NP Certification Q&A

Latest Episodes:

Community-Acquired Pneumonia (CAP) Assessment May 08, 2023

Show notes

The NP is seeing a 65-year-old woman who is a former smoker, having quit at age 40, with a 20 pack-year cigarette smoking history, and has been diagnosed with community-acquired pneumonia (CAP). Which of the following is most often noted CAP finding in an adult who is deemed to be appropriate for outpatient treatment?
A. Pleuritic chest pain
B. Dyspnea
C. Purulent sputum production
D. Cough
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YouTube: https://www.youtube.com/watch?v=lQDnrmJjOLw&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=17

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Headache Diagnosis May 01, 2023

Show notes

A 27-year-old, otherwise well, woman complains of recurrent headache that occurs every 1‒2 weeks and lasts up to 24 hours. During headache, she reports sudden onset of unilateral pulsating pain, nearly always on the left side that is accompanied by photophobia, phonophobia and mild nausea without vomiting. Her first headache occurred when she was approximately 12-years-old. Her neurological exam is within normal limits. What is this clinical scenario most consistent with?
A. Cluster headache
B. Tension-type headache
C. Intracranial lesion
D. Migraine without aura
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YouTube: https://www.youtube.com/watch?v=ZukohMkD4IA&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=16

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Emergency Contraception Apr 24, 2023

Show notes

When advising a patient on the use of emergency contraception (EC) with levonorgestrel (LNG), which of the following is correct?
A. If pregnancy does occur post LNG EC use, a teratogenic pattern in the offspring has been noted
B. EC LNG must be used within 12 hours after unprotected heterosexual vaginal intercourse to provide EC benefit.
C. LNG EC’s use is limited due to a number of common contraindications.
D. LNG EC use does not result in the interruption of an established pregnancy.
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YouTube: https://www.youtube.com/watch?v=VYFUPNbwpqo&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=15

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Therapy Evaluation: T2DM, HTN, Dyslipidaemia, CKD Apr 17, 2023

Show notes

The NP is caring for a 68 year-old man with a 20 year-history of type 2 DM, HTN, dyslipidaemia, obesity (BMI=32 kg/m2) stage 3a CKD who is currently taking all of the following medications at optimized doses and with adherence, ACEI, thiazide diuretic, statin, and metformin. His current A1c= 8.2%. (NL= <5-6%) and states he is feeling well. Which of the following should be considered as next step therapy?
A. A sulfonylurea
B. Basal insulin
C. A SGLT2- inhibitor
D. No additional therapy as he is feeling well.
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YouTube: https://www.youtube.com/watch?v=SF_ztpgR_Tw&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=14

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Professional Issues: Parental Consent Apr 10, 2023

Show notes

In which of the following situations is parental consent usually needed prior to treatment?
A. A 16-year-old requesting information about contraception.
B. A 17-year-old who wants help with smoking cessation.
C.A 16-year-old requesting treatment for acne vulgaris.
D. An 18-year-old who requests treatment for a sexually transmitted infection.
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YouTube: https://www.youtube.com/watch?v=4o47mBHN5t8&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=13

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Professional Issues: NP Regulation Apr 03, 2023

Show notes

The legal authority of a nurse practitioner’s scope of practice is defined by:
A. The organization that grants NP certification.
B. The NP’s employer.
C. The law of the state where the NP practices.
D. Federal law.
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YouTube: https://www.youtube.com/watch?v=1hF-FgAfKdw&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=12

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Allergic Rhinitis Therapy Evaluation Mar 27, 2023

Show notes

The nurse practitioner is seeing a 24-year-old man in follow-up visit. Three weeks ago, he was diagnosed with allergic rhinitis, reporting that, “ for years, every spring when the pollen count is high, I get a runny, stuffy nose, and itchy throat”. He started on a regimen of daily use of an intranasal corticosteroid as a controller medication with PRN use of an oral second-generation antihistamine for more severe symptoms. Which statement indicates that the patient understands his medication instructions from the initial visit?
A.“I take my antihistamine every day and am saving the nasal spray for really bad pollen days.”
B. “I use my antihistamine every day and my prescribed nasal spray only when I have a really bad runny or stuffy nose.”
C. "I use my prescribed nasal spray as advised every day, but I notice I haven’t had to use the antihistamine for a week.”
D."I can use either the antihistamine pills or the nasal spray since both work the same way.”
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YouTube: https://www.youtube.com/watch?v=LzFdJOhQHDU&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=11

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Antimicrobial Prescribing Mar 20, 2023

Show notes

A 34-year-old woman presents with uncomplicated UTI. Her last menstrual period ended approximately 5 days ago and has a history of bilateral tubal ligation approximately 5 years ago. She is otherwise healthy, has not received a systemic antimicrobial in the past year, denies drug allergies, and is not taking any medications. Per local antibiogram, E. coli resistance rate to TMP/SMX is about 25%. Which of the following is the best choice for her therapy?
A. Prescribe a course of 3-day oral trimethoprim-sulfamethoxazole
B. Order a single dose of IM ceftriaxone
C. Prescribe a 5-day course of oral nitrofurantoin
D. Advise that a 1-week course of oral ciprofloxacin therapy is needed
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YouTube: https://www.youtube.com/watch?v=lJA8_3zR5Ls&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=10

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Cardiac Mar 13, 2023

Show notes

In evaluating a 66-year-old man with dilated cardiomyopathy and heart failure, the NP notes a grade 3/6 medium-pitched blowing systolic murmur that radiates to the axillae. What do these findings most likely represent?
A.Innocent murmur
B. Mitral stenosis
C. Aortic regurgitation
D. Mitral regurgitation
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YouTube: https://www.youtube.com/watch?v=b9XlXNKk04U&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=9

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Panic Disorder Therapy Mar 06, 2023

Show notes

In treating a 26-year-old man with panic disorder who is otherwise healthy, you consider prescribing:
A. Bupropion.
B. Alprazolam.
C. Citalopram
D. Risperidone
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YouTube: https://www.youtube.com/watch?v=dDYv02H0iDI&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=8

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