An advanced practice registered nurse (APRN) is the manager of a rural,
Medicaid-funded, family practice clinic in a farming community. The clinic services
many families of migrant workers despite their limited resources. A 28-year-old
male from another country comes to the office with his wife. The patient is able
to communicate in limited English but struggles to understand some words.
However, his wife verbally reports she understands more English than her
husband. The wife informs the APRN that she is very comfortable translating for
her husband and has done it many times in the past.
How should the APRN plan to collect verbal assessment information from this
patient?
a. Speak slowly during the health interview process
b. Ask the patient's wife to interpret for the patient
c. Utilize a staff member who is familiar with the language to translate
d. Have a professional interpreter translate for the patient - ANSWERS-d. Have a
professional interpreter translate for the patient
A patient presents with complaints of sudden onset hoarseness, wheezing, and an
itchy throat after being stung by a bee.
The advanced practice registered nurse (APRN) suspects the patient may be
having an anaphylactic reaction.
,What should be the first-line pharmacological treatment?
a. Inhaled beta2 agonists
b. Ranitidine (Zantac) 50 mg IV over 5 minutes
c. H1 and H2 antagonists
d. Aqueous epinephrine 1:1000 dilution (EpiPen) 0.2-0.5 mg IM - ANSWERS-d.
Aqueous epinephrine 1:1000 dilution (EpiPen) 0.2-0.5 mg IM
An advanced practice registered nurse (APRN) is debriefing and doing a review of
a workplace violence incident. The APRN is gathering feedback from participants
at all levels who were involved.
Which phase of emergency management is the APRN addressing?
Response
Recovery
Preparedness
Mitigation - ANSWERS-Recovery
An advanced practice registered nurse (APRN) explains to a new staff member
that during times of disaster no patients will be turned away from receiving care,
even during a surge capacity of patients.
,Which guideline supports the instruction the APRN is sharing?
a. Health Insurance Portability and Accountability Act (HIPAA)
b. Incident Command System (ICS)
c. Emergency Medical Treatment and Active Labor Act (EMTALA)
d. Hospital Preparedness Program (HPP) - ANSWERS-c. Emergency Medical
Treatment and Active Labor Act (EMTALA)
A 28-year-old female presents to an advanced practice registered nurse (APRN)
with complaints of blurred vision and irritation to her right eye for the past three
days. She does not report any headaches, dizziness, fever, or chills. The patient
does not complain of any pain, rhinorrhea, or sneezing.
Assessment yields the following:
vital signs are within normal limits
left eye: sclera white, conjunctivae pink
right eye: sclera red
Which treatment should the APRN recommend based on the patient's differential
diagnoses?
a. Use artificial tears as-needed for irritation
, b. Irrigate the eye with Epinastine (Elestat) 0.05% daily
c. Use Ketorolac (Acuvail) 0.5% eye drops four times a day
d. Apply antihistamine eye drops daily - ANSWERS-a. Use artificial tears as-needed
for irritation
An advanced practice registered nurse (APRN) is gathering data for an ongoing
research project. In the project, a group of individuals with Type 2 diabetes are
divided into two, non-randomized groups.
Which type of research design is being used by the APRN?
a. Quasi-experimental
b. Descriptive
c. Experimental
d. Qualitative - ANSWERS-a. Quasi-experimental
The Healthy People 2020 contains new topics and objectives that correlate with
emerging technologies and data that were not present in the Healthy People 2010
initiative.
Which objective was newly added to the 2020 document?
a. Mental health
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