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 65-year-old woman with osteoporosis has a T-score of -2.8 on DEXA scan. In addition to calcium and vitamin D, which pharmacologic therapy is first-line?
Answer: Oral bisphosphonate (alendronate or risedronate)
Oral bisphosphonates are the first-line pharmacologic treatment for postmenopausal osteoporosis due to proven efficacy in reducing vertebral and hip fractures.
A 2-year-old child is brought in with a bulging fontanelle, high fever, and nuchal rigidity. Which action should the FNP take FIRST?
Answer: Administer empiric IV antibiotics without delay
Bacterial meningitis is a life-threatening emergency; empiric antibiotics must not be delayed even if lumbar puncture or imaging is planned.
Which of the following is the most appropriate initial antibiotic for uncomplicated community-acquired pneumonia in a healthy adult without comorbidities?
Answer: Azithromycin or doxycycline
IDSA/ATS guidelines recommend a macrolide (azithromycin) or doxycycline as monotherapy for outpatient CAP in otherwise healthy adults with no comorbidities.
A 45-year-old male presents with fatigue, weight gain, cold intolerance, and constipation. TSH is 8.5 mIU/L and free T4 is low. What is the treatment of choice?
Answer: Levothyroxine (T4 replacement)
Hypothyroidism is treated with levothyroxine, the synthetic form of T4, titrated to normalize TSH.
A mother brings her 6-week-old infant who vomits forcefully after every feeding and appears hungry immediately afterward. The FNP palpates an olive-shaped mass in the epigastrium. What is the most likely diagnosis?
Answer: Pyloric stenosis
Pyloric stenosis classically presents at 3–6 weeks of age with projectile non-bilious vomiting, persistent hunger, and a palpable 'olive' mass representing the hypertrophied pylorus.
Which of the following is the most important risk factor for the development of type 2 diabetes mellitus?
Answer: Central obesity and insulin resistance
Central obesity leading to insulin resistance is the predominant modifiable risk factor for type 2 diabetes mellitus.
A 70-year-old male smoker reports painless gross hematuria. He has no UTI symptoms. What is the priority next step?
Answer: Refer for urgent cystoscopy to rule out bladder cancer
Painless gross hematuria in an older smoker is bladder cancer until proven otherwise; urgent cystoscopy and urology referral are indicated.