Drone IT NSG 6001 – Advanced Practice Nursing - South University Savannah

A patient with iron deficiency anemia takesiron

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 demonstratesleukocytosis. This

means:

he has an infection of

unknown origin.

Whatstatement 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 isstable.

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 demonstratesleukocytosis. 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 statesthat he feels well

today. What should be included in a

Lymphoma

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Drone IT NSG 6001 – Advanced Practice Nursing - South University Savannah

Lead toxicity can be associated with: sideroblastic anemia.

differential diagnosisforthis 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

upperrespiratory 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 hasthalassemia minor.

What should be limited in her diet to avoid

hepatotoxicity?

Multi-vitamin with iron

A patient isfound 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 Iron supplementation in

treating iron deficiency anemia in infants divided doses between meals

and children? with orange juice

A patient with pernicious anemia may be

observed to have: glossitis.

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Drone IT NSG 6001 – Advanced Practice Nursing - South University Savannah

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 metamyelocytesin

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 B12?

Inadequate amounts can produce

cognitive changes.

A serum ferritin level:

demonstratesthe 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 hassuspected 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 ofsickle cell anemia

can be made: by a hemoglobin electrophoresis. .

An example of a macrocytic anemia is: pernicious anemia.

An older adult hassuspected 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

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Drone IT NSG 6001 – Advanced Practice Nursing - South University Savannah

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A patient isfound to have an anemia. The

patient’s MCV is normal. The patient’s normocytic.

anemia can be described as:

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 cephalexin.

infection is:

A 4 year-old has been diagnosed found on the

with measles. The nurse inside of the

practitioner identifies Koplik’s cheek and are more

spots. These are: granular. susce

The main difference between cellulitis layer of skin tible

to

and erysipelas is the: involvement. bacte

A patient reports that he found a ial

tick on himself about one month infec

ago. He reports that there is a red on.

circle and a white center near

where he remembers the tick bite. ELISA 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?

A patient who is at high risk for examine his

skin cancer should: skin monthly

for changes.

A patient has a “herald patch” and

is diagnosed with pityriasis rosea. On the chest

Where is the “herald patch” found?

Which of the following antibiotics Fluoroquinolones

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