NP Certification Q&A
Episodes
Sick visit from patient with 20-year history of HTN
16 Oct 2023
Contributed by Lukas
A 76 year-old man with a 20-year history of HTN presents for a sick visit in the primary care clinic, stating, “I do not think that new medicine agr...
Differential diagnosis: Skin condition in patient with 10-year history of Parkinson Disease
09 Oct 2023
Contributed by Lukas
A 60 year-old man who has a 10 year history of Parkinson disease presents with a chief complaint of “flaking skin that just does not go away, someti...
Scabies Evaluation
02 Oct 2023
Contributed by Lukas
A 35-year-old man who is generally well was diagnosed with scabies 3 days ago presents with a chief complaint. “I do not think that skin medicine I ...
Viral Hepatitis Assessment
25 Sep 2023
Contributed by Lukas
A 28-year-old woman with a longstanding history of injection drug use presents with a 10-day history of malaise, nausea, and fatigue, and a two day “...
STI Plan/ Intervention
18 Sep 2023
Contributed by Lukas
A 22-year-old woman presents for follow-up after a recent clinic, requested STI screening. Testing for Chlamydia trachomatis was positive. She states,...
Insect Bite in Older Adult with T2DM
11 Sep 2023
Contributed by Lukas
A 62-year-old woman with T2DM presents 2 days after noticing a “bug bite” on her left lower leg, stating, “I am not sure what bit me.” During ...
Child Sick Visit
04 Sep 2023
Contributed by Lukas
The NP sees a well, 18-month-old with a two-day history of clear nasal discharge, dry cough, intermittent fever to 101.4 or 38.5C, and mild crankiness...
Health Assessment
28 Aug 2023
Contributed by Lukas
The NP is seeing a 35 year-old well woman for a health promotion and physical exam woman. She has not complaints, is a nonsmoker, a light social drink...
Immunization Intervention and Plan
21 Aug 2023
Contributed by Lukas
A healthy 1 year old, accompanied by his mother, is in for a well child visit. He is due to receive routine immunizations for a child his age. His mot...
Older Adult Joint Pain Differential Diagnosis
14 Aug 2023
Contributed by Lukas
A 78 year-old woman with well-controlled hypertension and dyslipidemia presents with a chief complaint of a many month history of pain, described as a...
Acute Bacterial Prostatitis Assessment
07 Aug 2023
Contributed by Lukas
A 67-year-old man who is diagnosed with acute bacterial prostatitis presents with a chief complaint of a one-week history of constant perineal pain, a...
Bacterial Vaginosis Diagnosis
31 Jul 2023
Contributed by Lukas
Which of the following is most likely to be reported as part of the HPI in a woman presenting with bacterial vaginosis?A. A 19-year-old woman with a 3...
Statin Therapy Evaluation
24 Jul 2023
Contributed by Lukas
A 67-year-old man has been recently diagnosed with HTN, dyslipidemia and T2DM. As part of his medication treatment plan, he agrees to start statin the...
Dyslipidemia Therapy
17 Jul 2023
Contributed by Lukas
A 65-year-old woman has hypertension, dyslipidemia, type 2 diabetes, a 50 pack-year history of cigarette smoking, currently smoking ½ PPD, and stag...
Well Child Visit
10 Jul 2023
Contributed by Lukas
Leonardo is a healthy 4- month-old who was born at 40-weeks gestation is in the office for a well child visit. His parents voice no concerns and state...
UTI During Pregnancy
03 Jul 2023
Contributed by Lukas
A 28-year-old woman G2P1LC1AB0, currently 22-weeks pregnant, presents with a 3-day history of urinary frequency and dysuria. She is in no acute dist...
Professional Issues: NP Practice
26 Jun 2023
Contributed by Lukas
Robert has recently graduated from a NP program. During a job interview for an organization that has clinical sites in multiple states, he is asked qu...
Joint Pain Differential Diagnosis
19 Jun 2023
Contributed by Lukas
A 45-year-old woman presents for a sick visit with a chief complaint of 2–3-day sudden onset right elbow swelling with pain, stating, “I’ve neve...
Infectious Diseases
12 Jun 2023
Contributed by Lukas
A 37-year-old adult was diagnosed with dyspepsia with documented H. pylori infection. An appropriate course of antimicrobial and proton pump inhibitor...
Clinical Assessment
05 Jun 2023
Contributed by Lukas
Sarah is a 75 year-old woman with a 40 year history of HTN and a 30 year history of T2DM and dyslipidemia who was recently diagnosed with stage 4 chro...
Family Planning
29 May 2023
Contributed by Lukas
Which of the following is a MEC Category 4 (use represents unacceptable health risk) to the use of a CHC (combined hormonal contraception method such ...
Eczema Treatment
22 May 2023
Contributed by Lukas
You see a 17-year-old woman with a long-standing history of eczema and allergic rhinitis. Today she presents with worsening symptoms of skin les...
COPD Exacerbation
15 May 2023
Contributed by Lukas
A 72-year-old woman with severe COPD, who uses an inhaled LAMA/ LAMA daily on a set schedule and SABA via MDI as needed for symptom relief, presents w...
Community-Acquired Pneumonia (CAP) Assessment
08 May 2023
Contributed by Lukas
The NP is seeing a 65-year-old woman who is a former smoker, having quit at age 40, with a 20 pack-year cigarette smoking history, and has been diagno...
Headache Diagnosis
01 May 2023
Contributed by Lukas
A 27-year-old, otherwise well, woman complains of recurrent headache that occurs every 1‒2 weeks and lasts up to 24 hours. During headache, she repo...
Emergency Contraception
24 Apr 2023
Contributed by Lukas
When advising a patient on the use of emergency contraception (EC) with levonorgestrel (LNG), which of the following is correct?A. If pregnancy does o...
Therapy Evaluation: T2DM, HTN, Dyslipidaemia, CKD
17 Apr 2023
Contributed by Lukas
The NP is caring for a 68 year-old man with a 20 year-history of type 2 DM, HTN, dyslipidaemia, obesity (BMI=32 kg/m2) stage 3a CKD who is currently...
Professional Issues: Parental Consent
10 Apr 2023
Contributed by Lukas
In which of the following situations is parental consent usually needed prior to treatment? A. A 16-year-old requesting information about contracepti...
Professional Issues: NP Regulation
03 Apr 2023
Contributed by Lukas
The legal authority of a nurse practitioner’s scope of practice is defined by:A. The organization that grants NP certification. B. The NP’s emplo...
Allergic Rhinitis Therapy Evaluation
27 Mar 2023
Contributed by Lukas
The nurse practitioner is seeing a 24-year-old man in follow-up visit. Three weeks ago, he was diagnosed with allergic rhinitis, reporting that, “...
Antimicrobial Prescribing
20 Mar 2023
Contributed by Lukas
A 34-year-old woman presents with uncomplicated UTI. Her last menstrual period ended approximately 5 days ago and has a history of bilateral tubal lig...
Cardiac
13 Mar 2023
Contributed by Lukas
In evaluating a 66-year-old man with dilated cardiomyopathy and heart failure, the NP notes a grade 3/6 medium-pitched blowing systolic murmur that ra...
Panic Disorder Therapy
06 Mar 2023
Contributed by Lukas
In treating a 26-year-old man with panic disorder who is otherwise healthy, you consider prescribing:A. Bupropion.B. Alprazolam.C. CitalopramD. Risper...
Osteoarthritis Assessment
27 Feb 2023
Contributed by Lukas
Which of the following is a most often noted in a 65-year-old woman with osteoarthritis?A. Anemia of chronic disease is often noted. B. Usually prese...
Hypertension Therapy Evaluation
20 Feb 2023
Contributed by Lukas
A 55-year-old woman with recently diagnosed hypertension was started on a standard dose of or a thiazide diuretic daily 6 weeks ago. Today her blood p...
Laboratory Data Interpretation
13 Feb 2023
Contributed by Lukas
A 45-year-old woman with no chronic health problems presents a 6-month history increasing fatigue despite adequate opportunity for rest , worsening ...
Hypertension Therapy
06 Feb 2023
Contributed by Lukas
Saundra is a 72-year-old with hypertension who is on an appropriate dose of an ACE inhibitor with adherence. Today’s BP= 152/96 and is without HTN-r...
Antimicrobial Therapy
30 Jan 2023
Contributed by Lukas
Josh is a well 16-year-old male who presents with a reporting a 4-day history of moderate left-sided otalgia with intermittent fever. Clinical asses...
Differential Diagnosis
23 Jan 2023
Contributed by Lukas
A 35-year-old w presents complaining of a 15+ year history of recurrent cramping abdominal pain that is often relieved with defecation that occurs int...
Anemia Assessment
16 Jan 2023
Contributed by Lukas
The NP sees a 34-year-old woman with a chief complaint of 6-month history of increasing fatigue despite adequate opportunity to sleep and rest. Labora...