NURSING MISC APEA TEST BANK.docx

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NURSING MISC APEA TEST BANK.docx A patient with iron deficiency anemia takes iron supplementation daily. What should he be advised to avoid within a couple of hours of taking iron? An antacid... Leukemia may have varied clinical presentations. Which characteristic would be unusual to find in a patient with leukemia? Sickle shaped cells A 66 year-old African American male complains of pain in his trunk, especially his ribs. Cardiovascular disease is ruled out. He has a normocytic, normochromic anemia with hypercalcemia. The differential diagnosis should include: multiple myeloma. What hallmark finding is associated with both B12 and folate deficiencies? Macrocytosis A patient demonstrates leukocytosis. This means: he has an infection of unknown origin. What statement is true about anemia in older adults? Anemia may have more than one origin and co-exist in older adults. A patient has been treated for HIV infection with anti-retroviral therapy. He is stable. How often should CD4 counts be repeated? Every 3-6 months A patient presents with hematuria, RBC casts, and proteinuria. What is a likely explanation? Glomerulonephritis A patient demonstrates leukocytosis. This means: he has an infection of unknown origin. A patient is having an allergic reaction to seafood. Which white cell will probably be increased? Eosinophils A female patient has been diagnosed with Glucose-6-phosphate dehydrogenase deficiency (G6PD). What should be done to prevent lysis of red cells in this patient? Avoid aspirin and sulfa drugs A 75 year-old patient who has multiple chronic diseases has been in very poor health for a decade. What type of anemias is he most likely to exhibit? Folic acid and pernicious A patient has been diagnosed with HIV. The patient’s viral load was ordered. What other test may be ordered to assess the status of the patient’s immune system? CD4 cell count A 70 year-old male has lymph nodes in his axillary and inguinal areas that are palpable but non-tender. He states that he feels well today. What should be included in a Lymphoma differential diagnosis for this patient? A two year-old with sickle cell anemia (SCA) should receive which immunizations? All routine childhood immunizations at the usual time A three year-old child presents with hematuria, petechiae, and a platelet count of 50,000 (Normal = 150,000-450,000/ml). The rest of his CBC is normal. He had an upper respiratory infection about 2 weeks ago. On exam today, he is found to have petechiae and bruises. The most likely diagnosis is: idiopathic thrombocytopenia purpura (ITP). A child and father live in an old house. They both are found to be lead toxic. What type anemia is typically observed in patients who are lead toxic? Iron deficiency anemia A patient with diarrhea has a stool specimen positive for WBCs. What does this indicate? A viral infection A 26 year-old female has thalassemia minor. What should be limited in her diet to avoid hepatotoxicity? Multi-vitamin with iron A patient is found to have eosinophilia. An expected finding is: asthma exacerbation. An African American male complains of pain in his back and trunk. He is diagnosed with multiple myeloma. He is probably: about 65 years old. . A patient has heavy menses. Which lab value below reflects an iron deficiency anemia? Increased TIBC An obese 78 year-old male with poorly controlled hypertension and diabetes has a normocytic, normochromic anemia. This anemia is likely: associated with chronic disease. . An elderly male diagnosed with a microcytic, hypochromic anemia: may have a GI bleed. Which suggestion below is the standard for treating iron deficiency anemia in infants and children? Iron supplementation in divided doses between meals with orange juice A patient with pernicious anemia may be observed to have: glossitis. Lead toxicity can be associated with: sideroblastic anemia. A patient is being treated for iron deficiency anemia. Iron is better absorbed: on an empty stomach. What choice below can be attributed to the two most common causes of iron deficiency anemia in adults? Gynecologic losses and bleeding in the gastrointestinal tract The laboratory identifies metamyelocytes in a 50 year-old patient who had a CBC performed. What might be an expected finding in this patient? Splenomegaly A patient is found to have an anemia. The patient’s MCH is normal. The patient’s anemia can be described as: normochromic. Which statement is true about Vitamin B- 12? Inadequate amounts can produce cognitive changes. A serum ferritin level: demonstrates the amount of iron in storage. Which anemias are described as microcytic, hypochromic anemias? Iron deficiency anemia and thalassemia The nurse practitioner sees a child who presents with fatigue and purpura on his lower extremities. His temperature is normal. The differential includes: acute leukemia. An older adult has suspected B12 deficiency. Which of the following lab indices is most indicative of a B12 deficiency? Increased MCV A patient with anemia of chronic disease probably has a: normocytic anemia. A vitamin B-12 deficiency might be suspected in an older patient with what complaints? Memory issues and glossitis A measure of the degree of variation in red cell size is indicated by: RDW. A definitive diagnosis of sickle cell anemia can be made: by a hemoglobin electrophoresis. . An example of a macrocytic anemia is: pernicious anemia. An older adult has suspected B12 deficiency. Which of the following lab indices is more indicative of a B12 deficiency? Macrocytosis Besides inadequate intake of Vitamin D in elder adults, what other factor contributes to deficiencies? Impaired synthesis of previtamin D Which white cell should be present in the greatest number in a patient who is healthy today? Neutrophils A patient has CBC results that indicate a microcytic, hypochromic anemia. The nurse practitioner should suspect: iron deficiency anemia. A 12 month-old was screened for iron A patient is found to have an anemia. The patient’s MCV is normal. The patient’s anemia can be described as: normocytic. A B-12 deficiency can produce: pernicious anemia. Thalassemia minor can be recognized by: microcytic, hypochromic red cells. A patient had a splenectomy after an automobile accident 3 months ago. Patients who are asplenic are: An example of a first generation cephalosporin used to treat a skin infection is: cephalexin. A 4 year-old has been diagnosed with measles. The nurse practitioner identifies Koplik’s spots. These are: found on the inside of the cheek and are granular. The main difference between cellulitis and erysipelas is the: layer of skin involvement. A patient reports that he found a tick on himself about one month ago. He reports that there is a red circle and a white center near where he remembers the tick bite. He did not seek treatment at the time. Today he complains of myalgias and arthralgias. What laboratory test can be used to help diagnose Lyme disease? ELISA A patient who is at high risk for skin cancer should: examine his skin monthly for changes. A patient has a “herald patch” and is diagnosed with pityriasis rosea. Where is the “herald patch” found? On the chest Which of the following antibiotics Fluoroquinolones may increase the likelihood of photosensitivity? A 60 year-old patient is noted to have rounding of the distal phalanx of the fingers. What might have caused this? Hepatic cirrhosis A patient exhibits petechiae on both lower legs but has no other complaints. How should the NP proceed? Order a CBC When can a child with chickenpox return to daycare? After all lesions have crusted over Hand-foot-and-mouth disease and herpangina: are viral infections caused by Coxsackie viruses. What is the proper technique to safely remove a tick from a human? Pull it off with tweezers Most cases of atopic dermatitis exacerbation are treated with: topical steroids. The primary therapeutic intervention for patients who present with hives is: anti-histamines. A patient is diagnosed with tinea pedis. A microscopic examination of the sample taken from the infected area would likely demonstrate: hyphae. A patient has been diagnosed with scabies. What is the medication of choice to treat this? Permethrin An adolescent has acne. The nurse practitioner prescribed a benzoyl peroxide product for him. What important teaching point should be given to this adolescent regarding the benzoyl peroxide? Photosensitivity of the skin can occur A patient presents with plaques on the extensor surface of the elbows, knees, and back. The plaques are erythematous and there are thick, silvery scales. This is likely: plaque psoriasis. An infant is diagnosed with diaper dermatitis. Satellite lesions are topical anti-fungal agent. [Show More]

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