TEST BANK
Primary Care: The Art and Science of Advanced Practice
Nursing
Lynne M. Dunphy, Jill E. Winland-Brown, Brian O. Porter, Debera J. Thomas
4th Edition
,Table of Contents
Unit 01, Chapter 3. Health Promotion 1
Unit 01, Chapter 5. Evidence-Based Care 3
Unit 02, Chapter 6. Neurological Problems 6
Unit 02, Chapter 7. Skin Problems 12
Unit 02, Chapter 8. Eyes, Ears, Nose, and Throat 18
Unit 02, Chapter 9. Respiratory Problems 24
Unit 02, Chapter 10. Cardiovascular Problems 31
Unit 02, Chapter 11. Abdominal Problems 37
Unit 02, Chapter 12. Renal Problems 42
Unit 02, Chapter 13. Men's Health Problems 48
Unit 02, Chapter 14. Women's Health Problems 53
Unit 02, Chapter 15. Musculoskeletal Problems 59
Unit 02, Chapter 16. Endocrine-Metabolic Problems 66
Unit 02, Chapter 17. Hematologic and Immune Problems 72
Unit 02, Chapter 18. Psychosocial Problems 78
Unit 02, Chapter 19. Emergency Problems 84
Unit 03, Chapter 20. Palliative Care 90
Unit 03, Chapter 21. Ethical and Legal Issues of a Caring-Based Practice 94
Unit 03, Chapter 22. Business of Advanced Practice 98
Unit 03, Chapter 23. The 15-Minute Hour 101
Unit 03, Chapter 24. Putting Caring into Practice-Caring for Self 104
,______________________________________________________________________________________________
Test Bank - Primary Care: The Art and Science of Advanced Practice Nursing, 4th Edition (Dunphy, 2016)
Unit 01, Chapter 3. Health Promotion
MULTIPLE CHOICE
1. Which of the following is a primary prevention measure for a 76-year-old man newly
diagnosed with a testosterone deficiency?
a. Calcium supplementation
b. Testicular self-examination
c. Bone density test
d. Digital rectal examination
ANS: A PTS: 1
2. Which of the following is an example of secondary prevention in a 50-year-old woman?
a. Yearly mammogram
b. Low animal fat diet
c. Use of seat belt
d. Daily application of sunscreen
ANS: A PTS: 1
3. Which of the following is an example of tertiary prevention in a patient with chronic renal
failure?
a. Fluid restriction
b. Hemodialysis 4 days a week
c. High-protein diet
d. Maintenance of blood pressure at 120/80
ANS: B PTS: 1
4. Immunizations are an example of which type of prevention?
a. Primary
b. Secondary
c. Tertiary
ANS: A PTS: 1
TRUE/FALSE
1. Prevalence is the number of new cases of a particular disease.
ANS: F PTS: 1
2. The number of cases of a particular disease for the past 5 years is an example of the
incidence rate.
ANS: F PTS: 1
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Test Bank - Primary Care: The Art and Science of Advanced Practice Nursing, 4th Edition (Dunphy, 2016)
3. "There are 1,185,000 cases of HIV/AIDS in the United States" is an example of the
morbidity rate.
ANS: T PTS: 1
4. Endemic is the term used when the presence of an event is constant.
ANS: T PTS: 1
5. The "bird" flu of 2005 to 2006 is considered a sporadic outbreak.
ANS: F PTS: 1
6. A pandemic affects many communities in a short period of time.
ANS: T PTS: 1
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2|Page
,______________________________________________________________________________________________
Test Bank - Primary Care: The Art and Science of Advanced Practice Nursing, 4th Edition (Dunphy, 2016)
Unit 01, Chapter 5. Evidence-Based Care
MULTIPLE CHOICE
1. Which of the following are parts of evidence-based practice?
a. Clinician
b. Patient
c. Evidence
d. All of the above
ANS: D PTS: 1
2. Which is the most important question to ask in nursing research?
a. What findings constitute evidence?
b. How will the findings be used?
c. Is this a randomized controlled trial?
d. What theory is being utilized?
ANS: B PTS: 1
3. Nursing research should be utilized by:
a. Nurses at the bedside
b. Advanced practice nurses
c. Nurse researchers
d. Nurses at all levels of practice
ANS: D PTS: 1
4. Applying evidence at the point of care requires:
a. Readily available evidence-based resources
b. Ability to review research literature
c. Single articles in journals
d. Current textbooks
ANS: A PTS: 1
5. Practice guidelines are designed to:
a. Be inflexible
b. Be utilized in every circumstance
c. Provide a reference point for decision making
d. Be created by a professional organization to guide the practice of a profession
ANS: C PTS: 1
6. Which of the following is a crucial element of developing a guideline?
a. Creating a physician expert panel
b. Reviewing the literature with ratings of available evidence
c. Conducting an external review of a guideline
d. Developing evidence-based tables
ANS: B PTS: 1
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3|Page
,______________________________________________________________________________________________
Test Bank - Primary Care: The Art and Science of Advanced Practice Nursing, 4th Edition (Dunphy, 2016)
7. Which of the following would be considered the research design for Level I evidence?
a. Single, well-designed randomized clinical trial
b. Systematic review of randomized clinical trial studies
c. Well-designed controlled trials without randomization
d. Systematic reviews of descriptive or qualitative studies
ANS: B PTS: 1
8. Which of the following would be considered the research design for Level II evidence?
a. Single descriptive or qualitative study
b. Well-designed case control or cohort studies
c. Single, well-designed, randomized clinical trial
d. Systematic review of randomized clinical trial studies
ANS: C PTS: 1
9. Which of the following would be considered the research design for Level III evidence?
a. Well-designed controlled trials without randomization
b. Systematic reviews of descriptive or qualitative studies
c. Systematic review of randomized clinical trial studies
d. Opinion of authorities and expert committees
ANS: A PTS: 1
10. Which of the following would be considered the research design for Level IV evidence?
a. Single descriptive or qualitative study
b. Opinion of authorities and expert committees
c. Systematic review of randomized clinical trial studies
d. Well-designed controlled trials without randomization
ANS: D PTS: 1
11. Which of the following would be considered the research design for Level V evidence?
a. Systematic review of randomized clinical trial studies
b. Well-designed controlled trials without randomization
c. Systematic reviews of descriptive or qualitative studies
d. Single descriptive or qualitative study
ANS: C PTS: 1
12. Which of the following would be considered the research design for Level VI evidence?
a. Systematic reviews of descriptive or qualitative studies
b. Opinion of authorities and expert committees
c. Well-designed case control or cohort studies
d. Single descriptive or qualitative study
ANS: C PTS: 1
13. Which of the following would be considered the research design for Level VII evidence?
a. Well-designed controlled trials without randomization
b. Opinion of authorities and expert committees
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,______________________________________________________________________________________________
Test Bank - Primary Care: The Art and Science of Advanced Practice Nursing, 4th Edition (Dunphy, 2016)
c. Well-designed case control or cohort studies
d. Single descriptive or qualitative study
ANS: B PTS: 1
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, ______________________________________________________________________________________________
Test Bank - Primary Care: The Art and Science of Advanced Practice Nursing, 4th Edition (Dunphy, 2016)
Unit 02, Chapter 6. Neurological Problems
MULTIPLE CHOICE
1. Which statement about confusion is true?
a. Confusion is a disease process.
b. Confusion is always temporary.
c. Age is a reliable predictor of confusion.
d. Polypharmacy is a major contributor to confusion in older adults.
ANS: D PTS: 1
2. Sondra's peripheral vestibular disease causes dizziness and vertigo. Which of the following
medications will help to decrease edema in the labyrinth of the ear?
a. Meclizine
b. Diphenhydramine
c. Diamox
d. Promethazine
ANS: C PTS: 1
3. The hallmark of an absence seizure is:
a. No activity at all
b. A blank stare
c. Urine is usually voided involuntarily
d. The attack usually lasts several minutes
ANS: B PTS: 1
4. How often should drug levels be monitored when a seizure medication has controlled the
seizures, and the drug level is adequate?
a. Every 3 months
b. Every 6 months
c. Annually
d. Whenever there is a problem
ANS: B PTS: 1
5. Which of the following persons fits the classic description of a patient with multiple
sclerosis (MS)?
a. A teenage male
b. A 65-year-old male
c. A 25-year-old female
d. A 60-year-old female
ANS: C PTS: 1
6. Which of the following is a specific test to MS?
a. Magnetic resonance imaging (MRI)
b. Computed tomography (CT) scan
______________________________________________________________________________________________
6|Page
Primary Care: The Art and Science of Advanced Practice
Nursing
Lynne M. Dunphy, Jill E. Winland-Brown, Brian O. Porter, Debera J. Thomas
4th Edition
,Table of Contents
Unit 01, Chapter 3. Health Promotion 1
Unit 01, Chapter 5. Evidence-Based Care 3
Unit 02, Chapter 6. Neurological Problems 6
Unit 02, Chapter 7. Skin Problems 12
Unit 02, Chapter 8. Eyes, Ears, Nose, and Throat 18
Unit 02, Chapter 9. Respiratory Problems 24
Unit 02, Chapter 10. Cardiovascular Problems 31
Unit 02, Chapter 11. Abdominal Problems 37
Unit 02, Chapter 12. Renal Problems 42
Unit 02, Chapter 13. Men's Health Problems 48
Unit 02, Chapter 14. Women's Health Problems 53
Unit 02, Chapter 15. Musculoskeletal Problems 59
Unit 02, Chapter 16. Endocrine-Metabolic Problems 66
Unit 02, Chapter 17. Hematologic and Immune Problems 72
Unit 02, Chapter 18. Psychosocial Problems 78
Unit 02, Chapter 19. Emergency Problems 84
Unit 03, Chapter 20. Palliative Care 90
Unit 03, Chapter 21. Ethical and Legal Issues of a Caring-Based Practice 94
Unit 03, Chapter 22. Business of Advanced Practice 98
Unit 03, Chapter 23. The 15-Minute Hour 101
Unit 03, Chapter 24. Putting Caring into Practice-Caring for Self 104
,______________________________________________________________________________________________
Test Bank - Primary Care: The Art and Science of Advanced Practice Nursing, 4th Edition (Dunphy, 2016)
Unit 01, Chapter 3. Health Promotion
MULTIPLE CHOICE
1. Which of the following is a primary prevention measure for a 76-year-old man newly
diagnosed with a testosterone deficiency?
a. Calcium supplementation
b. Testicular self-examination
c. Bone density test
d. Digital rectal examination
ANS: A PTS: 1
2. Which of the following is an example of secondary prevention in a 50-year-old woman?
a. Yearly mammogram
b. Low animal fat diet
c. Use of seat belt
d. Daily application of sunscreen
ANS: A PTS: 1
3. Which of the following is an example of tertiary prevention in a patient with chronic renal
failure?
a. Fluid restriction
b. Hemodialysis 4 days a week
c. High-protein diet
d. Maintenance of blood pressure at 120/80
ANS: B PTS: 1
4. Immunizations are an example of which type of prevention?
a. Primary
b. Secondary
c. Tertiary
ANS: A PTS: 1
TRUE/FALSE
1. Prevalence is the number of new cases of a particular disease.
ANS: F PTS: 1
2. The number of cases of a particular disease for the past 5 years is an example of the
incidence rate.
ANS: F PTS: 1
______________________________________________________________________________________________
1|Page
,______________________________________________________________________________________________
Test Bank - Primary Care: The Art and Science of Advanced Practice Nursing, 4th Edition (Dunphy, 2016)
3. "There are 1,185,000 cases of HIV/AIDS in the United States" is an example of the
morbidity rate.
ANS: T PTS: 1
4. Endemic is the term used when the presence of an event is constant.
ANS: T PTS: 1
5. The "bird" flu of 2005 to 2006 is considered a sporadic outbreak.
ANS: F PTS: 1
6. A pandemic affects many communities in a short period of time.
ANS: T PTS: 1
______________________________________________________________________________________________
2|Page
,______________________________________________________________________________________________
Test Bank - Primary Care: The Art and Science of Advanced Practice Nursing, 4th Edition (Dunphy, 2016)
Unit 01, Chapter 5. Evidence-Based Care
MULTIPLE CHOICE
1. Which of the following are parts of evidence-based practice?
a. Clinician
b. Patient
c. Evidence
d. All of the above
ANS: D PTS: 1
2. Which is the most important question to ask in nursing research?
a. What findings constitute evidence?
b. How will the findings be used?
c. Is this a randomized controlled trial?
d. What theory is being utilized?
ANS: B PTS: 1
3. Nursing research should be utilized by:
a. Nurses at the bedside
b. Advanced practice nurses
c. Nurse researchers
d. Nurses at all levels of practice
ANS: D PTS: 1
4. Applying evidence at the point of care requires:
a. Readily available evidence-based resources
b. Ability to review research literature
c. Single articles in journals
d. Current textbooks
ANS: A PTS: 1
5. Practice guidelines are designed to:
a. Be inflexible
b. Be utilized in every circumstance
c. Provide a reference point for decision making
d. Be created by a professional organization to guide the practice of a profession
ANS: C PTS: 1
6. Which of the following is a crucial element of developing a guideline?
a. Creating a physician expert panel
b. Reviewing the literature with ratings of available evidence
c. Conducting an external review of a guideline
d. Developing evidence-based tables
ANS: B PTS: 1
______________________________________________________________________________________________
3|Page
,______________________________________________________________________________________________
Test Bank - Primary Care: The Art and Science of Advanced Practice Nursing, 4th Edition (Dunphy, 2016)
7. Which of the following would be considered the research design for Level I evidence?
a. Single, well-designed randomized clinical trial
b. Systematic review of randomized clinical trial studies
c. Well-designed controlled trials without randomization
d. Systematic reviews of descriptive or qualitative studies
ANS: B PTS: 1
8. Which of the following would be considered the research design for Level II evidence?
a. Single descriptive or qualitative study
b. Well-designed case control or cohort studies
c. Single, well-designed, randomized clinical trial
d. Systematic review of randomized clinical trial studies
ANS: C PTS: 1
9. Which of the following would be considered the research design for Level III evidence?
a. Well-designed controlled trials without randomization
b. Systematic reviews of descriptive or qualitative studies
c. Systematic review of randomized clinical trial studies
d. Opinion of authorities and expert committees
ANS: A PTS: 1
10. Which of the following would be considered the research design for Level IV evidence?
a. Single descriptive or qualitative study
b. Opinion of authorities and expert committees
c. Systematic review of randomized clinical trial studies
d. Well-designed controlled trials without randomization
ANS: D PTS: 1
11. Which of the following would be considered the research design for Level V evidence?
a. Systematic review of randomized clinical trial studies
b. Well-designed controlled trials without randomization
c. Systematic reviews of descriptive or qualitative studies
d. Single descriptive or qualitative study
ANS: C PTS: 1
12. Which of the following would be considered the research design for Level VI evidence?
a. Systematic reviews of descriptive or qualitative studies
b. Opinion of authorities and expert committees
c. Well-designed case control or cohort studies
d. Single descriptive or qualitative study
ANS: C PTS: 1
13. Which of the following would be considered the research design for Level VII evidence?
a. Well-designed controlled trials without randomization
b. Opinion of authorities and expert committees
______________________________________________________________________________________________
4|Page
,______________________________________________________________________________________________
Test Bank - Primary Care: The Art and Science of Advanced Practice Nursing, 4th Edition (Dunphy, 2016)
c. Well-designed case control or cohort studies
d. Single descriptive or qualitative study
ANS: B PTS: 1
______________________________________________________________________________________________
5|Page
, ______________________________________________________________________________________________
Test Bank - Primary Care: The Art and Science of Advanced Practice Nursing, 4th Edition (Dunphy, 2016)
Unit 02, Chapter 6. Neurological Problems
MULTIPLE CHOICE
1. Which statement about confusion is true?
a. Confusion is a disease process.
b. Confusion is always temporary.
c. Age is a reliable predictor of confusion.
d. Polypharmacy is a major contributor to confusion in older adults.
ANS: D PTS: 1
2. Sondra's peripheral vestibular disease causes dizziness and vertigo. Which of the following
medications will help to decrease edema in the labyrinth of the ear?
a. Meclizine
b. Diphenhydramine
c. Diamox
d. Promethazine
ANS: C PTS: 1
3. The hallmark of an absence seizure is:
a. No activity at all
b. A blank stare
c. Urine is usually voided involuntarily
d. The attack usually lasts several minutes
ANS: B PTS: 1
4. How often should drug levels be monitored when a seizure medication has controlled the
seizures, and the drug level is adequate?
a. Every 3 months
b. Every 6 months
c. Annually
d. Whenever there is a problem
ANS: B PTS: 1
5. Which of the following persons fits the classic description of a patient with multiple
sclerosis (MS)?
a. A teenage male
b. A 65-year-old male
c. A 25-year-old female
d. A 60-year-old female
ANS: C PTS: 1
6. Which of the following is a specific test to MS?
a. Magnetic resonance imaging (MRI)
b. Computed tomography (CT) scan
______________________________________________________________________________________________
6|Page
