D118: Unit 7 Study Guide OA || All Solutions are Accurate.
A patient with a history of Addison's disease presents to the clinic with extreme weakness,
nausea, and vomiting. The advanced practice registered nurse (APRN) assesses the patient and
notes the patient is confused. Assessment findings include:
Vital signs
blood pressure of 102/56
apical 78 regular
temperature of 101.3 F (38.5 C)
Diagnostics
sodium: 122 mEq/L
potassium: 5.2 mEq/L
WBC: 16.4 X 109/L
Which action should the APRN take? correct answers Transfer the patient to the ED
A patient presents to the clinic with a diagnosis of Cushing syndrome. The advanced practice
registered nurse (APRN) wants to determine the underlying cause of the disease process and
orders a Dexamethasone suppression (DS) lab test.
DS Findings:
low dose: no change
high dose: no change
ACTH is undetectable or low
What should the APRN suspect related to these findings? correct answers Adrenal carcinoma
A nonpregnant adult patient presents to the clinic for an annual well-patient exam. The advanced
practice registered nurse (APRN) assesses the patient and orders diagnostic tests.
Diagnostic test results:
oral glucose tolerance test: 142 mg/dL
HbA1c: 5.9%
fasting plasma glucose: 102 mg/dL
, In which classification should the APRN place the patient? correct answers Prediabetes
A patient presents to the primary care clinic with decreased vibratory sensation, loss of
proprioception, peripheral neuropathy, and ataxia. The advanced practice registered nurse
(APRN) notes a beefy-red tongue and a positive Romberg sign during assessment. A complete
blood count reveals a hemoglobin of 8g/dL and MCV level of 110 fL.
Which diagnosis should the APRN make for this patient? correct answers Beefy red tongue is
related to vitamin B12 deficiency
Vitamin B12 deficiency is the answer
An African-American patient presents to the emergency department complaining of severe pain
in the joints, back, chest, and abdomen. The advanced practice registered nurse (APRN)
examines the patient and notes the following:
O2 saturation of 86% on room air
Jaundice
Systolic flow murmur
CXR reveals cardiomegaly
The APRN suspects that the patient has sickle cell disease.
Which test should be ordered to confirm the APRN's suspicion? correct answers Hemoglobin
electrophoresis
A young woman comes to the clinic and complains to the advanced practice registered nurse
(APRN) of urgency, burning upon urination, and pain in the lower back. Assessment findings
include:
B/P 136/80
pulse 78
respirations 14
temperature 99.0
Which initial action should the APRN take? correct answers Perform a urine dipstick
A patient with a history of Addison's disease presents to the clinic with extreme weakness,
nausea, and vomiting. The advanced practice registered nurse (APRN) assesses the patient and
notes the patient is confused. Assessment findings include:
Vital signs
blood pressure of 102/56
apical 78 regular
temperature of 101.3 F (38.5 C)
Diagnostics
sodium: 122 mEq/L
potassium: 5.2 mEq/L
WBC: 16.4 X 109/L
Which action should the APRN take? correct answers Transfer the patient to the ED
A patient presents to the clinic with a diagnosis of Cushing syndrome. The advanced practice
registered nurse (APRN) wants to determine the underlying cause of the disease process and
orders a Dexamethasone suppression (DS) lab test.
DS Findings:
low dose: no change
high dose: no change
ACTH is undetectable or low
What should the APRN suspect related to these findings? correct answers Adrenal carcinoma
A nonpregnant adult patient presents to the clinic for an annual well-patient exam. The advanced
practice registered nurse (APRN) assesses the patient and orders diagnostic tests.
Diagnostic test results:
oral glucose tolerance test: 142 mg/dL
HbA1c: 5.9%
fasting plasma glucose: 102 mg/dL
, In which classification should the APRN place the patient? correct answers Prediabetes
A patient presents to the primary care clinic with decreased vibratory sensation, loss of
proprioception, peripheral neuropathy, and ataxia. The advanced practice registered nurse
(APRN) notes a beefy-red tongue and a positive Romberg sign during assessment. A complete
blood count reveals a hemoglobin of 8g/dL and MCV level of 110 fL.
Which diagnosis should the APRN make for this patient? correct answers Beefy red tongue is
related to vitamin B12 deficiency
Vitamin B12 deficiency is the answer
An African-American patient presents to the emergency department complaining of severe pain
in the joints, back, chest, and abdomen. The advanced practice registered nurse (APRN)
examines the patient and notes the following:
O2 saturation of 86% on room air
Jaundice
Systolic flow murmur
CXR reveals cardiomegaly
The APRN suspects that the patient has sickle cell disease.
Which test should be ordered to confirm the APRN's suspicion? correct answers Hemoglobin
electrophoresis
A young woman comes to the clinic and complains to the advanced practice registered nurse
(APRN) of urgency, burning upon urination, and pain in the lower back. Assessment findings
include:
B/P 136/80
pulse 78
respirations 14
temperature 99.0
Which initial action should the APRN take? correct answers Perform a urine dipstick
