FNP Certification Exam; Questions & Answers: FNP Certification Exam Test Bank : Updated Solution

Assessment of the optic disc is a component of the evaluation of cranial nerve: I. II. III. .IV (>- Cranial II You examine a 62-year-old woman with a 20-year history of hypertension. She reports intermittent use of antihypertensive medications, stating, "I feel better without the medications." Today she presents for a "check-up."On physical examination, you note the following: PMI with a downward and lateral shift as well as a Gr II/VI holosystolic murmur with radiation to the axilla. This patient's health history is most likely to include a report of: Syncopal episodes. Episodes of chest pain at rest. Dyspnea with exertion. Vertigo. (>- Ans: dyspnea on exertion Of the following, which should be performed first in assessing a 48-year-old woman who has a 25-year history of moderate persistent asthma and who now presents with an acute asthma flare? Oxygen saturation Arterial blood gas FEV1 (forced expiratory volume at 1 second) Chest x-ray (>- Ans: FEV (force expiratory volume) You are setting up a healthcare clinic for migrant farm workers. Which of the following sites is most desirable? Community hall of a local church Local hospital ambulatory care center Mobile van Space in a shopping center (>- Ans: Mobile van A 58-year-old woman presents for an initial examination in order to become a patient in your primary care practice. She is a nonsmoker, drinks 1 to 2, 5 oz (0.15 L) glasses of wine per week, and works as an administrative assistant in a law office. She is without complaint and reports that she is generally in good health. Physical exam reveals BMI=34 kg/m2 and BP=144/98 mm Hg bilaterally. The rest of her examination is unremarkable. Prescribe a low-dose thiazide diuretic. Arrange for additional blood pressure measurements within the next four weeks. Order a serum creatinine, urea nitrogen and urinalysis. Advise restricting sodium intake and limiting alcohol intake to no more than 1 glass of wine per week. (>- Ans: Arrange for additional blood pressure measurements within the next four weeks. The NP demonstrates fulfillment of the advanced practice nursing leadership role by participating in which of the following activities? Teaching a 56-year-old man with newly-diagnosed type 2 diabetes mellitus about the importance of self-glucose monitoring Volunteering to teach a class on contraceptive methods to a group of teen mothers Discussing barriers to achieving blood pressure control with a 65-year-old woman with hypertension who "does not want to take any medicine" Collaborating with the regional public health department on an initiative to combat obesity through a community-based exercise program (>- Ans: Collaborating with the regional public health department on an initiative to combat obesity through a community-based exercise program You are asked to speak to a group of healthcare executives on the NP role. Which of the following provides the strongest support for NP practice? Number of academic credits earned during the NP program Evidence of NP practice outcomes The quantity of clinical hours and type of clinical rotations in the NP program The professional experience of the person prior to entering the NP program (>- Ans: Evidence of NP practice outcomes Rank the following from highest (1) to lowest (4) level of research design. __Case reports __Meta-analysis __Randomized controlled trials __Expert opinion 1-Case reports 2-Meta-analysis 3-Randomized controlled trials 4-Expert opinion 2-Case reports 1-Meta-analysis 3-Randomized controlled trials 4-Expert opinion 3-Case reports 1-Meta-analysis 2-Randomized controlled trials 4-Expert opinion 4-Case reports 3-Meta-analysis 2-Randomized controlled trials 1-Expert opinion (>- Ans: 3-Case reports 1-Meta-analysis 2-Randomized controlled trials 4-Expert opinion In a 46-year-old woman with hypertension and dyslipidemia, choose the correct prevention: Primary prevention Secondary prevention Tertiary prevention Counseling about reducing risk for sexually transmitted infection __ Skin survey for precancerous lesions __ 1-Primary prevention 2-Secondary prevention 1-Secondary prevention 2-Primary prevention 1-Primary prevention 2-Tertiary prevention 1-Tertiary prevention 2-Secondary prevention (>- Ans: 1-Primary prevention 2-Secondary prevention In a 66-year-old woman with type 2 diabetes mellitus (T2DM), choose the correct prevention: Primary prevention Secondary prevention Tertiary prevention 1. Administering influenza vaccine __ 2. Adjusting therapy to enhance glycemic control __ 1-Tertiary prevention 2-Primary prevention 1-Secondary prevention 2-Primary prevention 1-Primary prevention 2-Secondary prevention 1-Primary prevention 2-Tertiary prevention (>- Ans: 1-Primary prevention 2-Tertiary prevention In a 25-year-old well woman with a strong family history of T2DM, choose the correct prevention: Primary prevention Secondary prevention Tertiary prevention 1. Checking fasting lipid profile __ 2. Teaching the benefits of participating in a consistent program of moderate-intensity physical activity __ 1-Primary prevention 2-Secondary prevention 1-Tertiary prevention 2-Secondary prevention 1-Secondary prevention 2-Primary prevention 1-Primary prevention 2-Tertiary prevention (>- Ans: 1-Secondary prevention 2-Primary prevention