Family Nurse Practitioner Knowledge Flashcards
7 cards from real Family Nurse Practitioner Test practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Family Nurse Practitioner Knowledge flashcards as text
A 68-year-old patient with type 2 diabetes has an HbA1c of 9.2%. Which medication adjustment is most appropriate if they are already on metformin 1000mg twice daily?
Answer: Add a GLP-1 receptor agonist
GLP-1 receptor agonists are preferred add-on agents due to cardiovascular benefits, weight loss, and low hypoglycemia risk in patients with uncontrolled T2DM on metformin.
A mother brings her 18-month-old with fever, bulging anterior fontanelle, and irritability. Which diagnosis must be ruled out immediately?
Answer: Bacterial meningitis
Bulging anterior fontanelle with fever and irritability in an infant is a classic presentation of bacterial meningitis requiring immediate evaluation and empiric treatment.
Which cervical cancer screening guideline applies to a 32-year-old woman with no prior abnormal results?
Answer: Co-testing (Pap + HPV) every 5 years
Current USPSTF guidelines recommend co-testing with Pap smear and HPV test every 5 years for women aged 30–65 as a preferred option.
A patient taking warfarin presents with an INR of 7.2 but no active bleeding. What is the most appropriate management?
Answer: Hold warfarin and administer oral vitamin K 2.5mg
For supratherapeutic INR without bleeding, holding warfarin and giving low-dose oral vitamin K (2–2.5mg) is the recommended approach per ACCP guidelines.
A 55-year-old male smoker presents with a 3-cm solitary pulmonary nodule on CT scan. What is the recommended next step?
Answer: PET scan
A solid nodule >8mm in a high-risk patient warrants a PET scan or tissue sampling per Fleischner Society guidelines to assess malignancy risk.
Which finding on urinalysis is most consistent with nephrotic syndrome?
Answer: Massive proteinuria (>3.5g/day)
Nephrotic syndrome is characterized by heavy proteinuria (>3.5g/day), hypoalbuminemia, edema, and hyperlipidemia.
A postmenopausal woman on hormone replacement therapy presents with unexpected vaginal bleeding. What is the priority next step?
Answer: Order pelvic ultrasound and endometrial biopsy
Any postmenopausal bleeding must be evaluated promptly with endometrial biopsy and/or transvaginal ultrasound to rule out endometrial cancer.