NR 603 Advanced Clinical Diagnosis
And Practice Across The Lifespan
Practicum lOMoAR cPSD | 18211884
NR 603 Week 4 Advanced Clinical Diagnosis APEA EXAM
LATEST 2023 JAN-JULY SESSION GENUINE EXAM A+
THIS TEST CONTAINS 0VER 300 QUESTIONS COMPLIED FROM REAL EXAM
1. A patient report that she is taking kava kava regularly for anxiety with
the results. What should the nurse practitioners evaluate?
a. Liver function studies
2. A person with 20/80 vision: HAS POORER VISION THAN SOMEONE WITH
20/40 VISION
3. One exception to the recommendation to limit dietary fat intake is CHILDREN
UNDER 2 YEARS OF AGE
The most effective treatment for anemia of chronic disease is: TREATMENT OF UNDERLYING
DISEASE
Rationale: The key phrase is “anemia of chronic disease” and with this, the pt’s
chronic disease has caused the deficiency so once you correct and or treat the
chronic disease, then the anemia will correct itself.
4. Salicylates and other non-steroidal anti-inflammatory agents have all of the
following actions EXCEPT- ANTI-EMETIC EFFECTS VIA SUPPRESSION OF
GASTRIC ACID SECRETION
5. Which of the following does NOT increase a woman’s risk of developing
cervical cancer? NULLIPARITY
6. All of the following principles apply to drug therapy for elders except
ENCOURAGE THE ELDERLY TO CONTINUE SELF-MEDICATION
ADMINISTRATION TO FACILITATE INDEPENDENCE AND SELF-SUFFIENCY
7. A female patient believes that she was exposed to HIV through sexual intercourse
several months ago. She asks for “the test for AIDS.” Which statement is NOT
correct? THE ELISA IS USED FOR SCREENING, BUT MAY YIELD A FALSE
NEGATIVE THIS
,NR 603 Advanced Clinical Diagnosis
And Practice Across The Lifespan
Practicum
SOON AFTER EXPOSURE
8. The nurse practitioner teaches the parents of a 2-month-old infant with GERD that
treatment typically includes all of the following interventions except MAINTAINING
THE USUAL FEEDING REGIMEN AND BURPING THE INFANT WELL WHEN
THE FEEDING IS COMPLETED
9. A widowed 85-year-old was recently moved from her home of 65 years to a bedroom
in her daughter’s home. According to reports by family members, she is now
, NR 603 Advanced Clinical Diagnosis
And Practice Across The Lifespan
Practicum
“cantankerous” gets “mixed up” easily and cries for no apparent reason. Factors in the
client history that are consistent with delirium may include all of the following except
a. INSIDIOUS ONSET AND CHRONIC PROGRESSIVE COURSE
10. The two tests that can indicate current infection with hep B are:
a. Presents of hep B antigen and IgM
11. A characteristic of elders which affects the pharmacotherapeutics of drug therapy
in that population is an increase in PERCENT OF BODY FAT
12. An elder’s caretaker is planning the elder’s menu. The elder is on a bland diet. The
nurse practitioner reviews the meal plans and notes that which of the following is
NOT appropriate?
a. Coffee, tea, carbonated sodas, Orange juice
13. The leading cause of death from injury in childhood is MOTOR VEHICE ACCIDENTS
14. Therapeutic International normalized ratio (INR) for a patient taking
warfarin (coumadin) for a chronic atrial fibrillation is expected to be:
a. Increased
15. The most accepted recommendation regarding a skin cancer prevention is:
a. Avoidance of excessive sun exposure
16. Antibiotic administration has been demonstrated to be of little benefit in the
treatment of which of the following disease processes?
a. Acute bronchitis
17. An anxious parent brings her three-day old female infant to see the nurse
practitioner because of the serosanguineous vaginal discharge. The nurse practitioner
tells the mother:
a. This is a normal finding in female newborns
18. A common finding associated with temporal arteritis is:
a. Severe headache
, NR 603 Advanced Clinical Diagnosis
And Practice Across The Lifespan
Practicum
19. What information would best help the parent who is concerned about a school age
child eating habits?
a. Establish a consistent schedule for meals and allow the child to participate in
meal planning
20. Which of the following scenarios in a 75-year-old patient would be
inappropriately managed in an outpatient setting (i.e. the patient should be referred
for hospital admission)?
a. UNSTABLE ANGINA
21. A patient with diabetes brings his glucose diary from the past seven days for the
nurse practitioner to review and evaluate. What changes should be made? Day one
through seven AM 67, 52, 61, 48, 39, 68, 70 PM 138, 161, 148, 168, 121, 142, 176.
a. Decreased the PM dose of NPH insulin
22. Appropriate nutritional guidance for the pregnant patient is:
a. Increase caloric intake buy 300 cal/day and add iron and folic
acid supplementation
23. The most successful patient interview is likely to:
a. Be a collaborative process
24. RhoGAM is not administered to an Rh-negative mother with negative anti-d antibodies
WITHIN 72 HOURS OF BIRTH OF AN RH-NEGATIVE INFANT
25. The most common presentation of thyroid cancer is A SOLITARY THYROID NODULE
26. A benign thyroid nodule, that’s painless presents as SMOOTH
27. Initial treatment of a child presenting with a severe head injury is:
a. Aimed at resuscitation, then maintenance of oxygenation and blood flow
28. Which red blood cell (RBC) index is most useful for differentiating types of anemias?
a. Mean corpuscular volume (MCV)
29. A 31-year-old female is informed that her pregnancy test is positive, and she is about
three weeks pregnant. The nurse practitioner is very concerned about the patient
reported history of alcohol use. She correctly tells the patient that babies born to
women who drink alcohol during pregnancy are at risk for all of the following
except:
And Practice Across The Lifespan
Practicum lOMoAR cPSD | 18211884
NR 603 Week 4 Advanced Clinical Diagnosis APEA EXAM
LATEST 2023 JAN-JULY SESSION GENUINE EXAM A+
THIS TEST CONTAINS 0VER 300 QUESTIONS COMPLIED FROM REAL EXAM
1. A patient report that she is taking kava kava regularly for anxiety with
the results. What should the nurse practitioners evaluate?
a. Liver function studies
2. A person with 20/80 vision: HAS POORER VISION THAN SOMEONE WITH
20/40 VISION
3. One exception to the recommendation to limit dietary fat intake is CHILDREN
UNDER 2 YEARS OF AGE
The most effective treatment for anemia of chronic disease is: TREATMENT OF UNDERLYING
DISEASE
Rationale: The key phrase is “anemia of chronic disease” and with this, the pt’s
chronic disease has caused the deficiency so once you correct and or treat the
chronic disease, then the anemia will correct itself.
4. Salicylates and other non-steroidal anti-inflammatory agents have all of the
following actions EXCEPT- ANTI-EMETIC EFFECTS VIA SUPPRESSION OF
GASTRIC ACID SECRETION
5. Which of the following does NOT increase a woman’s risk of developing
cervical cancer? NULLIPARITY
6. All of the following principles apply to drug therapy for elders except
ENCOURAGE THE ELDERLY TO CONTINUE SELF-MEDICATION
ADMINISTRATION TO FACILITATE INDEPENDENCE AND SELF-SUFFIENCY
7. A female patient believes that she was exposed to HIV through sexual intercourse
several months ago. She asks for “the test for AIDS.” Which statement is NOT
correct? THE ELISA IS USED FOR SCREENING, BUT MAY YIELD A FALSE
NEGATIVE THIS
,NR 603 Advanced Clinical Diagnosis
And Practice Across The Lifespan
Practicum
SOON AFTER EXPOSURE
8. The nurse practitioner teaches the parents of a 2-month-old infant with GERD that
treatment typically includes all of the following interventions except MAINTAINING
THE USUAL FEEDING REGIMEN AND BURPING THE INFANT WELL WHEN
THE FEEDING IS COMPLETED
9. A widowed 85-year-old was recently moved from her home of 65 years to a bedroom
in her daughter’s home. According to reports by family members, she is now
, NR 603 Advanced Clinical Diagnosis
And Practice Across The Lifespan
Practicum
“cantankerous” gets “mixed up” easily and cries for no apparent reason. Factors in the
client history that are consistent with delirium may include all of the following except
a. INSIDIOUS ONSET AND CHRONIC PROGRESSIVE COURSE
10. The two tests that can indicate current infection with hep B are:
a. Presents of hep B antigen and IgM
11. A characteristic of elders which affects the pharmacotherapeutics of drug therapy
in that population is an increase in PERCENT OF BODY FAT
12. An elder’s caretaker is planning the elder’s menu. The elder is on a bland diet. The
nurse practitioner reviews the meal plans and notes that which of the following is
NOT appropriate?
a. Coffee, tea, carbonated sodas, Orange juice
13. The leading cause of death from injury in childhood is MOTOR VEHICE ACCIDENTS
14. Therapeutic International normalized ratio (INR) for a patient taking
warfarin (coumadin) for a chronic atrial fibrillation is expected to be:
a. Increased
15. The most accepted recommendation regarding a skin cancer prevention is:
a. Avoidance of excessive sun exposure
16. Antibiotic administration has been demonstrated to be of little benefit in the
treatment of which of the following disease processes?
a. Acute bronchitis
17. An anxious parent brings her three-day old female infant to see the nurse
practitioner because of the serosanguineous vaginal discharge. The nurse practitioner
tells the mother:
a. This is a normal finding in female newborns
18. A common finding associated with temporal arteritis is:
a. Severe headache
, NR 603 Advanced Clinical Diagnosis
And Practice Across The Lifespan
Practicum
19. What information would best help the parent who is concerned about a school age
child eating habits?
a. Establish a consistent schedule for meals and allow the child to participate in
meal planning
20. Which of the following scenarios in a 75-year-old patient would be
inappropriately managed in an outpatient setting (i.e. the patient should be referred
for hospital admission)?
a. UNSTABLE ANGINA
21. A patient with diabetes brings his glucose diary from the past seven days for the
nurse practitioner to review and evaluate. What changes should be made? Day one
through seven AM 67, 52, 61, 48, 39, 68, 70 PM 138, 161, 148, 168, 121, 142, 176.
a. Decreased the PM dose of NPH insulin
22. Appropriate nutritional guidance for the pregnant patient is:
a. Increase caloric intake buy 300 cal/day and add iron and folic
acid supplementation
23. The most successful patient interview is likely to:
a. Be a collaborative process
24. RhoGAM is not administered to an Rh-negative mother with negative anti-d antibodies
WITHIN 72 HOURS OF BIRTH OF AN RH-NEGATIVE INFANT
25. The most common presentation of thyroid cancer is A SOLITARY THYROID NODULE
26. A benign thyroid nodule, that’s painless presents as SMOOTH
27. Initial treatment of a child presenting with a severe head injury is:
a. Aimed at resuscitation, then maintenance of oxygenation and blood flow
28. Which red blood cell (RBC) index is most useful for differentiating types of anemias?
a. Mean corpuscular volume (MCV)
29. A 31-year-old female is informed that her pregnancy test is positive, and she is about
three weeks pregnant. The nurse practitioner is very concerned about the patient
reported history of alcohol use. She correctly tells the patient that babies born to
women who drink alcohol during pregnancy are at risk for all of the following
except:
