FNP Certification Exam | ACCURATE AND VERIFIED FOR GUARANTEED PASS | GUARANTEED PASS, Exams of Nursing

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FNP Certification Exam | ACCURATE

AND VERIFIED FOR GUARANTEED PASS

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UPDATE|2024- 2025 WITH 250+

QUESTIONS

Which of the following is the most appropriate next step in Matthew's care? Based on the below scenario: Matthew is a 29-year-old man who presents with a 6-hour history of sudden onset of inability to raise his eyebrow or smile on the right side. He also reports decreased lacrimation in the right eye and difficulty closing the right eyelid. The rest of his health history and physical examination is otherwise unremarkable. Emergent referral for neuroimaging Initiating a course of oral corticosteroids Prescribing a short course of high-dose antiviral therapy Referral to a neurology specialist within the next 24‒48 hours Feedback

• Ans - Ans: Initiating a course of oral corticosteroids You see a 55-year-old woman who presents for a health maintenance visit. She has longstanding myopia and newer-onset presbyopia, both corrected with eyeglasses. She is normotensive and without ocular complaint. You anticipate the following on today's eye exam:

Retinal arteries wider than veins. Equal, sluggish pupillary response. Sharp disc margins. Lid ectropion.

• Ans - Ans: Sharp disc margins. Which of the following is most likely to be found on the funduscopic exam in the person with angle-closure glaucoma? A deeply-cupped optic disc Arteriovenous nicking Papilledema Hemorrhagic lesions - Ans - Ans: A deeply-cupped optic disc Match each vision alteration with the most likely etiology. A. Macular degeneration B. Untreated open-angle glaucoma

C. Proliferative diabetic retinopathy

1. Peripheral vision loss __
2. Floating spots in visual field Macular degeneration Untreated open-angle glaucoma __
3. Central vision loss __ 1 - B 2-C 3-A 1 - A 2-B 3-C 1 - C 2-B 3-A 1 - B 2-A 3-C
   • Ans - Ans: 1-B 2-C 3-A Match the following select ophthalmologic tests with the appropriate indication. A. Amsler grid test B. Snellen chart C. Slit-lamp examination D. Tonometry
4. Evaluation of anterior eye structures, including cornea, conjunctiva, sclera, and iris __
5. General visual acuity screen __
6. Early detection of macular degeneration __
7. Measurement of intraocular pressure, glaucoma screening test __

1 - B 2-C 3-D 4-A

1 - C 2-B 3-A 4-D

1 - A 2-C 3-B 4-D

1 - D 2-C 3-B 4-A

• Ans - Ans: 1-C 2-B 3-A 4-D During a clinical encounter with a 78-year-old man who has presbycusis, the NP considers that communication will be enhanced by all of the following except: Maintaining eye contact with the patient. Ensuring the patient can see the NP's face clearly. Playing soft music in the background. Providing adequate illumination in the exam room.
  • Ans - Ans: Playing soft music in the background. nitial treatment for a 23-year-old man with ABRS with no recent antimicrobial therapy (> months) and no drug allergy is: Ampicillin. Amoxicillin-clavulanate (Augmentin®).

Ciprofloxacin (Cipro®). Levofloxacin (Levaquin®).

• Ans - Ans: Amoxicillin-clavulanate (Augmentin®). Risk factors for ABRS caused by drug-resistant S. pneumoniae (DRSP) include all of the following except: Recent prior antimicrobial use. Exposure to a child in large-group daycare. Living in a rural setting. Hospitalization within the past 5 days.
  • Ans - Ans: Living in a rural setting. Macular degeneration would most likely be found in which of the following patients? A 72-year-old woman who smoked cigarettes up until 10 years ago A 54-year-old man with a family history of glaucoma A 64-year-old man with well-controlled hypertension A 32-year-old woman recently diagnosed with type 2 diabetes mellitus
  • Ans - Ans: A 72-year-old woman who smoked cigarettes up until 10 years ago

Therapy to help avoid nasal symptoms in a 32-year-old man with allergic rhinitis should include: An oral first-generation antihistamine. An intranasal corticosteroid. An oral decongestant. An intranasal anticholinergic.

• Ans - Ans: An intranasal corticosteroid. A first-generation antihistamine can help alleviate all of the following symptoms of allergic rhinitis except: Sneezing. Nasal congestion Rhinorrhea. Itchy, watery eyes.
• Ans - Ans: Nasal congestion Identify the following types of skin lesions with its corresponding description: A. Macule

B. Papule C. Plaque D. Cyst E. Wheal F. Purpura

1. Single, uniformly brown-colored, slightly raised, irregular-shaped with defined borders, 6 mm in diameter. Patient states "That mole on my shoulder hasn't changed in years." __
2. Single, flat, non-palpable area of discoloration, irregularly-shaped, and 0.5 cm at the widest diameter. Patient states "I've had that spot on my lower lip for years." __
3. Single, firm, smooth, raised, dome-shaped, fluid-filled, flesh-colored encapsulated lesion of 1.5 cm in diameter on back of neck. Patient states "A smelly, liquid leaks out of it sometimes." __
4. Raised, irregular-shaped with defined borders, different color than surrounding skin, patches of >2 cm in diameter, located over the knees. Patient states "These patches have been here for years. When I pick at one, it bleeds just a d

• Ans - Ans: 1-B 2-A 3-D 4-C 5-F 6-E Match each dermatologic term with the description. A. Annular B. Scattered C. Confluent or coalescent D. Clustered E. Linear

1. In streaks such as the typical phytodermatitis caused by exposure to plant oil (urushiol) contained in poison ivy, poison oak, poison sumac. __
2. Occurring in a group without pattern, such as the lesions seen in an outbreak of herpes simplex type 1 (HSV-1, "cold sore"). __

3. Generalized over body without a specific pattern or distribution, as seen in a viral exanthem such as rubella or roseola. __
4. Multiple lesions blending together, such as the lesions seen in psoriasis vulgaris. __
5. In a ring, often seen in the characteristic "Bull's Eye" lesion seen in Lyme disease. __ 1 - A 2-D 3-E 4-C 5-B 1 - B 2-C 3-E 4-D 5-A 1 - E 2-D 3-B 4-C 5-A 1 - C 2-A 3-B 4-D 5-E

• Ans - Ans: 1-E 2-D 3-B 4-C 5-A A 60-year-old otherwise well man presents with a dermatologic condition. Which of the following conditions requires biopsy to confirm the diagnosis? Scaling flesh-colored lesions in a cluster, ranging in size from 3?10 mm on the dorsal aspect of the hand, present for a number of months, without patient complaint Well-demarcated round-to-oval erythematous coin-shaped plaques approximately 10 mm in diameter on the anterior aspects of the lower legs described as being intermittently itchy that has been present for a number of months. Painless ulcerated lesion approximately 1.5 cm over the sternum that has been present for a number of weeks. Oval plaque that is approximately 5 cm in diameter with a central wrinkled salmon-colored area and a dark red peripheral zone on the anterior trunk that has been present for 5 days without

patient complaint. - Ans - Ans: Painless ulcerated lesion approximately 1.5 cm over the sternum that has been present for a number of weeks. Match each treatment option with the relevant condition. A. Permethrin lotion B. Medium-potency topical corticosteroid C. Imiquimod cream D. Topical ketoconazole E. Topical metronidazole

1. Psoriasis Vulgaris __
2. Scabies __
3. Verruca Vulgaris __
4. Tinea Pedis __
5. Rosacea __ 1 - C 2-B 3-A 4-D 5-E 1 - D 2-C 3-A 4-B 5-E 1 - A 2-B 3-C 4-D 5-E 1 - B 2-A 3-C 4-D 5-E - Ans - Ans: 1-B 2-A 3-C 4-D 5-E Medium-dose topical corticosteroid - psoriasis vulgaris permethrin lotion - scabies Imiquimod cream - verruca vulgaris

topical ketoconazole - tinea pedis topical metronidazole - rosacea dentify each condition with the most likely location. A. Pityriasis rosea B. Psoriasis vulgaris C. Actinic keratosis D. Scabies E. Eczema

1. Antecubital fossa __
2. Anterior surface of knees __
3. Sun-exposed areas __
4. Over waistband area __
5. Usually preceded by herald patch on the trunk __ 1 - A 2-B 3-D 4-E 5-C 1 - E 2-B 3-C 4-D 5-A 1 - C 2-B 3-D 4-E 5-A 1 - D 2-A 3-B 4-E 5-C - Ans - Ans: 1-E 2-B 3-C 4-D 5-A

1. eczema 2) psoriasis vulgaris 3) actinic keratosis 4) scabies 5) pityriasis rosea

Ana is a 22-year-old well woman who presents with a four-day history of an intense itch with skin lesions on hands and arms as well as her right cheek. She has used an over-the-counter hydrocortisone cream on the affected area with little effect, and denies any other symptoms or previous history of similar rash. Ana denies recent travel and exposure to new creams, soaps, or medications. She works as a landscaper. When considering a diagnosis of phytodermatitis due to exposure to urushiol (poison ivy, poison oak, poison sumac), you anticipate finding three of the following. Fever and generalized malaise Vesicles Crusts Fissures Most of the lesions in a linear pattern - Ans - Ans: Vesicles Crusts Fissures When evaluating Ana, you note that approximately 20% total body surface area is affected. You consider treatment with:

Based on the Evaluation Below: Ana is a 22-year-old well woman who presents with a four-day history of an intense itch with skin lesions on hands and arms as well as her right cheek. She has used an over-the-counter hydrocortisone cream on the affected area with little effect, and denies any other symptoms or previous history of similar rash. Ana denies recent travel and exposure to new creams, soaps, or medications. She works as a landscaper. Topical application of a medium-potency corticosteroid cream An oral antihistamine A systemic corticosteroid A topical antihistamine - Ans - Ans: A systemic corticosteroid Across North America, brown recluse spider bites are the most common reason for new-onset ulcerating skin lesion. True False - Ans - Ans: False A 28-year-old woman who works in food service presents with a chief complaint of an on-the- job injury caused when her right forearm was accidentally exposed to steam. Approximately 2% body surface area is involved. You assess the injury as a partial thickness (second degree) burn and describe the skin lesion as appearing: Reddened easily blanched with gentle pressure Red, moist with peeling borders and scattered bulla

Thickened, hypopigmented tissue Vesicular with hyperpigmentation - Ans - Ans: Red, moist with peeling borders and scattered bulla You see a 20-year-old college wrestler with purulent cellulitis. He reports that a couple of his teammates were recently diagnosed with MRSA skin infections. Initial treatment options would include all of the following except: Trimethoprim-sulfamethoxazole (Bactrim®) Clindamycin (Cleocin®) Doxycycline (Doryx®) Levofloxacin (Levaquin®) - Ans - Ans: Levofloxacin (Levaquin®) A first-line treatment for uncomplicated skin infection due to S. aureus in a patient with no identifiable risk factors for MRSA is: Ciprofloxacin (Cipro®) Dicloxacillin Linezolid (Zyvox®) Daptomycin (Cubicin®) - Ans - Ans: Dicloxacillin

Match each description with the most appropriate diagnosis. A. Psoriasis B. Viral exanthem C. Basal cell carcinoma

1. A 64-year-old ex-truck driver who reports a persistent open sore on his left forearm that repeatedly bleeds and then crusts over. __
2. A 36-year-old man who presents with a raised patch of skin on his right elbow covered with silvery-white scaly skin. He reports the area is "very itchy." __ A 14-month-old unimmunized girl without recent medication use who presents with a diffuse rash and low-grade fever. __ Match each description with the most appropriate diagnosis. A. Psoriasis B. Viral exanthem C. Basal cell carcinoma 1 - C 2-A 3-B - Ans - Ans: 1-C 2-A 3-B Untreated hyperthyroidism or hypothyroidism or both? Hypo Hyper Hypo/Hyper
3. Dry Skin __

2. Fine tremor __
3. Hypoactive deep tendon reflexes (DTR) __
4. Mood or mentation change __
5. Menorrhagia __
6. Exophath1- Hyper 3-Hyper 4-Hypo/Hyper 5-Hypo 6-Hypo/Hyperalmos __ 1 - Hyper 2-Hyper 3-Hyper 4-Hypo/Hyper 5-Hypo 6-Hypo/Hyper 1 - Hypo/Hyper 2-Hypo 3-Hyper 4-Hypo/Hyper 5-Hypo 6-Hypo/Hyper 1 - Hypo 2-Hyper 3-Hypo 4-Hypo/Hyper 5-Hypo 6-Hyper 1 - Hyper 2-Hypo 3-Hypo/Hyper 4-Hypo 5-Hypo 6-Hypo/Hyper 1 - Hypo 2-Hyper 3-Hyper 4-Hypo/Hyper 5-Hypo 6-Hypo/Hyper - Ans - Ans: 1-Hypo 2-Hyper 3- Hypo 4-Hypo/Hyper 5-Hypo 6-Hyper You see a 38-year-old woman with hypothyroidism who is currently taking levothyroxine 75 mcg/d with excellent adherence, stating, "I take the medicine every morning on an empty stomach with a big glass of water." She is feeling well. Results of today's laboratory testing includes a TSH=4.5 mIU/mL. The next best step in her care is to: Continue on the same levothyroxine dose and obtain a repeat TSH in 1 year Decrease the levothyroxine dose by 25 mcg/d and repeat a TSH in 1 month

Increase the levothyroxine dose by 25 mcg/d and repeat a TSH in 2 months Provide counseling to take the medication with breakfast - Ans - Ans: ncrease the levothyroxine dose by 25 mcg/d and repeat a TSH in 2 months Mrs. Lange is a 79-year-old woman with a >20-year history of well-controlled hypertension and dyslipidemia, currently taking an ACE inhibitor, low-dose thiazide diuretic, and a statin. She presents today with a chief complaint of a 6-month history of progressive symptoms, including fatigue, difficulty initiating and maintaining sleep, increased difficulty with raising her arms above her head, and a sensation of "my heart not beating right, sometimes I feel like it's going to hop right out of my chest." She denies shortness of breath, chest pain, cough, or difficulty breathing when supine and admits to "losing weight without even trying." Cardiac examination reveals an irregularly irregular cardiac rhythm, without S3, S4, or murmur and no neck vein distention.The result of Mrs. Lange's electrocardiogram is consistent with: Sinus tachycardia Multifocal atrial tachycardia First-degree heart block Atrial fibrillatio - Ans - Ans: Atrial Fibrillation The remainder of her physical examination reveals flat affect, fine tremor, 3-4+ DTR response, mild proximal muscle weakness, symmetric thyroid enlargement without tenderness or mass and a 10-lb (4.5-kg) weight loss since her last visit 8 months ago. The remainder of Mrs. Lange's examination is at her baseline. Which of the following is the most likely diagnosis? Based on the Physical Examination Below:

Mrs. Lange is a 79-year-old woman with a >20-year history of well-controlled hypertension and dyslipidemia, currently taking an ACE inhibitor, low-dose thiazide diuretic, and a statin. She presents today with a chief complaint of a 6-month history of progressive symptoms, including fatigue, difficulty initiating and maintaining sleep, increased difficulty with raising her arms above her head, and a sensation of "my heart not beating right, sometimes I feel like it's going to hop right out of my chest." She denies sho - Ans - Ans: Thyrotoxicosis Choose the two most important tests to help support Mrs. Lange's diagnosis. Based on the Physical Examination Below: Mrs. Lange is a 79-year-old woman with a >20-year history of well-controlled hypertension and dyslipidemia, currently taking an ACE inhibitor, low-dose thiazide diuretic, and a statin. She presents today with a chief complaint of a 6-month history of progressive symptoms, including fatigue, difficulty initiating and maintaining sleep, increased difficulty with raising her arms above her head, and a sensation of "my heart not beating right, sometimes I feel like it's going to hop right out of my chest." She denies shortness of breath, chest pain, cough, or difficulty breathing when supine and admits to "losing weight without even trying." Cardiac examination reveals an irregularly irregular cardiac rhythm, without S3, S4, or murmur and no neck vein distention. Serum creatine kinase Serum electrolytes - Ans - Ans: Serum thyroid stimulating hormone Free thyroxine (FT4) One of the most common causes of asymptomatic hypercalcemia in an otherwise well adult is: Excessive use of calcium supplements. Primary hyperparathyroidism.

Renal insufficiency. Intestinal malabsorption. - Ans - Ans: Primary hyperparathyroidism. When evaluating a patient for a potential thyroid disorder, which of the following is the least informative test to be used during evaluation? Free T Total T Free T TSH - Ans - Ans: Total T Examination of a 56-year-old woman identifies a palpable thyroid mass of relatively fixed position. TSH level is within normal limits. Ultrasound reveals a solid mass of approximately 5 cm in size. Which of the following is the most appropriate next course of action? Watch and wait with rescan in 6 months Initiate levothyroxine therapy Refer for fine-needle aspiration biopsy Refer for radioiodine ablation - Ans - Ans: Refer for fine-needle aspiration biopsy

You see a 46-year-old woman with hypothyroidism who is currently being treated with levothyroxine at 100 mcg/d. She insists that she takes her medicine every morning. A laboratory test reveals that her TSH is 0.3 mIU/L (NL=0.4-4.0 mIU/L). You recommend: Maintaining the levothyroxine dose and reevaluate in 2 months Increasing the levothyroxine dose and reevaluate in 2 months Decreasing the levothyroxine dose and reevaluate in 2 months Discontinuing levothyroxine therapy and reevaluate in 6 months - Ans - ans: Decreasing the levothyroxine dose and reevaluate in 2 months Katie is a 33-year-old woman who reports a 10-year history of unilateral, pulsing headache that lasts about 6-10 hours, occurring 3-4 times per month. The headache is typically preceded by a gradual onset of paresthesia affecting the ipsilateral face and arm, which lasts about 20 minutes. She reports severe photophobia and phonophobia as well as left-sided cephalgia during the 6- 10 h headache duration. She states the headaches appear randomly. As a result of her headaches, Katie typically needs to either call in sick or leave work early at least once a month due to headache. Katie has used OTC medications with partial relief of pain but continued photo- and phonophobia. She is currently headache-free and neurological exam is within normal limits. Katie's presentation is consistent with: Migraine with aura Tension-type headache Cluster headache

Intracranial lesion - Ans - Ans: Migraine with aura Katie asks if she needs "any tests to see what causes my headaches." You respond that she should: Based on the Scenario Below: Katie is a 33-year-old woman who reports a 10-year history of unilateral, pulsing headache that lasts about 6-10 hours, occurring 3?4 times per month. The headache is typically preceded by a gradual onset of paresthesia affecting the ipsilateral face and arm, which lasts about 20 minutes. She reports severe photophobia and phonophobia as well as left-sided cephalgia during the 6- 10 h headache duration. She states the headaches appear randomly. As a result of her headaches, Katie typically needs to either call in sick or leave work early at least once a month due to headache. Katie has used OTC medications with partial relief of pain but continued photo-and phonophobia. She is currently headache-free and neurological exam is within normal limits. Have head CT conducted Keep a headache diary - Ans - Ans: Keep a headache diary for the next month Given Katie's clinical presentation, you prescribe which of the following? Choose all that apply. Based on the Scenario Below: Katie is a 33-year-old woman who reports a 10-year history of unilateral, pulsing headache that lasts about 6-10 hours, occurring 3?4 times per month. The headache is typically preceded by a gradual onset of paresthesia affecting the ipsilateral face and arm, which lasts about 20 minutes. She reports severe photophobia and phonophobia as well as left-sided cephalgia during the 6- 10 h headache duration. She states the headaches appear randomly. As a result of her headaches, Katie typically needs to either call in sick or leave work early at least once a month due to headache.

Katie has used OTC medications with partial relief of pain but continued photo-and phonophobia. She is currently headache-free and neurological exam is within normal limits. An oral triptan Migraine prophylactic therap - Ans - Ans: An oral triptan, Migraine prophylactic therapy An oral NSAID Katie requests advice on family planning. She has not been pregnant in the past. Given her history, which of the following is the least desirable contraceptive form for Katie? Based on the Scenario Below: Katie is a 33-year-old woman who reports a 10-year history of unilateral, pulsing headache that lasts about 6-10 hours, occurring 3?4 times per month. The headache is typically preceded by a gradual onset of paresthesia affecting the ipsilateral face and arm, which lasts about 20 minutes. She reports severe photophobia and phonophobia as well as left-sided cephalgia during the 6- 10 h headache duration. She states the headaches appear randomly. As a result of her headaches, Katie typically needs to either call in sick or leave work early at least once a month due to headache. Katie has used OTC medications with partial relief of pain but continued photo-and phonophobia. She is currently headache-free and neurologica - Ans - Ans: Combined estrogen- progestin oral contraceptive. The NP considers that which of the following dietary components is the least likely to trigger migraine. Sourdough bread Cheddar cheese

Pickled herring Ricotta cheese - Ans - Ans: Ricotta cheese When considering evidence-based practice (EBP) recommendations for the use of prophylactic migraine treatment, which of the following is the preferred agent? Propranolol. Ergotamine. Rizatriptan. Verapamil. - Ans - Ans: Propranolol. Which of the following represents the best choice of abortive migraine therapy for a 55-year-old woman with hypertension that is currently not adequately controlled due to poor medication adherence? Verapamil. Ergotamine. Acetaminophen. Almotriptan. - Ans - Ans: Acetaminophen.

According to the EBP recommendations, nutraceutical options for the prevention of recurrent migraine include the use of all of the following except: Butterbur Feverfew Magnesium Vitamin C - Ans - Ans: Vitamin C Mrs. Jensen is an 82-year-old woman with generalized osteoarthritis and systolic hypertension who presents with a 3-day history of right-sided headache with accompanying right-sided jaw pain on chewing. OTC analgesics have provided little relief. She states she is eating little due to the pain on chewing but is taking liquids without difficulty. Mrs. Jensen reports "I can hardly wash my hair, my scalp is so sore." Physical examination reveals: BP=168/88 mm Hg bilateral, P=88 regular, RR=18, alert, appears uncomfortable with poorly-groomed hair on the right only PERLA, cranial nerve function II‒XII intact, remaining neurological exam WNL, carotid upstroke within normal limits without bruit. There is a tender, palpable, pulseless structure in the right temple area. Mrs. Jensen's clinical presentation is most consistent with: Postherpetic neuralgia. Transient ischemic attack. Giant cell arteritis. Acute venous occlu - Ans - Ans: Giant cell arteritis.

Which of the following represents the best choice of initial test to support Mrs. Jensen's presumptive diagnosis? Based on the scenario below: Mrs. Jensen is an 82-year-old woman with generalized osteoarthritis and systolic hypertension who presents with a 3-day history of right-sided headache with accompanying right-sided jaw pain on chewing. OTC analgesics have provided little relief. She states she is eating little due to the pain on chewing but is taking liquids without difficulty. Mrs. Jensen reports "I can hardly wash my hair, my scalp is so sore." Physical examination reveals: BP=168/88 mm Hg bilateral, P=88 regular, RR=18, alert, appears uncomfortable with poorly-groomed hair on the right only PERLA, cranial nerve function II‒XII intact, remaining neurological exam WNL, carotid upstroke within normal limits without bruit. There is a tender, palpable, pulseless structure in the right temple area. Erythrocyte - Ans - Ans: Erythrocyte sedimentation rate As you develop a treatment plan for Mrs. Jensen, you consider that likely: Based on the scenario below: Mrs. Jensen is an 82-year-old woman with generalized osteoarthritis and systolic hypertension who presents with a 3-day history of right-sided headache with accompanying right-sided jaw pain on chewing. OTC analgesics have provided little relief. She states she is eating little due to the pain on chewing but is taking liquids without difficulty. Mrs. Jensen reports "I can hardly wash my hair, my scalp is so sore." Physical examination reveals: BP=168/88 mm Hg bilateral, P=88 regular, RR=18, alert, appears uncomfortable with poorly-groomed hair on the right only PERLA, cranial nerve function II‒XII intact, remaining neurological exam WNL, carotid upstroke within normal limits without bruit. There is a tender, palpable, pulseless structure in the right temple area. NSAIDs will be helpful

Reducing her blood pressur - Ans - Ans: Long-term, high-dose systemic corticosteroid therapy will be needed Which of the following is a potential serious complication of Mrs. Jensen's presumptive diagnosis? Based on the scenario below: Mrs. Jensen is an 82-year-old woman with generalized osteoarthritis and systolic hypertension who presents with a 3-day history of right-sided headache with accompanying right-sided jaw pain on chewing. OTC analgesics have provided little relief. She states she is eating little due to the pain on chewing but is taking liquids without difficulty. Mrs. Jensen reports "I can hardly wash my hair, my scalp is so sore." Physical examination reveals: BP=168/88 mm Hg bilateral, P=88 regular, RR=18, alert, appears uncomfortable with poorly-groomed hair on the right only PERLA, cranial nerve function II‒XII intact, remaining neurological exam WNL, carotid upstroke within normal limits without bruit. There is a tender, palpable, pulseless structure in the right temple area. Hemiparesis Arthritis B - Ans - Ans: Blindness When counseling a patient about lifestyle modifications to prevent migraines, the NP recommends: Using tinted glasses to minimize glare and bright lights Substituting artificial sweeteners for cane sugar Avoiding regular exercise for at least one week after each migraine episode