A patient has hyperactive reflexes of the lower extremities. The adult-gerontology acute care nurse
practitioner assesses for ankle clonus by: - Answersharply dorsiflexing and maintaining the foot in
this position, while supporting the knee.
A 15-year-old patient with type 1 diabetes mellitus reports elevated blood glucose levels in the
morning. The adult-gerontology acute care nurse practitioner determines that the patient's
hyperglycemia is due to the dawn phenomenon and - Answerincreases the insulin dosage at bedtime
A patient with a history of atrial fibrillation, who has maintained normal sinus rhythm with sotalol
(Betapace), is hospitalized for acute pyelonephritis. The appropriate antibiotic regimen for this
patient is intravenous - Answerceftriaxone
A patient who has been in the intensive care unit for 17 days develops hypernatremic
hyperosmolality. The patient weighs 132 lb (59.9 kg), is intubated, and is receiving mechanical
ventilation. The serum osmolality is 320 mOsm/L kg H2O. Clinical signs include tachycardia and
hypotension. The adult-gerontology acute care nurse practitioner's initial treatment is to -
AnswerThe right answer was replenish volume by infusing a 0.9% sodium chloride solution
Cytology is evaluated with - Answerfine needle biopsy
What is the single best predictor of one's health status? - Answerhealth literacy
Patient Health Questionnaire (PHQ-9) - Answercommon depression screening tool, self rank 9 signs
and symptoms over last 2 weeks on scale of 0-3
CAGE-AID - AnswerC-have you ever felt that you ought to cut down on your drinking or drug use?
A-have people annoyed you by criticizing your drinking or drug use?
G-have you ever felt bad or guilty about your dirnking or drug use?
E-Have you ever had a drink or used drugs first thing in the morning to steady your nerves or to get
rid of a hangover? (e.g. eye opener)
Ramsay Sedation scale - AnswerAwake:
1: anxious, agitated, restless
,2: cooperative, oriented, tranquil
3: responsive to commands only
Sleeping:
4:response to light glabellar tap ro loud auditory stimulus
5: sluggish response to light glabellar tap or loud auditory stimulus
6: no response to light glabellar tap or loud auditory stimulus
Brief pain inventory - AnswerAssess impact of pain on daily life
What is a good assessment tool for chronic pain such as with cancer patients? - AnswerBrief pain
inventory
Go review MMSE - Answer
What physical activity is good for Parkinson's patients? - AnswerTai chi
What is salsa dancing good for? - AnswerCoordination
What is benchmarking? - AnswerComparison and measurement of a healthcare organization's
services against other national healthcare organizations
HIPAA title I - Answerprotects health insurance coverage for workers and their families when they
change or lose their jobs i.e. cobra
HIPAA title II - Answeradministrative simplification provisions, standards for electronic healthcare
transactions and national identifiers for providers, health insurance, and employers
Who enforces HIPAA? - AnswerOffice of civil rights
Levels of facial fracture - Answer1. floating pallet
2. mandible
3. Face
, What is a tertiary facility - AnswerProvides specialized care i.e. level 1 trauma
2 goals of healthy people 2020 - Answerincrease quality and years of healthy life and eliminate
health disparities among Americans
Infections that require reporting to health department (5) - Answergonorrhea, chlamydia, syphilis,
HIV, TB
Who sets standards of coding (E&M) ? - Answermedicare
What are examples of 3rd party payers? - AnswerMedicare, Medicaid, commercial insurers, HMOs,
schools providing insurance
Medicare A - Answercovers hospitalizations, SNFs, home health, hospice if associated with
hospitalizations
Medicare B - AnswerCovers provider services, outpatient, labs and diagnostics, supplemental
requiring premium, medicare pays 80% of bill
Medicare C - AnswerA+B = C; medicare advantage, receive services under one provider e.g. HMO,
PPO
Medicare D - Answerlimited prescription coverage, monthly premium, includes copay, need to enroll
when first eligible
What is required for a NP to be able to bill medicare? - AnswerHold a state license, be certified by a
professional body, hold at least a MSN degree
What is an important goal of CQI/QA? - Answermonitoring outcomes of care
Who dictates the level of prescriptive authority? - Answerstate practice acts
Who allows NPs to admit to the hospital? - Answerjoint comission
practitioner assesses for ankle clonus by: - Answersharply dorsiflexing and maintaining the foot in
this position, while supporting the knee.
A 15-year-old patient with type 1 diabetes mellitus reports elevated blood glucose levels in the
morning. The adult-gerontology acute care nurse practitioner determines that the patient's
hyperglycemia is due to the dawn phenomenon and - Answerincreases the insulin dosage at bedtime
A patient with a history of atrial fibrillation, who has maintained normal sinus rhythm with sotalol
(Betapace), is hospitalized for acute pyelonephritis. The appropriate antibiotic regimen for this
patient is intravenous - Answerceftriaxone
A patient who has been in the intensive care unit for 17 days develops hypernatremic
hyperosmolality. The patient weighs 132 lb (59.9 kg), is intubated, and is receiving mechanical
ventilation. The serum osmolality is 320 mOsm/L kg H2O. Clinical signs include tachycardia and
hypotension. The adult-gerontology acute care nurse practitioner's initial treatment is to -
AnswerThe right answer was replenish volume by infusing a 0.9% sodium chloride solution
Cytology is evaluated with - Answerfine needle biopsy
What is the single best predictor of one's health status? - Answerhealth literacy
Patient Health Questionnaire (PHQ-9) - Answercommon depression screening tool, self rank 9 signs
and symptoms over last 2 weeks on scale of 0-3
CAGE-AID - AnswerC-have you ever felt that you ought to cut down on your drinking or drug use?
A-have people annoyed you by criticizing your drinking or drug use?
G-have you ever felt bad or guilty about your dirnking or drug use?
E-Have you ever had a drink or used drugs first thing in the morning to steady your nerves or to get
rid of a hangover? (e.g. eye opener)
Ramsay Sedation scale - AnswerAwake:
1: anxious, agitated, restless
,2: cooperative, oriented, tranquil
3: responsive to commands only
Sleeping:
4:response to light glabellar tap ro loud auditory stimulus
5: sluggish response to light glabellar tap or loud auditory stimulus
6: no response to light glabellar tap or loud auditory stimulus
Brief pain inventory - AnswerAssess impact of pain on daily life
What is a good assessment tool for chronic pain such as with cancer patients? - AnswerBrief pain
inventory
Go review MMSE - Answer
What physical activity is good for Parkinson's patients? - AnswerTai chi
What is salsa dancing good for? - AnswerCoordination
What is benchmarking? - AnswerComparison and measurement of a healthcare organization's
services against other national healthcare organizations
HIPAA title I - Answerprotects health insurance coverage for workers and their families when they
change or lose their jobs i.e. cobra
HIPAA title II - Answeradministrative simplification provisions, standards for electronic healthcare
transactions and national identifiers for providers, health insurance, and employers
Who enforces HIPAA? - AnswerOffice of civil rights
Levels of facial fracture - Answer1. floating pallet
2. mandible
3. Face
, What is a tertiary facility - AnswerProvides specialized care i.e. level 1 trauma
2 goals of healthy people 2020 - Answerincrease quality and years of healthy life and eliminate
health disparities among Americans
Infections that require reporting to health department (5) - Answergonorrhea, chlamydia, syphilis,
HIV, TB
Who sets standards of coding (E&M) ? - Answermedicare
What are examples of 3rd party payers? - AnswerMedicare, Medicaid, commercial insurers, HMOs,
schools providing insurance
Medicare A - Answercovers hospitalizations, SNFs, home health, hospice if associated with
hospitalizations
Medicare B - AnswerCovers provider services, outpatient, labs and diagnostics, supplemental
requiring premium, medicare pays 80% of bill
Medicare C - AnswerA+B = C; medicare advantage, receive services under one provider e.g. HMO,
PPO
Medicare D - Answerlimited prescription coverage, monthly premium, includes copay, need to enroll
when first eligible
What is required for a NP to be able to bill medicare? - AnswerHold a state license, be certified by a
professional body, hold at least a MSN degree
What is an important goal of CQI/QA? - Answermonitoring outcomes of care
Who dictates the level of prescriptive authority? - Answerstate practice acts
Who allows NPs to admit to the hospital? - Answerjoint comission
