NR667- CEA FNP
A affected person presently present process concurrent chemotherapy/radiation treatment
for glottic squamous mobile carcinoma is admitted to the rehab unit you oversee for control
of intractable nausea, vomiting, and dehydration. Admission CBC confirmed WBC 1.Three,
Hgb 7.Five, PLT forty five, ANC zero.Eight. Which of the subsequent conditions is that this
affected person at chance for?
A. Macrocytic anemia due to B12 deficiency
B. Iron deficiency anemia due to continual blood loss
C. Microcytic anemia due to chronic kidney disorder
D. Aplastic anemia due to bone marrow suppression
D
Your patient affords to the pressing care hospital with a swollen exudative pharynx, profound
fatigue, and a completely tender left upper quadrant stomach. What is the maximum in all
likelihood prognosis?
A. Strep pharyngitis
B. Tonsillitis
C. Epstein Barr virus (EBV)
D. Pancreatitis
C
Which of the subsequent first-class characterizes presbycusis in the older grownup?
A. Bilateral low-frequency sensorineural listening to loss
B. Bilateral excessive-frequency sensorineural listening to loss
C. Unilateral high-frequency sensorineural listening to loss
D. Unilateral low-frequency sensorineural hearing loss
B
A 35-yr-vintage female provides with allergic rhinitis, experiencing substantial nasal
congestion, sneezing, and itchy eyes. She has attempted over-the-counter antihistamines
with constrained relief. What is the most suitable next step in management?
A. Oral decongestants
,B. Nasal saline irrigation
C. Intranasal corticosteroids
D. Referral to an allergist for immunotherapy
C
A patient currently undergoing concurrent chemotherapy/radiation treatment for glottic
squamous cell carcinoma is admitted to the rehab unit you oversee for control of intractable
nausea, vomiting, and dehydration. Admission CBC confirmed WBC 1.Three, Hgb 7.5, PLT
45, ANC zero.8. Which of the following situations is that this affected person at risk for?
A. Iron deficiency anemia because of chronic blood loss
B. Microcytic anemia due to chronic kidney ailment
C. Macrocytic anemia because of B12 deficiency
D. Aplastic anemia because of bone marrow suppression
D
A seventy eight y.O. M affected person reviews persistent infections, bruising, fatigue, SOB,
and fevers. He has a history of rectal adenocarcinoma and completed concurrent
chemotherapy/radiation in advance this 12 months. His CBC shows Hgb 7.Five, PLT 88,
WBC 1.2, ANC 0.8, and peripheral smear suggests dysplasia. What extra paintings-up could
you assume for this affected person?
A. Colonoscopy and fecal occult blood take a look at
B. Bone marrow biopsy and drift cytometry
C. No extra paintings-up is required, these are anticipated sequela of his oncologic remedy
D. Repeat CBC/CMP/peripheral smear in eight weeks
B
Progression to Acute Myelogenous Leukemia (AML) is a chance for untreated or poorly
responsive:
A. Pancytopenia
B. Aplastic anemia
C. Macrocytic anemia
D. Myelodysplastic syndrome
D
,Treatment for symptomatic aplastic anemia includes all of the following besides:
A. Bone marrow transplant
B. PRBC/Platelet/WBC transfusions
C. Prophylactic antibiotics
D. Removal of bone marrow stimulants
D
A affected person identified with iron deficiency anemia calls for iron supplementation. Which
of the subsequent remedies would in all likelihood be ineffective?
A. Ferrous sulfate 325 mg PO BID for a 43 y.O. F s/p gastric pass 2 years in the past
B. Iron sucrose 2 hundred mg IV infusion weekly x 8 weeks in a 26 y.O. F at 34 weeks of
pregnancy
C. Ferrous sulfate 325 mg PO TID for a 25 y.O. F with menorrhagia
D. Ferrous sulfate 325 mg PO BID for a 63 y.O. M with ulcerative colitis
A
Which of the subsequent isn't always a common mechanism of neutrophil expenditure and
resultant neutropenia?
A. Decreased neutrophil production in the bone marrow
B. Redistribution of neutrophils to the spleen or vascular endothelium
C. Loss of circulating neutrophils in acute blood loss
D. Immune destruction
C
Which of the subsequent blood lead levels (BLL) would likely require chelation therapy?
A. < 80 mcg/dL
B. 35 mcg/dL
C. >100 mcg/dL
D. 75 mcg/dL
C
A geriatric patient with anemia, lower back ache, osteoporosis, and increased erythrocyte
sedimentation fee need to be evaluated for:
A. Cauda equina syndrome.
B. Renal dystrophy.
, C. Paget's disorder.
D. A couple of myeloma.
D
Overactivation of coagulation and fibrinolysis resulting in thrombosis and hemorrhage is an
indicator of which of the subsequent?
A. Thrombocytopenia
B. Aplastic anemia
C. Myelodysplastic syndrome
D. Disseminated intravascular coagulation
D
A patient on warfarin (Coumadin) remedy for recurrent deep vein thrombosis (DVT) is set to
have lumbar spinal fusion surgical procedure. The affected person's warfarin is put on
preserve beginning five days previous to the surgical treatment and subcutaneous
enoxaparin (Lovenox) has been ordered for DVT prophylaxis till the resumption of the
warfarin. The nurse practitioner is aware of that the patient's postoperative warfarin dose
need to be restarted based at the:
A. Value of her morning Prothrombin time
B. Baseline PT and INR values
C. Target INR of two.5
D. Loading dose of 20 mg, plus the previous warfarin dose
B
Your patient offered the previous day to pressing care with symptoms of lower extremity
weakness and then went home for statement with own family. They have back to urgent
care, and it now seems to be affecting the affected person’s stomach in only the past few
hours. What is your precedence intervention?
A. Order physical remedy assessment and treatment
B. Immediate transportation to the clinic and display for airway involvement
C. Apply oxygen through nasal cannula
D. Assess muscular electricity in bilateral decrease extremities
B
Which of the subsequent is a common symptom of Systemic Lupus Erythematosus (SLE)?
A. Joint pain and swelling
A affected person presently present process concurrent chemotherapy/radiation treatment
for glottic squamous mobile carcinoma is admitted to the rehab unit you oversee for control
of intractable nausea, vomiting, and dehydration. Admission CBC confirmed WBC 1.Three,
Hgb 7.Five, PLT forty five, ANC zero.Eight. Which of the subsequent conditions is that this
affected person at chance for?
A. Macrocytic anemia due to B12 deficiency
B. Iron deficiency anemia due to continual blood loss
C. Microcytic anemia due to chronic kidney disorder
D. Aplastic anemia due to bone marrow suppression
D
Your patient affords to the pressing care hospital with a swollen exudative pharynx, profound
fatigue, and a completely tender left upper quadrant stomach. What is the maximum in all
likelihood prognosis?
A. Strep pharyngitis
B. Tonsillitis
C. Epstein Barr virus (EBV)
D. Pancreatitis
C
Which of the subsequent first-class characterizes presbycusis in the older grownup?
A. Bilateral low-frequency sensorineural listening to loss
B. Bilateral excessive-frequency sensorineural listening to loss
C. Unilateral high-frequency sensorineural listening to loss
D. Unilateral low-frequency sensorineural hearing loss
B
A 35-yr-vintage female provides with allergic rhinitis, experiencing substantial nasal
congestion, sneezing, and itchy eyes. She has attempted over-the-counter antihistamines
with constrained relief. What is the most suitable next step in management?
A. Oral decongestants
,B. Nasal saline irrigation
C. Intranasal corticosteroids
D. Referral to an allergist for immunotherapy
C
A patient currently undergoing concurrent chemotherapy/radiation treatment for glottic
squamous cell carcinoma is admitted to the rehab unit you oversee for control of intractable
nausea, vomiting, and dehydration. Admission CBC confirmed WBC 1.Three, Hgb 7.5, PLT
45, ANC zero.8. Which of the following situations is that this affected person at risk for?
A. Iron deficiency anemia because of chronic blood loss
B. Microcytic anemia due to chronic kidney ailment
C. Macrocytic anemia because of B12 deficiency
D. Aplastic anemia because of bone marrow suppression
D
A seventy eight y.O. M affected person reviews persistent infections, bruising, fatigue, SOB,
and fevers. He has a history of rectal adenocarcinoma and completed concurrent
chemotherapy/radiation in advance this 12 months. His CBC shows Hgb 7.Five, PLT 88,
WBC 1.2, ANC 0.8, and peripheral smear suggests dysplasia. What extra paintings-up could
you assume for this affected person?
A. Colonoscopy and fecal occult blood take a look at
B. Bone marrow biopsy and drift cytometry
C. No extra paintings-up is required, these are anticipated sequela of his oncologic remedy
D. Repeat CBC/CMP/peripheral smear in eight weeks
B
Progression to Acute Myelogenous Leukemia (AML) is a chance for untreated or poorly
responsive:
A. Pancytopenia
B. Aplastic anemia
C. Macrocytic anemia
D. Myelodysplastic syndrome
D
,Treatment for symptomatic aplastic anemia includes all of the following besides:
A. Bone marrow transplant
B. PRBC/Platelet/WBC transfusions
C. Prophylactic antibiotics
D. Removal of bone marrow stimulants
D
A affected person identified with iron deficiency anemia calls for iron supplementation. Which
of the subsequent remedies would in all likelihood be ineffective?
A. Ferrous sulfate 325 mg PO BID for a 43 y.O. F s/p gastric pass 2 years in the past
B. Iron sucrose 2 hundred mg IV infusion weekly x 8 weeks in a 26 y.O. F at 34 weeks of
pregnancy
C. Ferrous sulfate 325 mg PO TID for a 25 y.O. F with menorrhagia
D. Ferrous sulfate 325 mg PO BID for a 63 y.O. M with ulcerative colitis
A
Which of the subsequent isn't always a common mechanism of neutrophil expenditure and
resultant neutropenia?
A. Decreased neutrophil production in the bone marrow
B. Redistribution of neutrophils to the spleen or vascular endothelium
C. Loss of circulating neutrophils in acute blood loss
D. Immune destruction
C
Which of the subsequent blood lead levels (BLL) would likely require chelation therapy?
A. < 80 mcg/dL
B. 35 mcg/dL
C. >100 mcg/dL
D. 75 mcg/dL
C
A geriatric patient with anemia, lower back ache, osteoporosis, and increased erythrocyte
sedimentation fee need to be evaluated for:
A. Cauda equina syndrome.
B. Renal dystrophy.
, C. Paget's disorder.
D. A couple of myeloma.
D
Overactivation of coagulation and fibrinolysis resulting in thrombosis and hemorrhage is an
indicator of which of the subsequent?
A. Thrombocytopenia
B. Aplastic anemia
C. Myelodysplastic syndrome
D. Disseminated intravascular coagulation
D
A patient on warfarin (Coumadin) remedy for recurrent deep vein thrombosis (DVT) is set to
have lumbar spinal fusion surgical procedure. The affected person's warfarin is put on
preserve beginning five days previous to the surgical treatment and subcutaneous
enoxaparin (Lovenox) has been ordered for DVT prophylaxis till the resumption of the
warfarin. The nurse practitioner is aware of that the patient's postoperative warfarin dose
need to be restarted based at the:
A. Value of her morning Prothrombin time
B. Baseline PT and INR values
C. Target INR of two.5
D. Loading dose of 20 mg, plus the previous warfarin dose
B
Your patient offered the previous day to pressing care with symptoms of lower extremity
weakness and then went home for statement with own family. They have back to urgent
care, and it now seems to be affecting the affected person’s stomach in only the past few
hours. What is your precedence intervention?
A. Order physical remedy assessment and treatment
B. Immediate transportation to the clinic and display for airway involvement
C. Apply oxygen through nasal cannula
D. Assess muscular electricity in bilateral decrease extremities
B
Which of the subsequent is a common symptom of Systemic Lupus Erythematosus (SLE)?
A. Joint pain and swelling
