APEA 3P 2.0 Study Guide Test Bank

1. When performing a visual acuity test the nurse practitioner notes 20/30 in the left eye and 20/40 in the right eye using the Snellen eye chart. This means: - refer the patient to an ophthalmologist 2. The American psychiatric association's diagnostic and statistical manual of mental disorder defines Munchausen Syndrome by Proxy - a caregiver making up or causing an illness or injury in a person under his or her care 3. Symptoms of depression are a side effect of which neurotransmitter medication? - dopamine 4. Which lesion is dark raised and asymmetric with irregular borders? - melanoma 5. A 32-year-old woman presents with dull puffiness of the eyes pronounced nonpitting periorbital edema, this finding is suggestive of which condition? - myxedema 6. A 42-year-old woman with a PMH of migraine headaches is requesting prophylactic medication treatment. Which medication should the nurse practitioner prescribe? - amitriptyline (Elavil) 7. A pediatric patient has areas of scaling on the scalp with round patches of alopecia. This clinical finding is consistent with: - tinea capitis 8. What is the appropriate prophylactic medication for an 18-year-old woman with a past medical history of migraine headaches? - propanolol (inderal)9. Why would a combined hormonal contraceptive be contraindicated in a 36- year-old patient with a PMH of type 2 diabetes, obesity, chronic smoking, and sedentary lifestyle - her age and tobacco use 10.During the breast examination of a perimenopausal woman, the NP detects a bloody spontaneous discharge from the right nipple. This indicates further evaluation - an intraductal papilloma 11.When interpreting a CBC lab report which of the following results describes the size of the rbcs - Mean corpuscular volume (MCV) 12.What medication should be avoided when prescribing prophylactic therapy for headaches? - Venlataxin (effexor) 13.Which of the following conditions is NOT a typical finding of hyperprolactinemia in a 47-year-old premenopausal woman? - gynecomastia 14.Which immunization reduces a patient’s risk for infection with the virus that causes painful localized blistering rash? - shingles (herpes zoster) vaccine 15.The client with iron deficiency anemia should be advised to take the iron supplement - on an empty stomach between meals