AND VERIFIED CORRECT
ANSWERS.100% CORRECT
Nurse Practitioners provide primary, acute, and specialty health care across the lifespan through
assessment, diagnosis, and treatment of illnesses and injuries.
Certified Nurse-Midwives provide primary, gynecological, and reproductive health care.
Clinical Nurse Specialists provide diagnosis, treatment, and ongoing management of patients; provide
expertise and support to nurses caring for patients; help drive practice changes throughout the
organization; and ensure use of best practices and evidence-based care to achieve the best possible
patient outcomes.
Certified Registered Nurse Anesthetists provide a full range of anesthesia and pain management
services. - answer ✔✔-Distinguish among the advanced practice registered nursing (APRN) roles
recognized by the Consensus Model for APRN Regulation: Licensure, Accreditation, Certification &
Education.
National Organization for Nurse Practitioner Faculties (NONPF) - answer ✔✔-Which organization
outlined core competencies for nurse practitioners in all tracks and specialties?
-American Association of Colleges of Nursing (AACN)
-National Organization for Nurse Practitioner Faculties (NONPF)
-National Council of State Boards of Nursing (NCSBN)
-American Association of Nurse Practitioners (AANP)
Resilience = the ability of an individual to function well and attain life goals despite strong stressors or
challenges. Resilient organisms moderate the negative effects of stress and promote adaptation.
Resilient behaviors include preserving hope, reaching out to others for help, identifying or developing
resources to manage stressors flexibly and gain a positive outcome. - answer ✔✔-Summarize the basic
nature of resilience including behaviors demonstrated by resilient individuals.
,*Family stress theory*
Family development theory
Life course theory
Individual life span theory - answer ✔✔-The nurse practitioner considers the combined effects of both
normative events and unexpected events on the family unit's health. Which family theory is most
congruent with the nurse practitioner's assessment approach?
Mucokinetic agents
Antibiotic therapy
*Antitussive medication*
Bronchodilator treatment
Antitussive medications are occasionally useful for short-term relief of coughing. Antibiotic therapy is
generally not needed and should be avoided unless a bacterial cause is likely. Bronchodilator
medications show no demonstrated reduction in symptoms and are not recommended. Mucokinetic
agents have no evidence to support their use. - answer ✔✔-A patient develops a dry, nonproductive
cough and is diagnosed with bronchitis. Several days later, the cough becomes productive with mucoid
sputum. What may be prescribed to help with symptoms?
Going to the emergency department (ED)
Taking an oral corticosteroid
Coming to the clinic for evaluation
*Administering two more doses of albuterol*
The patient is experiencing an asthma exacerbation and should follow the asthma action plan (AAP)
which recommends three doses of albuterol before reassessing. The peak flow is above 70%, so ED
admission is not indicated. The patient may be instructed to come to the clinic for oxygen saturation and
spirometry evaluation after administering the albuterol. An oral corticosteroid may be prescribed if the
patient will be treated as an outpatient after following the AAP. - answer ✔✔-A patient diagnosed with
asthma calls the provider to report having a peak flow measure of 75%, shortness of breath, wheezing,
and cough, and tells the provider that the symptoms have not improved significantly after a dose of
albuterol. The patient uses an inhaled corticosteroid medication twice daily. What will the provider
recommend?
, *Esophageal pain*
Aortic dissection pain
Pleural pain
Cardiac pain
Pain that is constant for weeks or is sharp and stabbing is not likely to be cardiac in origin. Both
esophageal and cardiac causes will be attenuated with sublingual nitroglycerin. Aortic dissection will
cause an abrupt onset with the greatest intensity at the beginning of the pain. Pleural pain is usually
related to deep breathing or cough. - answer ✔✔-A patient presents to an emergency department
reporting chest pain. The patient describes the pain as being sharp and stabbing and reports that it has
been present for several weeks. Upon questioning, the examiner determines that the pain is worse after
eating. The patient reports getting relief after taking a friend's nitroglycerin during one episode. What is
the most likely cause of this chest pain?
24-hour esophageal pH monitoring
Sputum culture
*Methacholine challenge test*
Tuberculosis testing
Chronic cough without other symptoms may indicate asthma. If PFTs are normal, a methacholine
challenge test may be performed. 24-hour esophageal pH monitoring is sometimes performed to
evaluate for GERD, but this patient does not have abdominal symptoms and this test is usually not
performed because it is inconvenient. Sputum culture is not indicated. TB is less likely. - answer ✔✔-A
young adult patient develops a cough persisting longer than 2 months. The provider prescribes
pulmonary function tests and a chest radiograph, which are normal. The patient denies abdominal
complaints. There are no signs of rhinitis or sinusitis and the patient does not take any medications.
What will the provider evaluate next to help determine the cause of this cough?
*Ipratropium bromide*
Theophylline
Salmeterol xinafoate
Pirbuterol acetate