NP NP Patient Education & Health Promotion 2 — Questions and Answers
Question 1: The NP provides anticipatory guidance about vaccine-preventable disease. Which vaccine is recommended annually for all patients ≥ 6 months of age in the US?
- Tdap booster
- Influenza vaccine (Correct answer)
- Pneumococcal vaccine
- Meningococcal vaccine
Correct answer: Influenza vaccine
The CDC recommends annual influenza vaccination for everyone 6 months and older because influenza strains change yearly, requiring updated vaccine formulations.
Question 2: When educating a patient with asthma about proper inhaler technique, which step is most commonly performed incorrectly?
- Removing the cap from the inhaler
- Failing to exhale fully before inhaling the medication (Correct answer)
- Keeping eyes open during inhalation
- Replacing the cap after use
Correct answer: Failing to exhale fully before inhaling the medication
Patients frequently do not exhale fully before actuating the inhaler, which reduces lung volume available to receive medication and decreases drug deposition in the airways.
Question 3: An NP is counseling a pregnant patient on prenatal nutrition. Which supplement is most critical to recommend starting before conception to prevent neural tube defects?
- Calcium 1200 mg daily
- Folic acid 400–800 mcg daily (Correct answer)
- Iron 27 mg daily
- Vitamin D 600 IU daily
Correct answer: Folic acid 400–800 mcg daily
Adequate folic acid intake at least one month before conception and during the first trimester reduces the risk of neural tube defects like spina bifida by up to 70%.
Question 4: Which screening tool is validated for use by NPs to assess alcohol use disorder in primary care?
- PHQ-9
- AUDIT-C (Correct answer)
- CAGE-AID
- DAST-10
Correct answer: AUDIT-C
The AUDIT-C (Alcohol Use Disorders Identification Test-Concise) is a 3-question validated screening tool recommended by the USPSTF for unhealthy alcohol use in primary care.
Question 5: A patient with chronic low back pain asks about non-pharmacological management. Which first-line approach is supported by current clinical guidelines?
- Bed rest for 2 weeks
- Superficial heat, physical therapy, and exercise (Correct answer)
- Corticosteroid injection immediately
- MRI followed by surgical evaluation
Correct answer: Superficial heat, physical therapy, and exercise
Current guidelines prioritize active non-pharmacological interventions including superficial heat, exercise therapy, and physical therapy before pharmacological or interventional approaches for chronic low back pain.
Question 6: When educating a patient about proper blood pressure measurement at home, the NP should instruct the patient to:
- Measure immediately after exercise for accuracy
- Sit quietly for 5 minutes before measuring with feet flat and arm at heart level (Correct answer)
- Use the dominant arm and inflate the cuff while talking
- Take only one reading per session
Correct answer: Sit quietly for 5 minutes before measuring with feet flat and arm at heart level
Accurate home blood pressure monitoring requires 5 minutes of seated rest, feet on the floor, arm supported at heart level, and at least two readings per session to account for variability.
NP NP Patient Education & Health Promotion 2
The NP provides anticipatory guidance about vaccine-preventable disease.
Which vaccine is recommended annually for all patients ≥ 6 months of age in the US?