D118: Unit 2 Study Guide OA
An36advanced36practice36registered36nurse36(APRN)36is36gathering36data36for36an36ongo
ing36research36project.36In36the36project,36a36group36of36individuals36with36Type36236diab
etes36are36divided36into36two,36non-randomized36groups.
Which36type36of36research36design36is36being36used36by36the36APRN?36-36answer--
Quasi-experimental
The36Healthy36People36202036contains36new36topics36and36objectives36that36correlate36
with36emerging36technologies36and36data36that36were36not36present36in36the36Healthy36P
eople36201036initiative.
Which36objective36was36newly36added36to36the36202036document?36-36answer--
Global36Health
A3635-year-
old36patient36is36being36seen36in36the36primary36care36clinic36for36a36routine36assessmen
t.36The36patient36had36her36last36pap36smear36in36conjunction36with36a36HPV36screening3
6three36years36before36and36has36no36abnormal36gynecological36signs36or36symptoms.36
The36advanced36practice36registered36nurse36(APRN)36performs36a36physical36assessm
ent36with36a36clinical36breast36exam,36and36then36provides36information36about36recomm
ended36health36screenings.
Which36USPTF36recommendations36should36the36APRN36share36with36this36patient?36-
36answer--"We36need36to36do36a36pap36smear36in36236years"
HPV36and36Pap36smear36done36together36every36536years
An36advanced36practice36registered36nurse36(APRN)36is36conducting36the36routine36ann
ual36exam36of36a3666-year-
old36patient36and36decides36that36a36vaccine36should36be36recommended36in36addition36t
o36the36typical36annual36influenza36vaccine.
Which36vaccine36is36being36recommended36by36the36APRN?36-36answer--Pneumococcal
A36patient36asks36the36advanced36practice36registered36nurse36(APRN)36if36there36are36
any36contraindications36to36receiving36the36influenza36vaccine36other36than36an36egg36all
ergy.
, Which36other36precaution36must36be36taken36when36administering36this36vaccine?36-
36answer--A36history36of36Guillain-
Barre36Syndrome36within36636weeks36of36previous36flu36vaccine36
Guillain-
Barre36syndrome36attacks36own36immune36system36(neurologic)36weakening36of36motor
36function36throughout36the36body36
Risk36of36causing36Guillain-Barre36when36administering36flu36shot
A3651-year-
old36male36is36being36seen36in36the36primary36care36clinic36for36a36routine36assessment.3
6The36patient36has36not36been36seen36in36the36clinic36for36a36number36of36years.36The36a
dvanced36practice36registered36nurse36assesses36the36patient36and36notes36physical36a
ssessment36and36VS36findings36to36be36WNL.
Which36additional36screening36should36the36APRN36recommend?36-36answer--
Colorectal36screening
Q1036YEARS36starting36at36age3650
An36advanced36practice36registered36nurse36(APRN)36is36the36manager36of36a36rural,36M
edicaid-
funded,36family36practice36clinic36in36a36farming36community.36The36clinic36services36ma
ny36families36of36migrant36workers36despite36their36limited36resources.36A3628-year-
old36male36from36another36country36comes36to36the36office36with36his36wife.36The36patien
t36is36able36to36communicate36in36limited36English36but36struggles36to36understand36som
e36words.36However,36his36wife36verbally36reports36she36understands36more36English36t
han36her36husband.36The36wife36informs36the36APRN36that36she36is36very36comfortable36
translating36for36her36husband36and36has36done36it36many36times36in36the36past.
How36should36the36APRN36plan36to36collect36verbal36assessment36information36from36thi
s36patient?36-36answer--Have36a36professional36interpreter36translate36for36the36patient
Which36policy36has36the36Centers36for36Medicare36and36Medicaid36Service36(CMS)36imp
lemented36to36reduce36adverse36events36associated36with36care36transitions?36-
36answer--
Reduction36of36payments36for36patients36readmitted36within363036days36after36discharge
Think36of36the36paper36you36had36to36write36in36D11736that36was36stupid36
As36a36component36of36the36Affordable36Care36Act,36the36CMS36developed36the36Read
missions36Reduction36Program36reducing36payments36for36certain36patients36readmitted
36within363036days36of36discharge
What36is36the36purpose36of36clinical36research36trials36in36the36spectrum36of36translation
al36research?36-36answer--
Examination36of36safety36and36effectiveness36of36various36interventions
An36advanced36practice36registered36nurse36(APRN)36is36gathering36data36for36an36ongo
ing36research36project.36In36the36project,36a36group36of36individuals36with36Type36236diab
etes36are36divided36into36two,36non-randomized36groups.
Which36type36of36research36design36is36being36used36by36the36APRN?36-36answer--
Quasi-experimental
The36Healthy36People36202036contains36new36topics36and36objectives36that36correlate36
with36emerging36technologies36and36data36that36were36not36present36in36the36Healthy36P
eople36201036initiative.
Which36objective36was36newly36added36to36the36202036document?36-36answer--
Global36Health
A3635-year-
old36patient36is36being36seen36in36the36primary36care36clinic36for36a36routine36assessmen
t.36The36patient36had36her36last36pap36smear36in36conjunction36with36a36HPV36screening3
6three36years36before36and36has36no36abnormal36gynecological36signs36or36symptoms.36
The36advanced36practice36registered36nurse36(APRN)36performs36a36physical36assessm
ent36with36a36clinical36breast36exam,36and36then36provides36information36about36recomm
ended36health36screenings.
Which36USPTF36recommendations36should36the36APRN36share36with36this36patient?36-
36answer--"We36need36to36do36a36pap36smear36in36236years"
HPV36and36Pap36smear36done36together36every36536years
An36advanced36practice36registered36nurse36(APRN)36is36conducting36the36routine36ann
ual36exam36of36a3666-year-
old36patient36and36decides36that36a36vaccine36should36be36recommended36in36addition36t
o36the36typical36annual36influenza36vaccine.
Which36vaccine36is36being36recommended36by36the36APRN?36-36answer--Pneumococcal
A36patient36asks36the36advanced36practice36registered36nurse36(APRN)36if36there36are36
any36contraindications36to36receiving36the36influenza36vaccine36other36than36an36egg36all
ergy.
, Which36other36precaution36must36be36taken36when36administering36this36vaccine?36-
36answer--A36history36of36Guillain-
Barre36Syndrome36within36636weeks36of36previous36flu36vaccine36
Guillain-
Barre36syndrome36attacks36own36immune36system36(neurologic)36weakening36of36motor
36function36throughout36the36body36
Risk36of36causing36Guillain-Barre36when36administering36flu36shot
A3651-year-
old36male36is36being36seen36in36the36primary36care36clinic36for36a36routine36assessment.3
6The36patient36has36not36been36seen36in36the36clinic36for36a36number36of36years.36The36a
dvanced36practice36registered36nurse36assesses36the36patient36and36notes36physical36a
ssessment36and36VS36findings36to36be36WNL.
Which36additional36screening36should36the36APRN36recommend?36-36answer--
Colorectal36screening
Q1036YEARS36starting36at36age3650
An36advanced36practice36registered36nurse36(APRN)36is36the36manager36of36a36rural,36M
edicaid-
funded,36family36practice36clinic36in36a36farming36community.36The36clinic36services36ma
ny36families36of36migrant36workers36despite36their36limited36resources.36A3628-year-
old36male36from36another36country36comes36to36the36office36with36his36wife.36The36patien
t36is36able36to36communicate36in36limited36English36but36struggles36to36understand36som
e36words.36However,36his36wife36verbally36reports36she36understands36more36English36t
han36her36husband.36The36wife36informs36the36APRN36that36she36is36very36comfortable36
translating36for36her36husband36and36has36done36it36many36times36in36the36past.
How36should36the36APRN36plan36to36collect36verbal36assessment36information36from36thi
s36patient?36-36answer--Have36a36professional36interpreter36translate36for36the36patient
Which36policy36has36the36Centers36for36Medicare36and36Medicaid36Service36(CMS)36imp
lemented36to36reduce36adverse36events36associated36with36care36transitions?36-
36answer--
Reduction36of36payments36for36patients36readmitted36within363036days36after36discharge
Think36of36the36paper36you36had36to36write36in36D11736that36was36stupid36
As36a36component36of36the36Affordable36Care36Act,36the36CMS36developed36the36Read
missions36Reduction36Program36reducing36payments36for36certain36patients36readmitted
36within363036days36of36discharge
What36is36the36purpose36of36clinical36research36trials36in36the36spectrum36of36translation
al36research?36-36answer--
Examination36of36safety36and36effectiveness36of36various36interventions
