Question 1
The cleansing of the stomach with solution delivered through a nasogastric tube is known
as what?
Gavage
Emesis
Lavage
Stomach pumping
CORRECT ANSWER
Lavage
Gastric lavage is used to cleanse the stomach of a poison, overdose of medication, or
other toxic substance. It is delivered through a nasogastric tube
Question 2
You are providing care to a patient who has recently begun dialysis. Her daughter, with
whom she lives and who prepares many of her meals, asks what types of foods she should
incorporate into her diet and which she should avoid. Which of the following is NOT a food
that this patient should be advised to avoid?
Avocado.
Lean red meat.
Dried fruit.
Bananas.
1
,CORRECT ANSWER
Lean red meat
Dialysis patients are encouraged to eat lean meat, including red meat. High quality
proteins produce less waste and help the body heal and maintain regular processes.
Dialysis patients should avoid foods high in potassium, including avocado, banana, and
dried fruit, and should eat other potassium-containing foods in moderation.
Question 3
Your 89-year-old patient presents with dyspepsia and nausea. After testing, you determine
she is positive for Peptic Ulcer Disease. Of the following, which would LEAST likely be a
differential diagnosis for Peptic Ulcer Disease?
Cholecystitis.
Migraines.
Gastric carcinoma.
Cardiovascular disease.
CORRECT ANSWER
Migraines
Peptic Ulcer Disease is a gastrointestinal disorder. Other differential diagnoses of the
condition are pancreatitis and biliary tract disease.
Question 4
There are a good many diseases affecting the elderly that are the result of smoking.
Counseling regarding smoking cessation is part of the GNP's job. The components of brief
intervention for treating tobacco use are:
2
,Counsel, Document, Caution, Describe, Demonstrate
Advise, Confer, Describe, Document, Prescribe
Advise, Counsel, Intervene, Prescribe, Follow-up
Ask, Advise, Assess, Assist, Arrange
CORRECT ANSWER
Ask, Advise, Assess, Assist, Arrange
Ask about tobacco use, Advise to quit, Assess willingness to make an attempt to quit,
Assist in this quit attempt. Arrange a follow-up.
Question 5
Mrs. Frasier, an 50-year-old patient, presents with a mosquito bite that she is concerned
about. How do you diagnose this?
Cyst.
Bulla.
Wheal.
Plaques.
CORRECT ANSWER
Wheal
Cyst: encapsulated, fluid-filled mass that varies in size. Bulla: fluid-filled, elevated,
circumscribed lesion that's larger than 5mm. Wheal: circumscribed, reddening with
transient elevation lesion that's 0.5 to 10mm diameter. Plaques: usually a grouping of
papules; elevated and a variety of shapes; larger than 5mm.
Question 6
3
, Which of the following groups should be tested for abdominal aortic aneurysm?
males aged 65-75 who have ever smoked
females aged 65-75 who have hypertension
males and females over 75
females over 75
CORRECT ANSWER
males aged 65-75 who have ever smoked
Abdominal aortic aneurysm (AAA) is more prevalent in males than in females. The
American Heart Association recommends screening males once between ages 65-75 if
they have ever smoked since that increases the risk of AAA.
Question 7
With a giardia lamblia diagnosis, the NP would MOST likely prescribe what medication?
Metronidazole.
Erythromycin.
Ampicillin.
Trimethoprim-sulfamethoxazole.
CORRECT ANSWER
Metronidazole.
The preceding drugs are typically used in treating the following: - Campylobacter jejuni:
Erythromycin - Salmonella: Ampicillin - Shigella: Trimethoprim-sulfamethoxazole -
Giardia lamblia: Metronidazole
4
The cleansing of the stomach with solution delivered through a nasogastric tube is known
as what?
Gavage
Emesis
Lavage
Stomach pumping
CORRECT ANSWER
Lavage
Gastric lavage is used to cleanse the stomach of a poison, overdose of medication, or
other toxic substance. It is delivered through a nasogastric tube
Question 2
You are providing care to a patient who has recently begun dialysis. Her daughter, with
whom she lives and who prepares many of her meals, asks what types of foods she should
incorporate into her diet and which she should avoid. Which of the following is NOT a food
that this patient should be advised to avoid?
Avocado.
Lean red meat.
Dried fruit.
Bananas.
1
,CORRECT ANSWER
Lean red meat
Dialysis patients are encouraged to eat lean meat, including red meat. High quality
proteins produce less waste and help the body heal and maintain regular processes.
Dialysis patients should avoid foods high in potassium, including avocado, banana, and
dried fruit, and should eat other potassium-containing foods in moderation.
Question 3
Your 89-year-old patient presents with dyspepsia and nausea. After testing, you determine
she is positive for Peptic Ulcer Disease. Of the following, which would LEAST likely be a
differential diagnosis for Peptic Ulcer Disease?
Cholecystitis.
Migraines.
Gastric carcinoma.
Cardiovascular disease.
CORRECT ANSWER
Migraines
Peptic Ulcer Disease is a gastrointestinal disorder. Other differential diagnoses of the
condition are pancreatitis and biliary tract disease.
Question 4
There are a good many diseases affecting the elderly that are the result of smoking.
Counseling regarding smoking cessation is part of the GNP's job. The components of brief
intervention for treating tobacco use are:
2
,Counsel, Document, Caution, Describe, Demonstrate
Advise, Confer, Describe, Document, Prescribe
Advise, Counsel, Intervene, Prescribe, Follow-up
Ask, Advise, Assess, Assist, Arrange
CORRECT ANSWER
Ask, Advise, Assess, Assist, Arrange
Ask about tobacco use, Advise to quit, Assess willingness to make an attempt to quit,
Assist in this quit attempt. Arrange a follow-up.
Question 5
Mrs. Frasier, an 50-year-old patient, presents with a mosquito bite that she is concerned
about. How do you diagnose this?
Cyst.
Bulla.
Wheal.
Plaques.
CORRECT ANSWER
Wheal
Cyst: encapsulated, fluid-filled mass that varies in size. Bulla: fluid-filled, elevated,
circumscribed lesion that's larger than 5mm. Wheal: circumscribed, reddening with
transient elevation lesion that's 0.5 to 10mm diameter. Plaques: usually a grouping of
papules; elevated and a variety of shapes; larger than 5mm.
Question 6
3
, Which of the following groups should be tested for abdominal aortic aneurysm?
males aged 65-75 who have ever smoked
females aged 65-75 who have hypertension
males and females over 75
females over 75
CORRECT ANSWER
males aged 65-75 who have ever smoked
Abdominal aortic aneurysm (AAA) is more prevalent in males than in females. The
American Heart Association recommends screening males once between ages 65-75 if
they have ever smoked since that increases the risk of AAA.
Question 7
With a giardia lamblia diagnosis, the NP would MOST likely prescribe what medication?
Metronidazole.
Erythromycin.
Ampicillin.
Trimethoprim-sulfamethoxazole.
CORRECT ANSWER
Metronidazole.
The preceding drugs are typically used in treating the following: - Campylobacter jejuni:
Erythromycin - Salmonella: Ampicillin - Shigella: Trimethoprim-sulfamethoxazole -
Giardia lamblia: Metronidazole
4
