Test Bank
Nurse Practitioner Certification Exam Prep
By Margaret A. Fitzgerald
7th Edition
,Health Promotion
And Dïsease Preventïon
6. Active Immunity Is Defined As:
A. Resistance Developed In Response To An Antigen.
B. Immunity Conferred By An Antibody Produced
InAnother Host.
1. An Example Of A Primary Prevention Measure For C. The Resistance Of A Group To An Infectious Agent.
A78-Year-Old Man With Chronic Obstructive D. Defense Against Disease Acquired Naturally By
Pulmonary Disease Is: The Infant From The Mother.
A. Reviewing The Use Of Prescribed Medications.
B. Conducting A Home Survey To Minimize Fall Risk. 7. Which Of The Following Is Usually Viewed As The
C. Checking FEV1 (Force Expired Volume At 1 Second) MostCost-Effective Form Of Healthcare?
ToFVC (Forced Vital Capacity) Ratio. A. Primary Prevention
D. Ordering Fecal Occult Blood Test (FOBT). B. Secondary Prevention
C. Tertiary Prevention
2, Which Of The Following Is An Example Of A Primary D. Cancer-Reduction Measures
Preven- Tion Activity In A 76-Year-Old Woman With
Osteoporosis? 8. An 18-Year-Old Woman With Allergic Rhinitis Presents For
A. Bisphosphonate Therapy Primary Care. She Is Sexually Active With A Male Partner
B. Calcium Supplementation And Is 1 Year Post-Coitarche; During This Time She Had
C. Ensuring Adequate Illumination In The Home Had Two Sex Partners. An Example Of A Primary
D. Use Of A Back Brace Prevention Activity For This Patient Is:
A. Screening For Sexually Transmitted Infection.
3. Secondary Prevention Measures For A 78-Year-Old Man B. Counseling About Safer Sexual Practices.
With Chronic Obstructive Pulmonary Disease Include: C. Prescribing Therapies For Minimizing Allergy.
A. Screening For Mood Disorders. D. Obtaining A Liquid-Based Papanicolaou (Pap) Test.
B. Administering Influenza Vaccine.
C. Obtaining A Serum Theophylline Level. 9. When A Critical Portion Of A Community Is Immunized
D. Advising About Appropriate Use Of Car Against A Contagious Disease, Most Members Of The
Passenger Restraints. Com- Munity, Even The Unimmunized, Are Protected
Against That Disease Because There Is Little Opportunity
4. Tertiary Prevention Measures For A 69-Year-Old For An Outbreak. This Is Known As Immunity.
Woman With Heart Failure Include: A. Passive
A. Administering Antipneumococcal Vaccine. B. Hurnoral
B. Adjusting Therapy To Minimize Dyspnea. C. Epidemiologic
C. Surveying Skin For Precancerous Lesions. D. Community
D. Reviewing Safe Handling Of Food.
Which Of The Following Products Provides Passive
Immunity?
I Answers
A. Hepatitis B Immune Globulin (HBIG)
B. measles, mumps, and rubella (MMR) vaccine 1. B. 4. B. 7. A.
C. pneumococcal conjugate vaccine 2. C. 5. A. 8. B.
D. live attenuated influenza vaccine (LAIV) 3. A. 6. A. 9. D.
1
, CH A P T E R 1 O Health Promotion And Disease Prevention
Allergy And Infectious Disease: Community Immunity
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 Ex- Ample Is Health-Protecting 10. When Advising A Patient About Injectable Influenza
Education And Counseling, Such As Encouraging The Use Of Im- Munization, The Nurse Practitioner (NP) Considers
Car Restraints And Bicycle Helmets, Counseling About Safer The Following About The Use Of This Vaccine:
Sexual Practices, And Providing Infor- Mation On Accident A. Its Use Is Not Recommended In Sickle Cell Anemia.
B. Its Use Is Limited To Children Older Than 2 Years.
And Fall Prevention. Civen Its Focus On Preventing Illness
Or Injury, Primary Prevention Is Usually Viewed As The C. Its Use Is Limited Due To Containing Live Virus.
Most Effective Form Of Healthcare. D. Its Use Is Recommended For Virtually All Members
Immunizations And Chemoprophylaxis Are Also Exam- Of The Population.
Ples Of Primary Prevention Measures. Active Immunixation 11. A Middle-Aged Man With Chronic Obstructive Pul-
Through The Use Of Vaccines Provides Long-Term Monary Disease Who Is About To Receive Injectable
Protection From Disease. In Herd Or Community Immunity, In- Fluenza Vaccine Should Be Advised That:
A Significant Portion Of A Given Population Has Immunity A. It Is More Than 90* Effective In Preventing Influenza.
Against An Infec- Tious Agent; The Likelihood That The B. Its Use Is Contraindicated In The Presence Of
Susceptible Portion Of The Group Would Become Infected Is PsoriasisVulgaris.
Minimixed (Fig. 1—1). Pas- Sive Immunity Is Provided When A C. Localized Reactions Such As Soreness And Redness
Person Receives Select An- Tibodies, Usually Via The At The Site Of The Immunization Are Fairly
Administration Of Immune Globulin (IG), After Exposure Common.
To An Infective Agent. This Immunity Is Temporary And D. A Short, Intense, Flulike Syndrome Typically
Requires The Patient To Present Post-Exposure; The Occurs After Immunization.
Protection Provided By IC Usually Starts Within Hours Of
12. A 44-Year-Old Woman With Asthma Presents Asking
Receiving The Doses And Lasts A Number Of Months. The Use
ForA “Flu Shot.” She Is Seen Today For An Urgent Care
Of Vaccines To Produce Lasting Disease Protection Is Preferred
Visit, Is Diagnosed With A Lower Urinary Tract
To Passive Immunization Through The Use Of IC. Another
Infection, And Is Prescribed Trimethoprim-
Exam- Ple Of Passive Immunity Is The Acquisition Of
Sulfamethoxazole. She Is Without Fever Or
Disease Protec- Tion Provided From Mother To Unborn Child
Gastrointestinal Upset With Stable Respiratory Status.
Via The Placenta. Secondary Prevention Measures Include
You Inform Her That She:
Activities Provided To Identify And Treat Asymptomatic Persons
A. Should Return For The Immunixation After
Who Have Risk Fac- Tors For A Given Disease Or In Preclinical
Complet- Ing Her Antibiotic Therapy.
Disease. Examples In- Clude Screening Examinations For
B. Would Likely Develop A Significant Reaction If
Preclinical Evidence Of Cancer, Such As Mammography And
Immu-Nized Today.
Cer Vical Examination With A Papanicolaou Test. Other
C. Can Receive The Immunization Today.
Examples Of Secondary Prevention Activities Include
D. Is Not A Candidate For Any Form Of Influenza
Screening For Clinical Conditions With A Pro- Tracted
Vaccine.
Asymptomatic Period, Such As A Blood Pressure Meas-
Urement To Detect Hypertension And A Lipid Profile To 13. Which Of The Following Statements Best Describes
Detect Hyperlipi Demia (Table 1—1). Amantadine Or Rimantadine Use In The Care Of
Patients With Or At Risk For Influenza?
See Full Color Images Of This A. Significant Resistance To Select Strains Of
TopicOn Davisplus At
Http://Davispius.Fadavis.Com InfluenzaLimits The Usefulness Of These
Keyword: Fitzgerald Medications.
B. The Primary Action Of These Therapies Is In
Tertiary Prevention Measures Are Part Of The Prevent-Ing Influenza A During Outbreaks.
Management Of An Established Disease. The Goal Is To C. These Therapies Are Active Against Influenza A And B.
Minimize Disease- Associated Complications And The D. The Use Of These Products Is An Acceptable
Negative Health Effects Of The Conditions To The Patient. Alternative To Influenza Vaccine.
Examples Include Medications And Lifestyle Modification To
Normalize Blood Glucose Levels In Individuals With Diabetes 14. Which Of The Following Statements Best Describes
Mellitus And In Conjunction With The Treatment Of Heart Zanamivir (Relenza) Or Oseltamivir (Tamiflu) Use In The
Failure, Aimed At Improving Or Mini- Mizing Disease- Care Of Patients With Or At Risk For Influenza?
Related Symptoms. A. Initiation Of Therapy Early In Acute Influenza Illness
Can Help Minimize The Severity Of Disease When
D ISCU SSI O N SOU RC ES The Illness Is Caused By A Nonresistant Viral
Http://Www.Cdc.Gov/Excite/Skincancer/Mod13.Htm, Centers Strain.
ForDisease Control And Prevention: Levels R›F Prevention B. The Primary Indication Is In Preventing Influenza A
Http:// Via’.Niaid.Nih.Gov/Tt During Outbreaks.
Pics/Pages/Communityimmunity.Aspx, National Institute Of
, C. The Drugs Are Active Only Against Influenza B.
D. The Use Of These Medications Is An Acceptable
Alter- Native To Influenza Vaccine.
Nurse Practitioner Certification Exam Prep
By Margaret A. Fitzgerald
7th Edition
,Health Promotion
And Dïsease Preventïon
6. Active Immunity Is Defined As:
A. Resistance Developed In Response To An Antigen.
B. Immunity Conferred By An Antibody Produced
InAnother Host.
1. An Example Of A Primary Prevention Measure For C. The Resistance Of A Group To An Infectious Agent.
A78-Year-Old Man With Chronic Obstructive D. Defense Against Disease Acquired Naturally By
Pulmonary Disease Is: The Infant From The Mother.
A. Reviewing The Use Of Prescribed Medications.
B. Conducting A Home Survey To Minimize Fall Risk. 7. Which Of The Following Is Usually Viewed As The
C. Checking FEV1 (Force Expired Volume At 1 Second) MostCost-Effective Form Of Healthcare?
ToFVC (Forced Vital Capacity) Ratio. A. Primary Prevention
D. Ordering Fecal Occult Blood Test (FOBT). B. Secondary Prevention
C. Tertiary Prevention
2, Which Of The Following Is An Example Of A Primary D. Cancer-Reduction Measures
Preven- Tion Activity In A 76-Year-Old Woman With
Osteoporosis? 8. An 18-Year-Old Woman With Allergic Rhinitis Presents For
A. Bisphosphonate Therapy Primary Care. She Is Sexually Active With A Male Partner
B. Calcium Supplementation And Is 1 Year Post-Coitarche; During This Time She Had
C. Ensuring Adequate Illumination In The Home Had Two Sex Partners. An Example Of A Primary
D. Use Of A Back Brace Prevention Activity For This Patient Is:
A. Screening For Sexually Transmitted Infection.
3. Secondary Prevention Measures For A 78-Year-Old Man B. Counseling About Safer Sexual Practices.
With Chronic Obstructive Pulmonary Disease Include: C. Prescribing Therapies For Minimizing Allergy.
A. Screening For Mood Disorders. D. Obtaining A Liquid-Based Papanicolaou (Pap) Test.
B. Administering Influenza Vaccine.
C. Obtaining A Serum Theophylline Level. 9. When A Critical Portion Of A Community Is Immunized
D. Advising About Appropriate Use Of Car Against A Contagious Disease, Most Members Of The
Passenger Restraints. Com- Munity, Even The Unimmunized, Are Protected
Against That Disease Because There Is Little Opportunity
4. Tertiary Prevention Measures For A 69-Year-Old For An Outbreak. This Is Known As Immunity.
Woman With Heart Failure Include: A. Passive
A. Administering Antipneumococcal Vaccine. B. Hurnoral
B. Adjusting Therapy To Minimize Dyspnea. C. Epidemiologic
C. Surveying Skin For Precancerous Lesions. D. Community
D. Reviewing Safe Handling Of Food.
Which Of The Following Products Provides Passive
Immunity?
I Answers
A. Hepatitis B Immune Globulin (HBIG)
B. measles, mumps, and rubella (MMR) vaccine 1. B. 4. B. 7. A.
C. pneumococcal conjugate vaccine 2. C. 5. A. 8. B.
D. live attenuated influenza vaccine (LAIV) 3. A. 6. A. 9. D.
1
, CH A P T E R 1 O Health Promotion And Disease Prevention
Allergy And Infectious Disease: Community Immunity
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 Ex- Ample Is Health-Protecting 10. When Advising A Patient About Injectable Influenza
Education And Counseling, Such As Encouraging The Use Of Im- Munization, The Nurse Practitioner (NP) Considers
Car Restraints And Bicycle Helmets, Counseling About Safer The Following About The Use Of This Vaccine:
Sexual Practices, And Providing Infor- Mation On Accident A. Its Use Is Not Recommended In Sickle Cell Anemia.
B. Its Use Is Limited To Children Older Than 2 Years.
And Fall Prevention. Civen Its Focus On Preventing Illness
Or Injury, Primary Prevention Is Usually Viewed As The C. Its Use Is Limited Due To Containing Live Virus.
Most Effective Form Of Healthcare. D. Its Use Is Recommended For Virtually All Members
Immunizations And Chemoprophylaxis Are Also Exam- Of The Population.
Ples Of Primary Prevention Measures. Active Immunixation 11. A Middle-Aged Man With Chronic Obstructive Pul-
Through The Use Of Vaccines Provides Long-Term Monary Disease Who Is About To Receive Injectable
Protection From Disease. In Herd Or Community Immunity, In- Fluenza Vaccine Should Be Advised That:
A Significant Portion Of A Given Population Has Immunity A. It Is More Than 90* Effective In Preventing Influenza.
Against An Infec- Tious Agent; The Likelihood That The B. Its Use Is Contraindicated In The Presence Of
Susceptible Portion Of The Group Would Become Infected Is PsoriasisVulgaris.
Minimixed (Fig. 1—1). Pas- Sive Immunity Is Provided When A C. Localized Reactions Such As Soreness And Redness
Person Receives Select An- Tibodies, Usually Via The At The Site Of The Immunization Are Fairly
Administration Of Immune Globulin (IG), After Exposure Common.
To An Infective Agent. This Immunity Is Temporary And D. A Short, Intense, Flulike Syndrome Typically
Requires The Patient To Present Post-Exposure; The Occurs After Immunization.
Protection Provided By IC Usually Starts Within Hours Of
12. A 44-Year-Old Woman With Asthma Presents Asking
Receiving The Doses And Lasts A Number Of Months. The Use
ForA “Flu Shot.” She Is Seen Today For An Urgent Care
Of Vaccines To Produce Lasting Disease Protection Is Preferred
Visit, Is Diagnosed With A Lower Urinary Tract
To Passive Immunization Through The Use Of IC. Another
Infection, And Is Prescribed Trimethoprim-
Exam- Ple Of Passive Immunity Is The Acquisition Of
Sulfamethoxazole. She Is Without Fever Or
Disease Protec- Tion Provided From Mother To Unborn Child
Gastrointestinal Upset With Stable Respiratory Status.
Via The Placenta. Secondary Prevention Measures Include
You Inform Her That She:
Activities Provided To Identify And Treat Asymptomatic Persons
A. Should Return For The Immunixation After
Who Have Risk Fac- Tors For A Given Disease Or In Preclinical
Complet- Ing Her Antibiotic Therapy.
Disease. Examples In- Clude Screening Examinations For
B. Would Likely Develop A Significant Reaction If
Preclinical Evidence Of Cancer, Such As Mammography And
Immu-Nized Today.
Cer Vical Examination With A Papanicolaou Test. Other
C. Can Receive The Immunization Today.
Examples Of Secondary Prevention Activities Include
D. Is Not A Candidate For Any Form Of Influenza
Screening For Clinical Conditions With A Pro- Tracted
Vaccine.
Asymptomatic Period, Such As A Blood Pressure Meas-
Urement To Detect Hypertension And A Lipid Profile To 13. Which Of The Following Statements Best Describes
Detect Hyperlipi Demia (Table 1—1). Amantadine Or Rimantadine Use In The Care Of
Patients With Or At Risk For Influenza?
See Full Color Images Of This A. Significant Resistance To Select Strains Of
TopicOn Davisplus At
Http://Davispius.Fadavis.Com InfluenzaLimits The Usefulness Of These
Keyword: Fitzgerald Medications.
B. The Primary Action Of These Therapies Is In
Tertiary Prevention Measures Are Part Of The Prevent-Ing Influenza A During Outbreaks.
Management Of An Established Disease. The Goal Is To C. These Therapies Are Active Against Influenza A And B.
Minimize Disease- Associated Complications And The D. The Use Of These Products Is An Acceptable
Negative Health Effects Of The Conditions To The Patient. Alternative To Influenza Vaccine.
Examples Include Medications And Lifestyle Modification To
Normalize Blood Glucose Levels In Individuals With Diabetes 14. Which Of The Following Statements Best Describes
Mellitus And In Conjunction With The Treatment Of Heart Zanamivir (Relenza) Or Oseltamivir (Tamiflu) Use In The
Failure, Aimed At Improving Or Mini- Mizing Disease- Care Of Patients With Or At Risk For Influenza?
Related Symptoms. A. Initiation Of Therapy Early In Acute Influenza Illness
Can Help Minimize The Severity Of Disease When
D ISCU SSI O N SOU RC ES The Illness Is Caused By A Nonresistant Viral
Http://Www.Cdc.Gov/Excite/Skincancer/Mod13.Htm, Centers Strain.
ForDisease Control And Prevention: Levels R›F Prevention B. The Primary Indication Is In Preventing Influenza A
Http:// Via’.Niaid.Nih.Gov/Tt During Outbreaks.
Pics/Pages/Communityimmunity.Aspx, National Institute Of
, C. The Drugs Are Active Only Against Influenza B.
D. The Use Of These Medications Is An Acceptable
Alter- Native To Influenza Vaccine.
