Family Nurse Practitioner Skill 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 Skill flashcards as text
A 58-year-old male with hypertension is started on lisinopril. Two weeks later he reports a dry, persistent cough. What is the most appropriate next step?
Answer: Switch to an ARB such as losartan
ACE inhibitor-induced cough is a class effect due to bradykinin accumulation; switching to an ARB (which does not affect bradykinin) is the preferred management.
Which of the following findings on a diabetic foot exam requires immediate referral to a vascular surgeon?
Answer: Ankle-brachial index (ABI) of 0.55 with rest pain
An ABI below 0.6 with rest pain indicates critical limb ischemia requiring urgent vascular surgery evaluation.
A 4-year-old presents with a barky cough, inspiratory stridor, and low-grade fever. What is the most likely diagnosis?
Answer: Croup (laryngotracheobronchitis)
Croup typically affects children aged 6 months to 3 years but can occur at 4, presenting with a seal-like barky cough, stridor, and low-grade fever caused by parainfluenza virus.
A patient with newly diagnosed atrial fibrillation has a CHA₂DS₂-VASc score of 3. According to current guidelines, what is the recommended management?
Answer: Oral anticoagulation with a DOAC or warfarin
A CHA₂DS₂-VASc score of 2 or higher in males (or 3+ in females) warrants oral anticoagulation to reduce stroke risk.
Which screening test is recommended by the USPSTF for colorectal cancer starting at age 45 in average-risk adults?
Answer: Colonoscopy every 10 years OR annual high-sensitivity FOBT/FIT
The USPSTF recommends starting colorectal cancer screening at age 45 with several acceptable strategies, including colonoscopy every 10 years or annual stool-based tests.
A 30-year-old woman at 10 weeks gestation presents with nausea and vomiting. She has lost 5 lbs, has dry mucous membranes, and urine specific gravity of 1.030. What is the diagnosis?
Answer: Hyperemesis gravidarum
Hyperemesis gravidarum is characterized by severe nausea/vomiting with weight loss >5% of pre-pregnancy weight and signs of dehydration.
Which medication is first-line for acute gout flare management in a patient with no contraindications?
Answer: Colchicine or NSAIDs
NSAIDs or colchicine (started within 24 hours of flare onset) are first-line treatments for acute gout; allopurinol and probenecid are used for chronic prophylaxis.