Correct Detailed Answers| Brand New Version!
You are treating a patient with acute anxiety and she is having an acute attack in the office. The
ANP has knowledge that the fastest relief of symptoms is:
a TCA
a beta-blocker
a benzodizepine
an SSRI - (Correct Answer)-Correct answer:
benzodiazepine
The fastest relief of anxiety symptoms will occur with a benzodiazepine. The other choices
list agents that will require multiple doses for results. With daily continued use of
benzodiazepines, the anti-anxiety effect may become diminished.
A geriatric patient with cardiovascular disease is in the office being counseled on lifestyle
changes. The ANP knows that which of the following is the most important to include in this
discussion?
"Control your hypertension, stop smoking, maintain a normal weight, and exercise regularly."
"Have a yearly physical examination, increase fiber in your diet, and exercise regularly."
"Maintain a normal level of serum blood sugar and decrease cholesterol intake."
"Decrease smoking, increase vitamin supplements, and increase protein intake." - (Correct
Answer)-Correct answer:
"Control your hypertension, stop smoking, maintain a normal weight, and exercise
regularly."
All of these are important for the geriatric patient to decrease cardiovascular risk.
Controlling hyperglycemia, high fiber intake, and vitamins all assist in maintaining a
healthy lifestyle but do not help to prevent cardiovascular disease.
, 2
You are seeing a female with inflammatory bowel disease, known as IBD. The Adult Nurse
Practitioner knows that if she orders a hemogram on this patient, which of the following results
would be seen if the patient was anemic?
microcytic, hypochromic type
macrocytic, normochromic type
normocytic, normochromic type
macrocytic, hypochromic type - (Correct Answer)-Correct Answer:
normocytic, normochromic type
Anemia is a common problem in IBD. The etiology is often from multiple causes. The
anemia of chronic disease, a normocytic, normochromic anemia, is a result of inflammation
of the IBD without blood loss. Blood loss would result in a microcytic, hypochromic
anemia. The macrocytic anemias are a result of deficiency in vitamin B12 or other causes.
Which of the following is the least likely risk factor for suicide?
physical illness
male
increasing age
black race - (Correct Answer)-Correct answer:
black race
Being of a white race is more likely to be a factor in suicide. Besides the other three choices
risk factors include: substance abuse, living alone, and less education.
, 3
The healthcare provider's required level of expected conduct as established by custom, law, or
professional organizations is called the:
Standard of care.
Breach of duty.
Duty.
Malpractice. - (Correct Answer)-Correct answer:
Standard of care
Standard of care is another term associated with negligence. Standard of care is a
healthcare provider's required level of expected conduct as established by custom, law, or
professional organizations.
A brief account by the patient of any signs or symptoms he or she is experiencing is one
component of:
Review of systems.
Symptom assessment.
Functional assessment.
Objective assessment. - (Correct Answer)-Correct Answer:
Review of systems
In the review of systems, the patient tells the nurse in his or her own words what signs or
symptoms he or she has experienced in various body systems. It is important that these be
in a patient's own words to perform the most complete and accurate assessment.
All of the following are typical changes to the gastrointestinal system that come with aging
EXCEPT:
decreased liver size
, 4
decreased muscle tone in bowel
increased absorption of calcium
atrophy of salivary glands - (Correct Answer)-Correct answer:
increased absorption of calcium
Decreased absorption of calcium is a common change that comes with aging, not increased
absorption. Other gastrointestinal changes include: less efficient cholesterol stabilization
and absorption, atrophy of taste buds, and slowing in esophageal emptying, among others.
A 28-year-old female patient is in the office and is to undergo radioactive iodine treatment for
Graves disease. The ANP is counseling her and understands that the mechanism of action of this
treatment therapy is:
alter the thyroid metabolic rate
relieve distress caused by increased thyroid size
destroy the overactive thyroid tissue
reduce production of TSH - (Correct Answer)-Correct answer:
destroy the overactive thyroid tissue
Graves disease is the most common form of thyrotoxicosis. Radioactive iodine is used for
thyroid ablation to destroy the overactive thyroid tissue that causes the thyroid hormone
dysfunction.
Which of the following statements about falls in the elderly is least accurate?
Black women are at higher risk for hip fractures than white women.
The majority of deaths from falls are among people aged 65 years or older.
Injuries from falls include head injuries, pelvic injuries, lacerations, and more.