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3P Exam Questions & answers
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3PWhen performing a visual acuity test the nurse practitioner notes 20/30 in the left eye
and
20/40 in the right eye using the Snellen eye chart. This means: - ANS-Refer the patient
to an opthalmologist
The American psychiatric association's diagnostic and statistical manual of mental
disorder defines Munchausen Syndrome By Proxy - ANS-A caregiver making up or
causing an illness or injury in a person under his or her care
Symptoms of depression are a side effect of which neurotransmitter medication? -
ANS-Dopamine (serotonin, norepinephrine)
Which lesion is dark raised and asymmetric with irregular border? - ANS-Melanoma
A 32 years old woman presents with dull puffiness of the ayes pronounced not pitting
periorbital edema this finding is suggestive of this condition? - ANS-Myxedema
A 42 years old woman with a past medical history of migraine headaches is requesting
prophylactic medication treatment. Which medication should the Nurse practitioner
prescribe? - ANS-Amitriptyline (Elavil)
A pediatric patient has areas of scaling on the scalp with round patches of alopecia.
This clinical finding is consistent with: - ANS-Tinea Capitis
What is the appropriate prophylactic medication for an 18 years old woman with a past
medical history of migraine headaches? - ANS-Propanolol (Inderal)
Why would a combined hormonal contraceptive be contraindicated in a 36 year old
patient with a past medical history of type 2 diabetes, obesity, chronic smoking and
sedentary life - ANS-Her age and tobacco use
During the breast examination of a perimenopausal woman the NP detects a bloody
spontaneous discharge from the right nipple. This indicates further evaluation. - ANS-An
intraductal papilloma
Rh negative women should receive Rho (D) immunoglobulin at what gestational time? -
ANS-28 wks
,When interpreting a complete blood count (CBC) lab report which of the following
results describes the size of the RBCs? - ANS-Mean corpuscular volume (MCV)
What medication should be avoided when prescribe prophylactic therapy for headache -
ANS-Venlataxin (Effexor)
What is the mechanism of action of prostaglandin E1 (PG1) in a patient with
transposition of the great arteries - ANS-To produce vasodilation on....
Which of the following complaints best describes lower extremity calf pain associated
with peripheral artery disease - ANS-A dull pain or cramp
Which of the following conditions is NOT a typical finding of hyperprolactinemia in a 47-
year-old premenopausal woman? - ANS-Gynecomastia
When treating a patient with asthma who is experiencing acute wheezing which
medication should be given to relieve the symptom? - ANS-Short acting bronchodilator
Which immunization reduces a patient's risk for infection with the virus that causes
painful localized blistering rash? - ANS-Shingles (herpes zoster) vaccine
Headache warning signs that need prompt investigation include all of the following
EXCEPT: - ANS-Headache relieved with mild infrequent use of analgesics
The client with iron deficiency anemia should be advised to take the iron supplement -
ANS-on an empty stomach between meals
Which one of the following statements is true of Munchausen syndrome by proxy? -
ANS-Under the supervision of adults other than the abuser, the patient does not exhibit
symptoms
Which of the following is the most common presenting sign of substance abuse in
adolescents? - ANS-Changes in behavior
A woman is 11 weeks pregnant and has a maternity history of one full term vaginal
delivery, a set of premature triplets delivered vaginally, and a first trimester abortion.
Using her TPAL system to document her maternal status - ANS-Gravida 4 Para 1114
, The nurse practitioner palpates an enlarged right epitrochlear lymph node in a 30 years
old patient. The Nurse Practitioner should asses the patents - ANS-Right forearm and
hand
Anticholinergics are indicated for the treatment of - ANS-urge incontinence
A patient presents with signs of chest pain, the nurse practitioner observes jugular
venous distention. Their finding is consistent with - ANS-heart failure
On examination of the neck, a dome shaped lesion in the dermis forming a benign
closed firm sac attached to the epidermis is noted on the right lateral side of the neck.
The type of lesion is known as - ANS-a cutaneous cyst
Symptoms of heartburn and regurgitation are associated with: - ANS-GERD
A 70 years old man walks 20 minutes most days of the week. He has begun to complain
of pain of his left calf when he is walking. The problem has gotten gradually worse and
now he
is unable to complete his 20 minutes walks without stopping to rest. What choice best
describes the pain associated with peripheral artery disease? - ANS-A dull pain and
cramp
Papilledema is a cause for concern because it is suggestive of - ANS-Increased
intracranial pressure
A 38-year-old patient with a history of abdominal pain presents to the nurse practitioner.
Findings reveal superficial edema and bruising in the subcutaneous fatty tissue around
the umbilicus. Hemorrhagic pancreatic is suspected because of which finding? - ANS-A
positive cullens sign
A 57 years old post-menopausal female presents with a complaint of vaginal burning,
pruritus and painful intercourse. On examination, the nurse practitioner would be most
concern with the findings - ANS-A friable cervix
What intervention does the American College of Rheumatology recommend as first line
therapy for Osteoarthritis, rheumatoid arthritis or something else - ANS-Exercise and
weight loss
Which of the following drugs is not contraindicated for concurrent use with warfarin
(Coumadin)? - ANS-Amoxicillin
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