NR 603 APEA_TEST_BANK
A patient with iron deficiency anemia takes iron
supplementation daily. What should he be
An antacid
advised to avoid within a couple of hours of
taking iron?
Leukemia may have varied clinical
presentations. Which characteristic would
Sickle shaped cells
be unusual to find in a patient with
leukemia?
A 66 year-old African American male
complains of pain in his trunk, especially his
ribs. Cardiovascular disease is ruled out. He
multiple myeloma.
has a normocytic, normochromic anemia
with hypercalcemia. The differential
diagnosis should include:
What hallmark finding is associated with
Macrocytosis
both B12 and folate deficiencies?
A patient demonstrates leukocytosis. This he has an infection of
means: unknown origin.
What statement is true about anemia in Anemia may have more than one
older adults? origin and co-exist in older adults.
A patient has been treated for HIV infection
with anti-retroviral therapy. He is stable. Every 3-6 months
How often should CD4 counts be repeated?
A patient presents with hematuria, RBC
casts, and proteinuria. What is a likely Glomerulonephritis
explanation?
A patient demonstrates leukocytosis. This he has an infection of
means: unknown origin.
A patient is having an allergic reaction to
seafood. Which white cell will probably be Eosinophils
increased?
A female patient has been diagnosed with
Glucose-6-phosphate dehydrogenase
Avoid aspirin and sulfa drugs
deficiency (G6PD). What should be done to
prevent lysis of red cells in this patient?
A 75 year-old patient who has multiple
chronic diseases has been in very poor
Folic acid and pernicious
health for a decade. What type of anemias
is he most likely to exhibit?
A patient has been diagnosed with HIV. The
patient’s viral load was ordered. What other
CD4 cell count
test may be ordered to assess the status of
the patient’s immune system?
A 70 year-old male has lymph nodes in his Lymphoma
axillary and inguinal areas that are palpable
but non-tender. He states that he feels well
today. What should be included in a
,NR 603 APEA_TEST_BANK
differential diagnosis for this patient?
All routine childhood
A two year-old with sickle cell anemia (SCA)
immunizations at the usual
should receive which immunizations?
time
A three year-old child presents with
hematuria, petechiae, and a platelet count
of 50,000 (Normal = 150,000-450,000/ml).
idiopathic
The rest of his CBC is normal. He had an
thrombocytopenia
upper respiratory infection about 2 weeks
purpura (ITP).
ago. On exam today, he is found to have
petechiae and bruises. The most likely
diagnosis is:
A child and father live in an old house. They
both are found to be lead toxic. What type
Iron deficiency anemia
anemia is typically observed in patients who
are lead toxic?
A patient with diarrhea has a stool
specimen positive for WBCs. What does this A viral infection
indicate?
A 26 year-old female has thalassemia minor.
What should be limited in her diet to avoid Multi-vitamin with iron
hepatotoxicity?
A patient is found to have eosinophilia. An expected
finding is: asthma exacerbation.
An African American male complains of pain
in his back and trunk. He is diagnosed with about 65 years old. .
multiple myeloma. He is probably:
A patient has heavy menses. Which lab
value below reflects an iron deficiency Increased TIBC
anemia?
An obese 78 year-old male with poorly
controlled hypertension and diabetes has a
associated with chronic disease. .
normocytic, normochromic anemia. This
anemia is likely:
An elderly male diagnosed with a microcytic,
hypochromic anemia: may have a GI bleed.
Which suggestion below is the standard for Iron supplementation in
treating iron deficiency anemia in infants divided doses between meals
and children? with orange juice
A patient with pernicious anemia may be
glossitis.
observed to have:
Lead toxicity can be associated with: sideroblastic anemia.
,NR 603 APEA_TEST_BANK
A patient is being treated for iron deficiency
on an empty stomach.
anemia. Iron is better absorbed:
What choice below can be attributed to the Gynecologic losses and
two most common causes of iron deficiency bleeding in the
anemia in adults? gastrointestinal tract
The laboratory identifies metamyelocytes in
a 50 year-old patient who had a CBC
Splenomegaly
performed. What might be an expected
finding in this patient?
A patient is found to have an anemia. The
patient’s MCH is normal. The patient’s normochromic.
anemia can be described as:
Which statement is true about Vitamin B- Inadequate amounts can produce
12? cognitive changes.
demonstrates the amount
A serum ferritin level:
of iron in storage.
Which anemias are described as microcytic, Iron deficiency anemia and
hypochromic anemias? thalassemia
The nurse practitioner sees a child who
presents with fatigue and purpura on his
acute leukemia.
lower extremities. His temperature is
normal. The differential includes:
An older adult has suspected B12 deficiency.
Which of the following lab indices is most Increased MCV
indicative of a B12 deficiency?
A patient with anemia of chronic disease
normocytic anemia.
probably has a:
A vitamin B-12 deficiency might be
suspected in an older patient with what Memory issues and glossitis
complaints?
A measure of the degree of variation in red
RDW.
cell size is indicated by:
A definitive diagnosis of sickle cell anemia
by a hemoglobin electrophoresis. .
can be made:
An example of a macrocytic anemia is: pernicious anemia.
An older adult has suspected B12 deficiency.
Which of the following lab indices is more Macrocytosis
indicative of a B12 deficiency?
Besides inadequate intake of Vitamin D in
elder adults, what other factor contributes Impaired synthesis of previtamin D
to deficiencies?
Which white cell should be present in the
greatest number in a patient who is healthy Neutrophils
today?
A patient has CBC results that indicate a
microcytic, hypochromic anemia. The nurse iron deficiency anemia.
practitioner should suspect:
A 12 month-old was screened for iron
, NR 603 APEA_TEST_BANK
A patient is found to have an anemia. The
patient’s MCV is normal. The patient’s normocytic.
anemia can be described as:
A B-12 deficiency can produce: pernicious anemia.
microcytic, hypochromic
Thalassemia minor can be recognized by:
red cells.
A patient had a splenectomy after an automobile accident 3 months ago. Patients
who are asplenic are:
An example of a first generation
cephalosporin used to treat a skin cephalexin.
infection is:
A 4 year-old has been diagnosed found on the
with measles. The nurse inside of the
practitioner identifies Koplik’s cheek and are more
spots. These are: granular. suscep
tible
The main difference between cellulitis layer of skin
to
and erysipelas is the: involvement. bacter
A patient reports that he found a ial
tick on himself about one month infecti
ago. He reports that there is a red on.
circle and a white center near
where he remembers the tick bite.
ELISA
He did not seek treatment at the
time. Today he complains of
myalgias and arthralgias. What
laboratory test can be used to help
diagnose Lyme disease?
examine his
A patient who is at high risk for
skin monthly
skin cancer should:
for changes.
A patient has a “herald patch” and
is diagnosed with pityriasis rosea. On the chest
Where is the “herald patch” found?
Which of the following antibiotics Fluoroquinolones
A patient with iron deficiency anemia takes iron
supplementation daily. What should he be
An antacid
advised to avoid within a couple of hours of
taking iron?
Leukemia may have varied clinical
presentations. Which characteristic would
Sickle shaped cells
be unusual to find in a patient with
leukemia?
A 66 year-old African American male
complains of pain in his trunk, especially his
ribs. Cardiovascular disease is ruled out. He
multiple myeloma.
has a normocytic, normochromic anemia
with hypercalcemia. The differential
diagnosis should include:
What hallmark finding is associated with
Macrocytosis
both B12 and folate deficiencies?
A patient demonstrates leukocytosis. This he has an infection of
means: unknown origin.
What statement is true about anemia in Anemia may have more than one
older adults? origin and co-exist in older adults.
A patient has been treated for HIV infection
with anti-retroviral therapy. He is stable. Every 3-6 months
How often should CD4 counts be repeated?
A patient presents with hematuria, RBC
casts, and proteinuria. What is a likely Glomerulonephritis
explanation?
A patient demonstrates leukocytosis. This he has an infection of
means: unknown origin.
A patient is having an allergic reaction to
seafood. Which white cell will probably be Eosinophils
increased?
A female patient has been diagnosed with
Glucose-6-phosphate dehydrogenase
Avoid aspirin and sulfa drugs
deficiency (G6PD). What should be done to
prevent lysis of red cells in this patient?
A 75 year-old patient who has multiple
chronic diseases has been in very poor
Folic acid and pernicious
health for a decade. What type of anemias
is he most likely to exhibit?
A patient has been diagnosed with HIV. The
patient’s viral load was ordered. What other
CD4 cell count
test may be ordered to assess the status of
the patient’s immune system?
A 70 year-old male has lymph nodes in his Lymphoma
axillary and inguinal areas that are palpable
but non-tender. He states that he feels well
today. What should be included in a
,NR 603 APEA_TEST_BANK
differential diagnosis for this patient?
All routine childhood
A two year-old with sickle cell anemia (SCA)
immunizations at the usual
should receive which immunizations?
time
A three year-old child presents with
hematuria, petechiae, and a platelet count
of 50,000 (Normal = 150,000-450,000/ml).
idiopathic
The rest of his CBC is normal. He had an
thrombocytopenia
upper respiratory infection about 2 weeks
purpura (ITP).
ago. On exam today, he is found to have
petechiae and bruises. The most likely
diagnosis is:
A child and father live in an old house. They
both are found to be lead toxic. What type
Iron deficiency anemia
anemia is typically observed in patients who
are lead toxic?
A patient with diarrhea has a stool
specimen positive for WBCs. What does this A viral infection
indicate?
A 26 year-old female has thalassemia minor.
What should be limited in her diet to avoid Multi-vitamin with iron
hepatotoxicity?
A patient is found to have eosinophilia. An expected
finding is: asthma exacerbation.
An African American male complains of pain
in his back and trunk. He is diagnosed with about 65 years old. .
multiple myeloma. He is probably:
A patient has heavy menses. Which lab
value below reflects an iron deficiency Increased TIBC
anemia?
An obese 78 year-old male with poorly
controlled hypertension and diabetes has a
associated with chronic disease. .
normocytic, normochromic anemia. This
anemia is likely:
An elderly male diagnosed with a microcytic,
hypochromic anemia: may have a GI bleed.
Which suggestion below is the standard for Iron supplementation in
treating iron deficiency anemia in infants divided doses between meals
and children? with orange juice
A patient with pernicious anemia may be
glossitis.
observed to have:
Lead toxicity can be associated with: sideroblastic anemia.
,NR 603 APEA_TEST_BANK
A patient is being treated for iron deficiency
on an empty stomach.
anemia. Iron is better absorbed:
What choice below can be attributed to the Gynecologic losses and
two most common causes of iron deficiency bleeding in the
anemia in adults? gastrointestinal tract
The laboratory identifies metamyelocytes in
a 50 year-old patient who had a CBC
Splenomegaly
performed. What might be an expected
finding in this patient?
A patient is found to have an anemia. The
patient’s MCH is normal. The patient’s normochromic.
anemia can be described as:
Which statement is true about Vitamin B- Inadequate amounts can produce
12? cognitive changes.
demonstrates the amount
A serum ferritin level:
of iron in storage.
Which anemias are described as microcytic, Iron deficiency anemia and
hypochromic anemias? thalassemia
The nurse practitioner sees a child who
presents with fatigue and purpura on his
acute leukemia.
lower extremities. His temperature is
normal. The differential includes:
An older adult has suspected B12 deficiency.
Which of the following lab indices is most Increased MCV
indicative of a B12 deficiency?
A patient with anemia of chronic disease
normocytic anemia.
probably has a:
A vitamin B-12 deficiency might be
suspected in an older patient with what Memory issues and glossitis
complaints?
A measure of the degree of variation in red
RDW.
cell size is indicated by:
A definitive diagnosis of sickle cell anemia
by a hemoglobin electrophoresis. .
can be made:
An example of a macrocytic anemia is: pernicious anemia.
An older adult has suspected B12 deficiency.
Which of the following lab indices is more Macrocytosis
indicative of a B12 deficiency?
Besides inadequate intake of Vitamin D in
elder adults, what other factor contributes Impaired synthesis of previtamin D
to deficiencies?
Which white cell should be present in the
greatest number in a patient who is healthy Neutrophils
today?
A patient has CBC results that indicate a
microcytic, hypochromic anemia. The nurse iron deficiency anemia.
practitioner should suspect:
A 12 month-old was screened for iron
, NR 603 APEA_TEST_BANK
A patient is found to have an anemia. The
patient’s MCV is normal. The patient’s normocytic.
anemia can be described as:
A B-12 deficiency can produce: pernicious anemia.
microcytic, hypochromic
Thalassemia minor can be recognized by:
red cells.
A patient had a splenectomy after an automobile accident 3 months ago. Patients
who are asplenic are:
An example of a first generation
cephalosporin used to treat a skin cephalexin.
infection is:
A 4 year-old has been diagnosed found on the
with measles. The nurse inside of the
practitioner identifies Koplik’s cheek and are more
spots. These are: granular. suscep
tible
The main difference between cellulitis layer of skin
to
and erysipelas is the: involvement. bacter
A patient reports that he found a ial
tick on himself about one month infecti
ago. He reports that there is a red on.
circle and a white center near
where he remembers the tick bite.
ELISA
He did not seek treatment at the
time. Today he complains of
myalgias and arthralgias. What
laboratory test can be used to help
diagnose Lyme disease?
examine his
A patient who is at high risk for
skin monthly
skin cancer should:
for changes.
A patient has a “herald patch” and
is diagnosed with pityriasis rosea. On the chest
Where is the “herald patch” found?
Which of the following antibiotics Fluoroquinolones
