A patient reports with chest pain and shortness of breath. A 12-lead EKG reveals ST-segment elevation in leads II, III, and aVF. This is suggestive of which type of myocardial infarction (MI)?

A middle-aged female patient presents with complaints of weight gain, constipation, and alopecia of the eyebrows. Serum cholesterol is 247 mg/dL, thyroidstimulating hormone (TSH) is 25 mg/dL, and thyroid peroxidase (TPO) is elevated. Which diagnosis is most likely?

The nurse practitioner is checking a 75-year-old female patient’s breast during an annual gynecological exam. The left nipple and areola are scaly and reddened. The patient denies pain or pruritus. She has noticed this scaliness on her left nipple for the past 8 months. Her dermatologist gave her a potent topical steroid, which she used twice a day for 1 month. The patient never went back for follow-up. She still has the rash and wants an evaluation. Which of the following is the best intervention for this patient?

A 35-year-old female patient who smokes regularly is being evaluated for contraceptive choices. The patient has a history of pelvic inflammatory disease (PID), anorexia nervosa, and a deep vein thrombosis (DVT) after her last pregnancy. The patient reports having multiple sexual partners with inconsistent condom use. Which of the following is the safest option for the nurse practitioner to recommend?

A female patient is concerned about her most recent diagnosis. She has been told by her dermatologist that she has an advanced case of actinic keratosis. Which of the following statements is the best explanation for this patient?

Which of the following laboratory tests is a sensitive test for evaluating renal function?

Which of the following is recommended treatment for erythema migrans?

A parent brings their 1-month-old infant to the clinic for evaluation, stating that the infant has poor weight gain despite constant hunger and projectile vomits after eating. The nurse practitioner (NP) notes that the infant has a distended abdomen. Upon palpation, the NP detects an olive-shaped mass in the epigastrium. The NP will:

A toddler with congenital heart disease is seen for a 1-week history of facial and lower extremity edema accompanied by shortness of breath. The child’s parent reports that the child’s appetite has been poor. The chest x-ray reveals that the child has congestive heart failure (CHF). Which of the following heart sounds are found in patients with CHF?

The nurse practitioner (NP) is assessing a patient for peripheral arterial disease (PAD). To confirm the diagnosis, the NP will calculate the patient’s right ankle-brachial index (ABI) using the following average systolic blood pressures (SBPs): SBP left ankle = 126 mmHg, SBP right ankle = 124 mmHg, SBP left arm = 132 mmHg, SBP right arm = 129 mmHg. What is the patient’s right ABI?

Which class of antibiotics is first-line treatment for an unvaccinated infant diagnosed with pertussis?

An 84-year-old male patient with a documented history of osteoporosis presents with complaints of worsening back pain. During the physical examination, the nurse practitioner notes a decrease in the last documented height and a C-shaped curvature of the spine. Which diagnosis is most likely?

The nurse practitioner (NP) is examining a new 3-month-old patient who has not yet received any immunizations. Which immunizations will the NP administer during this visit to bring the child up to date?

In small children with AIDS, which of the following vaccine(s) is(are) contraindicated?

Which statement is true regarding the tetanus and diphtheria vaccine?

A 75-year-old female patient presents in the office complaining that her heart “keeps skipping beats and goes very fast.” The patient also reports dizziness and shortness of breath, especially with activity. Her pulse is 120 beats/min and irregular. The nurse practitioner (NP) orders a 12-lead EKG and considers an echocardiogram. The NP will likely prescribe:

To prevent treatment-related complications in a patient diagnosed with hepatitis C, the nurse practitioner (NP) will screen for which of the following prior to initiating treatment?

A patient with multiple sclerosis (MS) is experiencing intermittent loss of vision in one eye. To which specialist would the nurse practitioner refer the patient?

Which of the following is a true statement regarding the effect of aspirin on a platelet’s function?

The nurse practitioner is seeing a 35-year-old male patient with HIV for follow-up of an initial antiretroviral treatment regimen of 600 mg dolutegravir/50 mg abacavir/300 mg lamivudine. His plasma viral load (PVL) is 25,000 copies/mL, a decrease from 35,000 copies/mL; CD4 is 400 cells/mm3, up from 250 cells/mm3; and assessment reveals that the patient is in no acute distress. Which of the following interventions are indicated for this patient? (Select all that apply.)

An 81-year-old patient is brought to the primary care clinic for dysuria, urinary frequency, nocturia, and fever of 100.6°F. The patient is diagnosed with complicated cystitis. Which antibiotic will the nurse practitioner prescribe?

A 69-year-old male patient who smokes and has chronic gastroesophageal reflux disease (GERD) was diagnosed with Barrett esophagus 5 years ago. He is being seen by the nurse practitioner for a physical exam. The patient reports that he ran out of his proton pump inhibitor (PPI) medication and that he has not taken it for 5 days. He is complaining of severe episodes of daily heartburn. His gastroenterologist is out of town for 1 week. Which of the following is the best plan to follow during this visit?

Upon review of the chest x-ray results of a 4-year-old patient, tiny white spots in a distinctive pattern are noted throughout the lungs. Which diagnosis is most likely to manifest in this manner?

A 67-year-old female patient complains of progressive dyspnea, minimal cough, and a 10-lb weight loss over the past 3 months. The nurse practitioner (NP) notes decreased posterior breath sounds, use of accessory muscles to breathe, temperature of 98.8°F, and respirations of 24 breaths/min. Which condition does the NP suspect?

While auscultating heart sounds, the nurse practitioner (NP) hears an S2 over the pulmonic area during inspiration but not at expiration. How will the NP classify this sound?

A 16-year-old female patient who wears contact lenses presents to the clinic with eye pain, redness, and excessive tearing in the right eye. She tells the nurse practitioner (NP) that she frequently sleeps with her contact lenses in because she forgets to take them out. During slit-lamp testing, the NP notes there is an oval-shaped lesion in the right cornea. Which first-line treatment will the NP prescribe?

Which of the following is first-line therapy for an elderly patient diagnosed with isolated systolic hypertension?

Which lab values will the nurse practitioner monitor in a patient taking theophylline (Theo-Dur)?

A 24-year-old patient presents to the clinic with complaints of weakness, shortness of breath when exercising, and heart palpitations. Significant physical assessment findings include general pallor, heart rate of 98 beats/min, glossitis, splenomegaly, cutaneous paresthesia in the limbs, hyperreflexia, and a positive Romberg sign. Which diagnosis is most likely?

A 29-year-old male patient has a 2-year history of deep depression alternating with periods of high energy levels, which has impacted his ability to keep a job. After changing jobs for the third time in 2 years, he seeks assistance. Which medication will the nurse practitioner prescribe?

The nurse practitioner finds multiple types of bacteria in a patient’s urine sample. Which of the following interventions is most appropriate?

In an adolescent with scoliosis, what degree of spinal curvature requires a referral for surgical correction?

The nurse practitioner (NP) suspects possible kidney stones in an elderly male patient. An ultrasound is ordered with no evidence of kidney stones. The patient returns to the clinic with intermittent right-sided flank pain that is severe in intensity. The NP will:

At what age, in months, should healthy full-term infants be screened for anemia?

The nurse practitioner (NP) is assessing a 14-year-old female patient who is 20% underweight for her height. The NP notes that the patient has thinning hair and brittle nails as well as fine, downy body hair on her back. How will the NP document the body hair finding on the back?

A 15-year-old male patient who became lightheaded and “passed out” in class is being examined by the nurse practitioner (NP). Pulse is tachycardic at 150 beats/min, and EKG exhibits peaked QRS complex with P waves present. The NP will:

A nurse practitioner diagnoses a patient with uncomplicated chlamydia. Which of the following is the treatment recommended by the Centers for Disease Control and Prevention (CDC)?

A 25-year-old female patient presents to the nurse practitioner (NP) with new symptoms of difficulty urinating, increased frequency of urination, and mild suprapubic discomfort. Urine dipstick identifies a moderate number of leukocytes and nitrates. The NP orders trimethoprim-sulfamethoxazole twice daily for how many days?

Which condition will the nurse practitioner monitor for in a geriatric patient taking hydrochlorothiazide and nifedipine (Procardia XL)?

Which of the following statements are true regarding herpes zoster? (Select all that apply.)

A 66-year-old male patient receives lipid panel results from a routine physical. Total cholesterol is 199 mg/dL, high-density lipoprotein (HDL) is 42 mg/dL, low-density lipoprotein (LDL) is 85 mg/dL, and triglycerides are 135 mg/dL. After reviewing the results, the nurse practitioner tells the patient which of the following?

Which statement is true about Munchausen syndrome?

A patient presents for follow-up with the nurse practitioner (NP) after receiving a diagnosis of acute diverticulitis. The NP is educating the patient about how to avoid complications. What instructions should be included? (Select all that apply.)

A 44-year-old female patient who is undergoing treatment for infertility complains of not having had a menstrual period for a few months. The night before, she started spotting and is now having cramplike pains in her pelvic area. Her blood pressure (BP) is 160/80 mmHg, pulse is 110 beats/min, and she is afebrile. Her labs reveal mild anemia with mild leukocytosis. On pelvic exam, the uterine fundus is noted to be above the symphysis pubis. The cervical os is dilated at 3 cm. Which of the following is most likely?

In the United States, the most common cause of cancer deaths in men is cancer of the:

A 63-year-old patient with a 10-year history of poorly controlled hypertension presents with a cluster of physical exam findings. Which of the following clusters indicates the target organ damage commonly seen in hypertensive patients?

A patient presents with complaints of acute epigastric pain that is relieved by taking over-the-counter (OTC) antacids. Upon further evaluation, the nurse practitioner (NP) discovers the patient takes ibuprofen three times a day for joint pain. Which of the following diagnostic tests should be ordered to verify the suspected diagnosis? (Select all that apply.)

What is the mechanism of action of probenecid (Probalan)?

A left-hand-dominant high-school tennis player presents with a concern of left elbow pain. Which signs and symptoms suggest that the patient is suffering from tennis elbow? (Select all that apply.)

A 20-year-old male patient is being seen for a physical exam by the nurse practitioner. He complains of pruritic macerated areas in his groin that have been present for the past 2 weeks. Which of the following is the most likely diagnosis?

The nurse practitioner (NP) is assessing a 56-year-old patient and notes diffuse reddish-brown, pigmented lesions on the back, trunk, abdomen, chest, and arms. A sample of the skin scrapings on a potassium hydroxide (KOH) wet mount reveals short hyphae and budding cells. Which medication will the NP prescribe?

The nurse practitioner (NP) is treating a 26-year-old female patient who has been newly diagnosed with systemic lupus erythematosus (SLE). Which instruction will the NP provide to the patient?

A male teenage patient presents with complaints of fatigue and lethargy. His parent states that he has been falling asleep in school. Upon examination, he is found to be hypertensive with an average blood pressure of 164/92 mmHg. The nurse practitioner suspects secondary hypertension, which likely eliminates disorders of what system as the cause?

Which effect will the nurse practitioner take into consideration when prescribing oral pharmacologic treatment for a 2-week-old infant with omphalitis?

An adult patient presents after stepping on a nail that punctured their shoe. The patient has a swollen, diffuse pinkish-red, warm foot. Which gram-negative pathogen is most likely the cause of this infection?

A 15-year-old female patient in Tanner stage II states, “I had my first period about 6 months ago, but I haven’t had one since.” Which diagnostic would be ordered first?

An adult visits the urgent care clinic with a fever of 104.2°F, vomiting, and petechiae on the hands and feet progressing to the trunk over the past 3 days. The nurse practitioner will prescribe:

An 82-year-old patient sees the nurse practitioner (NP) for an annual physical exam. The patient requests a colonoscopy to screen for colon cancer. Which is the most therapeutic response by the NP?

A young adult male patient presents to the clinic after falling and landing on his buttocks. He complains of feeling “electrical impulses” traveling down both legs. He states that he feels as if he needs to void but is unable to do so. Upon physical examination, the nurse practitioner notes decreased lower extremity strength and reflexes. Which diagnosis is most likely?

What is recommended for an infant with noncommunicating hydrocele?

A patient presents with epigastric pain and intermittent diarrhea that worsens with food. She has a history of multiple ulcers. The nurse practitioner reviews the results of a serum fasting gastrin level and finds there is no inhibition of gastrin levels. Which diagnosis is most likely?

Which first-line treatment should be administered when treating a patient with chronic obstructive pulmonary disease (COPD), category C?

The nurse practitioner (NP) is considering timolol (Betimol) for a 70-year-old male patient diagnosed with open-angle glaucoma. What would the NP recognize as a contraindication to the medication?

A female patient with Pick disease fell out of bed and hit her head on a bedside table. The patient is not on anticoagulant therapy and is alert and oriented upon arrival to the clinic. The patient’s vital signs are blood pressure of 188/90 mmHg, pulse of 43 beats/min, and respirations of 7 breaths/min. Which diagnosis is most likely?

Pioglitazone (Actos) is contraindicated in patients with which of the following conditions?

A middle-aged male patient presents with right eyelid pain for 24 hours. He denies vision changes or discharge from the eye. Upon physical examination, the nurse practitioner (NP) notes a painful, swollen red abscess on the upper right eyelid. Which treatment plan will the NP initiate?

Which initial treatment will the nurse practitioner recommend for a patient experiencing mild allergic conjunctivitis?

What type of infection does a potassium hydroxide (KOH) prep help the nurse practitioner diagnose?

The results of a Pap test performed on a 21-year-old patient state, “Atypical squamous epithelial cells present. No endocervical cells present.” The nurse practitioner will:

The nurse practitioner is assessing the cerebellar system of an elderly adult with ataxia. During the physical examination, the patient has a positive Romberg test. What does this assessment indicate?

Auscultation of normal breath sounds of the chest will reveal:

A patient diagnosed with eczema was treated with over-the-counter 1% hydrocortisone ointment. During a follow-up visit, the patient reports that the rash does not seem to be improving. The level of steroid the nurse practitioner will prescribe next is Group:

An infant has a faun tail nevus at the lumbosacral area. Which diagnostic procedure will the nurse practitioner order first?

The nurse practitioner (NP) is performing screenings for scoliosis. What will the NP do to accurately perform this screening?

During a breast exam of a 30-year-old nulliparous female patient, the nurse practitioner (NP) palpates several rubbery mobile areas of breast tissue. They are slightly tender to palpation. Both breasts have symmetrical findings. There are no skin changes or nipple discharge. The patient is expecting her menstrual period in 5 days. The NP will:

A 35-year-old patient is being worked up for microscopic hematuria. This finding likely allows the nurse practitioner to rule out which diagnosis?

A 12-year-old child presents with external pain, swelling, and decreased hearing in the left ear. The child is on a swim team and swims every day. Upon physical examination, the child flinches when the affected ear is touched. There are no other abnormal findings. Which diagnosis is most likely?

The nurse practitioner is treating the male partner of a 22-year-old patient with a positive nucleic acid amplification test (NAAT) for Chlamydia trachomatis. Which of the following is the preferred treatment for the patient’s partner?

A female patient receiving thyroid replacement therapy contracts the flu and forgets to take her thyroid replacement medicine. The patient is at risk for which life-threatening complication?

A 4-year-old child presents with a high fever and enlarged lymph nodes in the neck area. The nurse practitioner notes dry, cracked lips and a “strawberry tongue” upon physical assessment. Which diagnosis is most likely?

A 22-year-old male athlete presents with knee pain for which the nurse practitioner performs a McMurray test. A positive sign indicates which condition?

A 68-year-old female patient has recently been diagnosed with polymyalgia rheumatica (PMR). The nurse practitioner is discussing the treatment options with the patient. Which of the following medications is the first-line treatment for this condition?

A parent presents with their 4-year-old child and states that the child is unable to attend preschool because of lack of motor skills. Which tactic can be used to determine appropriate growth and development for the patient?

The nurse practitioner performs an EKG on a patient before prescribing a calcium channel blocker (CCB). Which EKG reading (which follows) would verify that a CCB is safe to prescribe?

During a routine digital rectal exam, a hard, fixed nodule is detected on the prostate gland of a 55-year-old male patient. The patient’s prostate-specific antigen (PSA) is 4.1 ng/mL. Which of the following will the nurse practitioner order?

. The nurse practitioner is reviewing the laboratory results for a female patient who states that she has had one menstrual period over the last year and is experiencing problems sleeping. The patient’s lab results include an estradiol level of 200 pg/mL, follicle-stimulating hormone (FSH) of 35 IU/L, and an anti-Müllerian hormone (AMH) level of 0.2 ng/mL. The findings indicate that the patient:

The nurse practitioner is assessing a 13-year-old male patient who presents with back pain, nausea, and vomiting for the past 24 hours. The patient reports feeling a dull pain and muscle spasms in the back after a direct hit to the side during football practice. His vital signs are blood pressure of 140/84 mmHg, temperature of 99.1°F, pulse of 98 beats/min, and respirations of 26 breaths/min. Which diagnosis is most likely?

A 45-year-old male patient is seen as a walk-in patient in a private clinic. He reports stepping on a nail that morning. He received a Td vaccine 9 years ago. Which of the following vaccines is recommended?

A patient states, “I have had a rash for the past week and cannot stop scratching it.” Physical assessment reveals 1-mm papules and pustules, grayish-white burrows on the patient’s palms and soles of the feet, and excoriated skin with honey-colored crusting on the face and neck. The nurse practitioner will prescribe:

A 22-year-old female patient presents with signs of a broken arm, stating that she fell at home. Upon assessment, the nurse practitioner observes numerous bruises in various stages of healing, and the patient’s live-in partner responds aggressively to all questions posed to the patient. Which of the following interventions is most appropriate?

A female patient diagnosed with irritable bowel syndrome (IBS) tells the nurse practitioner (NP) that over the past few months, she has been experiencing frequent bouts of constipation. Which prescription will the NP add to the treatment plan?

What is a common sign of allergic rhinitis?

Which is a positive Kernig sign

Which medication can the nurse practitioner include in the treatment plan for a patient with a positive Finkelstein test?

The nurse practitioner is examining a 56-year-old male patient who presents with a tophus of the right great toe. History reveals a previous attack of gout 2 years ago. The patient was not prescribed preventive medication. What is appropriate first-line treatment for the patient?

An infant is born with microcephaly, narrow eyes, a flat nasal bridge, a thin upper lip, and underdeveloped ears. Which diagnosis is most likely?

Which test will the nurse practitioner order for a patient with symptoms of chronic prostatitis?

Which assessment finding is associated with Crohn disease (CD)?

A 13-year-old male patient visits the clinic. The patient’s chief complaint is persistent unilateral knee pain for several weeks. A history reveals no traumatic injury or health issues. He has a painful, bony bump below the affected knee. Upon movement, there is no laxity, but the patient feels pain. The patient’s parent reports that a recent x-ray was negative. Which diagnosis is most likely?

A female patient presents with complaints of fatigue, cold intolerance, and unexplained weight gain. Which diagnosis is most likely?

An elderly male patient presents with complaints of severe pain on his left back and a concentrated swath of vesicles. Which diagnosis is most likely?

Which is the most effective way to screen for color blindness?

Which of the following is a first-line medication for tinea unguium?

A patient presents with fever, fatigue, headache, and joint pain. Upon obtaining a history, the nurse practitioner (NP) notes that the patient has recently returned from a camping trip in the Northeast. On physical examination, the NP notices a large macule on the patient’s back with central clearing. Which diagnosis is most likely?

The nurse practitioner sees an adult patient who reports frequent headaches over the past few months. The patient has tried acetaminophen and ibuprofen without relief. The patient has a history of a myocardial infarction (MI), bradycardia, and kidney stones. Which medication is most appropriate for this patient?

A patient presents to the clinic complaining of a painful, itchy rash on the elbows and knees that appears as raised erythematous patches of silvery, scaly skin. The patient states that the rash has occurred before but resolved without treatment. For which condition should the nurse practitioner treat?

An adolescent female patient’s areola, nipple, and breast tissue develop and become elevated as one mound. Which of the following is the correct Tanner stage for this phase of breast development?

An 8-year-old boy with type 1 diabetes is being seen for a 3-day history of urinary frequency and nocturia. He denies flank pain and is afebrile. The urinalysis result is negative for blood and nitrites but is positive for a large amount of leukocytes and ketones. He has a trace amount of protein. Which of the following is the best test to order initially?

Which assessment finding is expected in a 3-year-old male patient with penopubic epispadias?

A 10-year-old girl who plays on an intramural soccer team has a history of exercise-induced asthma. She wants to know when she should use her albuterol inhaler. The nurse practitioner advises the patient to:

Which medication will the nurse practitioner prescribe to a 28-year-old female patient newly diagnosed with hypothyroidism?

A patient presents to the office with complaints of asthma 1 or 2 days a week and sleeps routinely 8 to 9 hours a night with rare occurrences of nighttime asthma symptoms. Forced expired volume in 1 second (FEV1) is >80%, and respirations are 20 breaths/min. The asthma classification protocol that the nurse practitioner should follow is Step:

A high-school wrestler has been diagnosed with infectious mononucleosis. When can the patient resume participation in the sport?

An older adult patient was burned when a large pot of boiling water fell off the stove. According to the Lund-Browder chart, the patient has reddened skin and several bullae on approximately 4% of the abdominal area. The patient is allergic to sulfa products. Which of the following interventions is most appropriate?

Which of the following is recommended on an annual basis for an elderly patient with type 2 diabetes?

A 65-year-old male patient who works as a carpenter complains of morning stiffness and pain in both his hands and his right knee upon awakening. He feels some relief after warming up. On exam, the nurse practitioner notices the presence of Heberden nodes. Which of the following is most likely?

Which of the following is considered an objective finding in patients who have a case of suppurative otitis media?

9. A 13-year-old female patient presents with complaints of right lower abdominal pain that began 4 hours ago in volleyball practice. The nurse practitioner assesses rebound tenderness at McBurney’s point. What does this assessment finding indicate?

Which medication will the nurse practitioner include in the treatment plan for a 7-year-old child with acute otitis media?

A 67-year-old female patient who regularly takes diphenhydramine (Benadryl) as a sleep aid is at risk of which of the following conditions?

The nurse practitioner (NP) prescribes an angiotensin-converting enzyme (ACE) inhibitor for a patient with kidney disease. The NP orders which of the following testing to monitor the patient?

A parent presents to the clinic with their newborn. Upon examination, the nurse practitioner (NP) notes black-colored patches on the newborn’s lumbosacral area. How will the NP document these findings?

A 67-year-old female patient comes into the clinic during the first week of November for her annual wellness visit. Her last tetanus diphtheria (Td) booster was 9 years ago. Which immunization(s) would the nurse practitioner recommend for this visit?

A 68-year-old female patient visits the clinic complaining of increasing back pain. Her past medical history reveals a T11 vertebral compression fracture in the last year. Upon physical examination, the nurse practitioner (NP) notes a decrease in height of an inch since the patient’s last encounter. The NP will order:

Which child requires assessment and evaluation?

Which of the following burn injuries can be treated by the nurse practitioner without referral to a burn center?

A 35-year-old primigravida patient who is at 18 weeks’ gestation is expecting twins. What would the nurse practitioner expect the alpha-fetoprotein (AFP) values to be?

A 55-year-old male patient has a history of angina and type 2 diabetes. His lipid profile results are total cholesterol of 280 mg/dL, low-density lipoprotein (LDL) of 195 mg/dL, and high-density lipoprotein (HDL) of 25 mg/dL. The nurse practitioner diagnoses the patient with hyperlipidemia and wants to start him on statin therapy. What intensity of treatment is recommended for this patient?

An elderly male patient complains that his central vision appears to be blurred and he cannot see when driving. Which condition is most likely?

Which assessment question will the nurse practitioner (NP) ask a 68-year-old patient who has been receiving ongoing treatment with gabapentin after a shingles outbreak?

Which antipsychotic medication is most likely to produce extrapyramidal effects?

A 73-year-old male patient presents with bilateral edema in the legs and feet, weight gain of 15 lb, and decreased urine output. The nurse practitioner will order:

A possible complication of Bell’s palsy is:

A patient with a history of smoking and estrogen therapy presents with a sudden cough with light pink– tinged sputum, a respiratory rate of 32 breaths/min, a heart rate of 134 beats/min, pallor, and chest pain with deep inspiration. Which diagnosis is most likely?

A middle-aged male patient presents with swelling of the right leg and pain upon dorsiflexion. Upon examination, the nurse practitioner (NP) finds the right leg to be larger than the left, along with redness and warmth to the calf. Which questions will the NP ask the patient? (Select all that apply.)

Which cranial nerve (CN) is measured with a “clicking” stimuli?

What is the most common cause of dementia in the elderly?

A 65-year-old male patient has been on atorvastatin (Lipitor) 80 mg daily for the past 3 months. The patient now reports significant fatigue for the past 2 weeks with no change in sleeping habits. He has noticed that he has a loss of appetite and his urine has been a darker color for the past 2 weeks. He denies dysuria, frequency, and nocturia. The nurse practitioner (NP) notices that the patient’s sclerae have a slight yellow tinge. The NP will:

An elderly patient’s bloodwork reveals a diagnosis of hepatitis A. The patient asks the nurse practitioner (NP), “How did I get this disease?” What is the NP’s best response?

A patient has a past medical history of childhood chickenpox, which provided which type of immunity?

A 27-year-old male patient reports that he has a strong desire to dress and be treated as a woman and tells the nurse practitioner (NP) that they have never been comfortable with their assigned sex. The NP will: (Select all that apply.)

A score of 23 on the Folstein Mini-Mental State Exam (MMSE) indicates which of the following?

The spouse of an elderly patient with Alzheimer disease tells the nurse practitioner (NP) that they are exhausted and cannot continue to be the sole caregiver. The couple have no children. They both have healthcare coverage with Medicare, but no supplemental insurance. The NP will initially do which of the following to support the caregiver?

A nurse practitioner’s right to practice is regulated under:

The nurse practitioner (NP) is examining a child with Down’s syndrome brought to the clinic with flu-like symptoms. The caregiver offers conflicting information about the source of bruises on the child’s buttocks. The child is quiet and reserved. Which criterion is most important for the NP to consider when evaluating this patient?

A 37-year-old male patient presents for a follow-up visit after a recent positive HIV diagnosis. Another staff member at the clinic asks the nurse practitioner (NP) if they can see the patient’s chart, as the patient is the cousin of a friend. What is the responsibility of the NP? (Select all that apply.)

A nurse practitioner (NP) working in a community health clinic sees a male patient who expresses concern about starting a relationship with a new male partner. Which of the following is the best plan to follow during this visit? (Select all that apply.)

An adult male patient is being evaluated for tuberculosis (TB) infection with a Mantoux test. The purified protein derivative (PPD) result is 10.5 mm. The patient denies weight loss, cough, and night sweats, and the results of a chest x-ray are negative. The patient reports that he is an undocumented immigrant to the United States and is fearful about discovery. Which of the following is a true statement?