EXAM REVIEW FOR 3P WITH COMPLETE
QUESTIONS AND ANSWERS
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: - CORRECT ANSWER-Refer the
patient to an opthalmologist
The American psychiatric association's diagnostic and statistical manual of mental disorder
defines Munchausen Syndrome By Proxy - CORRECT ANSWER-A caregiver making up or
causing an illness or injury in a person under his or her care
Symptoms of depression are a side effect of which neurotransmitter medication? - CORRECT
ANSWER-Dopamine (serotonin, norepinephrine)
Which lesion is dark raised and asymmetric with irregular border? - CORRECT ANSWER-
Melanoma
A 32 years old woman presents with dull puffiness of the ayes pronounced not pitting
periorbital edema this finding is suggestive of this condition? - CORRECT ANSWER-
Myxedema
A 42 years old woman with a past medical history of migraine headaches is requesting
prophylactic medication treatment. Which medication should the Nurse practitioner
prescribe? - CORRECT ANSWER-Amitriptyline (Elavil)
A pediatric patient has areas of scaling on the scalp with round patches of alopecia. This
clinical finding is consistent with: - CORRECT ANSWER-Tinea Capitis
,What is the appropriate prophylactic medication for an 18 years old woman with a past
medical history of migraine headaches? - CORRECT ANSWER-Propanolol (Inderal)
Why would a combined hormonal contraceptive be contraindicated in a 36 year old patient
with a past medical history of type 2 diabetes, obesity, chronic smoking and sedentary life -
CORRECT ANSWER-Her age and tobacco use
During the breast examination of a perimenopausal woman the NP detects a bloody
spontaneous discharge from the right nipple. This indicates further evaluation. - CORRECT
ANSWER-An intraductal papilloma
Rh negative women should receive Rho (D) immunoglobulin at what gestational time? -
CORRECT ANSWER-28 wks
When interpreting a complete blood count (CBC) lab report which of the following results
describes the size of the RBCs? - CORRECT ANSWER-Mean corpuscular volume (MCV)
What medication should be avoided when prescribe prophylactic therapy for headache -
CORRECT ANSWER-Venlataxin (Effexor)
What is the mechanism of action of prostaglandin E1 (PG1) in a patient with transposition of
the great arteries - CORRECT ANSWER-To produce vasodilation on....
Which of the following complaints best describes lower extremity calf pain associated with
peripheral artery disease - CORRECT ANSWER-A dull pain or cramp
Which of the following conditions is NOT a typical finding of hyperprolactinemia in a 47-
year-old premenopausal woman? - CORRECT ANSWER-Gynecomastia
When treating a patient with asthma who is experiencing acute wheezing which medication
should be given to relieve the symptom? - CORRECT ANSWER-Short acting bronchodilator
, Which immunization reduces a patient's risk for infection with the virus that causes painful
localized blistering rash? - CORRECT ANSWER-Shingles (herpes zoster) vaccine
Headache warning signs that need prompt investigation include all of the following EXCEPT: -
CORRECT ANSWER-Headache relieved with mild infrequent use of analgesics
The client with iron deficiency anemia should be advised to take the iron supplement -
CORRECT ANSWER-on an empty stomach between meals
Which one of the following statements is true of Munchausen syndrome by proxy? -
CORRECT ANSWER-Under the supervision of adults other than the abuser, the patient does
not exhibit symptoms
Which of the following is the most common presenting sign of substance abuse in
adolescents? - CORRECT ANSWER-Changes in behavior
A woman is 11 weeks pregnant and has a maternity history of one full term vaginal delivery,
a set of premature triplets delivered vaginally, and a first trimester abortion. Using her TPAL
system to document her maternal status - CORRECT ANSWER-Gravida 4 Para 1114
The nurse practitioner palpates an enlarged right epitrochlear lymph node in a 30 years old
patient. The Nurse Practitioner should asses the patents - CORRECT ANSWER-Right forearm
and hand
Anticholinergics are indicated for the treatment of - CORRECT ANSWER-urge incontinence
A patient presents with signs of chest pain, the nurse practitioner observes jugular venous
distention. Their finding is consistent with - CORRECT ANSWER-heart failure
On examination of the neck, a dome shaped lesion in the dermis forming a benign closed
firm sac attached to the epidermis is noted on the right lateral side of the neck. The type of
lesion is known as - CORRECT ANSWER-a cutaneous cyst
QUESTIONS AND ANSWERS
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: - CORRECT ANSWER-Refer the
patient to an opthalmologist
The American psychiatric association's diagnostic and statistical manual of mental disorder
defines Munchausen Syndrome By Proxy - CORRECT ANSWER-A caregiver making up or
causing an illness or injury in a person under his or her care
Symptoms of depression are a side effect of which neurotransmitter medication? - CORRECT
ANSWER-Dopamine (serotonin, norepinephrine)
Which lesion is dark raised and asymmetric with irregular border? - CORRECT ANSWER-
Melanoma
A 32 years old woman presents with dull puffiness of the ayes pronounced not pitting
periorbital edema this finding is suggestive of this condition? - CORRECT ANSWER-
Myxedema
A 42 years old woman with a past medical history of migraine headaches is requesting
prophylactic medication treatment. Which medication should the Nurse practitioner
prescribe? - CORRECT ANSWER-Amitriptyline (Elavil)
A pediatric patient has areas of scaling on the scalp with round patches of alopecia. This
clinical finding is consistent with: - CORRECT ANSWER-Tinea Capitis
,What is the appropriate prophylactic medication for an 18 years old woman with a past
medical history of migraine headaches? - CORRECT ANSWER-Propanolol (Inderal)
Why would a combined hormonal contraceptive be contraindicated in a 36 year old patient
with a past medical history of type 2 diabetes, obesity, chronic smoking and sedentary life -
CORRECT ANSWER-Her age and tobacco use
During the breast examination of a perimenopausal woman the NP detects a bloody
spontaneous discharge from the right nipple. This indicates further evaluation. - CORRECT
ANSWER-An intraductal papilloma
Rh negative women should receive Rho (D) immunoglobulin at what gestational time? -
CORRECT ANSWER-28 wks
When interpreting a complete blood count (CBC) lab report which of the following results
describes the size of the RBCs? - CORRECT ANSWER-Mean corpuscular volume (MCV)
What medication should be avoided when prescribe prophylactic therapy for headache -
CORRECT ANSWER-Venlataxin (Effexor)
What is the mechanism of action of prostaglandin E1 (PG1) in a patient with transposition of
the great arteries - CORRECT ANSWER-To produce vasodilation on....
Which of the following complaints best describes lower extremity calf pain associated with
peripheral artery disease - CORRECT ANSWER-A dull pain or cramp
Which of the following conditions is NOT a typical finding of hyperprolactinemia in a 47-
year-old premenopausal woman? - CORRECT ANSWER-Gynecomastia
When treating a patient with asthma who is experiencing acute wheezing which medication
should be given to relieve the symptom? - CORRECT ANSWER-Short acting bronchodilator
, Which immunization reduces a patient's risk for infection with the virus that causes painful
localized blistering rash? - CORRECT ANSWER-Shingles (herpes zoster) vaccine
Headache warning signs that need prompt investigation include all of the following EXCEPT: -
CORRECT ANSWER-Headache relieved with mild infrequent use of analgesics
The client with iron deficiency anemia should be advised to take the iron supplement -
CORRECT ANSWER-on an empty stomach between meals
Which one of the following statements is true of Munchausen syndrome by proxy? -
CORRECT ANSWER-Under the supervision of adults other than the abuser, the patient does
not exhibit symptoms
Which of the following is the most common presenting sign of substance abuse in
adolescents? - CORRECT ANSWER-Changes in behavior
A woman is 11 weeks pregnant and has a maternity history of one full term vaginal delivery,
a set of premature triplets delivered vaginally, and a first trimester abortion. Using her TPAL
system to document her maternal status - CORRECT ANSWER-Gravida 4 Para 1114
The nurse practitioner palpates an enlarged right epitrochlear lymph node in a 30 years old
patient. The Nurse Practitioner should asses the patents - CORRECT ANSWER-Right forearm
and hand
Anticholinergics are indicated for the treatment of - CORRECT ANSWER-urge incontinence
A patient presents with signs of chest pain, the nurse practitioner observes jugular venous
distention. Their finding is consistent with - CORRECT ANSWER-heart failure
On examination of the neck, a dome shaped lesion in the dermis forming a benign closed
firm sac attached to the epidermis is noted on the right lateral side of the neck. The type of
lesion is known as - CORRECT ANSWER-a cutaneous cyst
