AANP FNP:Family Nurse Practitioner-questions for FNP review: Questions & Answers: Updated A+ Score Guide

A 72 year old woman has been on hydrochlorthiazide 12.5 mg for many years to control her Stage II hypertension. Her BP at this visit is 168/96. She is currently complaining of pain in her right hip and both knees. She has increased her dose of ibuprofen from 400 mg TID to 800 mg TID. She is still in pain and would like something stronger. Which of the following statements is the best explanation of the effects of ibuprofen on her disease. a. It increases the chances of adverse effects to her health b. it inhibits the effect of renal prostaglandins and blunts the effectiveness of the diuretic c. it prolongs the therapeutic effects of HCTZ and other diuretics d. none of the above (Ans - b All of the following are infections that affect mostly the labia and vagina except? a. Bacterial vaginosis b. candidiasis c. trichomoniasis d. chlamydia trachomatis (Ans - d The nurse practitioner would test the obturator and iliopsoas muscle to evaluate for? a. cholecystitis b. acute appendicitis c. inguinal hernia d. gastric ulcer (Ans - b Treatment for mild preeclampsia includes all of the following except? a. bedrest except for bathroom privileges b. close monitoring of weight and blood pressure c. close follow-up of urinary protein, serum creatinine, and platelet count d. a prescription of methyldopa to control BP (Ans - d All of the following services are covered under Medicare Part A except? a. inpatient hospitalization b. medicines administered to a patient while hospitalized c. nursing home care d. surgeons (Ans - c A 28 year old student is seen in the school health clinic with complaints of a hacking cough that is productive of small amounts of sputum and a runny nose. He does not take medications, denies any allergies, and has no significant medical history. Physical exam reveals low-grade temperature of 99.9 degrees, respirations of 16 per minute, heart rate of 90 beats per minute, and diffuse fine crackles in the base of the lungs. A chest xray shows diffuse infiltrates on the lower lobe of the right lung. The total WBC is 10,000. What is the most likely diagnosis? a. streptococcal pneumonia b. mycoplasma pneumonia c. acute bronchitis d. legionnaire's disease (Ans - b A 39 year old migrant worker presents to the clinic 2.5 days after a PPD skin test. The minimum size of induration would be considered positive in this patient? a. 3 mm b. 5 mm c. 10 mm d. 15 mm (Ans - c All of the following are correct statements regarding a durable power of attorney's role except? a. their decisions are legally binding b. it can be used in other areas of a patient's life such as financial issues c. they can decide for the patient who is on life support when it can be terminated d. the patient's spouse has the right to override a durable power of attorney (Ans - d