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Exam (elaborations)

BOARD EXAM questions with verified detailed answers

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BOARD EXAM questions with verified detailed answers

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BOARD EXAM questions with verified detailed answers || || || || || ||




When discharging an 85-year-old patient with stasis dermatitis, the adult-gerontology acute
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care nurse practitioner includes instructions to:
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a. keep legs elevated while seated.
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b. maintain systolic blood pressure greater than 120 mmHg.
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c. soak legs in warm water daily. wear
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d. compression stockings of 65 mmHg below the knee.
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d. compression stockings of 65 mmHg below the knee.
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A young female patient arrives at the emergency department with a vaginal discharge. After
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performing a pelvic examination, the adult-gerontology acute care nurse practitioner
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documents which abnormal finding? || || ||




a. Cervical motion tenderness.
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b. Pink vaginal mucosa.
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c. Positive bowel sounds.
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d. Positive rectal tone.
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a. Cervical motion tenderness.
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A patient has hyperactive reflexes of the lower extremities. The adult-gerontology acute care
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nurse practitioner assesses for ankle clonus by:
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,2


a. applying a low-pitched tuning fork firmly to the lateral malleolus.
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b. sharply dorsiflexing and maintaining the foot in this position while supporting the knee.
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c. striking the Achilles tendon with the percussion hammer after flexing the leg at the knee
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and rotating it externally.
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d. stroking the lateral aspect of the sole with the sharp end of the percussion hammer from
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the heel to the ball of the foot.
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b. sharply dorsiflexing and maintaining the foot in this position while supporting the knee.
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A patient with a history of heart failure arrives at the emergency department exhibiting
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shortness of breath and lower extremity swelling. Both of the patient's symptoms are a
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result of: ||




a. a decrease in plasma oncotic pressure.
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b. an increase in capillary hydrostatic pressure.
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c. an increase in capillary membrane permeability.
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d. an obstruction of lymphatic drainage.
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c. an increase in capillary membrane permeability.
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Temporal arteritis requires immediate treatment in order to prevent:
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a. blindness in the affected eye.
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b. facial nerve palsy.
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c. transient ischemic attack.
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d. trigeminal neuralgia.
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a. blindness in the affected eye.
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, 2




A 15-year-old patient with type 1 diabetes mellitus reports elevated blood glucose levels in
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the morning. The adult-gerontology acute care nurse practitioner determines that the
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patient's hyperglycemia is due to the dawn phenomenon and:
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a. increases the insulin dosage at bedtime.
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b. reduces the insulin dosage at bedtime.
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c. tests the blood glucose level at 3 a.m. every morning.
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d. tests the blood glucose level in the evening.
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a. increases the insulin dosage at bedtime.
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A 78-year-old male patient with heart failure develops a bacterial urinary tract infection
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secondary to an indwelling Foley catheter. The patient has a known history of allergy to
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penicillin and sulfonamides. The appropriate choice for antimicrobial therapy is:
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a. cephalexin (Keflex).
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b. ciprofloxacin (Cipro).
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c. doxycycline (Vibramycin).
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d. tetracycline (Sumycin).
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b. ciprofloxacin (Cipro).
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What legislation allowed nurse practitioners to be recognized Medicare providers in all
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geographical areas with their own provider number?
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