AANPCBxfFNPxfPracticexfV2
1. ~xfWhichxfofxfthexffollowingxfisxfthexfleadingxfcausexfofxfcancer-
relatedxfdeathsxfinxfwomen?
Selectxfonlyxfonexfoption.xf
A
Cervicalxfcancer
xfB
Ovarianxfcancerx
fC
Breastxfcancer
xfD
Lungx f cancer:x f D
2. ~xfInxfpulmonaryxffunctionxftesting,xfforcedxfvitalxfcapacityxfrepresentsxfthe:
xfSelectxfonlyxfone xfoption.
A
maximumxfvolumexfofxfairxfthatxfcanxfbexfforcefullyxfexhaledxfafterxfmaximumxfinspi
-ration.
B
totalxfvolumexfofxfairxfthatxfisxfexhaledxfafterxfnormalxfinspiration.xf
C
totalxfvolumexfofxfairxfthatxfthexflungsxfcanxfhold,xfminusxfthexfexpiratoryxfreservexfvolu
me.
D
volumexfofxfairxfthatxfcanxfbexfforcefullyxfexhaledxfinxf1xfsecond.:xfA
3. ~xfMedicationxfoverusexf(analgesiaxfrebound)xfheadachesxfoccur
:xfSelectxfonlyxfonexfoption.
A
infrequentlyx f inx f patientsx f whox f usex f analgesicsx f regularl
y.xfB
inx f approximatelyx f halfx f ofx f allx f patientsx f withx f chronicx f dailyx f headach
es.xfC
occasionallyxf duringx f switchingx f fromxf onex f typex f ofx f analgesicxf tox f another.
, AANPCBxfFNPxfPracticexfV2
D
inx f thex f majorityx f ofx f patientsx f usingx f analgesics.:x f B
4. ~xfAxfnursexfpractitionerxfisxfevaluatingxfaxf38-
weekxfgestationxfnewbornxfinxfthexfnursery.xfWhichxfofxfthexffollowingxfwouldxfbexf
mostxfconcerningxfregardingxfthexfnewborn'sxfreflexes?
Selectxfonlyxfonexfoption.
xfA
Infantxffailsxftoxfrespondxftoxfaxfloudxfnoisexf
B
Infantxfturnsxfheadxfwhenxfthexfcheekxforxfperioralxfareaxfisxfrubbe
dxfC
Infant'sxftoesxfcurlxfdownxfwhenxffingerxfisxfplacedxffirmlyxfatxfthexftoexfbase
xfD
Infantx f isx f heldx f upright,x f andx f feetx f movex f whenx f touchingx f crib:x f A
5. ~x f Ax f middlex f adultx f femalex f whox f recentlyx f returnedx f fromx f ax f businessx f tripx f tox f J
apanxfpresentsx f forx f ax f recheckx f appointment.x f Thex f onlyx f remarkablex f laboratoryx f
resultx f isxfforx f thyroid-
stimulatingx f hormonex f (TSH),x f atx f 0.3x f microunits/mLx f (normalx f =x f 0.4-
6x f microunits/mL).x f Thex f patientx f reportsx f thatx f herx f neckx f hurts;x f examination
x f revealsxfthyroidxftenderness.xfWhichxfofxfthexffollowingxflaboratoryxftestsxfshouldxf
thexfnursexfpractitionerxforderxfnow?
Selectxfonlyxfonexfoption.xf
A
Triiodothyroninexf(T3)xfandxffreexfthyroxinexf(FT4)xf
B
Triiodothyroninexf(T3)xfonlyxf
C
Triiodothyroninexf(T3)xfresinxfuptakexfassayx
fD
Triiodothyroninex f (T3)x f andx f freex f triiodothyroninex f (FT3):x f A
6. ~xfScreeningxfforxfdomesticxfviolencexf(DV)xforxfintimatexfpartnerxfviolencexf(IPV
)xfshouldxfoccur:
, AANPCBxfFNPxfPracticexfV2
Selectx f onlyx f onex f option.
, AANPCBxfFNPxfPracticexfV2
A
withxfsufficientxfevidencexftoxfsupportxfDV/IPV
.x f B
oncexftherexfisxfaxfwell-
establishedxfpatientxfrelationship.xfC
duringxfeachxfencounter.x
fD
whenx f thex f partnerx f isx f consistentlyx f presentx f duringx f examination.:x f C
7. ~xfAxfchildxfpresentsxfwithxfgroupxfAxfstreptococcalxfinfectionxfconfirmedxfbyxfthroa
txfculture.xfPastxfhistoryxfincludesxftreatmentxfforxfpositivexfstreptococcalxfinfectionxf
withxferythromycinxf(EryPedxforalxfsuspension)xf3xfweeksxfago.xfWhatxfisxfthexfmostx
fappropriate xfnextxfintervention?
Selectxfonlyxfonexfoption.xf
A
Treatxfwithxfamoxicillinxfforxf10xfdays.
xfB
Obtainxfculturexfforxfallxfhouseholdxfmembers.
xfC
Treatx f withx f azithromycinx f (Zithromax)x f forx f 10x f day
s.xfD
Intramuscularx f Penicillin.:x f A
8. ~xfAxflatexfadolescentxfisxfbroughtxftoxfthexfnursexfpractitioner'sxfofficexfbyxfherxfmo
ther,xfwhoxfisxfconcernedxfaboutxfherxfdaughter'sxfrecentxfweightxflossxfandxfthexfpot
entialx f ofx f purgingx f herselfx f afterx f meals.x f Thex f daughterx f deniesx f anyx f self-
inducedxfvomiting,xfstarvationxforxfexcessivexfactivity.xfHistoryxfrevealsxfthatxfthexfd
aughterxfwasxfconsistentlyxfinxfthexf50thxfpercentilexfforxfweightxfbutxfisxfnowxfinxfth
exf10thxfpercentile.xfShexfdoesxfstatexfthatxfshexfjogsxf5xfmilesxfaxfdayxfandxfisxfinxfgoodxfc
ondition.x f Inxfadditionxftoxfaxfcompletexfbloodxfcountxfwithxfdifferential,xfwhichxfofxfth
exffollowingxflaboratoryxftestsxfwillxfbexfmostxfhelpfulxfforxffurtherxfassessment?
Selectxfonlyxfonexfoption.xf
A
Electrolytes,xffastingxfbloodxfsugar
1. ~xfWhichxfofxfthexffollowingxfisxfthexfleadingxfcausexfofxfcancer-
relatedxfdeathsxfinxfwomen?
Selectxfonlyxfonexfoption.xf
A
Cervicalxfcancer
xfB
Ovarianxfcancerx
fC
Breastxfcancer
xfD
Lungx f cancer:x f D
2. ~xfInxfpulmonaryxffunctionxftesting,xfforcedxfvitalxfcapacityxfrepresentsxfthe:
xfSelectxfonlyxfone xfoption.
A
maximumxfvolumexfofxfairxfthatxfcanxfbexfforcefullyxfexhaledxfafterxfmaximumxfinspi
-ration.
B
totalxfvolumexfofxfairxfthatxfisxfexhaledxfafterxfnormalxfinspiration.xf
C
totalxfvolumexfofxfairxfthatxfthexflungsxfcanxfhold,xfminusxfthexfexpiratoryxfreservexfvolu
me.
D
volumexfofxfairxfthatxfcanxfbexfforcefullyxfexhaledxfinxf1xfsecond.:xfA
3. ~xfMedicationxfoverusexf(analgesiaxfrebound)xfheadachesxfoccur
:xfSelectxfonlyxfonexfoption.
A
infrequentlyx f inx f patientsx f whox f usex f analgesicsx f regularl
y.xfB
inx f approximatelyx f halfx f ofx f allx f patientsx f withx f chronicx f dailyx f headach
es.xfC
occasionallyxf duringx f switchingx f fromxf onex f typex f ofx f analgesicxf tox f another.
, AANPCBxfFNPxfPracticexfV2
D
inx f thex f majorityx f ofx f patientsx f usingx f analgesics.:x f B
4. ~xfAxfnursexfpractitionerxfisxfevaluatingxfaxf38-
weekxfgestationxfnewbornxfinxfthexfnursery.xfWhichxfofxfthexffollowingxfwouldxfbexf
mostxfconcerningxfregardingxfthexfnewborn'sxfreflexes?
Selectxfonlyxfonexfoption.
xfA
Infantxffailsxftoxfrespondxftoxfaxfloudxfnoisexf
B
Infantxfturnsxfheadxfwhenxfthexfcheekxforxfperioralxfareaxfisxfrubbe
dxfC
Infant'sxftoesxfcurlxfdownxfwhenxffingerxfisxfplacedxffirmlyxfatxfthexftoexfbase
xfD
Infantx f isx f heldx f upright,x f andx f feetx f movex f whenx f touchingx f crib:x f A
5. ~x f Ax f middlex f adultx f femalex f whox f recentlyx f returnedx f fromx f ax f businessx f tripx f tox f J
apanxfpresentsx f forx f ax f recheckx f appointment.x f Thex f onlyx f remarkablex f laboratoryx f
resultx f isxfforx f thyroid-
stimulatingx f hormonex f (TSH),x f atx f 0.3x f microunits/mLx f (normalx f =x f 0.4-
6x f microunits/mL).x f Thex f patientx f reportsx f thatx f herx f neckx f hurts;x f examination
x f revealsxfthyroidxftenderness.xfWhichxfofxfthexffollowingxflaboratoryxftestsxfshouldxf
thexfnursexfpractitionerxforderxfnow?
Selectxfonlyxfonexfoption.xf
A
Triiodothyroninexf(T3)xfandxffreexfthyroxinexf(FT4)xf
B
Triiodothyroninexf(T3)xfonlyxf
C
Triiodothyroninexf(T3)xfresinxfuptakexfassayx
fD
Triiodothyroninex f (T3)x f andx f freex f triiodothyroninex f (FT3):x f A
6. ~xfScreeningxfforxfdomesticxfviolencexf(DV)xforxfintimatexfpartnerxfviolencexf(IPV
)xfshouldxfoccur:
, AANPCBxfFNPxfPracticexfV2
Selectx f onlyx f onex f option.
, AANPCBxfFNPxfPracticexfV2
A
withxfsufficientxfevidencexftoxfsupportxfDV/IPV
.x f B
oncexftherexfisxfaxfwell-
establishedxfpatientxfrelationship.xfC
duringxfeachxfencounter.x
fD
whenx f thex f partnerx f isx f consistentlyx f presentx f duringx f examination.:x f C
7. ~xfAxfchildxfpresentsxfwithxfgroupxfAxfstreptococcalxfinfectionxfconfirmedxfbyxfthroa
txfculture.xfPastxfhistoryxfincludesxftreatmentxfforxfpositivexfstreptococcalxfinfectionxf
withxferythromycinxf(EryPedxforalxfsuspension)xf3xfweeksxfago.xfWhatxfisxfthexfmostx
fappropriate xfnextxfintervention?
Selectxfonlyxfonexfoption.xf
A
Treatxfwithxfamoxicillinxfforxf10xfdays.
xfB
Obtainxfculturexfforxfallxfhouseholdxfmembers.
xfC
Treatx f withx f azithromycinx f (Zithromax)x f forx f 10x f day
s.xfD
Intramuscularx f Penicillin.:x f A
8. ~xfAxflatexfadolescentxfisxfbroughtxftoxfthexfnursexfpractitioner'sxfofficexfbyxfherxfmo
ther,xfwhoxfisxfconcernedxfaboutxfherxfdaughter'sxfrecentxfweightxflossxfandxfthexfpot
entialx f ofx f purgingx f herselfx f afterx f meals.x f Thex f daughterx f deniesx f anyx f self-
inducedxfvomiting,xfstarvationxforxfexcessivexfactivity.xfHistoryxfrevealsxfthatxfthexfd
aughterxfwasxfconsistentlyxfinxfthexf50thxfpercentilexfforxfweightxfbutxfisxfnowxfinxfth
exf10thxfpercentile.xfShexfdoesxfstatexfthatxfshexfjogsxf5xfmilesxfaxfdayxfandxfisxfinxfgoodxfc
ondition.x f Inxfadditionxftoxfaxfcompletexfbloodxfcountxfwithxfdifferential,xfwhichxfofxfth
exffollowingxflaboratoryxftestsxfwillxfbexfmostxfhelpfulxfforxffurtherxfassessment?
Selectxfonlyxfonexfoption.xf
A
Electrolytes,xffastingxfbloodxfsugar
