D115 OA PRE-EXAM WITH ACTUAL QUESTIONS AND 100%
VERIFIED ANSWERS ALREADY GRADED A+
An advanced practice registered nurse (APRN) examines an older adult patient
diagnosed with a bronchial tumor and notes the following:
cyanosis
fever
tachycardia
cough
pleural pain
decreased breath sounds
positive sputum and thoracentesis culture: Klebsiella pneumoniae
Which treatment should the APRN prescribe for this condition? - ANS... -
Antimicrobials and chest tube
An advanced practice registered nurse (APRN) assesses a patient with a long
history of infections, mood swings, and gastrointestinal complaints. The patient
complains of increasing fatigue, difficulty walking, and a sore tongue. Lab results
indicate a hemoglobin of 7.8 g/dL.
Which type of anemia should the APRN consider? - ANS... -Pernicious anemia
An advanced practice registered nurse (APRN) is evaluating a male patient.
Findings include a painless supraclavicular adenopathy, a nonproductive cough,
fatigue, anorexia, weight loss, fever, night sweats, pruritus, and the findings of
Reed-Sternberg cells on a lab microscopic exam.
Which disease should be suspected by the APRN? - ANS... -Hodgkin lymphoma
An advanced practice registered nurse (APRN) is evaluating an anemic patient
with stage 4 renal disease.
Which pathological mechanism should the APRN note? - ANS... -Suppressed
production of erythropoietin
A patient presents to a clinic with complaints of frequent nosebleeds. An advanced
practice registered nurse (APRN) does an assessment and notes areas of
,ecchymosis and petechiae. The APRN questions the patient about current activities
and medications and orders lab studies.
Which lab exam should the APRN order for this patient? - ANS... -Platelet count
A patient presents to an emergency department with complaints of shortness of
breath and confusion. An advanced practice registered nurse (APRN) assesses the
patient, reviews the lab results, and diagnoses the patient with hypoxia due to
anemia.
Which compensatory mechanism supports this diagnosis? - ANS... -Increased heart
rate
A 34-year-old patient is diagnosed with primary hypertension, and an advanced
practice registered nurse (APRN) is reviewing the causes of the problem with the
patient.
What is a cause of this diagnosis? - ANS... -Genetics
An advanced practice registered nurse (APRN) examines an older adult patient
diagnosed with a bronchial tumor and notes the following:
cyanosis
fever
tachycardia
cough
pleural pain
decreased breath sounds
positive sputum and thoracentesis culture: Klebsiella pneumoniae
Which treatment should the APRN prescribe for this condition? - ANS... -
Antimicrobials and chest tube
An advanced practice registered nurse (APRN) assesses a patient with a long
history of infections, mood swings, and gastrointestinal complaints. The patient
complains of increasing fatigue, difficulty walking, and a sore tongue. Lab results
indicate a hemoglobin of 7.8 g/dL.
Which type of anemia should the APRN consider? - ANS... -Pernicious anemia
An advanced practice registered nurse (APRN) is evaluating a male patient.
Findings include a painless supraclavicular adenopathy, a nonproductive cough,
,fatigue, anorexia, weight loss, fever, night sweats, pruritus, and the findings of
Reed-Sternberg cells on a lab microscopic exam.
Which disease should be suspected by the APRN? - ANS... -Hodgkin lymphoma
An advanced practice registered nurse (APRN) is evaluating an anemic patient
with stage 4 renal disease.
Which pathological mechanism should the APRN note? - ANS... -Suppressed
production of erythropoietin
A patient presents to a clinic with complaints of frequent nosebleeds. An advanced
practice registered nurse (APRN) does an assessment and notes areas of
ecchymosis and petechiae. The APRN questions the patient about current activities
and medications and orders lab studies.
Which lab exam should the APRN order for this patient? - ANS... -Platelet count
A patient presents to an emergency department with complaints of shortness of
breath and confusion. An advanced practice registered nurse (APRN) assesses the
patient, reviews the lab results, and diagnoses the patient with hypoxia due to
anemia.
Which compensatory mechanism supports this diagnosis? - ANS... -Increased heart
rate
A 34-year-old patient is diagnosed with primary hypertension, and an advanced
practice registered nurse (APRN) is reviewing the causes of the problem with the
patient.
What is a cause of this diagnosis? - ANS... -Genetics
An advanced practice registered nurse (APRN) is consulting with a teen patient
who has recently learned that she is pregnant. The APRN knows that a certain
medication taken by the patient can contribute to the development of congenital
malformations in the fetus. The APRN reviews the patient's current medication list
and finds one medication that is a concern.
Which medication is the APRN concerned about? - ANS... -Retinoic acid
A newborn's screening for cystic fibrosis is positive. An advanced practice
registered nurse (APRN) is reviewing screening results and taking a
comprehensive genetic screening of the parents. The APRN asks the parents
questions to help determine the transmission of this disease.
, Which question should the APRN ask? - ANS... -"Are you both the genetic donor
parents?"
A 30-day-old infant presents to the emergency room with decreased oral intake,
decreased urine output, and a fever of 101.8. The infant is admitted for further
evaluation with a workup to include a blood culture, a urine culture, a spinal tap,
and a chest X-ray.
Which issue of innate immunity, as it relates to neonates, is of concern? - ANS... -
Relative deficiency of factor B
A 12-year-old African American patient presents with unilateral eye swelling and
lower lip swelling. The patient's parent reports that the swelling is spontaneous and
resolves over several days. The patient does not have complaints of fever, hives, or
vomiting. Serum lab results show hyperactivation of three plasma protein systems.
The APRN suspects hereditary angioedema.
What is the cause of the genetic defect suspected in this situation? - ANS... -C1
esterase inhibitor
The parent of a child diagnosed with Down syndrome expresses concerns about the
child's recurrent respiratory tract infections to an advanced practice registered
nurse (APRN). The infections have occurred regularly since birth.
What should the APRN tell the parent is the underlying cause of this illness? -
ANS... -Gastroesophageal reflux disease causes aspiration of thin fluids.
A 36-year-old patient is being seen by an advanced practice registered nurse
(APRN) in a primary care clinic for the first time. The patient reports feeling
depressed due to a major life change. Additional symptoms include weight gain,
sedentary activity, and insomnia. The APRN plans on providing the patient with
several exercises to reduce the physiological effect of stress.
Why is the APRN concerned about relieving this emotional response? - ANS... -It
decreases glucose uptake.
An 80-year-old patient brings her grandchildren with her to a routine medical
appointment. The patient has moderate chronic obstructive pulmonary disease
(COPD) and is concerned about developing pneumonia because of its increased
incidence at the senior center.
What should the nurse practitioner recommend for this patient? - ANS... -Getting
an annual influenza vaccine
VERIFIED ANSWERS ALREADY GRADED A+
An advanced practice registered nurse (APRN) examines an older adult patient
diagnosed with a bronchial tumor and notes the following:
cyanosis
fever
tachycardia
cough
pleural pain
decreased breath sounds
positive sputum and thoracentesis culture: Klebsiella pneumoniae
Which treatment should the APRN prescribe for this condition? - ANS... -
Antimicrobials and chest tube
An advanced practice registered nurse (APRN) assesses a patient with a long
history of infections, mood swings, and gastrointestinal complaints. The patient
complains of increasing fatigue, difficulty walking, and a sore tongue. Lab results
indicate a hemoglobin of 7.8 g/dL.
Which type of anemia should the APRN consider? - ANS... -Pernicious anemia
An advanced practice registered nurse (APRN) is evaluating a male patient.
Findings include a painless supraclavicular adenopathy, a nonproductive cough,
fatigue, anorexia, weight loss, fever, night sweats, pruritus, and the findings of
Reed-Sternberg cells on a lab microscopic exam.
Which disease should be suspected by the APRN? - ANS... -Hodgkin lymphoma
An advanced practice registered nurse (APRN) is evaluating an anemic patient
with stage 4 renal disease.
Which pathological mechanism should the APRN note? - ANS... -Suppressed
production of erythropoietin
A patient presents to a clinic with complaints of frequent nosebleeds. An advanced
practice registered nurse (APRN) does an assessment and notes areas of
,ecchymosis and petechiae. The APRN questions the patient about current activities
and medications and orders lab studies.
Which lab exam should the APRN order for this patient? - ANS... -Platelet count
A patient presents to an emergency department with complaints of shortness of
breath and confusion. An advanced practice registered nurse (APRN) assesses the
patient, reviews the lab results, and diagnoses the patient with hypoxia due to
anemia.
Which compensatory mechanism supports this diagnosis? - ANS... -Increased heart
rate
A 34-year-old patient is diagnosed with primary hypertension, and an advanced
practice registered nurse (APRN) is reviewing the causes of the problem with the
patient.
What is a cause of this diagnosis? - ANS... -Genetics
An advanced practice registered nurse (APRN) examines an older adult patient
diagnosed with a bronchial tumor and notes the following:
cyanosis
fever
tachycardia
cough
pleural pain
decreased breath sounds
positive sputum and thoracentesis culture: Klebsiella pneumoniae
Which treatment should the APRN prescribe for this condition? - ANS... -
Antimicrobials and chest tube
An advanced practice registered nurse (APRN) assesses a patient with a long
history of infections, mood swings, and gastrointestinal complaints. The patient
complains of increasing fatigue, difficulty walking, and a sore tongue. Lab results
indicate a hemoglobin of 7.8 g/dL.
Which type of anemia should the APRN consider? - ANS... -Pernicious anemia
An advanced practice registered nurse (APRN) is evaluating a male patient.
Findings include a painless supraclavicular adenopathy, a nonproductive cough,
,fatigue, anorexia, weight loss, fever, night sweats, pruritus, and the findings of
Reed-Sternberg cells on a lab microscopic exam.
Which disease should be suspected by the APRN? - ANS... -Hodgkin lymphoma
An advanced practice registered nurse (APRN) is evaluating an anemic patient
with stage 4 renal disease.
Which pathological mechanism should the APRN note? - ANS... -Suppressed
production of erythropoietin
A patient presents to a clinic with complaints of frequent nosebleeds. An advanced
practice registered nurse (APRN) does an assessment and notes areas of
ecchymosis and petechiae. The APRN questions the patient about current activities
and medications and orders lab studies.
Which lab exam should the APRN order for this patient? - ANS... -Platelet count
A patient presents to an emergency department with complaints of shortness of
breath and confusion. An advanced practice registered nurse (APRN) assesses the
patient, reviews the lab results, and diagnoses the patient with hypoxia due to
anemia.
Which compensatory mechanism supports this diagnosis? - ANS... -Increased heart
rate
A 34-year-old patient is diagnosed with primary hypertension, and an advanced
practice registered nurse (APRN) is reviewing the causes of the problem with the
patient.
What is a cause of this diagnosis? - ANS... -Genetics
An advanced practice registered nurse (APRN) is consulting with a teen patient
who has recently learned that she is pregnant. The APRN knows that a certain
medication taken by the patient can contribute to the development of congenital
malformations in the fetus. The APRN reviews the patient's current medication list
and finds one medication that is a concern.
Which medication is the APRN concerned about? - ANS... -Retinoic acid
A newborn's screening for cystic fibrosis is positive. An advanced practice
registered nurse (APRN) is reviewing screening results and taking a
comprehensive genetic screening of the parents. The APRN asks the parents
questions to help determine the transmission of this disease.
, Which question should the APRN ask? - ANS... -"Are you both the genetic donor
parents?"
A 30-day-old infant presents to the emergency room with decreased oral intake,
decreased urine output, and a fever of 101.8. The infant is admitted for further
evaluation with a workup to include a blood culture, a urine culture, a spinal tap,
and a chest X-ray.
Which issue of innate immunity, as it relates to neonates, is of concern? - ANS... -
Relative deficiency of factor B
A 12-year-old African American patient presents with unilateral eye swelling and
lower lip swelling. The patient's parent reports that the swelling is spontaneous and
resolves over several days. The patient does not have complaints of fever, hives, or
vomiting. Serum lab results show hyperactivation of three plasma protein systems.
The APRN suspects hereditary angioedema.
What is the cause of the genetic defect suspected in this situation? - ANS... -C1
esterase inhibitor
The parent of a child diagnosed with Down syndrome expresses concerns about the
child's recurrent respiratory tract infections to an advanced practice registered
nurse (APRN). The infections have occurred regularly since birth.
What should the APRN tell the parent is the underlying cause of this illness? -
ANS... -Gastroesophageal reflux disease causes aspiration of thin fluids.
A 36-year-old patient is being seen by an advanced practice registered nurse
(APRN) in a primary care clinic for the first time. The patient reports feeling
depressed due to a major life change. Additional symptoms include weight gain,
sedentary activity, and insomnia. The APRN plans on providing the patient with
several exercises to reduce the physiological effect of stress.
Why is the APRN concerned about relieving this emotional response? - ANS... -It
decreases glucose uptake.
An 80-year-old patient brings her grandchildren with her to a routine medical
appointment. The patient has moderate chronic obstructive pulmonary disease
(COPD) and is concerned about developing pneumonia because of its increased
incidence at the senior center.
What should the nurse practitioner recommend for this patient? - ANS... -Getting
an annual influenza vaccine
