Adult-Gero and Family Nurse Practitioner Certification Practice Questions Book (2013 edition)

25-Nov-2013


Thank you for visiting the Adult-Gero and Family Nurse Practitioner Certification Practice Questions Book updates page Book updates are listed below:
Page # Question # Correct Answer Correction
48 22 C No corrections
74 3 C Rationale should read:
Prevention of osteoporosis may be optimized by elimination of risk factors and engaging in interventions that maximize bone density. Good nutrition from infancy throughout adulthood is a major component of good bone health. Other interventions to reduce the risk of developing osteoporosis in all age groups include engaging in weight-bearing exercises, adequate intake of calcium and vitamin D, smoking cessation, limiting alcohol consumption to moderate amounts, and avoidance when possible of medications that may decrease bone density (corticosteroids, anticonvulsants). Osteoporosis occurs at accelerated rates in women who are post-menopausal. The lack of estrogen can produce rapid bone loss due to bone resorption. The risks and benefits of estrogen replacement should be evaluated on a case by case basis for the prevention and/or treatment of osteoporosis in post-menopausal women only.
119 17 Question and choices should read:
According to the DSM-5 criteria, which criterion is NOT part of the diagnostic criteria for anorexia nervosa?

a. Intense fear of weight gain
b. Significantly low weight
c. Distorted perception of body weight
d. Muscle wasting
120 17 Rationale should read:
Muscle wasting is NOT part of the diagnostic criteria for anorexia nervosa. It is, however, considered a medical complication which can occur in many organ systems of the patient with anorexia nervosa. A few other medical complications may include muscle wasting, seizures, anemia, electrolyte imbalances, osteoporosis, amenorrhea, and hypotension. According to the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), the diagnosis of anorexia nervosa requires: a restriction of energy intake that leads to a low body weight, given the patient’s age, sex, developmental trajectory, and physical health. Significantly low weight is defined as a weight that is less than minimally normal or, for children and adolescents, less than that minimally expected; an intense fear of gaining weight or becoming fat, or persistent behavior that prevents weight gain, despite being underweight, and; a distorted perception of body weight and shape, undue influence of weight and shape on self-worth, or denial of the medical seriousness of one’s low body weight.
140 8 D No corrections
195 26 D No corrections
304 47 A No corrections
308 71 A This patient has normal non-fasting glucose readings. At this time, there is no need for further testing.
356 50 B Rationale should read:
Breastfeeding is considered a negative risk factor for acute otitis media because it decreases the risk of otitis media. Exposure to cigarette smoke and sucking on pacifiers increase the risk of acute otitis media. It is unknown whether Vitamin D supplementation increases or decreases the risk.
390  92 C No corrections
430 28 A Rationale should read:
In this age group, specifically 5 months to 5 years, viral pathogens are the most common cause of pneumonia. In this case, the preferred treatment would be supportive measures such as supplemental oxygen, nasal and pulmonary toilet, respiratory and nutritional support.
433 47 A No corrections
497 44 A No corrections
529 25 D Rationale should read: 
The chest circumference is not routinely measured at well-child visits, but is assessed if there is concern about the circumference of either the head or the chest. An exception to this observation can occur in premature infants where the head grows very rapidly. Normally, the head exceeds the chest circumference by 1-2 cm from birth until 6 months. Between 6 and 24 months the head and chest circumference should be about equal and by 2 years of age the chest should be larger than the head. The chest circumference is measured at the nipple line. 

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