NP Certification Q&A

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 an

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The podcast currently has 159 episodes available.

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Number 1: Secondary Sexual Characteristics in a Preteen
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? A. These findings are normal for his age. B. This is an unusual finding in a 12-year-old. C. This signals he is likely nearly his adult height. D. He just started puberty changes. --- YouTube: https://www.youtube.com/watch?v=OtJ8LiFErYA&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=158 Visit fhea.com to learn more!
August 31, 202610min
Number 2: Seven Year Old With Asthma
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". His last dose of this medication was about two months ago because the medication had no refills. He's currently using albuterol as needed. Two puffs, about 3 to 4 times a day. About. Five days per week to help control his cough and shortness of breath. The medication, per his parent quote, "works pretty well most times". The child is currently feeling well without evidence of acute asthma exacerbation. He is alert oriented, talkative, and able to demonstrate adequate inhaler technique. Peak expiratory flow rate is approximately 60% a predictor. Which of the following is an appropriate preferred treatment option for this child? A. Continue current therapy as it is providing adequate symptom control. B. They begin low dose ICS formoterol therapy, as maintenance and reliever therapy or marked therapy. C. Begin daily montelukast albuterol as needed. D. Begin nebulizer budesonide twice daily with nebulizer albuterol as needed. --- YouTube: https://www.youtube.com/watch?v=LwI3U9b81U0&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=158 Visit fhea.com to learn more!
August 24, 202613min
Number 3: Antipyretics and Vaccines
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. If she develops a fever or discomfort after the vaccines, you can give her an age and weight appropriate dose of acetaminophen as needed. C. Give ibuprofen at the time of the vaccinations and continue it every six hours for the first 24 hours. D. Try to avoid acetaminophen and ibuprofen for at least 48 hours after the vaccines, so that they can work as well as possible. --- YouTube: https://www.youtube.com/watch?v=721Kl3sP5o4&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=156 Visit fhea.com to learn more!
August 17, 202610min
Number 4: Older Adult UTI
A 68-year-old woman presents for follow-up at her primary care provider with a chief complaint of “another urine infection”, stating she was seen 4 days ago at urgent care with new onset dysuria and urinary frequency. A review of her clinical record reveals that she has had 3 symptomatic, culture-confirmed UTIs in the past 8 months. She is currently on day 4 of 5 of the antimicrobial prescribed and is without symptoms. Her concomitant health issues include HTN and dyslipidemia, both at treatment goals with lifestyle modification and medication. When discussing with the patient efforts to prevent future UTIs, the NP considers which of the following will be appropriate? A. Adding cranberry juice supplements to her diet daily. B. Avoiding tub baths. C. Initiating long-term antimicrobial prophylaxis D. Regular use of a vaginal estrogen. --- YouTube: https://www.youtube.com/watch?v=LxjF5uUuSHg&t=4s Visit fhea.com to learn more!
January 22, 202410min
Number 5: Adult GU Complaint
A 28 year-old woman presents with a 2-day history of urinary frequency, urgency and dysuria, stating, “This feels like when I had a urine infection 4 years ago.” She denies fever or GI upset and otherwise feels well. In consideration of the diagnosis of lower UTI/cystitis, a urinalysis is ordered. Which of the following is the most sensitive and specific finding for UTI caused by a Gram-negative organism? A. Positive leukocyte esterase B. Presence of bacteriuria C. Proteinuria D. Positive nitrite --- YouTube: https://www.youtube.com/watch?v=LxjF5uUuSHg&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=51 Visit fhea.com to learn more!
January 15, 202410min