Mr. A, experienced a brief onset of right sided weakness, slurred speech and confusion
yesterday. The symptoms have resolved and the CT is normal. What is the next step of the plan
for Mr. A?
a. assure the pa ent that he will not experience the symptoms again
b. iden fy modifiable cardiovascular risk factors
c. order ASA 81mg stat
d. order a stat EEG and administer O2 by mask -correct answersb. iden fy modifiable
cardiovascular risk factors
A 56-year old male pa ent screened for diabetes has a fas ng plasma glucose level of 96mg/dl.
The nurse prac oner management plan includes:
a. repeat fas ng plasma glucose in three years
b. prescribe Me ormin 500mg po BID
c. repeat fas ng plasma glucose in one year
d. refer to ophthalmology for eye exam -correct answersa. repeat fas ng plasma glucose in
three years
RW, a 57 year old na ve American female, presents to the office. RW states she feels irritable
and has difficulty concentra ng as well as fallingn asleep and staying aleep. She states she is
worried about her finances, her husband has just lost his job. The NP diagnoses anxiety. The NP
prescribes a first line treatment which is
,a. Diazepam
b. Clonazepam
c. Ariprprazole
d. Paroxe ne -correct answersd. Paroxe ne
The most common sustained rhythmic disorder, which consists of fibrillatory p waves is:
a. AV block
b. atrial tachycardia
c. atrial fibrilla on
d. atrial flu er -correct answersc. atrial fibrilla on
According to the Sexually presenta on, atrophic vagini s
a. the symptomsm are the same for each woman
b. creates a more acidic vaginal environment
c. is a contribu ng factor for frequent urinary tract infec ons
d. is not treated with vaginal lubricants -correct answersc. is a contribu ng factor for frequent
urinary tract infec ons
Which of the following is the most appropriate screening tool for delirium?
a. St Louis University Mental Status Exam (SLUMS)
b. Montreal Cogni ve Assessment
c. Lawton Scale of instrumental Ac vi es of Daily Living
,d. Confusion Assessment Model -correct answersd. Confusion Assessment Model
A drug that can be used to treat two very common symptoms in a dying pa ent (pain and
dyspnea_ is:
a. lorazepam
b. Gabapen n
c. Methadone
d. Morphine -correct answersd. Morphine
Which of the following would you recommend annually for the elderly type 2 diabe c?
a. periodic visits to a gastroenterologist
b. colonoscopy
c. follow up with a urologist
d. eye exam with an opthlamologist -correct answersd. eye exam with an opthlamologist
Which characteris c of delerium helps to dis nguish it from demen a?
a, short term memory impairment
b. personality changes
c. acute onset
d. impaired a en on -correct answersc. acute onset
The majority of pa ents enrolled in hospice care die:
, a. in the hospital
b. in an inpa ent hospice facility
c. in a nursing home
d. at home -correct answersd. at home
A middle aged pa ent has been diagnosed with Parkinson's disease. What influences the nurse
prac oners descision to begin pharmacological treatment for this pa ent?
a. medica ons ini ated at first sign of unilateral involvement
b. gait instability requiring the use of a cane
c. inten onal tremors
d. symptoms interfering with func onal ability -correct answersd. symptoms interfering with
func onal ability
Which of the following is a role of the advanced prac ce nurse in pallia ve cancer care?
a. detec ng cancer in asymptoma c paitents or those with specific symptoms
b. arranging for follow up including pa ennts
c. iden fying and managing complica ons of care
d. all of the above -correct answersd. all of the above
A 58 year old Caucasian mane with type 2 diabetes mellitus presents to the clinic as a new
pa ent. He takes me ormin 500mg twice a day. His last Hgb A1c was 7%. He is up to date on
eye and foot examina ons. His BP is 142/96. According to ACC 2017 guidelines for high blood
pressure in adults, what is the most appropriate first line medica on?
a. lisinopril
yesterday. The symptoms have resolved and the CT is normal. What is the next step of the plan
for Mr. A?
a. assure the pa ent that he will not experience the symptoms again
b. iden fy modifiable cardiovascular risk factors
c. order ASA 81mg stat
d. order a stat EEG and administer O2 by mask -correct answersb. iden fy modifiable
cardiovascular risk factors
A 56-year old male pa ent screened for diabetes has a fas ng plasma glucose level of 96mg/dl.
The nurse prac oner management plan includes:
a. repeat fas ng plasma glucose in three years
b. prescribe Me ormin 500mg po BID
c. repeat fas ng plasma glucose in one year
d. refer to ophthalmology for eye exam -correct answersa. repeat fas ng plasma glucose in
three years
RW, a 57 year old na ve American female, presents to the office. RW states she feels irritable
and has difficulty concentra ng as well as fallingn asleep and staying aleep. She states she is
worried about her finances, her husband has just lost his job. The NP diagnoses anxiety. The NP
prescribes a first line treatment which is
,a. Diazepam
b. Clonazepam
c. Ariprprazole
d. Paroxe ne -correct answersd. Paroxe ne
The most common sustained rhythmic disorder, which consists of fibrillatory p waves is:
a. AV block
b. atrial tachycardia
c. atrial fibrilla on
d. atrial flu er -correct answersc. atrial fibrilla on
According to the Sexually presenta on, atrophic vagini s
a. the symptomsm are the same for each woman
b. creates a more acidic vaginal environment
c. is a contribu ng factor for frequent urinary tract infec ons
d. is not treated with vaginal lubricants -correct answersc. is a contribu ng factor for frequent
urinary tract infec ons
Which of the following is the most appropriate screening tool for delirium?
a. St Louis University Mental Status Exam (SLUMS)
b. Montreal Cogni ve Assessment
c. Lawton Scale of instrumental Ac vi es of Daily Living
,d. Confusion Assessment Model -correct answersd. Confusion Assessment Model
A drug that can be used to treat two very common symptoms in a dying pa ent (pain and
dyspnea_ is:
a. lorazepam
b. Gabapen n
c. Methadone
d. Morphine -correct answersd. Morphine
Which of the following would you recommend annually for the elderly type 2 diabe c?
a. periodic visits to a gastroenterologist
b. colonoscopy
c. follow up with a urologist
d. eye exam with an opthlamologist -correct answersd. eye exam with an opthlamologist
Which characteris c of delerium helps to dis nguish it from demen a?
a, short term memory impairment
b. personality changes
c. acute onset
d. impaired a en on -correct answersc. acute onset
The majority of pa ents enrolled in hospice care die:
, a. in the hospital
b. in an inpa ent hospice facility
c. in a nursing home
d. at home -correct answersd. at home
A middle aged pa ent has been diagnosed with Parkinson's disease. What influences the nurse
prac oners descision to begin pharmacological treatment for this pa ent?
a. medica ons ini ated at first sign of unilateral involvement
b. gait instability requiring the use of a cane
c. inten onal tremors
d. symptoms interfering with func onal ability -correct answersd. symptoms interfering with
func onal ability
Which of the following is a role of the advanced prac ce nurse in pallia ve cancer care?
a. detec ng cancer in asymptoma c paitents or those with specific symptoms
b. arranging for follow up including pa ennts
c. iden fying and managing complica ons of care
d. all of the above -correct answersd. all of the above
A 58 year old Caucasian mane with type 2 diabetes mellitus presents to the clinic as a new
pa ent. He takes me ormin 500mg twice a day. His last Hgb A1c was 7%. He is up to date on
eye and foot examina ons. His BP is 142/96. According to ACC 2017 guidelines for high blood
pressure in adults, what is the most appropriate first line medica on?
a. lisinopril
