FNP CERTIFICATION REVIEW: Questions & Answers: Updated A+ Guide

An adult patient needs treatment for Chlamydia trachomatis urethritis. Which one of the following drugs is useful as a single-dose regimen? a. Ceftriaxone intramuscularly b. Levofloxacin c. Azithromycin d. Doxycycline (Ans- c A patient who gave birth to an infant two months previously seems disengaged and withdrawn. The family nurse practitioner is concerned that the patient may have postpartum depression. Which three of the following symptoms are characteristic of postpartum depressions? a. Insomnia or hypersomnia b. Disorientation and confusion c. Feeling of worthlessness or inadequacy d. Poor concentration and inability to make decisions e. Delusions associated with the infant (Ans- a, c & d A child with fetal alcohol syndrome [FAS] is likely to exhibit which of the following findings? a. Growth deficiency b. Normal IQ c. Thickened upper lip d. Macrocephaly (Ans- a To evaluate a child for esotropia, which one of the following is a rapid and convenient diagnostic screening test? a. Slit lamp examination b. Corneal light reflex test c. Snellen test d. Fluorescein test (Ans- b According to Dr. Elisabeth Kubler-Ross, dying patients experience several emotional stages during terminal illness. Which one of these emotions persists throughout all the stages of terminal illness? a. Anger b. Hope c. Denial d. Bargaining (Ans- b A family nurse practitioner is assessing an 11-month-old African-American child who was brought in by his mother for concerns about swelling in both hands and both feet. On examination, the nurse practitioner finds tenderness and obvious swelling of the hands and feet. Vital signs, including temperature and blood pressure, are normal The most likely diagnosis is: a. osteomyelitis b. hand-foot-mouth disease c. glomerulonephritis d. sickle cell disease (Ans- d (hand-foot syndrome) dactylitis due to sickle cell disease A 65-year-old woman complains of urinary incontinence. She is experiencing leakage of urine when she coughs, sneezes, or laughs. This form of urinary incontinence is called: a. stress incontinence b. urge incontinence c. overflow incontinence d. functional incontinence (Ans- a A full-term newborn weighed 7 pounds, 9 ounces at birth. Three days after hospital discharge, the family nurse practitioner is seeing the baby for his first checkup. he now weighs 7 pounds, 4 ounces. This level of weight loss is: a. worrisome because it is below birth weight b Indicative of inadequate nutrition c. A sign of dehydration d. Normal at this age (Ans- d Which of the following drugs is NOT associated with human teratogenicity? a. Valproic acid b. Warfarin c. Phenytoin d. Amoxicillin (Ans- d Valproic acid - neural tube defects (spina bifida, meningocele) Phenytoin (Dilantin) - developmental defects (cleft palate, mental deficiency, cleft lip) Warfarin (Coumadin) - nasal deformities, brain abnormalities and stillbirth The family nurse practitioner is assessing an infant for indications of developmental hip dysplasia utilizing the Ortolani-Barlow maneuver. The maneuver begins by placing the infant on the back and includes the following steps: 1. Grasp the infant's knees with the thumbs over the inner thighs 2. Slowly abduct the infant's hips and observe for equal movement, resistance, or an abnormal "clunk" sound. 3. Flex the infant's knees and hips to 90 degrees 4. Touch the infant's knees together, and then press down on the one femur at a time, observing for dislocation (Ans- 1 3 4 2 The study of individual genes and their impact on relatively rare single-gene disorders (Ans- Genetics The study of all the genes in the human genome together, including their interactions with one another, the environment, and the influence of psychosocial and cultural factors (Ans- Genomics A transaction between the sender and the receiver. Both parties participate simultaneously (Ans- Therapeutic communication Requirements for therapeutic relationships (Ans- Rapport Trust Respect Honesty Empathy Are social systems that form interdependent and independent relationships, referred to as subsystems both within and outside. (Ans- Families The difference in the incidence, prevalence, mortality, and burden of disease and other adverse conditions that exist among specific population groups in the United States (National Institute on Aging, 2008) (Ans- Health disparities The availability (or lack thereof) of healthcare services to all (Ans- Access A setting with a shortage of primary care, dental, and/or mental health services (Ans- Medically underserved community Open to physical, emotional, and/or socioconomic harm (Ans- Vulnerability Inhibited from knowledge, skills, and abilities to participate in the healthcare system as a provider and/or a receipt of health care because of economic, social, ethnic, or racial background, and/or physical or mental impairment (Ans- Disadvantaged Racial and ethnic populations whose representation among the health professions is lower than their proportion of the general population (Ans- Underrepresented minorities Defined by the World Health Organization as "conditions in which people are born, grow, live, work, and age, and the wider set of forces and systems shaping the conditions of daily life" (WHO, 2015) (Ans- Social determinants of health