(Test Bank) Nurse Practitioner Certification Examination

Fitzgerald, 5

Nursing

Test Bank

5th Edition

• $15.00 $50.00

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Test Bank for Nurse Practitioner Certification Examination, The downloadable file consists of 576 pages, and the total size of the file is 27.73 MB. Purchase now only for highly discounted price.

Author(s): Fitzgerald

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NURSE PRACTITIONER Certification Examination and Practice Preparation FIFTH EDITION 6042_FM_i-xiv 06/02/17 11:32 AM Page i6042_FM_i-xiv 06/02/17 11:32 AM Page iiNURSE PRACTITIONER Certification Examination and Practice Preparation FIFTH EDITION Margaret A. Fitzgerald, DNP, FNP-BC, NP-C, FAANP, CSP, FAAN, DCC, FNAP President, Fitzgerald Health Education Associates, LLC North Andover, Massachusetts Family Nurse Practitioner Greater Lawrence Family Health Center Lawrence, Massachusetts 6042_FM_i-xiv 06/02/17 11:32 AM Page iiiWith much admiration and great a ffection, I dedicate this book to the patients of the Greater Lawrence (MA) Family Health Center, an urban federally quali fied health center, where I have been practiced as a family NP, providing primary and urgent care to multigenerational families, for the past three decades. We have shared good news and sad news, times of great joy and sorrow, as well as the beauty and amazement of the everyday. You have been a great inspiration so I strive to be a better clinician, teacher and person. Dedication6042_FM_i-xiv 06/02/17 11:32 AM Page v6042_FM_i-xiv 06/02/17 11:32 AM Page viviiContributors Kara L. Ashley, M.Ed. Northeast Association of Learning Specialists Victor Czerkasij, MA, MS, FNP-BC Associate Lecturer Fitzgerald Health Education Associates, LLC Clinical Practice, Skin Cancer and Cosmetic Dermatology, PC Cleveland, Tennessee Adult and Pediatric Dermatology Dalton, Georgia Carolyn Buppert, NP , JD The Law Offices of Carolyn Buppert Boulder, Colorado Kahlil Ahmadi Demonbreun, DNP , RNC-OB, WHNP-BC, ANP-BC Instructor College of Nursing Medical University of South Carolina Clinical Practice, Women’s Health Nurse Practitioner Palmetto Primary Care Physicians Charleston, South Carolina Susan Feeney, DNP , NP-C, FNP-BC Senior Lecturer Fitzgerald Health Education Associates, LLC Clinical Practice, Wright and Associates Family Healthcare Amherst, New Hampshire Family Nurse Practitioner Program Coordinator, University of Massachusetts Worcester Graduate School of Nursing, Worcester Massachusetts Jordan Hopchik, DNP , RN, FNP-BC, CGRN Gastroenterology Nurse Practitioner Philadelphia VA Medical Center Scharmaine Lawson-Baker, DNP , FNP-BC, FAANP Advanced Clinical Consultants New Orleans, LouisianaLouise McDevitt, MS, ACNP-BC, ANP-BC, FNP-BC, FAANP Senior Lecturer Fitzgerald Health Education Associates, LLC Clinical Practice, Grace Cottage Family Practice Townshend, Vermont Assistant Clinical Instructor University of Vermont Medical School and Graduate School of Nursing Family Nurse Practitioner Program Burlington, Vermont Sally K. Miller, PhD, AGACNP , AGPCNP , FNP-BC, FAANP Senior Lecturer Fitzgerald Health Education Associates, LLC Clinical Practice, Nevada Health Center Las Vegas, Nevada Clinical Professor Drexel University College of Nursing and Health Professions Philadelphia, Pennsylvania Monica N. Tombasco, MS, MSNA, FNP-BC, CRNA Senior Lecturer Fitzgerald Health Education Associates, LLC Emergency Medicine Nurse Practitioner Huggins Hospital, Wolfeboro, NH Certified Registered Nurse Anesthetist Catholic Medical Center, Manchester, New Hampshire Christy M. Yates, MS, FNP-BC, NP-C, AE-C Senior Lecturer Fitzgerald Health Education Associates, LLC Clinical Practice, Family Allergy and Asthma Louisville, Kentucky6042_FM_i-xiv 06/02/17 11:32 AM Page vii6042_FM_i-xiv 06/02/17 11:32 AM Page viiiixAcknowledgments This book represents a sum of the efforts of many people. I thank my family, especially my husband, and business partner, Marc Comstock, for their support and patience as they lived through this experience. I thank the staff of Fitzgerald Health Education Associates for sharing me with this project for many months. To the contributing authors, your insight has helped increase the value and helpfulness of this publication. I thank the patients and staff of the Greater Lawrence (MA) Family Health Center, where I have practiced for more than 30 years, as they continue to serve as a source of inspi- ration as I developed this book. Gracias.I thank Susan Rhyner, Amanda Minutola, and the F.A. Davis staff for their ongoing encouragement. Last but not least, I thank the thousands of nurse practi- tioners who, over the years, have participated in the Fitzgerald Health Education Associates Nurse Practitioner Certification courses. Your eagerness to learn, thirst for knowledge, dedi- cation to success, and commitment to excellence in healthcare provision continue to inspire me. I am privileged to be part of your professional development.6042_FM_i-xiv 06/02/17 11:32 AM Page ix6042_FM_i-xiv 06/02/17 11:32 AM Page xxiPreface The scope of practice of the nurse practitioner is wide, encom- passing the care of the young, the old, the sick, and the well. This book has been developed to help the nurse practitioner develop the knowledge and skills to successfully enter nurse practitioner (NP) practice and earn certification, an important landmark in professional achievement. This book represents a perspective on learning and prac- tice developed during my years of practice at the Greater Lawrence (MA) Family Health Center and as an NP and professional speaker. In addition, my experiences through the years of helping thousands of NPs achieve professional success through conducting Fitzgerald Health Education Associates NP Certification and Advance Practice Update Courses influenced the development and presentation of the information held within. This book is not intended to be a comprehensive clinical text; rather, it is meant to be a source to reinforce learning and a guide for the development of the information base andcritical thinking skills needed for safe, entry-level NP practice. The reader is encouraged to answer the questions given in each section and then check on the accuracy of the response. The discussion section is intended to enhance learning through highlighting the essentials of primary care NP prac- tice. The numerous tables can serve as a quick-look resource not only as the NP prepares for entry to practice and certifi- cation but also in the delivery of ongoing care. —MARGARET A. FITZGERALD, DNP, FNP-BC, NP-C, FAANP, CSP, FAAN, DCC, FNAP President Fitzgerald Health Education Associates, LLC North Andover, Massachusetts Family Nurse Practitioner Greater Lawrence (MA) Family Health Center Lawrence, Massachusetts6042_FM_i-xiv 06/02/17 11:32 AM Page xi6042_FM_i-xiv 06/02/17 11:32 AM Page xiixiiiContents Introduction Understanding Test Design and Theory I-1 Chapter 1 Health Promotion and Disease Prevention 1 Chapter 2 Neurological Disorders 25 Chapter 3 Skin Disorders 47 Chapter 4 Eye, Ear, Nose, and Throat Problems 81 Chapter 5 Cardiac Disorders 109 Chapter 6 Respiratory Disorders 133 Chapter 7 Gastrointestinal Disorders 159 Chapter 8 Male Genitourinary System 197 Chapter 9 Musculoskeletal Disorders 217 Chapter 10 Peripheral Vascular Disease 261 Chapter 11 Endocrine Disorders 275 Chapter 12 Renal and Urinary Tract Disorders 309 Chapter 13 Hematological and Select Immunological Disorders 325 Chapter 14 Psychosocial Disorders 339 Chapter 15 Female Reproductive and Genitourinary Systems 369 Chapter 16 Older Adults 399 Chapter 17 Pediatrics 425 Chapter 18 Childbearing 493 Chapter 19 Professional Issues 515 Index 5296042_FM_i-xiv 06/02/17 11:32 AM Page xiii6042_FM_i-xiv 06/02/17 11:32 AM Page xivI-1 Introduction: Understanding Test Design and Theory A Foundation for Success Certi fication tests are intimidating for every examination can- didate. In addition to anxiety over content mastery, certi fica- tion examinations take place outside of the familiar clinical or classroom setting, and di ffer greatly from the assessments that a student encounters in an academic program. As a result, preparing for and taking these standardized tests requires a shift in approach and preparation for the examination that is different from the one that successfully saw you through your graduate program. Purchasing this book and immersing your- self in high-yield test preparation is one of the best steps you can make in being successful on the nurse practitioner (NP) boards. But an equally critical step is familiarizing yourself with the basics of test design and theory, to strategically understand how board examinations are written to approach the assessment of a candidate. Knowing the strategy of the examination is just as important as knowing the content being assessed on the examination. Primary Care Mind-Set Keep in mind that the purpose of the NP boards is to deter- mine whether you possess and can apply the knowledge base needed to be a safe, entry-level NP. When studying for the family or adult-gerontology examinations, remember that this practice is set in primary care, physically distanced from an acute care facility. These are not specialty, subspecialty, or acute care examinations. Adopting this mind-set from the outset is a primary step in preparing for this critically impor- tant examination. Consider that standardized tests differ from teacher- generated tests: they are global in focus, rather than limited to a particular course, and rely heavily on the ability to form associations, rather than recall specific details. More- over, more than 50% of the questions on standardized tests will ask you to apply your knowledge in a manner of con- text fundamentally different from the one in which youstudied in order to test your critical thinking and clinical application skills. Despite the major di fferences between assessment in the context of a graduate program and standardized tests, roughly four of every five test takers who engage in focused, purposeful study pass the examination on their first attempt. Part of e ffec- tive test preparation involves “demystifying” test design, learn- ing how to “unlock” questions, engaging in preparation that is most e ffective for your individual learning style, and know- ing what to expect on examination day. These steps are just as important as the robust clinical knowledge base that you need to access and apply when answering questions. The content and review program provided in this text will help you secure the broad and deep knowledge base needed to be a safe, entry- level primary care nurse practitioner. Higher-Order Thinking Expect that your certi fication examination will emphasize questions that stress higher-order thinking skills such as analysis, synthesis, and evaluation of concepts and relation- ships. Anticipate few questions that focus on facts, details, and particulars. The testing body is expecting you to think as a competent, entry-level nurse practitioner and employ adap- tive expertise as you approach your test, just as you would apply your clinical expertise in the examination room. NP certi fication candidates who are experienced adaptive experts use conceptual knowledge, including pathophysiology, phar- macology, and principles of assessment, diagnosis, interven- tion, and evaluation, as the basis for thinking but are open to flexibility of thought in relationship to a new context. On the certification examination, this is an important mind-set to maintain, as many questions will present you with a brief patient scenario, unlike the one you typically experience in clinical practice. Moreover, on test day, you do not have the ability to ask additional questions that could help to bring the “answer” into focus. Therefore, you need to think as an adaptive expert: Based on the strong concep- tual foundation, how do I apply what I know in this new context?6042_Intro_I1-I8 06/02/17 11:32 AM Page I-1