TEST
Nurse Practitioner Certification Exam Prep
Fitzgerald
6TH Edition
,TABLE OF CONTENT
Chapter 1: Health Promotion and Disease Prevention
Chapter 2: Neurological Disorders
Chapter 3: Skin Disorders
Chapter 4: Eye, Ear, Nose, and Throat Problems
Chapter 5: Cardiac Disorders
Chapter 6: Respiratory Disorders
Chapter 7: Gastrointestinal Disorders
Chapter 8: Male Genitourinary System
Chapter 9: Musculoskeletal Disorders
Chapter 10: Peripheral Vascular Disease
Chapter 11: Endocrine Disorders
Chapter 12: Renal and Urinary Tract Disorders
Chapter 13: Hematological and Select Immunological Disorders
Chapter 14: Psychosocial Disorders
Chapter 15: Female Reproductive and Genitourinary Systems
Chapter 16: Older Adults
Chapter 17: Pediatrics
Chapter 18: Childbearing
Chapter 19: Professional Issues
,Nurse Practitioner Certification Examination and
Practice Preparation
CORRECT ANSWER: A
Pacing Activities Throughout The Day Conserves Energy, And Nursing Care Should
Be Paced As Well. Fatigue Is A Common Side Effect Of Cancer And Treatment; And
While Adequate Sleep Is Important, An Increase In The Number Of Hours Slept Will
Not Resolve The Fatigue. Restriction Of Visitors Does Not Promote Healthy Coping
And Can Result In Feelings Of Isolation. - 3. Which Of The Following Is The Most
Appropriate Intervention For The Nurse To Include When Planning Care For A Patient
Experiencing Fatigue Due To Chemotherapy?
a. Prioritization And Administration Of Nursing Care Throughout The Day
b. Completing All Nursing Care In The Morning So The Patient Can Rest The
Remainder Of The Day
c. Completing All Nursing Care In The Evening When The Patient Is More Rested
d. Limiting Visitors, Thus Promoting The Maximal Amount Of Hours For Sleep
CORRECT ANSWER: D
The Earliest Sign Of Infection In An Immunosuppressed Patient Can Be A Mild Fever.
Mucositis, Confusion, And Depression Are Possible Clinical Manifestations But Are
Representative Of Less Life-Threatening Complications. - 4. The Nurse Is Caring For A
Patient Who Received A Recent Bone Marrow Transplant. The Nurse Would Monitor
For Which Of The Following Clinical Manifestations That Could Indicate A Potentially
Life- Threatening Situation?
a. Mucositis
b. Confusion
c. Depression
d. Mild Temperature Elevation
CORRECT ANSWER: B
Primary Prevention Of Cancer Involves Avoidance To Known Causes Of Cancer, Such
As Sun Exposure. Secondary Screening Involves Physical And Diagnostic
Examination. - 1. Which Of The Following Options Should The Nurse Incorporate Into
The Plan Of Care As A Primary Prevention Strategy For Reduction Of The Risk For
Cancer?
, a. Yearly Mammography For Women Aged 40 Years And Older
b. Using Skin Protection During Sun Exposure While At The Beach
c. Colonoscopy At Age 50 And Every 10 Years As Follow-Up
d. Yearly Prostate-Specific Antigen (PSA) And Digital Rectal Exam For Men Aged 50
And Over
CORRECT ANSWER: A
Early Colon Cancer Is Often Asymptomatic, With Occult Or Frank Blood In The Stool
Being An Assessment Finding In A Patient Diagnosed With Colon Cancer. If Pain Is
Present, It Is Usually Lower Abdominal Cramping. Constipation And Diarrhea Are More
Frequent Findings Than Nausea Or Ascites. - 2. While The Nurse Is Collecting A
Health History On A Patient Admitted For Colon Cancer, Which Of The Following
Questions Should The Nurse Ask As A Priority?
a. "Have You Noticed Any Blood In Your Stool?"
b. "Have You Been Experiencing Nausea?"
c. "Do You Have Back Pain?"
d. "Have You Noticed Any Swelling In Your Abdomen?"
CORRECT ANSWER: D
Aging Is A Non-Modifiable Risk Factor For The Development Of Cancer With An
Associated Increase Seen With Aging. In Terms Of Gender And Age, Lifetime Risk Is
Higher For Males Than Females. Family History Of Co-Morbidities Such As
Hypertension Is Not Directly Correlated With Cancer Development. Cigarette Smoking
As A Teenager For The Patient Is A Risk Factor But May Have Mitigated Impact At
This Point In Time Based On The Patient's Stated Age And Length Of Time As A Non-
Smoker. - 5. While The Nurse Is Obtaining The Health History Of A 75-Year-Old
Female Patient, Which Of The Following Has The Greatest Implication For The
Development Of Cancer?
a. Being A Woman
b. Family History Of Hypertension
c. Cigarette Smoking As A Teenager
d. Advancing Age
CORRECT ANSWER: D
Common Signs/Symptoms Of Lung Cancer Include Coughing, Hemoptysis, And Weight
Loss, Shortness Of Breath And Chest Pain. The Nurse Should Expect To See Weight
Loss And Altered Breathing Patterns. Clear Sputum And Orthostatic Blood Pressure
Changes Would Not Be Seen. - 6. In Caring For A Patient Admitted With Lung Cancer,
Which Of The Following Should The Nurse Expect To Find On Assessment?
a. No Use Of Accessory Muscles During Respirations
b. Orthostatic Hypotension Upon Change Of Positioning
c. Clear Sputum
d. Weight Loss Compared To Last Admission
Nurse Practitioner Certification Exam Prep
Fitzgerald
6TH Edition
,TABLE OF CONTENT
Chapter 1: Health Promotion and Disease Prevention
Chapter 2: Neurological Disorders
Chapter 3: Skin Disorders
Chapter 4: Eye, Ear, Nose, and Throat Problems
Chapter 5: Cardiac Disorders
Chapter 6: Respiratory Disorders
Chapter 7: Gastrointestinal Disorders
Chapter 8: Male Genitourinary System
Chapter 9: Musculoskeletal Disorders
Chapter 10: Peripheral Vascular Disease
Chapter 11: Endocrine Disorders
Chapter 12: Renal and Urinary Tract Disorders
Chapter 13: Hematological and Select Immunological Disorders
Chapter 14: Psychosocial Disorders
Chapter 15: Female Reproductive and Genitourinary Systems
Chapter 16: Older Adults
Chapter 17: Pediatrics
Chapter 18: Childbearing
Chapter 19: Professional Issues
,Nurse Practitioner Certification Examination and
Practice Preparation
CORRECT ANSWER: A
Pacing Activities Throughout The Day Conserves Energy, And Nursing Care Should
Be Paced As Well. Fatigue Is A Common Side Effect Of Cancer And Treatment; And
While Adequate Sleep Is Important, An Increase In The Number Of Hours Slept Will
Not Resolve The Fatigue. Restriction Of Visitors Does Not Promote Healthy Coping
And Can Result In Feelings Of Isolation. - 3. Which Of The Following Is The Most
Appropriate Intervention For The Nurse To Include When Planning Care For A Patient
Experiencing Fatigue Due To Chemotherapy?
a. Prioritization And Administration Of Nursing Care Throughout The Day
b. Completing All Nursing Care In The Morning So The Patient Can Rest The
Remainder Of The Day
c. Completing All Nursing Care In The Evening When The Patient Is More Rested
d. Limiting Visitors, Thus Promoting The Maximal Amount Of Hours For Sleep
CORRECT ANSWER: D
The Earliest Sign Of Infection In An Immunosuppressed Patient Can Be A Mild Fever.
Mucositis, Confusion, And Depression Are Possible Clinical Manifestations But Are
Representative Of Less Life-Threatening Complications. - 4. The Nurse Is Caring For A
Patient Who Received A Recent Bone Marrow Transplant. The Nurse Would Monitor
For Which Of The Following Clinical Manifestations That Could Indicate A Potentially
Life- Threatening Situation?
a. Mucositis
b. Confusion
c. Depression
d. Mild Temperature Elevation
CORRECT ANSWER: B
Primary Prevention Of Cancer Involves Avoidance To Known Causes Of Cancer, Such
As Sun Exposure. Secondary Screening Involves Physical And Diagnostic
Examination. - 1. Which Of The Following Options Should The Nurse Incorporate Into
The Plan Of Care As A Primary Prevention Strategy For Reduction Of The Risk For
Cancer?
, a. Yearly Mammography For Women Aged 40 Years And Older
b. Using Skin Protection During Sun Exposure While At The Beach
c. Colonoscopy At Age 50 And Every 10 Years As Follow-Up
d. Yearly Prostate-Specific Antigen (PSA) And Digital Rectal Exam For Men Aged 50
And Over
CORRECT ANSWER: A
Early Colon Cancer Is Often Asymptomatic, With Occult Or Frank Blood In The Stool
Being An Assessment Finding In A Patient Diagnosed With Colon Cancer. If Pain Is
Present, It Is Usually Lower Abdominal Cramping. Constipation And Diarrhea Are More
Frequent Findings Than Nausea Or Ascites. - 2. While The Nurse Is Collecting A
Health History On A Patient Admitted For Colon Cancer, Which Of The Following
Questions Should The Nurse Ask As A Priority?
a. "Have You Noticed Any Blood In Your Stool?"
b. "Have You Been Experiencing Nausea?"
c. "Do You Have Back Pain?"
d. "Have You Noticed Any Swelling In Your Abdomen?"
CORRECT ANSWER: D
Aging Is A Non-Modifiable Risk Factor For The Development Of Cancer With An
Associated Increase Seen With Aging. In Terms Of Gender And Age, Lifetime Risk Is
Higher For Males Than Females. Family History Of Co-Morbidities Such As
Hypertension Is Not Directly Correlated With Cancer Development. Cigarette Smoking
As A Teenager For The Patient Is A Risk Factor But May Have Mitigated Impact At
This Point In Time Based On The Patient's Stated Age And Length Of Time As A Non-
Smoker. - 5. While The Nurse Is Obtaining The Health History Of A 75-Year-Old
Female Patient, Which Of The Following Has The Greatest Implication For The
Development Of Cancer?
a. Being A Woman
b. Family History Of Hypertension
c. Cigarette Smoking As A Teenager
d. Advancing Age
CORRECT ANSWER: D
Common Signs/Symptoms Of Lung Cancer Include Coughing, Hemoptysis, And Weight
Loss, Shortness Of Breath And Chest Pain. The Nurse Should Expect To See Weight
Loss And Altered Breathing Patterns. Clear Sputum And Orthostatic Blood Pressure
Changes Would Not Be Seen. - 6. In Caring For A Patient Admitted With Lung Cancer,
Which Of The Following Should The Nurse Expect To Find On Assessment?
a. No Use Of Accessory Muscles During Respirations
b. Orthostatic Hypotension Upon Change Of Positioning
c. Clear Sputum
d. Weight Loss Compared To Last Admission
