NR603 Health Assessment APEA Predictor Exam Review Questions Week 4 With Answers (620 Solved Questions)

Preview (16 of 70 Pages)

100%

Purchase to unlock

Loading page image...

APEA Questions1.A patient report that she is taking kava kava regularly for anxiety with theresults. What should the nurse practitioners evaluate?a.Liver function studies2.A person with 20/80 vision:HAS POORER VISION THAN SOMEONE WITH 20/40VISION3.One exception to the recommendation to limit dietary fat intakeis CHILDREN UNDER2 YEARS OF AGE4.The most effective treatment for anemia of chronic disease is:TREATMENT OFUNDERLYING DISEASERationale: The key phrase is“anemia of chronic disease”and with this, the pt’schronic disease has caused the deficiency so once you correct and or treat the chronicdisease, then the anemia will correct itself.5.Salicylates and other non-steroidal anti-inflammatory agents have all of the followingactionsEXCEPT- ANTI-EMETIC EFFECTS VIA SUPPRESSION OF GASTRIC ACIDSECRETION6.Which of the following does NOT increase a woman’s risk of developing cervicalcancer?NULLIPARITY7.All of the following principles apply to drug therapy for elders exceptENCOURAGETHE ELDERLY TO CONTINUE SELF-MEDICATION ADMINISTRATION TOFACILITATE INDEPENDENCE AND SELF-SUFFIENCY8.A female patient believes that she was exposed to HIV through sexual intercourseseveral months ago. She asks for “the test for AIDS.” Which statement is NOT correct?THE ELISA IS USED FOR SCREENING, BUT MAY YIELD A FALSE NEGATIVE THISSOON AFTER EXPOSURE9.The nurse practitioner teaches the parents of a 2-month-old infant with GERD thattreatment typically includes all of the following interventions exceptMAINTAININGTHE USUAL FEEDING REGIMEN AND BURPING THE INFANT WELL WHEN THEFEEDING IS COMPLETED10. A widowed 85-year-old was recently moved from her home of 65 years to a bedroom inher daughter’s home. According to reports by family members, she is now

Loading page image...

“cantankerous” gets “mixed up” easily and cries for no apparent reason. Factors in theclient history that are consistent with delirium may include all of the following excepta.INSIDIOUS ONSET AND CHRONIC PROGRESSIVE COURSE11.The two tests that can indicate current infection with hep B are:a.Presents of hep B antigen and IgM12. A characteristic of elders which affects the pharmacotherapeutics of drug therapy inthat population is an increase inPERCENT OF BODY FAT13. An elder’s caretaker is planning the elder’s menu. The elder is on a bland diet. Thenurse practitioner reviews the meal plans and notes that which of the following is NOTappropriate?a.Coffee, tea, carbonated sodas, Orange juice14. The leading cause of death from injury in childhood isMOTOR VEHICE ACCIDENTS15. Therapeutic International normalized ratio (INR) for a patient taking warfarin(coumadin) for a chronic atrial fibrillation is expected to be:a.Increased16. The most accepted recommendation regarding a skin cancer prevention is:a.Avoidance of excessive sun exposure17. Antibiotic administration has been demonstrated to be of little benefit in the treatmentof which of the following disease processes?a.Acute bronchitis18. An anxious parent brings her three-day old female infant to see the nurse practitionerbecause of theserosanguineous vaginal discharge.The nurse practitioner tells themother:a.This is a normal finding in female newborns19. A common finding associated with temporal arteritis is:a.Severe headache

Loading page image...

20. What information would best help the parent who is concerned about a school age childeating habits?a.Establish a consistent schedule for meals and allow the child to participate in mealplanning21. Which of the following scenarios in a 75-year-old patient would be inappropriatelymanaged in an outpatient setting(i.e. the patient should be referred for hospitaladmission)?a.UNSTABLE ANGINA22. A patient with diabetes brings his glucose diary from the past seven days for the nursepractitioner to review and evaluate. What changes should be made? Day one throughseven AM 67, 52, 61, 48, 39, 68, 70 PM 138, 161, 148, 168, 121, 142, 176.a.Decreased the PM dose of NPH insulin23. Appropriate nutritional guidance for the pregnant patient is:a.Increase caloric intake buy 300 cal/day and add iron and folic acidsupplementation24. The most successful patient interview is likely to:a.Be a collaborative process25. RhoGAM is not administered to an Rh-negative mother with negative anti-d antibodiesWITHIN 72 HOURS OF BIRTH OF AN RH-NEGATIVE INFANT26. The most common presentation of thyroid cancer isA SOLITARY THYROID NODULE27. A benign thyroid nodule, that’s painless presents as SMOOTH28. Initial treatment of a child presenting with a severe head injury is:a.Aimed at resuscitation, then maintenance of oxygenation and blood flow29. Which red blood cell (RBC) index is most useful for differentiating types of anemias?a.Mean corpuscular volume (MCV)30. A 31-year-old female is informed that her pregnancy test is positive, and she is aboutthree weeks pregnant. The nurse practitioner is very concerned about the patientreported history of alcohol use. She correctly tells the patient that babies born towomen who drink alcohol during pregnancy are at risk for all of the following except:

Loading page image...

a.Post maturity delivery31.According to Erikson, the developmental task of the early adult is:a.Ego integrity vs. despair32. The parents of a two-year-old Report that she is not saying any words, but makesounds, babbles, and understand simple commands from her parents. The parents arenot concerned. The nurse practitioner responds:a.Your child should be saying a few words by this time. She should be referred forfurther assessment33. Which group is considered to be at high risk for the development of testicular tumors?a.Late adolescence to early adulthood (you need to know the actual age groups)34. An urgent call is received from a patient’s wife who states that her husband is havingchest pain I’m relieved by three nitroglycerin tablets. The nearest hospital is 40 minutesaway. Besides having the patient reach the hospital as soon as possible, whatintervention can the nurse practitioners suggest might influence a positive outcome?A. Have the patient to an aspirin on the way to the hospital35. Which of the following postpartum mothers should receive RhoGAM (BayRho-D) toprevent Rh iso-immunization?a.A G1 P1 mother who is Rh negative without Rh antibodies; cord blood is Coombsnegative; newborn is Rh positive.36. A patient with a history of alcohol abuse presents with acute nausea, vomiting, andsevere retrosternal pain that radiates to the back. Based on the most probablediagnosis, the nurse practitioner would appropriately order a CBC, chemistry profile,and:a.serum amylase and lipase, and liver function studies37. A female patient asks, “how do I calculate my ideal body weight?” The nursepractitioner response:a.Start with 100 pounds, and add 5 pounds for every inch in height over 5 feet38. A 35-year-old woman with prior history of extreme nervousness has been treated withdiazepam (valium) for four weeks. She reports improvement. Today her pulse is112bpmand blood pressure is 130/92 mmHg. She is 5’4” in weighs 105 pounds. What isthe most likely diagnosis?

Loading page image...

a.Hyperthyroidism39. Which of the following is not a common early sign of benign prosthetic hyperplasia(BPH)?a.Increased force of urine flow40. Acute idiopathic thrombocytopenia purpura (ITP) is most commonly seen in childhoodfollowing:a.Acute infection41. The nurse practitioner diagnosis epididymitis in a 24-year-old sexually active malepatient. The drug of choice for treatment of this patient is:a.Oral doxycycline (Vibramycin) plus intramuscular ceftriaxone42. A 55-year-old man is diagnosed with basal cell carcinoma. The nurse practitionercorrectly tells him:a.It can be cured with surgical excision or radiation therapy.43. A characteristic of delirium that is typically absent and dementia is:a.Acute onset of confusion in a previously alert and oriented patient44. A 42-year-old male executive has been diagnosed with depression. He is otherwisehealthy. And appropriate initial treatment choice is a:a.Selective serotonin reuptake inhibitor (SSRI)45. the CAGE/ AUDIT questionnaire is useful to assess:a.alcohol use disorders (but you need to know a little more about46. A 16-year-old athlete complains of pain underneath his heel every time he walks. Thereis verrucous surface level with the skin of the heel. What pharmacologic interventionshould the nurse practitioner prescribed for this patient?a.Salicylic acid plasters47. Previously immunized elderly patients should receive a tetanus and diphtheria (Td)booster every:a.10 years48. The nurse practitioner is canceling a young woman who desires pregnancy. Shediscontinued her oral contraceptives for months ago. Her urine pregnancy test isnegative. She expresses concern that she might have an infertility problem. The nurse

Loading page image...

practitioner accurately tells her that a couple is not considered infertile until there hasbeen unprotected intercourse without conception for what period of time?A. One year49. When a patient presents with symptoms of acute gallbladder disease, what is theappropriate nurse practitioner action?a.Order abdominal ultrasound50. An eight-year-old female has been brought to the nurse practitioner on five occasions inthe past nine weeks with a complaint of abdominal pain. The evaluation each time isnegative, but her mother is convinced the child is truly experiencing pain. The mostlikely diagnosis is:a.Recurrent abdominal pain51.What is the most common cause of Cushing’s syndrome?a.Administration of a glucocorticoid or ACTH52.Which of the following maternal situations is considered an absolutecontraindication to breast-feeding?a.Early HIV infection53.A three-year-old male patient is being evaluated by a nurse practitioner forfrequent respiratory infections and fatigue. His laboratory test show thrombocytopenia,granulocytopenia, and anemia. Which of the following is consistent with these labbindings?a.Acute lymphocytic leukemia (ALL)54.Factors known to be associated with early sexual activity include:a.Lower socioeconomic status, use of tobacco, alcohol or other drugs, andsingle parent household55.A 26-year-old female presents with elbow pain that is described as aching inburning. There is point tenderness along the lateral aspect of the elbow and painfulpassive flexion and extension. She reports she has been playing tennis almost daily forthe past month. The most likely diagnosis is:A. Lateral epicondylitis ------tennis elbow

Loading page image...

56.A two-year-old African-American child is being evaluated by the nursepractitioner. His clinical appearance and history are consistent with sickle cell anemia.What is the appropriate laboratory test to diagnose sickle cell anemia?a.Hemoglobin electrophoresis57.Which activities are not characteristic of preschool children?a.Always follow rules during playground games58.What type of question is most useful when opening an interview?a.Open ended59. All of the following agents/ medication classes are generally contraindicated inpregnancy except:a.Cephalosporins, parenteral insulin, parenteral heparin.60.A 35-year-old female with a history of mitral valve prolapse is scheduled forroutine dental cleaning. According to the 2007 American Heart Association’sguidelines for endocarditis prophylaxis, what would you advise this patient?a.She does not need prophylaxis for any dental procedure61.What diabetic complications result from hyperglycemia?a.(1) Retinopathy, (3) peripheral neuropathy, (4) accelerated atherogenesis62.Which of the following diagnostic assessments must be considered beforedeveloping any plan of care for a 27-year-old female presenting to a family practiceclinic?a.Pregnancy test63.The process by which a professional association confers recognition that alicensed professional has demonstrated mastery of a specialized body of knowledgeand skills is termed:a.Certification64.A 15-year-old male has a history of cryptorchidism which was surgicallyrepaired. Because of this information, it is essential for a nurse practitioner to teachhim about:a.Testicular self-examination

Loading page image...

65.A 30-year-old female comes into a clinic with classic signs and symptoms ofappendicitis. The nurse practitioner fails to refer the patient tree surgeon. Dappendix ruptured and the woman dies. This is an example of:a.Malpractice66.And elderly patient is being seen in the clinic for a complaint of “weak spells”relieved by sitting or lying down. The nurse practitioner checks the patient’s bloodpressure while he is lying, sitting, and standing. The nurse practitioner suspects:a.Orthostatic hypertension67.The nurse practitioner knows that the frail elderly alright high risk formalnutrition. Indicators of malnutrition in this population included all of thefollowing except:a.Hunger and increased appetite68.The patient reports, “something flew in my eyes” about an hour ago while hewas splitting logs. If there was a foreign body in his eye, the nurse practitionerwould expect to find all except:a.A purulent discharge69.Inappropriate initial treatment for external genital warts caused by humanpapilloma virus (HPV) in a non-pregnant patient is:a.Topical trichloroacetic acid (TCA)70.A new patient presents to the nurse practitioner clinic stating she wants asecond opinion. She started propylthioutacil (PTU, Propyl-Thyracil) 75 mg threetimes today a week ago as therapy for newly diagnosed Graves’ disease. She stillfeels irritable and jittery. How should the nurse practitioner respond?a.Inform the patient that improvement requires 2 to 3 weeks71.What advice should be given to the parents of an infant at risk for SIDS?a.Place the baby in the supine position for sleeping72.A six-month-old patient with type III metatarsus adductus (i.e., rigid anddoes not correct to neutral) should be treated with:a.Surgical intervention73.Patient should be advised to purchase the same brand name for each of thefollowing drugs except:

Loading page image...

a.Hydrochlorothiazide74.Which activity during the first trimester could be deleterious to the fetus?a.Dieting75.The mother of an 18-month-old child is in the office. She is not yetimmunized her child because the child’s grandmother “doesn’t believe in that.” Thenurse practitioner should:a.Provide education and recommend beginning of the series of vaccines76.The nurse practitioner is conducting a routine health assessment of a 28-year-old patient. He states he is very “Health conscious” and that he ran 6 milesdaily. He denies current Health problems and his past medical history isunremarkable. Routine urinalysis reveals proteinuria. What is the most likely causeof the proteinuria?a.Exercise77.What is the earliest age that MMR immunization can be administered?a.One year78.The nurse practitioner examines a six-year-old who has had a sore throat andfever for less than 24 hours. Based on the most common cause of pharyngitis in thisage group, the most appropriate action is to:a.Encourage supportive and symptomatic care79.Physical examination findings consistent with emphysema include all of thefollowing except:a.Pallor and cyanosis of the mucosa nail beds80.Which choice below is not a contraindication to receiving the diphtheria,pertussis, and tetanus (DPT) vaccine?a.Current antibiotic use81.All of the following are included in the differential diagnosis ofhyperthyroidism except:a.Plummer’s disease82. A middle-aged patient has a history of smoking, chronic cough, and sputum production.He reports chronic dyspnea. A diagnosis of COPD should be confirmed with:a.Spirometry

Loading page image...

83.A patient requests information about foods to include in his diet whilevacationing in Mexico to avoid “Montezuma’s revenge.” The nurse practitionershould advise him to ingest only:a.Cooked vegetables in soup, bottled water, and wine84.An eight-month-old male presents with hemarthrosis of both knees andhematuria. The parents gave no history of trauma but say “he has always bruisedeasily.” The most likely diagnosis is:a.A type of hemophilia85.Of the following for malpractice issues for which an APRN may incurliability, which is the most prevalent cause of action?a.Failure to refer when the APRN and skills are exceeded86. Which of the following factors is (are) associated with increased incidence of cervicalcancer?a.Smoking and sexual activity at an early age with multiple partners87.Following the finding of prostate gland abnormalities on DRE, the nursepractitioner orders appropriate labs. When preparing to view lab reports with thepatient, and Nurse practitioner knows all of the following are true except:a.Normal PSA it’s 10ng/ml or less88.Which characteristic is not indicative of heart failure?a.Purulent sputum89.A 32-year-old male patient complains of urinary frequency and burning onurination for three days. Urinalysis reveals bacteriuria and positive nitrates. Hedenies any past history of urinary tract infections. The initial treatment should be:a.Trimethoprim-sulfamethoxazole (Bactrim, sulfatrim) for 7 to 10 days90.On trans illumination of the scrotum, the nurse practitioner identifies ahydrocele in a three-month-old infant. What course of action should be taken?a.Monitor the infants until 12 months of age91.Which of the following is an appropriate drug for initial treatment ofgastroesophageal reflux disease (GERD) in adults?a.Famotidine (Pepcid)/ You need to know the drug class

Loading page image...

92.The major health risk associated with oral contraceptive therapy is?a.Cardiovascular events93.The most effective treatment of primary and secondary encopresis focuseson:a.Establishment of a regular bowel routine94.A 55-year-old male patient complains of blood in his urine for the past twoweeks. He denies dysuria. Urinalysis is positive for red blood cells and negative forleukocytes and nitrates. The initial evaluation of this patient should include:a.Renal ultrasonography95.A 50-year-old non-smoker with no comorbidities presents to the clinic an isdiagnosed with community acquired pneumonia. His vital signs are normal exceptfor temperature 101.6°F. a sputum specimen is collected and sent for culture andsensitivity. What action should the nurse practitioner take today?a.Start Clarithromycin (Biaxin) 500 mg BID for five days96.???????a.Influenza vaccine should be given annually to all persons 65 years or older, anti-persons six months or older who are And chronic care facilities, or who suffer chroniccardiopulmonary disorders, metabolic disorders, hemoglobinopathies, orimmunosuppression.97.Simple cases of impetigo and folliculitis are usually successfully treated with:a.Topical antibiotics98.A patient on oral contraceptives reports that she has forgotten to take her pillthe last two days in A row. What should you advise her? 1-take two tablets daily forthe next two days, then resumed a regular schedule. 2-begin a new compact oftablets starting the first day of the next cycle. 3-use an additional method ofcontraception for the rest of the pill pack.4-take one tablet, discard the second, andcontinue as scheduled.a.1 and 399.A three-year-old has enlarged, warm, tender cervical lymph nodes,indicating:a.Infection proximal to the nodes

Loading page image...

100.A 62-year-old female has been diagnosed with osteoporosis. She refuseshormone replacement therapy as well as new medication shown to increase bonedensity. Important education for this patient should include:a.The benefits of increasing calcium daily and daily weight bearing exercises101.The tricyclic antidepressants (TCAs) and selective serotonin reuptakeinhibitors (SSRIs) have demonstrated efficacy in the treatment of each of thefollowing conditions except:a.Gastroesophageal reflux102.Which finding below would be unusual and patient with diabeticretinopathy?a.Papilledema103.A two-year-old child is diagnosed with hemophilus influenza type B. Thechild’s parents will not allow any of their children to be immunized. There are twoother children in the home, ages one year and three years, how should the nursepractitioner manage contacts?a.Rifampin prophylaxis should be given to all household contacts, including theadults.104.Atenolol (Tenormin) should be avoided in:a.A 43-year-old female with asthma105.The results of the Weber tuning fork test is the lateralization of sound to theright ear. This finding indicates:a.Conduction problem in the right here106.A male patient with chronic atrial fibrillation takes a generic brand ofCoumadin (warfarin). He should report all of these to his healthcare providerexcept:a.One missed dose of warfarin107.The side effect of the medroxyprogesterone (depo-Provera) that often leadswomen to discontinue use is:a.Weight gain108.The mother of a two-week-old infant with hypospadias request circumcisionfor her infant. The nurse practitioner’s best response to this mother should be:

Loading page image...

a.Explain why an infant with hypospadias should not be circumcised109.A patient complains of “stomach pains” on and off for the past month. Indistinguishing between a gastric and duodenal ulcer, what question is leastimportant to ask?a.Have you been out of the country in the past several months110.Enlargement of the scrotum and testes with little change in size of the penischaracterizes which tanner stage of sexual development?a.Tanner 2111.Which of the following ecchymotic lesions in a four-year-old patient mostlikely represents a possible bleeding disorder:a.7 cm on the abdomen112.The mother of a six-month-old infant asked about the use of an infantwalker. The most appropriate response is to:a.Discourage the use of walkers and encourage parental holding and floor play113.The developmental task for the family of an adolescent is to:a.Allow the adolescent increasing freedom and responsibility114.Which of the following diseases is not acquired trans placentally?a.Tuberculosis115.A two-year-old has iron deficiency anemia and has not had an increase inhemoglobin for the past three months despite Iron supplementation. The nursepractitioner should:a.Consider referral to a hematologist for further assessment116.A 38-year-old penicillin allergy patient has folliculitis on A bearded part ofhis face. The nurse practitioner prescribes erythromycin and tells the patient:a.Erythromycin may upset his stomach, so it should be taken with food.117.A 45-year-old male is diagnosed with hypertension. His blood pressures havebeen gradually increasing overtime, with a reading today of 152/98. Diagnosticstudies are normal. The most likely diagnosis for this patient is:a.Essential hypertension118.Which of the following signs and symptoms are typical of hypothyroidism?a.Constipation

Loading page image...

119.The most commonly recommended method for prostate cancer screening in a55-year-old man is:a.prostate specific antigen (PSA) testing alone120.An obese 43-year-old has recurrent superficial fungal skin infections over thepast two years. Today, she presents with intertriginous candida. Her skin ismacerated from frequent rubbing and scratching. The plan of care should include:a.Recommended screening for diabetes myelitis and HIV infection121.If 37-year-old female patient with A history of a single episode of depressionand frequent complaints of PMS is being treated for hypothyroidism. Today shecomplains of poor concentration and fatigue. The nurse practitioner should:a.Question her further122.Which of the following drugs has a beneficial effect on benign prosthetichyperplasia?a.Doxazosin (Cardura)123.A patient that has 20/80 Visual acuity can see:a.At 20 feet what a person with normal vision can see it 80 feet124.The goals of treatment for patients with alcohol abuse disorder are:a.Abstinence or reduction in use, relapse prevention, and rehabilitation125.The nurse practitioner correctly teaches the patient with diabetes mellitusthat if blood glucose is less than 100mg/dl (5.6 mmol/L) prior to exercise, the patientshould first consume 15 g of carbohydrates, such as:a.Once slice of bread126.Characteristics of prescription and OTC drug use in the elder populationinclude all of the following except:a.Increased tolerance to drug effects127.Acute lymphocytic leukemia (ALL) is usually diagnosed by:a.A bone marrow examination128.Subsequent to successful completion of the nurse practitioner certificationexam, the candidate is considered to be:a.CERTIFIED

Loading page image...

129.An obese hyperlipidemic patient, newly diagnosed with type II diabetesmellitus has fasting blood glucose values 180 to 250 mg/dL (10.1-14 mmol/L). Whatis the most appropriate initial treatment to consider?a.A sulfonylurea and /or metformin (Glucophage-XR)130.All of the following are typical of toddlers except:a.Increased appetite131.Interest practitioner has treated an infant for the last three weeks for thrushwith nystatin (Mycostatin) oral suspension. What diagnostic test could the nursepractitioner platform which might quickly confirm a diagnosis of oral candidiasis?a.A potassium hydroxide (KOH) slide preparation132.Which of the following physical findings is consistent with a diagnosis ofBeta-thalassemia major?a.Bronze skin color133.An adult female patient is seeking information about her ideal weight. She is5’7” tall using the” height weight formula”, what is her ideal body weight?a.135 pounds134.The most appropriate therapy for an elderly patient with pernicious anemiais: a.Intramuscular injection of vitamin B 12135.Which of the following patients is most likely to have a diagnosis of type IIdiabetes mellitus?a.A 49-year-old male with impotence and HBA1C 10.0%136.The recent Beta-adrenergic blockers should be avoided in patients withdiabetes is because they may:a.Mask symptoms of hypoglycemia137.The nurse practitioner is initiating levothyroxine (Synthroid) for primaryhypothyroidism in a 71-year-old female. The usual starting dose of levothyroxine is50to 100 micrograms per day. What would be the most appropriate initial therapy in thispatient?a.25 μg per day138.Nurse practitioner is evaluating a 35-year-old female nurse. She has a historyof hospitalization for hepatitis B infection two years ago. Her laboratory tests

Preview Mode

This document has 70 pages. Sign in to access the full document!

Report

Study Now!

Document Details

Related Documents

PETH 410 Midterm

EPI Notes

Understanding Hemodialysis Patient Guide and Meal

Newborn Assessment Critical Thinking Map

Maternal Health Theory and Applications

Gynecological Exam

Navigating the Difficulties of Addressing Intricat

Cardiovascular 2 Handout

NCLEX Key Concepts

Understanding EKG Rhythms and Pacemaker Care NCLEX

Company

Explore

Study Tools