Which of the following is appropriate long-term treatment for B12 deficiency in a patient
with a history of gastric bypass?
Parenteral vitamin B6
Parenteral vitamin B12
Oral vitamin B12
Inhaled B12
Give this one a go later!
Parenteral vitamin B12
Rationale
Treatment for B12 deficiency includes replacement of B12 stores. Parenteral
administration of B12 is preferred for patients with altered GI anatomy.
Absence of intrinsic factor makes oral absorption unlikely for patients who
have undergone gastric bypass and parenteral routes are necessary.
,At a follow up from a hospitalization, an adult patient presents with ankle edema. Which
of the following medications is the most likely cause of the edema?
Metformin
HCTZ
Norvasc
Nebivolol
Give this one a go later!
Norvasc
Rationale
The most common side effects of calcium channel blockers include
constipation and lower extremity edema. The other options do not have any
relationship specifically with edema, in fact, hydrochlorothiazide specifically
reduces edema via diuresis.
Patients who have been identified as having angioedema due to bradykinin-mediated
allergy should be notified not to take any further dosing of which of the following
medications?
Naproxen sodium
Enalapril
Aspirin
Ibuprofen
Give this one a go later!
Enalapril
Rationale
, Bradykinin-mediated angioedema is usually caused by ACE Inhibitors, not
NSAIDS such as ibuprofen, aspirin, and naproxen.
How should a nurse practitioner evaluate if palliative care is effective?
The illness or disease is in remission.
Advanced directives have been discussed and signed.
An out-of-hospital "Do not resuscitate" order is in place.
The symptoms causing discomfort are lessened.
Give this one a go later!
The symptoms causing discomfort are lessened
Rationale
Palliative care consults are performed for patients who have a near-terminal
condition with a very minimal anticipated duration of life left, typically 14 days
or less. It does not mean a cessation of treatment, but it does focus the
treatment on their quality of life to be prioritized.
At what age should a child typically begin to show interest in playing with other children
and engaging in cooperative play?
2 years
3 years
4 years
5 years
Give this one a go later!
, 3 years
Rationale
Students typically begin to engage in cooperative play around the age of 3
years old, continuing through early childhood and into school-age years.
Cooperative play involves interactions with peers where children work
together towards a common goal, share materials, take turns, and follow
agreed-upon rules.
Which of the following treatments is not recommended for a patient with a new diagnosis
of rheumatoid arthritis?
Prednisone burst, then taper to a lower daily maintenance dose
Methotrexate daily
Adalimumab daily
Oxycontin PRN for mild pain
Give this one a go later!
Oxycontin PRN for mild pain
Rationale
Patients with RA may be controlled with any of the above regimens except use
of opioids for a new diagnosis with a high abuse potential, as this does not
safely balance the risk and benefit of treatment.
Your patient presents with pale, waxy legs, weak peripheral pulses, and states he is
having difficulty walking great distances due to the pain in his calves. The most
appropriate non-invasive test to evaluate his leg vascular flow quality is which of the
following exams?
with a history of gastric bypass?
Parenteral vitamin B6
Parenteral vitamin B12
Oral vitamin B12
Inhaled B12
Give this one a go later!
Parenteral vitamin B12
Rationale
Treatment for B12 deficiency includes replacement of B12 stores. Parenteral
administration of B12 is preferred for patients with altered GI anatomy.
Absence of intrinsic factor makes oral absorption unlikely for patients who
have undergone gastric bypass and parenteral routes are necessary.
,At a follow up from a hospitalization, an adult patient presents with ankle edema. Which
of the following medications is the most likely cause of the edema?
Metformin
HCTZ
Norvasc
Nebivolol
Give this one a go later!
Norvasc
Rationale
The most common side effects of calcium channel blockers include
constipation and lower extremity edema. The other options do not have any
relationship specifically with edema, in fact, hydrochlorothiazide specifically
reduces edema via diuresis.
Patients who have been identified as having angioedema due to bradykinin-mediated
allergy should be notified not to take any further dosing of which of the following
medications?
Naproxen sodium
Enalapril
Aspirin
Ibuprofen
Give this one a go later!
Enalapril
Rationale
, Bradykinin-mediated angioedema is usually caused by ACE Inhibitors, not
NSAIDS such as ibuprofen, aspirin, and naproxen.
How should a nurse practitioner evaluate if palliative care is effective?
The illness or disease is in remission.
Advanced directives have been discussed and signed.
An out-of-hospital "Do not resuscitate" order is in place.
The symptoms causing discomfort are lessened.
Give this one a go later!
The symptoms causing discomfort are lessened
Rationale
Palliative care consults are performed for patients who have a near-terminal
condition with a very minimal anticipated duration of life left, typically 14 days
or less. It does not mean a cessation of treatment, but it does focus the
treatment on their quality of life to be prioritized.
At what age should a child typically begin to show interest in playing with other children
and engaging in cooperative play?
2 years
3 years
4 years
5 years
Give this one a go later!
, 3 years
Rationale
Students typically begin to engage in cooperative play around the age of 3
years old, continuing through early childhood and into school-age years.
Cooperative play involves interactions with peers where children work
together towards a common goal, share materials, take turns, and follow
agreed-upon rules.
Which of the following treatments is not recommended for a patient with a new diagnosis
of rheumatoid arthritis?
Prednisone burst, then taper to a lower daily maintenance dose
Methotrexate daily
Adalimumab daily
Oxycontin PRN for mild pain
Give this one a go later!
Oxycontin PRN for mild pain
Rationale
Patients with RA may be controlled with any of the above regimens except use
of opioids for a new diagnosis with a high abuse potential, as this does not
safely balance the risk and benefit of treatment.
Your patient presents with pale, waxy legs, weak peripheral pulses, and states he is
having difficulty walking great distances due to the pain in his calves. The most
appropriate non-invasive test to evaluate his leg vascular flow quality is which of the
following exams?
