NRNP 6531 Week 6 Midterm Exam

Angie is a new NP who just finished her FNP program. She is having a difficult time finding an

FNP position in the rural area where she lives. So, since she was an ER nurse prior to her

graduate program she decides to go back to the ER as an APRN. Does she meet the

competency requirements for such a position?

*A Ye

.

s

What is the main reason for using the REALM-SF instrument to evaluate health literacy?

A small, rural hospital is part of an Accountable Care Organization (ACO) and is designated

as a Level 1 ACO. What is part of this designation?

Question 4

The Consensus Model identifies 3 core courses that all ANPs must take. All the following are

Advanced core courses except:

*A Public Health

.

B. Physiology

C. Pharmacology

Physical

D. Assessment

The care provided by APRNs is not limited by setting but by patient care needs.

*True

Epidemiological

a. studies

b. Experimental design

*c Qualitative studies

.

Randomized clinical

d. trials

Associations with area

a. hospitals

b. Costs of ambulatory care

*c Ease of access to care

.

The ratio of providers to

d. patients

Mandates for communication among primary caregivers and

a. hospitalists

Penalties for failure to perform medication reconciliations at time

b. of discharge

*c Reduction of payments for patients readmitted within 30 days

.

after discharge

Requirements for written discharge instructions for patients and

d. caregivers

A. CNM

B. CRNA

C. APN

D. CNS

False

Which is the most appropriate research design for a Level III research study?

What was an important finding of the Advisory Board survey of 2014 about primary care

preferences of patients?

To reduce adverse events associated with care transitions, the Centers for Medicare and

Medicaid Service have implemented which policy?

The Consensus Model for APRN regulation consists of which of the following roles?

*True

False

*True

False

When assisting with a skin biopsy of a patient suspected of having bullous pemphigoid (BP)

lesions, what will the practitioner do?

b. Punch biopsy

c. Shave biopsy

d. Wide excision

biopsy

.

*a Excisional

Apply a thick layer of medication over the affected

a. area.

A solution spray preparation will be more effective on

b. hairy areas.

Rules proposed by the various State Boards of Nursing must be approved by the state

Legislatures.

In reviewing the Total Percentage of Body surface area for adult burn patients each, leg, arm

and head are noted evaluated at 9%.

What is the initial approach when obtaining a biopsy of a potential malignant melanoma

lesion?

a. Avoid contact with the infected lesions.

Elicit a positive Nikolsky sign to confirm the

b. diagnosis.

*c Perform direct immunofluorescence

.

microscopy.

Prevent spread of the lesions to other areas of

d. the skin.

When recommending an over-the-counter topical medication to treat a dermatologic

condition, which instruction to the patient is important to enhance absorption of the drug?

*E All the

.

Above

A, B & C

F. only

*True

False

*True

False

*True

False

a. Clean and dress the burn wounds.

*b Order a CBC, glucose, and electrolytes.

.

c. Perform a chest radiograph.

Refer the patient to the emergency

d. department (ED).

A progesterone-only contraceptive is most beneficial for treating

a. acne.

Combined oral contraceptives are effective for non-inflammatory

b. acne only.

Oral contraceptives are effective because of their androgen

c. enhancing effects.

*d Yaz, Ortho Tri-Cyclen, and Estrostep, are approved for acne

.

treatment.

Carbuncles are typically treated with systemic antibiotics.

Mild acne is treated only with topicals.

Steroids should be avoided in cases of suspected fungal etiology.

A patient comes to the clinic after being splashed with boiling water while cooking. The

patient has partial thickness burns on both forearms, the neck, and the chin. What will the

provider do?

A provider is considering an oral contraceptive medication to treat acne in an adolescent

female. Which is an important consideration when prescribing this drug?

Ashley a 24 y/o female comes to the clinic with the following chief complaint: “I have these

reddish/purple raised patches all over my skin. On physical exam the NP notes that the

lesions are erythematous with discrete borders that are irregular, oval or round. The most

likely diagnosis based on the physical exam is:

A. Seborrheic

*c Put cool compresses over the affected area after

.

application.

Use a lotion or cream instead of an ointment

d. preparation