the/suffering,/burden,/and/cost/associated/w
ith/the
clinical/condition/and/is/the/first/level/of/healthcare./An/ex r/mini-/mizingdisease-related/symptoms.
-/ample/is/health-
DISCUSSION / SOURCES
protecting/education/and/counseling,/such/as/encouraging/t
he/use/of/car/restraints/and/bicycle/helmets,/counseling/a http://www.cdc.gov/excite/skincancer/mod13.htm, Centers
for/Disease/C
bout/safer/sexual/practices,/and/providing/infor-
ontrol/and/Prevention:/Levels/of/Prevention
/mation/on/accidentand/fallprevention./Given/itsfocus/o
http://www.niaid.nih.gov/topics/pages/communityimmunity.aspx,/Natio
n/preventing/illness/or/injury,/primary/prevention/is/usua nal/Institute/of/Allergy/and/Infectious/Disease:/Community/Immu
lly/viewed/as/the/most/effective/form/of/healthcare. nity
Immunizations/and/chemoprophylaxis/are/also/exam-
/ples/of/primary/prevention/measures./Active/immunization
/through/the/use/of/vaccines/provides/long-
term/protection/fromdisease./In/herd/or/community/immun
ity,/asignificant/portion/of/a/given/population/has/immunity/
against/an/infec-
/tious/agent;/the/likelihood/that/thesusceptible/portionofthe/
group/would/become/infected/is/minimized/(Fig./1–
1)./Pas-
/sive/immunity/is/provided/when/a/person/receives/select/a
n-
/tibodies,/usually/via/the/administration/of/immune/globuli
n/(IG),/after/exposure/to/an/infective/agent./This/immunit
y/is/temporary/and/requires/the/patient/to/present/post-
exposure;/the/protection/provided/by/IG/usually/starts/withi
nhours/of/receiving/thedosesandlastsanumber/ofmonths./Th
euseof/vaccines/to/produce/lasting/disease/protection/is/pref
erred/to/passive/immunization/through/the/use/of/IG./Anoth
er/exam-
/ple/of/passive/immunity/is/theacquisition/ofdisease/protec-
/tion/provided/frommother/tounbornchild/viatheplacenta
./Secondary/prevention/measures/include/activities/provide
d/to/identify/and/treat/asymptomatic/persons/who/have/risk/f
ac-
/tors/fora/givendiseaseor/in/preclinicaldisease./Examples/in-
/clude/screening/examinations/for/preclinical/evidence/o
f/cancer,/such/as/mammography/and/cervical/examination/wi
th/a/Papanicolaou/test./Other/examples/of/secondary/preventi
on/activities/include/screening/for/clinical/conditions/with/a/
pro-
/tracted/asymptomatic/period,/such/as/a/blood/pressure/mea
s-
/urement/to/detect/hypertension/and/a/lipid/profile/to/detect
/hyperlipidemia/(Table/1–1).
See/full/color/images/of/thistopic/o
n/DavisPlus/at/http://davisplus.f
adavis.com/|/Keyword:/Fitzgera
ld
Tertiary/prevention/measures/are/part/of/the/managemen
t/of/an/established/disease./The/goal/is/to/minimize/diseas
e-
/associated/complications/and/the/negative/health/effects/
of/the/conditions/to/the/patient./Examples/include/medicati
ons/and/lifestyle/modification/to/normalize/blood/glucose/le
vels/in/individuals/with/diabetes/mellitus/and/in/conjunction
/with/the/treatment/of/heart/failure,/aimed/at/improving/o
, 10. When/advising/a/patient/about/injectable/influenza/i
m-
/munization,/the/nurse/practitioner/(NP)/considers/th
e/following/about/the/use/of/this/vaccine:
1. Its/use/is/not/recommended/in/sickle/cell/anemia.
2. Itsuse/is/limitedtochildrenolderthan/2/years.
3. Its/use/is/limited/due/to/containing/live/virus.
4. Its/use/is/recommended/for/virtually/all/members/o
f/thepopulation.
11. A/middle-
aged/man/with/chronic/obstructive/pul-
/monary/disease/who/is/about/to/receive/injectable/i
n-/fluenza/vaccine/should/be/advised/that:
1. it/is/more/than/90%/effective/in/preventing/influenza.
2. its/use/is/contraindicated/in/the/presence/of/psoriasi
s/vulgaris.
3. localized/reactions/such/as/soreness/and/redness/
at/the/site/of/the/immunization/are/fairly/comm
on.
4. a/short,/intense,/flulike/syndrome/typically/occur
s/after/immunization.
12. A/44-year-
old/woman/with/asthma/presents/asking/for/a/“flush
ot.”/Sheis/seen/todayfor/an/urgentcarevisit,/is/diagn
osed/with/a/lower/urinary/tract/infection,/and/is/pres
cribed/trimethoprim-
sulfamethoxazole./She/is/without/fever/or/gastrointes
tinal/upset/with/stable/respiratory/status./You/info
rm/her/that/she:
1. should/return/for/the/immunization/after/complet
-/ing/her/antibiotic/therapy.
2. would/likely/develop/a/significant/reaction/if/immu
-/nized/today.
3. can/receive/the/immunization/today.
4. is/not/a/candidate/for/any/form/of/influenza/vaccine.
13. Which/of/the/following/statements/best/describes/
amantadine/or/rimantadine/use/in/the/care/of/patien
ts/with/or/at/risk/for/influenza?
1. Significant/resistance/to/select/strains/of/influenz
a/limits/the/usefulness/of/these/medications.
2. The/primary/action/of/these/therapies/is/in/preven
t-/ing/influenza/A/during/outbreaks.
3. These/therapies/are/active/against/influenza/A/and/B.
4. The/use/of/these/products/is/an/acceptable/alternativ
e/to/influenza/vaccine.
14. Which/of/the/following/statements/best/describes/za
namivir/(Relenza)/or/oseltamivir/(Tamiflu)/use/in/the/
careofpatientswithoratriskforinfluenza?
1. Initiation/of/therapy/early/in/acute/influenza/illnes
s/canhelpminimize/theseverity/ofdiseasewhent
he/illness/is/caused/by/a/nonresistant/viral/strain.
2. The/primary/indication/is/in/preventing/influenza/
A/during/outbreaks.
3. The/drugs/are/active/only/against/influenza/B.
4. The/use/of/these/medications/is/an/acceptable/alte
r-/native/to/influenza/vaccine.
Examination and Practice Preparation
Testbank by Margaret A. Fitzgerald
,Health Promotion
and Disease Prevention 1
6. Active/immunity/is/defined/as:
1. resistance/developed/in/response/to/an/antigen.
2. immunity/conferred/by/an/antibody/produced/in
/another/host.
1. An/example/of/a/primary/prevention/measure/for/a78 3. theresistanceofagroup/toan/infectious/agent.
-/year- 4. defense/against/disease/acquired/naturally/by/the
old/man/with/chronic/obstructive/pulmonary/dise /infant/from/the/mother.
ase/is:
1. reviewing/the/use/of/prescribed/medications. 7. Which/of/the/following/is/usually/viewed/as/the/mos
2. conducting/a/home/survey/to/minimize/fall/risk. t/cost-effective/form/ofhealthcare?
3. checking/FEV1/(force/expired/volume/at/1/second)/t 1. primary/ prevention
o/FVC/(forced/vital/capacity)/ratio. 2. secondary/ prevention
4. ordering/fecal/occult/blood/test/(FOBT). 3. tertiary/ prevention
4. cancer-reduction/ measures
2. Which/of/the/following/is/an/example/of/a/primary/preven
-/tion/activity/in/a/76-year- 8. An/18-year-
old/woman/with/osteoporosis? old/woman/with/allergic/rhinitis/presents/for/primary/ca
1. bisphosphonate/ therapy re./She/is/sexually/active/with/a/male/partner/and/is/1/ye
2. calcium/ supplementation ar/post-
3. ensuring/adequate/illumination/in/the/home coitarche;/during/this/time/she/had/had/two/sex/partners
4. useofaback/brace ./An/example/of/a/primary/prevention/activity/for/this
/patient/is:
3. Secondary/prevention/measures/for/a/78-year- 1. screening/for/sexually/transmitted/infection.
old/man/with/chronic/obstructive/pulmonary/disease 2. counseling/about/safer/sexual/practices.
/include: 3. prescribing/therapies/for/minimizing/allergy.
1. screening/for/mood/disorders. 4. obtaining/a/liquid-based/Papanicolaou/(Pap)/test.
2. administering/influenzavaccine.
3. obtaining/a/serum/theophylline/level. 9. When/a/critical/portion/of/a/community/is/immunized/
4. advising/about/appropriate/use/of/car/passenger against/a/contagious/disease,/most/members/of/the/com
/restraints. -
/munity,/even/the/unimmunized,/are/protected/against
4. Tertiary/prevention/measures/for/a/69-year- /that/disease/because/there/is/little/opportunity/for/an/
old/woman/with/heart/failure/include: outbreak./This/is/known/as immunity.
1. administering/antipneumococcal/vaccine. 1. passive
2. adjusting/therapy/to/minimize/dyspnea. 2. humoral
3. surveying/skin/for/precancerous/lesions. 3. epidemiologic
4. reviewing/safe/handling/of/food. 4. community
5. Which/of/the/following/products/provides/passive
immunity? Answers
A./hepatitis/B/immune/globulin/(HBIG)
B./ measles,/mumps,/and/rubella/(MMR)/vaccine 1./ B. 4./ B. 7./ A.
C./ pneumococcal/conjugate/vaccine 2./ C. 5./ A. 8./ B.
D./ live/attenuated/influenza/vaccine/(LAIV) 3./ A. 6./ A. 9./ D.
,2 C/H/A/P/T/E/R/ / 1 ■/ / Health/Promotion/and/Disease/Prevention
Primary/prevention/measures/include/activities/provide
d/to/individuals/to/prevent/the/onset/or/acquisition/of/a/gi
Influenza /Im
ven/disease./The/goal/of/primary/prevention/measures/is/to/ munization
spare/individuals/the/suffering,/burden,/and/cost/associated/w
ith/the
clinical/condition/and/is/the/first/level/of/healthcare./An/ex r/mini-/mizingdisease-related/symptoms.
-/ample/is/health-
DISCUSSION / SOURCES
protecting/education/and/counseling,/such/as/encouraging/t
he/use/of/car/restraints/and/bicycle/helmets,/counseling/a http://www.cdc.gov/excite/skincancer/mod13.htm, Centers
for/Disease/C
bout/safer/sexual/practices,/and/providing/infor-
ontrol/and/Prevention:/Levels/of/Prevention
/mation/on/accidentand/fallprevention./Given/itsfocus/o
http://www.niaid.nih.gov/topics/pages/communityimmunity.aspx,/Natio
n/preventing/illness/or/injury,/primary/prevention/is/usua nal/Institute/of/Allergy/and/Infectious/Disease:/Community/Immu
lly/viewed/as/the/most/effective/form/of/healthcare. nity
Immunizations/and/chemoprophylaxis/are/also/exam-
/ples/of/primary/prevention/measures./Active/immunization
/through/the/use/of/vaccines/provides/long-
term/protection/fromdisease./In/herd/or/community/immun
ity,/asignificant/portion/of/a/given/population/has/immunity/
against/an/infec-
/tious/agent;/the/likelihood/that/thesusceptible/portionofthe/
group/would/become/infected/is/minimized/(Fig./1–
1)./Pas-
/sive/immunity/is/provided/when/a/person/receives/select/a
n-
/tibodies,/usually/via/the/administration/of/immune/globuli
n/(IG),/after/exposure/to/an/infective/agent./This/immunit
y/is/temporary/and/requires/the/patient/to/present/post-
exposure;/the/protection/provided/by/IG/usually/starts/withi
nhours/of/receiving/thedosesandlastsanumber/ofmonths./Th
euseof/vaccines/to/produce/lasting/disease/protection/is/pref
erred/to/passive/immunization/through/the/use/of/IG./Anoth
er/exam-
/ple/of/passive/immunity/is/theacquisition/ofdisease/protec-
/tion/provided/frommother/tounbornchild/viatheplacenta
./Secondary/prevention/measures/include/activities/provide
d/to/identify/and/treat/asymptomatic/persons/who/have/risk/f
ac-
/tors/fora/givendiseaseor/in/preclinicaldisease./Examples/in-
/clude/screening/examinations/for/preclinical/evidence/o
f/cancer,/such/as/mammography/and/cervical/examination/wi
th/a/Papanicolaou/test./Other/examples/of/secondary/preventi
on/activities/include/screening/for/clinical/conditions/with/a/
pro-
/tracted/asymptomatic/period,/such/as/a/blood/pressure/mea
s-
/urement/to/detect/hypertension/and/a/lipid/profile/to/detect
/hyperlipidemia/(Table/1–1).
See/full/color/images/of/thistopic/o
n/DavisPlus/at/http://davisplus.f
adavis.com/|/Keyword:/Fitzgera
ld
Tertiary/prevention/measures/are/part/of/the/managemen
t/of/an/established/disease./The/goal/is/to/minimize/diseas
e-
/associated/complications/and/the/negative/health/effects/
of/the/conditions/to/the/patient./Examples/include/medicati
ons/and/lifestyle/modification/to/normalize/blood/glucose/le
vels/in/individuals/with/diabetes/mellitus/and/in/conjunction
/with/the/treatment/of/heart/failure,/aimed/at/improving/o
, 10. When/advising/a/patient/about/injectable/influenza/i
m-
/munization,/the/nurse/practitioner/(NP)/considers/th
e/following/about/the/use/of/this/vaccine:
1. Its/use/is/not/recommended/in/sickle/cell/anemia.
2. Itsuse/is/limitedtochildrenolderthan/2/years.
3. Its/use/is/limited/due/to/containing/live/virus.
4. Its/use/is/recommended/for/virtually/all/members/o
f/thepopulation.
11. A/middle-
aged/man/with/chronic/obstructive/pul-
/monary/disease/who/is/about/to/receive/injectable/i
n-/fluenza/vaccine/should/be/advised/that:
1. it/is/more/than/90%/effective/in/preventing/influenza.
2. its/use/is/contraindicated/in/the/presence/of/psoriasi
s/vulgaris.
3. localized/reactions/such/as/soreness/and/redness/
at/the/site/of/the/immunization/are/fairly/comm
on.
4. a/short,/intense,/flulike/syndrome/typically/occur
s/after/immunization.
12. A/44-year-
old/woman/with/asthma/presents/asking/for/a/“flush
ot.”/Sheis/seen/todayfor/an/urgentcarevisit,/is/diagn
osed/with/a/lower/urinary/tract/infection,/and/is/pres
cribed/trimethoprim-
sulfamethoxazole./She/is/without/fever/or/gastrointes
tinal/upset/with/stable/respiratory/status./You/info
rm/her/that/she:
1. should/return/for/the/immunization/after/complet
-/ing/her/antibiotic/therapy.
2. would/likely/develop/a/significant/reaction/if/immu
-/nized/today.
3. can/receive/the/immunization/today.
4. is/not/a/candidate/for/any/form/of/influenza/vaccine.
13. Which/of/the/following/statements/best/describes/
amantadine/or/rimantadine/use/in/the/care/of/patien
ts/with/or/at/risk/for/influenza?
1. Significant/resistance/to/select/strains/of/influenz
a/limits/the/usefulness/of/these/medications.
2. The/primary/action/of/these/therapies/is/in/preven
t-/ing/influenza/A/during/outbreaks.
3. These/therapies/are/active/against/influenza/A/and/B.
4. The/use/of/these/products/is/an/acceptable/alternativ
e/to/influenza/vaccine.
14. Which/of/the/following/statements/best/describes/za
namivir/(Relenza)/or/oseltamivir/(Tamiflu)/use/in/the/
careofpatientswithoratriskforinfluenza?
1. Initiation/of/therapy/early/in/acute/influenza/illnes
s/canhelpminimize/theseverity/ofdiseasewhent
he/illness/is/caused/by/a/nonresistant/viral/strain.
2. The/primary/indication/is/in/preventing/influenza/
A/during/outbreaks.
3. The/drugs/are/active/only/against/influenza/B.
4. The/use/of/these/medications/is/an/acceptable/alte
r-/native/to/influenza/vaccine.
