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Test Bank For Nurse Practitioner Certification Exam Prep 5th Edition by Margaret A. Fitzgerald, All Chapters Covered 1-19, A+ guide.

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Test Bank For Nurse Practitioner Certification Exam Prep 5th Edition by Margaret A. Fitzgerald, All Chapters Covered 1-19, A+ guide.

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Uploaded on
April 29, 2025
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2024/2025
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Test Bank - Nurse Practitioner Certification Exam Prep 5th
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Edition by Margaret A. Fitzgerald
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,HealthPromotion ko




and Disease Prevention o k o k




6. Active immunity is defined as:
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A. resistance developed in response to an antigen. ok ok ok ok ok ok




B. immunity conferred by an antibody produced in ok ok ok ok ok ok




another host.
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1. An example of a primary prevention measure for a78-
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C. the resistance of a group to an infectious agent.
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year-old man with chronic obstructive
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D. defense against disease acquired naturally by the
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pulmonary disease is:
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infant from the mother.
A. reviewing the use of prescribed medications.
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B. conducting a home survey to minimize fall risk. ok ok ok ok ok ok o k
7. Which of the following is usually viewed as the most
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C. checking FEV1 (force expired volume at 1 second) took ok ok ok ok ok ok ok
cost-effective form of healthcare?
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FVC (forced vital capacity) ratio.
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A. primary prevention o k




D. ordering fecal occult blood test (FOBT). ok ok ok ok ok
B. secondary prevention o k




C. tertiary prevention o k



2. Which of the following is an example of a primary preven-
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D. cancer-reduction measures o k


tion activity in a 76-year-old woman with osteoporosis?
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A. bisphosphonate therapy ok
8. An 18-year-old woman with allergic rhinitis presents for
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B. calcium supplementation o k
primary care. She is sexually active with a male partner
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C. ensuring adequate illumination in the home ok ok ok ok ok
and is 1 year post-coitarche; during this time she had had
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D. use of a back brace ok ok ok ok
two sex partners. An example of a primary prevention
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activity for this patient is:
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3. Secondary prevention measures for a 78-year-old man
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A. screening for sexually transmitted infection. o k o k o k o k



with chronic obstructive pulmonary disease include:
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B. counseling about safer sexual practices. o k ok ok o k



A. screening for mood disorders. ok ok ok
C. prescribing therapies for minimizing allergy. o k o k o k o k


B. administering influenza vaccine.
D. obtaining a liquid-based Papanicolaou (Pap) test.
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C. obtaining a serum theophylline level.
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D. advising about appropriate use of car passenger
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9. When a critical portion of a community is immunized
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restraints.
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against a contagious disease, most members of the com-
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munity, even the unimmunized, are protected against
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4. Tertiary prevention measures for a 69-year-old woman
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that disease because there is little opportunity for an
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with heart failure include:
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outbreak. This is known as immunity.
A. administering antipneumococcal vaccine.
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o k o k
A. passive
B. adjusting therapy to minimize dyspnea. ok ok ok ok
B. humoral
C. surveying skin for precancerous lesions. o k o k ok o k
C. epidemiologic
D. reviewing safe handling of food. ok ok ok ok
D. community
5. Which of the following products provides passive
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immunity?
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ok 1. B.
o k 4. B. o k 7. A. o k




2. C.
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3. A. o k 6. A. o k 9. D. o k




1

,2 CHAPTER k
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o o k o k 1 ■ o k o k Health Promotion and Disease Prevention ok ok ok ok




Primary prevention measures include activities provided ok ok ok ok ok




to individuals to prevent the onset or acquisition of a given
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disease. The goal of primary prevention measures is to spare
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individuals the suffering, burden, and cost associated with the
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clinical condition and is the first level of healthcare. An ex-
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10. When advising a patient about injectable influenza im-
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ample is health-protecting education and counseling, such as
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munization, the nurse practitioner (NP) considers the
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encouraging the use of car restraints and bicycle helmets,
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following about the use of this vaccine:
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counseling about safer sexual practices, and providing infor-
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mation on accident and fall prevention. Given its focus on
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preventing illness or injury, primary prevention is usually
ok ok ok ok ok ok ok ok C. Its use is limited due to containing live virus.
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viewed as the most effective form of healthcare.
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D. Its use is recommended for virtually all members of
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Immunizations and chemoprophylaxis are also exam- ok ok ok ok ok
the population.
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ples of primary prevention measures. Active immunization
11. A middle-aged man with chronic obstructive pul-
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through the use of vaccines provides long-term protection
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from disease. In herd or community immunity, a
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monary disease who is about to receive injectable in-
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significant portion of a given population has immunity fluenza vaccine should be advised that:
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A. it is more than 90% effective in preventing influenza.
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against an infec- tious agent; the likelihood that the
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B. its use is contraindicated in the presence of psoriasis
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susceptible portion of the group would become infected is
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minimized (Fig. 1–1). Pas- sive immunity is provided when vulgaris.ok




C. localized reactions such as soreness and redness at
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a person receives select an- tibodies, usually via the
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the site of the immunization are fairly common.
administration of immune globulin (IG), after exposure to
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D. a short, intense, flulike syndrome typically occurs
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an infective agent. This immunity is temporary and requires
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after immunization.
the patient to present post-exposure; the protection provided
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by IG usually starts within hours of receiving the doses and
ok ok ok ok ok ok ok ok ok ok ok 12. A 44-year-old woman with asthma presents asking for
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lasts a number of months. The use of vaccines to produce
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lasting disease protection is preferred to passive
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immunization through the use of IG. Another exam- ple of
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passive immunity is the acquisition of disease protec- tion
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provided from mother to unborn child via the placenta.
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Secondary prevention measures include activities provided
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to identify and treat asymptomatic persons who have risk fac-
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tors for a given disease or in preclinical disease. Examples in-
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clude screening examinations for preclinical evidence of
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cancer, such as mammography and cervical examination with
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o a Papanicolaou test. Other examples of secondary
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D. is not a candidate for any form of influenza vaccine.
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prevention activities include screening for clinical conditions
13. Which of the following statements best describes
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with a pro- tracted asymptomatic period, such as a blood
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amantadine or rimantadine use in the care of patients
pressure meas- urement to detect hypertension and a lipid
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with or at risk for influenza?
profile to detect hyperlipidemia (Table 1–1).
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A. Significant resistance to select strains of influenza
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See full color images of this topic on
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DavisPlus at
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B. The primary action of these therapies is in prevent-
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http://davisplus.fadavis.com |
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ing influenza A during outbreaks.
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Keyword: Fitzgerald
C. These therapies are active against influenza A and
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Tertiary prevention measures are part of the management ok ok ok ok ok ok ok
B. ok




ok of an established disease. The goal is to minimize disease-
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D. The use of these products is an acceptable alternative
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ok associated complications and the negative health effects of ok ok ok ok ok ok ok
to influenza vaccine.
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ok the conditions to the patient. Examples include
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14. Which of the following statements best describes
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ok medications and lifestyle modification to normalize blood ok ok ok ok ok ok

zanamivir (Relenza) or oseltamivir (Tamiflu) use in the
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ok glucose levels in individuals with diabetes mellitus and in
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care of patients with or at risk for influenza?
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ok conjunction with the treatment of heart failure, aimed at ok ok ok ok ok ok ok ok

A. Initiation of therapy early in acute influenza illness ok ok ok ok ok ok ok


ok improving or mini- mizing disease-related symptoms. ok ok ok ok ok

can help minimize the severity of disease when the
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DISCUSSION SOURCES o k illness is caused by a nonresistant viral strain.
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http://www.cdc.gov/excite/skincancer/mod13.htm, Centers for B. The primary indication is in preventing influenza A
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Disease Control and Prevention: Levels of Prevention
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during outbreaks.
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http://www.niaid.nih.gov/topics/pages/communityimmunity.aspx, C. The drugs are active only against influenza B.
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National Institute of Allergy and Infectious Disease:
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Community Immunity
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, Section 1: Preventive Services Recommended by the USPSTF
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The U.S. Preventive Services Task Force (USPSTF) recommends that clinicians discuss these preventive services with eligible patients and offer them as a
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priority. All these services have been given ―A‖ or a ―B‖ (recommended) grade from the Task Force.
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Adults Special Populations
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Recommendation
Men Women Pregnant Women
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Abdominal Aortic Aneurysm, Screening ok ok ok




Alcohol Misuse Screening and Behavioral Counseling
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Interventions
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CHAPTER
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o
Asymptomatic Bacteriuria in Adults, Screening ok ok ok ok




k
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o
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Breast and Ovarian Cancer Susceptibility, Genetic Risk




k
o
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k
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Assessment and BRCA Mutation Testing
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o k
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Breast Cancer, Screening




1
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Breastfeeding, Primary Care Interventions to Promote ok ok ok ok ok




Cervical Cancer, Screening




Health Promotion and Disease
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Prevention
Chlamydial Infection, Screening ok ok




o k
Colorectal Cancer, Screening ok ok




Congenital Hypothyroidism, Screening ok ok




Depression in Adults, Screening ok ok ok




o k
Diabetes Mellitus (Type 2) in Adults, Screening
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o k
Folic Acid to Prevent Neural Tube Defects
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Gonococcal Ophthalmia Neonatorum, Preventive ok ok ok



Medication
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Figure 1-1 Preventive services recommended by the U.S. Preventive Services Task Force (USPSTF). Available at http://www.ahrq.gov/clinic/
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pocketgd2012/gcp12s1.htm.
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