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 25-year-old woman presents with a painful vesicular rash in a dermatomal distribution on her right thorax. What is the treatment of choice if she presents within 72 hours of rash onset?
Answer: Oral valacyclovir 1000 mg three times daily for 7 days
Oral valacyclovir (or famciclovir) started within 72 hours of rash onset reduces the severity and duration of herpes zoster and lowers postherpetic neuralgia risk.
Which lab finding is most consistent with iron-deficiency anemia?
Answer: Low serum ferritin, elevated TIBC, microcytic hypochromic RBCs
Iron-deficiency anemia is characterized by low ferritin (depleted stores), elevated TIBC, and microcytic hypochromic red cells on CBC.
A 52-year-old woman presents with new-onset headache described as 'the worst headache of my life.' She denies fever or neck stiffness. What is the most critical next step?
Answer: Perform immediate non-contrast CT of the head
A thunderclap 'worst headache of life' requires urgent non-contrast CT head to rule out subarachnoid hemorrhage before any other management.
When counseling an adolescent patient confidentially, which of the following situations legally requires the FNP to breach confidentiality and notify parents or authorities?
Answer: The teen discloses an imminent plan to harm themselves or another person
Imminent risk of harm to self or others is a legally and ethically mandated exception to adolescent confidentiality in all US states.
A patient with COPD has an FEV₁/FVC ratio of 0.62 post-bronchodilator. According to GOLD criteria, what severity of obstruction does this indicate if FEV₁ is 55% predicted?
Answer: GOLD 2 (Moderate)
GOLD 2 (Moderate COPD) is defined by FEV₁/FVC < 0.70 with FEV₁ 50–79% of predicted.
A 35-year-old woman is found to have a blood pressure of 150/95 mmHg on three separate visits. She is pregnant at 22 weeks. Which antihypertensive is safest to initiate?
Answer: Labetalol
Labetalol (and nifedipine or methyldopa) are preferred antihypertensives in pregnancy; ACE inhibitors are contraindicated due to fetal toxicity.
Which of the following is the hallmark physical finding in cardiac tamponade?
Answer: Beck's triad: hypotension, muffled heart sounds, and JVD
Beck's triad (hypotension, muffled/distant heart sounds, and jugular venous distension) is the classic presentation of cardiac tamponade.