Free Family Nurse Practitioner Quiz

A patient who was prescribed tretinoin topical (Retin-A) cream 2 weeks ago returns to report that their acne has worsened since starting the medication. The nurse practitioner should:

An 18-year-old female patient presents with symptoms of dysuria, frequency, urgency, and suprapubic pain. The physical examination is unremarkable, and the urinalysis shows the presence of leukocyte esterase and nitrites. Based on the provided information, which of the following would be the most appropriate initial step?

A patient with history of deep vein thrombosis (DVT) reports the intention to become pregnant. What should the nurse practitioner discuss with the patient regarding DVT?

A 38-year-old patient who is a professional violinist presents with a 2-month history of pain on the outer aspect of the left elbow. Physical examination reveals tenderness over the lateral epicondyle and pain that is intensified during extension of the wrist against resistance. Which of the following is the most appropriate initial treatment for the condition?

During the physical exam, the nurse practitioner (NP) asks the patient to whisper a short phrase while auscultating the peripheral lung fields. The nurse practitioner notes that the whispered voice sounds clear and loud. This finding is suggestive of which of the following?

A 15-year-old female patient reports not having started her period. The patient has minimal to no breast development. Her mother started her period when she was 12 years old. The patient has a negative pregnancy test. Which of the following is the next step in her management?

A postpartum female is being seen routinely by the nurse practitioner 5 weeks after the birth of her second child. The nurse practitioner notes that the mother is lacking personal hygiene and is not attentive to the baby’s cries. What tool will the nurse practitioner initially use to evaluate this patient?

A 65-year-old male patient presents with a sudden onset of severe right-sided chest pain. He is diaphoretic and appears anxious. Which of the following is the most appropriate initial diagnostic test?

A patient with diabetes reports waking up with elevated blood glucose levels. The patient denies evening or night-time snacking and reports following their insulin regimen of basal and bolus insulin. Which of the following can assist with diagnosis and treatment of this patient’s fasting hyperglycemia?

Routine annual screening for a sexually active 24-year-old female patient is positive for chlamydia via nucleic acid amplification test (NAAT). A pregnancy test is negative. The patient denies any allergies. Which of the following is indicated as first-line treatment?