APEA 3P 2.0 Study Test Bank

When performing a visual acuity test the nurse practitioner notes 20/30 in the left eye and 20/40 in the right eye using the Snellen eye chart. This means: - refer the patient to an ophthalmologist The American psychiatric association's diagnostic and statistical manual of mental disorder defines Munchausen Syndrome by Proxy - a caregiver making up or causing an illness or injury in a person under his or her care Symptoms of depression are a side effect of which neurotransmitter medication? - dopamine Which lesion is dark raised and asymmetric with irregular borders? - melanoma A 32 year old woman presents with dull puffiness of the eyes pronounced nonpitting periorbital edema, this finding is suggestive of which condition? - myxedema a 42 year old woman with a PMH of migraine headaches is requesting prophylactic medication treatment. Which medication should the nurse practitioner prescribe? - amitriptyline (elavil) A pediatric patient has areas of scaling on the scalp with round patches of alopecia. this clinical finding is consistent with: - tinea capitis what is the appropriate prophylactic medication for an 18 year old woman with a past medical history of migraine headaches? - propanolol (inderal) Why would a combined hormonal contraceptive be contraindicated in a 36 year old patient with a PMH of type 2 diabetes, obesity, chronic smoking, and sedentary lifestyle - her age and tobacco use During the breast examination of a perimenopausal woman, the NP detects a bloody spontaneous discharge from the right nipple. This indicates further evaluation - an intraductal papilloma when interpreting a CBC lab report which of the following results describes the size of the RBCs - Mean corpuscular volume (MCV) What medication should be avoided when prescribing prophylactic therapy for headaches? - Venlataxin (effexor) Which of the following conditions is NOT a typical finding of hyperprolactinemia in a 47 year old premenopausal woman? - gynecomastia which immunization reduces a patients risk for infection with the virus that causes painful localized blistering rash? - shingles (herpes zoster) vaccine The client with iron deficiency anemia should be advised to take the iron supplement - on an empty stomach between meals Which one of the following statements is true of Munchausen syndrome by proxy - under the supervision of adults other than the abuser, the patient does not exhibit symptoms Which of the following is the most common presenting sign of substance abuse in adolescents? - changes in behavior