Family Nurse Practitioner Question and answers verified to pass
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Course
NRNP 6531
Institution
NRNP 6531
Family Nurse Practitioner Question and answers verified to pass Which of the following is used to screen for color blindness in a 7-year-old boy?
A. Snellen chart
B. Ishihara chart
C. Cover/uncover test
D. Red Reflex - correct answer B. Ishihara chart
The ishihara chart (or ishihara color t...
Family Nurse Practitioner Q&A
Flashcards Assessment
Which of the following is used to screen for color blindness in a 7-year-old
boy?
A. Snellen chart
B. Ishihara chart
C. Cover/uncover test
D. Red Reflex - correct answer ✔B. Ishihara chart
The ishihara chart (or ishihara color test) is used to evaluate color blindness
and can be used in patients ranging from school-aged children to adults. It
displays colored numbers with different colored dots on the background. A
pediatric color vision test for preschool children (3-6 years of age) uses
shapes instead of numbers.
A 70-year-old male patient complains of a bright-red-colored spot that has
been present in his left eye for 2 days. He denies eye pain, visual changes, or
headaches. He has a new-onset cough from a recent viral upper respiratory
infection. The only medicine he is taking is Bayer aspirin 1 tablet a day. Which
of the following actions is appropriate follow-up for this 70-year-old patient?
A. Refer the patient to an optometrist
B. Refer the patient to an ophthalmologist
C. Advise the patient that the condition is benign and will resolve
spontaneously
D. prescribe an ophthalmic antibiotic solution - correct answer ✔C. Advise
the patient that the condition is benign and will resolve spontaneously.
Subconjunctival hemorrhages do not require any treatment. The blood in the
eye will be absorbed within 10 to 14 days.
Which of the following is an accurate description of eliciting Murphy's sign?
,A. On deep inspiration by the patient, palpate firmly in the right upper
quadrant of the abdomen below the costovertebral angle.
B. Bend the patient's hips and knees at 90 degrees, then passively rotate the
hip externally, and internally.
C. Ask the patient to squat, then place the stethoscope on the apical area.
D. Press into the abdomen deeply, then release it suddenly. - correct answer
✔A. On deep inspiration by the patient, palpate firmly in the right upper
quadrant of the abdomen below the costovertebral angle.
Murphy's sign is tested during an abdominal examination for biliary disorders.
As the patient breathes in, the abdominal contents are pushed downward as
the diaphragm moves down and the lungs expand. As the patient stops/hold
the breath, the gallbladder comes in contact with the examiner's fingers and
may elicit pain. To be considered positive, the same maneuver must not elicit
pain when performed on the left side. A negative Murphy's test in the elderly is
not useful for ruling out cholecystitis if history and other tests suggest the
diagnosis.
A middle-aged woman who works in the housekeeping department of a
hospital presents to the employee health clinic with a complaint of a
needlestick too her left thumb. The needle was in one of the garbage bags
from the emergency department. The patient had a little bleeding that stopped
spontaneously. Which of the following is the next step?
A. Order an enzyme-linked immunosorbent assay (ELISA) test, as soon as
possible.
B. Recommend a tetanus booster in 1 week.
C. Offer the patient hepatitis B immunoglobulin.
D. Order a chest x-ray - correct answer ✔A. order an enzyme-linked
immunosorbent assay (ELISA) test as soon as possible
Employee health clinic protocols for needlesticks recommend ordering an
ELISA test as soon as possible to establish baseline blood work for the
employee.
, A 22-year-old sexually active woman is complaining of amenorrhea and new-
onset bloody vaginal spotting. On examination, her left adnexa is tender and
cervical motion tenderness is positive. Which test should the nurse
practitioner order initially?
A. Flat plate of the abdomen
B. Complete blood count (CBC) with with cell differential.
C. Urine pregnancy test.
D. pelvic ultrasound. - correct answer ✔C. Urine Pregnancy Test
The patient's history of amenorrhea and new onset of bloody vaginal spotting
combined with positive physical findings of left adnexal tenderness and
cervical motion tenderness are highly suggestive of an ectopic pregnancy
rather than pelvic inflammatory disease (PID). Refer this patient to the
emergency department if ectopic pregnancy is suspected. The presence of
amenorrhea should be treated as a pregnancy until proven otherwise.
You can determine a pulse deficit by counting the:
A. Apical and radial pulses at the same time, then finding the difference
between the two
B. Apical pulse first, then the radial pulse, and subtracting to find the
difference between the two.
C. Apical pulse and the femoral pulse at the same time and finding the
difference between the two.
D. Radial pulse first, then counting the femoral pulse and subtracting to find
the difference between the two. - correct answer ✔A. Apical and radial
pulses at the same time, then finding the difference between the two.
The pulse deficit is the difference between the apical pulse and the radial
pulse. These should be taken at the same time, which will require that two
people take the pulse: one with a stethoscope and one at the wrist. Count for
1 full minute. Then subtract the radial from the apical.
A 30-year-old chef complains of pruritic hives over her chest and arms, but
denies difficulty swallowing or breathing. She reports a family history of
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