2. A 14-year-old, male patient has some general concerns about eczema, as his
twin brother was recently diagnosed with this condition. The patient
reports urticaria and a rash on his posterior knees bilaterally. The three
factors that put the patient at risk for eczema are a family history of
,Page 2 of 71
eczema, a personal history of allergic rhinitis, and a history of:
3. A patient has hyperactive reflexes of the lower extremities. The adult-
geron-tology primary care nurse practitioner assesses for ankle clonus by:
(a) firmly applying a low-pitched tuning fork to the lateral malleolus.
(b) flexing the leg at the knee, rotating it externally, and striking the
Achillestendon with the percussion hammer.
(c) sharply dorsiflexing the foot and maintaining this position while
supportingthe knee.
(d) stroking the lateral aspect of the sole from the heel to the ball of the
footwith the sharp end of the percussion hammer.
Correct: (c) sharply dorsiflexing the footand maintaining this position while
supporting the knee.
,Page 3 of 71
4. A 70-year-old, female patient is having her yearly evaluation. The
adult-gerontology primary care nurse practitioner gives which physical
exam-ination finding the highest priority for immediate treatment?
(a) Atrophy of vaginal rugae.
(b) Cystocele present.
(c) Palpable ovary.
(d) Pessary in place.
Correct: (c) Palpable ovary.
, Page 4 of 71
5. The adult-gerontology primary care nurse practitioner reminds a
16-year-old, male patient who just received his driver's license to wear a seat
belt at all times when in a car. The patient replies that he does not need
to wear a seat belt, because nothing will happen to him if he is involved
in an automobile collision. According to the health belief model, what chief
component does the patient lack?
(a) Enabling factors.
(b) Motivation.
(c) Perceived role conflict.
(d) Perceived severity.
Correct: (d) Perceived severity.
6. The adult-gerontology primary care nurse practitioner treats several pa-
tients for biological exposure. In the patients' records, the nurse
practitionerdocuments which epidemiological factors for each exposure?
(a) Comorbidities and length of exposure.
(b) Location and event intensity.
(c) Mode of transmission and incubation.
(d) Premorbid conditions and surveillance rates.
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