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by Fitzgerald Health Education Associates
Welcome to NP Certification Q&A presented by Fitzgerald Health Education Associates. This podcast is for NP students studying to pass their NP certification exam. Getting to the correct test answers means breaking down the exam questions themselves. Expert Fitzgerald faculty clinicians share their knowledge and experience to help you dissect the anatomy of a test question so you can better understand how to arrive at the correct test answer. So, if you’re ready, let’s jump right in.
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A 78-year-old woman with hypertension controlled with hydrochlorothiazide started taking carbamazepine for trigeminal neuralgia approximately 3 weeks ago. She presents today saying, “I’ve been feeling oddly for the past week.” Laboratory results are •Na⁺ 131 mEq/L (normal 135–145 mEq/L) •K⁺ 3.8 mEq/L (normal 3.5–5.0 mEq/L) •Cl⁻ 100 mEq/L (normal 98–106 mEq/L) •HCO₃⁻ 25 mEq/L (normal 22–29 mEq/L) •Creatinine 0.9 mg/dL (approximately normal 0.6–1.3 mg/dL) •eGFR 65 mL/min/1.73 m² (≥6...
A 78-year-old woman who is taking a thiazide diuretic with lisinopril for the treatment of hypertension is started on a therapeutic dose of an SSRI due to a new diagnosis of major depressive disorder. Which of the following is a potential drug induced electrolyte disorder in an older adult taking these medications? A. Hypokalemia B. Hyperkalemia C. Hyponatremia D. Hypercalcemia --- YouTube: https://www.youtube.com/watch?v=vIecGMQNL8s&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index...
An 81-year-old woman with a 30-year history of hypertension and dyslipidemia, both at treatment goal, presents with a 1-week history of a new-onset headache. She states, “I’ve never had a headache like this before in my life.” She has a history of migraine without aura beginning in her early teens, with only rare episodes since her early 50s. At age 60, she had herpes zoster ophthalmicus, which resolved without visual changes or neurologic sequelae. Her current symptoms include right-sided sc...
An 81-year-old woman with a 30 year hx of HTN and dyslipidemia, all at treatment goal, presents with a 1-week history of a new onset left sided headache, scalp tenderness and jaw claudication. Suspecting giant cell arteritis, the clinician orders which of the two following tests? A. Temporal artery ultrasonography B. C-reactive protein C. MRI of the brain D. Carotid artery ultrasound. Visit fhea.com to learn more!
A healthy 30-year-old at 33 weeks' gestation presents for routine prenatal care in late September in the northeast USA. She's not previously received any vaccines. And about the past ten years and states, "I heard there are shots to protect the baby from RSV. My niece had this when she was a month old and got very sick". Which of the following is the best response? A. Recommend a single dose of an FDA approved RSV vaccine as soon as possible. B. The maternal RSV vaccine is recomme...
A 12-year-old male presents with his father for a routine Whelchel visit. The father asked to speak to you privately, as he's concerned that his son is, quote, showing some body changes. Close quote during the visit, the child is alert, interactive with physical exam findings consistent with Tanner's Stage three sexual maturation. He remains on his growth curve for height and weight. When discussing these findings with the father, which of the following is the most accurate statement?&n...
A seven year old with a diagnosis of asthma since age to present with his parents for a new patient visit. He has cough, wheezing and shortness of breath 4 to 5 days per week and awakens with asthma symptoms about once weekly. His parents states when he's playing soccer, sometimes he needs to stop running because of his cough. So last visit with his prior PCP was about seven months ago when he was prescribed, according to his parents quote, "a pill to take every day to help control his cough"...
A healthy 12 month old child is scheduled for a routine well, child's visit and age appropriate immunizations in three days. The parent message is the nurse practitioner and ask, quote, my mother told me to give her some acetaminophen Tylenol before she gets her shots. That way she won't be uncomfortable afterwards. I want to check with you first. Is this a good idea? A. Give acetaminophen about one hour before the appointment to relieve to prevent fever and injection site discomfort. B...
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Welcome to NP Certification Q&A presented by Fitzgerald Health Education Associates. This podcast is for NP students studying to pass their NP certification exam. Getting to the correct test answers means breaking down the exam questions themselves. Expert Fitzgerald faculty clinicians share their knowledge and experience to help you dissect the anatomy of a test question so you can better understand how to arrive at the correct test answer. So, if you’re ready, let’s jump right in.
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