bonus 1 Flashcards

1
Q

The NP demonstrates fulfillment of the advanced practice nursing leadership role by participating in which of the following activities?

Teaching a 56-year-old man with newly-diagnosed type 2 diabetes mellitus about the importance of self-glucose monitoring
Volunteering to teach a class on contraceptive methods to a group of teen mothers
Discussing barriers to achieving blood pressure control with a 65-year-old woman with hypertension who “does not want to take any medicine”
Collaborating with the regional public health department on an initiative to combat obesity through a community-based exercise program
A

Collaborating with the regional public health department on an initiative to combat obesity through a community-based exercise program

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2
Q

Rank the following from highest to lowest level of research design.

Case reports
Meta-analysis
Randomized controlled trials
Expert opinion

A

Meta-analysis
RCT
Case reports
Expert opinion

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3
Q

When considering influenza vaccination for an adult who claims to experience a hive-form reaction when exposed to eggs without a history of angioedema or respiratory distress, which of the following is most appropriate?

Administer any vaccine appropriate for his age and health status
Only offer the recombinant influenza vaccine (RIV3)
Referral for vaccination at an allergy practice
Do not administer vaccine as it is contraindicated for this patient

A

Administer any vaccine appropriate for his age and health status

egg allergy has not been a contradiction for a few years

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4
Q

A 19-year-old woman returns to receive her third dose of the HPV vaccine series. Her first two doses were with the quadrivalent vaccine, but the practice currently only stocks the 9-valent HPV vaccine.

Correct Complete her vaccination series with the 9-valent vaccine. Defer completing the vaccination series until the quadrivalent vaccine is available in the practice. Refer her to a practice where the quadrivalent vaccine is currently available. Restart the series with the 9-valent vaccine and schedule her next two doses within 6 months
A

Correct
Complete her vaccination series with the 9-valent vaccine.
Never restart series vaccines

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5
Q

when evaluating the Mantoux tuberculin skin test (TST), a positive or negative result is determined by:

The area of erythema surrounding the injection site.
The diameter of induration surrounding the injection site.
Presence of generalized maculopapular rash.
Presence of fever ≥99.8°F (37.7°C).

A

The diameter of induration surrounding the injection site.

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6
Q

A 48-year-old man is recently diagnosed with type 2 diabetes mellitus. All of the following vaccinations are indicated except:

Pneumococcal.
Hepatitis B.
Herpes zoster (shingles).
Influenza

A
Herpes zoster (shingles). 
because he is too young
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7
Q

Immunization against herpes zoster is recommended by the CDC for all adults:

≥50 years.
≥55 years.
≥60 years.
≥65 years

A

≥50 years.

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8
Q

The duration of antimicrobial treatment for active tuberculosis infection is typically:

	Correct
10 days.
4–6 weeks.
6–9 months.
1–2 years
A

6–9 months

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9
Q

True or falses?
Screening for lung cancer with a low-dose CT scan is indicated for a 62-year-old man in good health who is a current smoker and has a 40 pack-year smoking history.

A

true

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10
Q

True or false?

PSA testing is indicated for a 68-year-old man with end-stage heart failure.

A

false

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11
Q

True or false?
A 24-year-old woman who completed the HPV vaccination regimen 2 years ago is not recommended to undergo cervical cancer screening until she reaches 30 years of age.

A

false

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12
Q

True or false?

HPV test and Pap test are recommended for a 37-year-old woman who had negative cervical cytology results 5 years ago.

A

true

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