NP Certification Q&A

Antimicrobial Therapy Request

A nurse practitioner receives a message from a neighbor, a 35-year-old woman who is asking for a prescription to treat a “urine infection”. The neighbor states she's had this condition occur in the past and does quite well if she gets on an antimicrobial quickly. The neighbor also mentions that she's going out of town on a business trip the next day and is unable to contact her personal healthcare provider nor get to urgent care. The NP considers the following in prescribing a medication to her neighbor.  A. Given this is a request for a prescription that is not a controlled substance, the NP can provide the prescription as long as the patient can advise on what antimicrobials she has taken in the past. B. Providing this prescription would be a violation of federal law. C. In suspected UTI, an antimicrobial prescription should not be initiated until urine culture results are available.  D. Since the NP does not have a patient provider relationship established with her neighbor, the request for an antimicrobial should be declined. ---YouTube: https://www.youtube.com/watch?v=G1IN08Ioh74&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=121Visit fhea.com to learn more!

Reportable Illness Protocol

Which of the following best describes a disease that should be reported to the local or regional public health department?  A. Diseases where public health intervention is needed to help prevent spread to the region or community.  B. Diseases with significant rates of mortality and morbidity.  C. Diseases that are most often noted among individuals with significant immunocompromise. D. Diseases where intervention in early life helps lead to improved health in adulthood.  ---YouTube: https://www.youtube.com/watch?v=oBvF5QT9RQE&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=120Visit fhea.com to learn more!

Scarlet Fever Intervention

A 6-year-old presents with his parents, with a chief complaint of a 3 day history of sore throat, intermittent frontal headache and fever with a 1 day history of a non pruritic fine, raised rash, without N, V, D or C. He is able to take fluids without difficulty but has diminished appetite. The parents report that other children in their son’s kindergarten class have been sick with similar signs and symptoms. A rapid strep screen is positive. Clinical evaluation is consistent with scarlet fever. The child has no drug allergies. Which of the following is the most appropriate intervention?A. IM penicillinB. OralamoxicillinC. Topical triamcinoloneD. No specific therapy is needed.---YouTube: https://www.youtube.com/watch?v=udyt2WeaoJo&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=119Visit fhea.com to learn more!

RUQ Abdominal Pain Treatment

A 50 yo woman presents with a 6-month history of intermittent RUQ abdominal pain, bloating and nausea, particularly after eating fatty food, describing the discomfort as sharp, occasionally radiating to the right shoulder, usually lasting around 45 mins,  and accompanied by eructation.  She is currently without distress, stating that, “I cut back on food that I know bothers my stomach.  Physical exam reveals, BMI=35, no jaundice, mild RUQ abdominal tenderness and negative Murphy’s sign.  Which of the following is the next step in her care?  A. Provide a 1-month trial of proton pump inhibitor (PPI) therapy.B. Refer to surgery for further evaluation.  C. Order a RUQ ab for abdominal ultrasound and hepatic enzymes.D. Obtain serum H. pylori testing.  ---YouTube: https://www.youtube.com/watch?v=qZSVLmpbTEA&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=118Visit fhea.com to learn more!

Measles Presentation in a Toddler

An 18-month-old toddler presents for a sick visit with a chief complaint of recent onset of fever and skin lesions.  Which of the following is most consistent with the presentation of measles (rubeola)? A. A 3-day history of anterior cervical lymphadenopathy, significant sore throat, fever with a 1-day history of a fine erythematous skin eruption.  B. A 3-day history of fever, mild nasal congestion, and crankiness followed by resolution of elevated temperature and eruption of a fine pink rash C. A 3-day history of cough, conjunctivitis with clear eye discharge, mild sore throat without exudate, diffuse lymphadenopathy and fever, followed by a new onset diffuse maculopapular rash D. A 2-day history of fever, mild sore throat, posterior cervical lymphadenopathy, and maculopapular skin lesions.  ---YouTube: https://www.youtube.com/watch?v=IWRqAkns1MQ&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=117Visit fhea.com to learn more!