CMN 571 - NP QUESTIONS FROM NPC EXAM AND
PRACTICE
An example of a primary prevention measure for a 78-year-old man with chronic
obstructive pulmonary disease is:
A. reviewing the use of prescribed medications.
B. conducting a home survey to minimize fall risk.
C. checking FEV1 (force expired volume at 1 second) to FVC (forced vital capacity)
ratio.
D. ordering fecal occult blood test (FOBT). - Answer -B -- Primary prevention measures
include activities provided to individuals to prevent the onset or acquisition of a given
disease. The goal of primary prevention measures is to spare individuals the suffering,
burden, and cost associated with the clinical condition and is the first level of healthcare.
An example is health-protecting education and counseling, such as encouraging the use
of car restraints and bicycle helmets, counseling about safer sexual practices, and
*providing information on accident and fall prevention*. Given its focus on preventing
illness or injury, primary prevention is usually viewed as the most effective form of
healthcare.
Which of the following is an example of a primary prevention activity in a 76-year-old
woman with osteoporosis?
A. bisphosphonate therapy
B. calcium supplementation
C. ensuring adequate illumination in the home
D. use of a back brace - Answer -C
Active immunity is defined as:
A. resistance developed in response to an antigen.
B. immunity conferred by an antibody produced in another host.
C. the resistance of a group to an infectious agent.
D. defense against disease acquired naturally by the infant from the mother. - Answer -
A -- Active immunization through the use of vaccines provides long-term protection
from disease.
Which of the following is usually viewed as the most cost-effective form of healthcare?
A. primary prevention
B. secondary prevention
C. tertiary prevention
D. cancer-reduction measures - Answer -A
, An 18-year-old woman with allergic rhinitis presents for primary care. She is sexually
active with a male partner and is 1 year post-coitarche; during this time she had had two
sex partners. An example of a primary prevention activity for this patient is:
A. screening for sexually transmitted infection.
B. counseling about safer sexual practices.
C. prescribing therapies for minimizing allergy.
D. obtaining a liquid-based Papanicolaou (Pap) test. - Answer -B
When a critical portion of a community is immunized against a contagious disease, most
members of the community, even the unimmunized, are protected against
that disease because there is little opportunity for an outbreak. This is known as
_________ immunity.
A. passive
B. humoral
C. epidemiologic
D. community - Answer -D -- In *herd or community immunity*, a significant portion of a
given population has immunity against an infectious agent; the likelihood that the
susceptible portion of the
group would become infected is minimized
When advising a patient about injectable influenza immunization, the nurse practitioner
(NP) considers the following about the use of this vaccine:
A. Its use is not recommended in sickle cell anemia.
B. Its use is limited to children older than 2 years.
C. Its use is limited due to containing live virus.
D. Its use is recommended for virtually all members of the population. - Answer -D
A middle-aged man with chronic obstructive pulmonary disease who is about to receive
injectable influenza vaccine should be advised that:
A. it is more than 90% effective in preventing influenza.
B. its use is contraindicated in the presence of psoriasis vulgaris.
C. localized reactions such as soreness and redness at the site of the immunization are
fairly common.
D. a short, intense, flulike syndrome typically occurs after immunization. - Answer -C
Secondary prevention measures for a 78-year-old man with chronic obstructive
pulmonary disease include:
A. screening for mood disorders.
B. administering influenza vaccine.
C. obtaining a serum theophylline level.
D. advising about appropriate use of car passenger
restraints. - Answer -A
Tertiary prevention measures for a 69-year-old woman with heart failure include:
A. administering antipneumococcal vaccine.
B. adjusting therapy to minimize dyspnea.
PRACTICE
An example of a primary prevention measure for a 78-year-old man with chronic
obstructive pulmonary disease is:
A. reviewing the use of prescribed medications.
B. conducting a home survey to minimize fall risk.
C. checking FEV1 (force expired volume at 1 second) to FVC (forced vital capacity)
ratio.
D. ordering fecal occult blood test (FOBT). - Answer -B -- Primary prevention measures
include activities provided to individuals to prevent the onset or acquisition of a given
disease. The goal of primary prevention measures is to spare individuals the suffering,
burden, and cost associated with the clinical condition and is the first level of healthcare.
An example is health-protecting education and counseling, such as encouraging the use
of car restraints and bicycle helmets, counseling about safer sexual practices, and
*providing information on accident and fall prevention*. Given its focus on preventing
illness or injury, primary prevention is usually viewed as the most effective form of
healthcare.
Which of the following is an example of a primary prevention activity in a 76-year-old
woman with osteoporosis?
A. bisphosphonate therapy
B. calcium supplementation
C. ensuring adequate illumination in the home
D. use of a back brace - Answer -C
Active immunity is defined as:
A. resistance developed in response to an antigen.
B. immunity conferred by an antibody produced in another host.
C. the resistance of a group to an infectious agent.
D. defense against disease acquired naturally by the infant from the mother. - Answer -
A -- Active immunization through the use of vaccines provides long-term protection
from disease.
Which of the following is usually viewed as the most cost-effective form of healthcare?
A. primary prevention
B. secondary prevention
C. tertiary prevention
D. cancer-reduction measures - Answer -A
, An 18-year-old woman with allergic rhinitis presents for primary care. She is sexually
active with a male partner and is 1 year post-coitarche; during this time she had had two
sex partners. An example of a primary prevention activity for this patient is:
A. screening for sexually transmitted infection.
B. counseling about safer sexual practices.
C. prescribing therapies for minimizing allergy.
D. obtaining a liquid-based Papanicolaou (Pap) test. - Answer -B
When a critical portion of a community is immunized against a contagious disease, most
members of the community, even the unimmunized, are protected against
that disease because there is little opportunity for an outbreak. This is known as
_________ immunity.
A. passive
B. humoral
C. epidemiologic
D. community - Answer -D -- In *herd or community immunity*, a significant portion of a
given population has immunity against an infectious agent; the likelihood that the
susceptible portion of the
group would become infected is minimized
When advising a patient about injectable influenza immunization, the nurse practitioner
(NP) considers the following about the use of this vaccine:
A. Its use is not recommended in sickle cell anemia.
B. Its use is limited to children older than 2 years.
C. Its use is limited due to containing live virus.
D. Its use is recommended for virtually all members of the population. - Answer -D
A middle-aged man with chronic obstructive pulmonary disease who is about to receive
injectable influenza vaccine should be advised that:
A. it is more than 90% effective in preventing influenza.
B. its use is contraindicated in the presence of psoriasis vulgaris.
C. localized reactions such as soreness and redness at the site of the immunization are
fairly common.
D. a short, intense, flulike syndrome typically occurs after immunization. - Answer -C
Secondary prevention measures for a 78-year-old man with chronic obstructive
pulmonary disease include:
A. screening for mood disorders.
B. administering influenza vaccine.
C. obtaining a serum theophylline level.
D. advising about appropriate use of car passenger
restraints. - Answer -A
Tertiary prevention measures for a 69-year-old woman with heart failure include:
A. administering antipneumococcal vaccine.
B. adjusting therapy to minimize dyspnea.
