NR667- CEA FNP QUESTIONS AND CORRECT DETAILED ANSWERS
Terms in this set (460)
A patient currently undergoing concurrent D
chemotherapy/radiation treatment for glottic squamous
cell carcinoma is admitted to the rehab unit you oversee
for management of intractable nausea, vomiting, and
dehydration. Admission CBC showed WBC 1.3, Hgb 7.5,
PLT 45, ANC 0.8. Which of the following conditions is this
patient at risk for?
A. Macrocytic anemia due to B12 deficiency
B.Iron deficiency anemia due to chronic blood loss
C. Microcytic anemia due to chronic kidney disease
D.Aplastic anemia due to bone marrow suppression
Your patient presents to the urgent care clinic with a C
swollen exudative pharynx, profound fatigue, and a very
tender left upper quadrant abdomen. What is the
most likely diagnosis?
A. Strep pharyngitis
B. Tonsillitis
C. Epstein Barr virus (EBV)
D.Pancreatitis
Which of the following best characterizes presbycusis in B
the older adult?
A. Bilateral low-frequency sensorineural hearing loss
B.Bilateral high-frequency sensorineural hearing loss
C. Unilateral high-frequency sensorineural hearing loss
D.Unilateral low-frequency sensorineural hearing loss
,A 35-year-old woman presents with allergic rhinitis, C
experiencing significant nasal congestion, sneezing, and
itchy eyes. She has tried over-the-counter antihistamines
with limited relief. What is the most appropriate next step
in management?
A. Oral decongestants
B.Nasal saline irrigation
C. Intranasal corticosteroids
D.Referral to an allergist for immunotherapy
A patient currently undergoing concurrent D
chemotherapy/radiation treatment for glottic squamous
cell carcinoma is admitted to the rehab unit you oversee
for management of intractable nausea, vomiting, and
dehydration. Admission CBC showed WBC 1.3, Hgb 7.5,
PLT 45, ANC 0.8. Which of the following conditions is this
patient at risk for?
A. Iron deficiency anemia due to chronic blood loss
B.Microcytic anemia due to chronic kidney disease
C. Macrocytic anemia due to B12 deficiency
D. Aplastic anemia due to bone marrow suppression
A 78 y.o. M patient reports chronic infections, B
bruising, fatigue, SOB, and fevers. He has a history of
rectal adenocarcinoma and completed concurrent
chemotherapy/radiation earlier this year. His CBC shows
Hgb 7.5, PLT 88, WBC 1.2, ANC 0.8, and peripheral smear
shows dysplasia. What additional work-up would you
anticipate for this patient?
A. Colonoscopy and fecal occult blood test
B.Bone marrow biopsy and flow cytometry
C. No additional work-up is required, these are
expected sequela of his oncologic treatment
D.Repeat CBC/CMP/peripheral smear in eight weeks
Progression to Acute Myelogenous Leukemia (AML) is a D
risk for untreated or poorly responsive:
A. Pancytopenia
B. Aplastic anemia
C. Macrocytic anemia
D.Myelodysplastic syndrome
Treatment for symptomatic aplastic anemia includes all D
the following except:
A. Bone marrow transplant
B.PRBC/Platelet/WBC transfusions
C. Prophylactic antibiotics
D.Removal of bone marrow stimulants
, A patient diagnosed with iron deficiency anemia requires A
iron supplementation. Which of the following
treatments would likely be ineffective?
A. Ferrous sulfate 325 mg PO BID for a 43 y.o. F s/p
gastric bypass 2 years ago
B.Iron sucrose 200 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
Which of the following is not a common mechanism of C
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
Which of the following blood lead levels (BLL) would C
likely require chelation therapy?
A. < 80 mcg/dL
B.35 mcg/dL
C. >100 mcg/dL
D. 75 mcg/dL
A geriatric patient with anemia, back pain, D
osteoporosis, and elevated erythrocyte sedimentation
rate should be evaluated for:
A. cauda equina syndrome.
B.renal dystrophy.
C. Paget's disease.
D.multiple myeloma.
Overactivation of coagulation and fibrinolysis resulting in D
thrombosis and hemorrhage is a trademark of which of
the following?
A. Thrombocytopenia
B. Aplastic anemia
C. Myelodysplastic syndrome
D.Disseminated intravascular coagulation
Terms in this set (460)
A patient currently undergoing concurrent D
chemotherapy/radiation treatment for glottic squamous
cell carcinoma is admitted to the rehab unit you oversee
for management of intractable nausea, vomiting, and
dehydration. Admission CBC showed WBC 1.3, Hgb 7.5,
PLT 45, ANC 0.8. Which of the following conditions is this
patient at risk for?
A. Macrocytic anemia due to B12 deficiency
B.Iron deficiency anemia due to chronic blood loss
C. Microcytic anemia due to chronic kidney disease
D.Aplastic anemia due to bone marrow suppression
Your patient presents to the urgent care clinic with a C
swollen exudative pharynx, profound fatigue, and a very
tender left upper quadrant abdomen. What is the
most likely diagnosis?
A. Strep pharyngitis
B. Tonsillitis
C. Epstein Barr virus (EBV)
D.Pancreatitis
Which of the following best characterizes presbycusis in B
the older adult?
A. Bilateral low-frequency sensorineural hearing loss
B.Bilateral high-frequency sensorineural hearing loss
C. Unilateral high-frequency sensorineural hearing loss
D.Unilateral low-frequency sensorineural hearing loss
,A 35-year-old woman presents with allergic rhinitis, C
experiencing significant nasal congestion, sneezing, and
itchy eyes. She has tried over-the-counter antihistamines
with limited relief. What is the most appropriate next step
in management?
A. Oral decongestants
B.Nasal saline irrigation
C. Intranasal corticosteroids
D.Referral to an allergist for immunotherapy
A patient currently undergoing concurrent D
chemotherapy/radiation treatment for glottic squamous
cell carcinoma is admitted to the rehab unit you oversee
for management of intractable nausea, vomiting, and
dehydration. Admission CBC showed WBC 1.3, Hgb 7.5,
PLT 45, ANC 0.8. Which of the following conditions is this
patient at risk for?
A. Iron deficiency anemia due to chronic blood loss
B.Microcytic anemia due to chronic kidney disease
C. Macrocytic anemia due to B12 deficiency
D. Aplastic anemia due to bone marrow suppression
A 78 y.o. M patient reports chronic infections, B
bruising, fatigue, SOB, and fevers. He has a history of
rectal adenocarcinoma and completed concurrent
chemotherapy/radiation earlier this year. His CBC shows
Hgb 7.5, PLT 88, WBC 1.2, ANC 0.8, and peripheral smear
shows dysplasia. What additional work-up would you
anticipate for this patient?
A. Colonoscopy and fecal occult blood test
B.Bone marrow biopsy and flow cytometry
C. No additional work-up is required, these are
expected sequela of his oncologic treatment
D.Repeat CBC/CMP/peripheral smear in eight weeks
Progression to Acute Myelogenous Leukemia (AML) is a D
risk for untreated or poorly responsive:
A. Pancytopenia
B. Aplastic anemia
C. Macrocytic anemia
D.Myelodysplastic syndrome
Treatment for symptomatic aplastic anemia includes all D
the following except:
A. Bone marrow transplant
B.PRBC/Platelet/WBC transfusions
C. Prophylactic antibiotics
D.Removal of bone marrow stimulants
, A patient diagnosed with iron deficiency anemia requires A
iron supplementation. Which of the following
treatments would likely be ineffective?
A. Ferrous sulfate 325 mg PO BID for a 43 y.o. F s/p
gastric bypass 2 years ago
B.Iron sucrose 200 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
Which of the following is not a common mechanism of C
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
Which of the following blood lead levels (BLL) would C
likely require chelation therapy?
A. < 80 mcg/dL
B.35 mcg/dL
C. >100 mcg/dL
D. 75 mcg/dL
A geriatric patient with anemia, back pain, D
osteoporosis, and elevated erythrocyte sedimentation
rate should be evaluated for:
A. cauda equina syndrome.
B.renal dystrophy.
C. Paget's disease.
D.multiple myeloma.
Overactivation of coagulation and fibrinolysis resulting in D
thrombosis and hemorrhage is a trademark of which of
the following?
A. Thrombocytopenia
B. Aplastic anemia
C. Myelodysplastic syndrome
D.Disseminated intravascular coagulation
