NAME: Patient: Martin Smith, a 25-year-old male, presents to the

Question 11 1 pts Which of the following is true: Group of answer choices Adults who have previously had Zostavax vaccine do not need to receive the Shingrix vaccine. Shingrix is a two-dose vaccine that should be separated by 2-6 months. Healthy adults over the age of 60 are eligible for Shingrix. Shingrix should not be administered if your patient has already had shingles. Question 12 1 pts USPTF recommends screening for high blood pressure in those ages 18 and above and recommends obtaining measurement outside of the clinical setting for diagnostic confirmation. Group of answer choices True False Question 13 1 pts USPTF recommends screening with resting and/or exercise electrocardiography to prevent cardiovascular events in adults at low risk and asymptomatic for cardiovascular disease. Group of answer choices True False Question 14 1 pts T.B is a 39 year-old person with a vagina and cervix. T.B. has a BMI of 31 kg/m2. T.B. has not seen any provider in the last seven years. Which of the following should the family nurse practitioner offer T.B.? Select all that apply: Group of answer choices Screen for prediabetes/diabetes with A1C, or fasting plasma blood glucose, or 3-hour plasma glucose during 75 g OGTT, or random plasma glucose. Cervical cancer screening Folic acid 0.4 to 0.8 mg daily. Consider discussing if HPV vaccination if T.B. is likely to benefit Question 15 1 pts Your patient is an 80-year-old woman with pre-diabetes, stage II hypertension, and mild cognitive impairment. She lives in senior housing and lives a very active lifestyle including volunteer work at the local public library and is part of a knitting circle that donates blankets to the local hospital for newborns and patients who are actively dying as part of their comfort kit. Which of the following should be considered in screening for breast cancer for her? Group of answer choices Mammography has not been shown to decrease breast cancer mortality. Screening annually decreases the 10-year risk of false-positive results by 50%. Consider her 10-year life expectancy when weighing risks and benefits of breast cancer screening. Regardless of health and function, all older adults benefit from surgery, chemotherapy, and radiation. Question 16 1 pts You are working in college health center. Your patient is a 19-year-old woman who became sexually active with male partners at the age of 15. Which of the following is the most appropriate action for the nurse practitioner to recommend? Group of answer choices Pap test with co-testing. Chlamydia and gonorrhea screening. Advise against HPV vaccination, as she is already sexually active. Advise for tetanus vaccine every 5 years. Question 17 1 pts Tobacco is the largest single preventable cause of illness and premature death in the US. Group of answer choices True False Question 18 1 pts All men over the age of 50 should be screened for prostate cancer with an annual PSA. Group of answer choices True False Question 19 1 pts Which of the following is true about the medical homes that provide care? Select all that apply: Group of answer choices Medical homes provide chronic care. Medical homes provide primary care. Is patient centered. Is committed to quality and safety. Question 20 1 pts Which of the following is the best definition of family: Group of answer choices Family is defined as people residing in the same household. Family is defined as people bonded by marriage or common DNA. Family is who the person says it is. Family is defined by either blood or adoption.

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