Rated A
A geriatric female presents for her annual examination. She has been on antihypertensive
medications for over 20 years, with good control. Laboratory values are within normal ranges.
The nurse practitioner is concerned about the patient's cardiac health risks, due her to weight and
her waist circumference. According to the AHA guidelines, which of the following goals is
expected for this patient? ✔✔Physical activity for 30 minutes daily, for a minimum of 5 days a
week
The most common bacterial cause of cellulitis in patients with diabetes mellitus is:
✔✔Staphylococcus aureus.
A frail elderly patient presents with constipation. Which of the following normal physiologic
changes seen with aging is the most likely cause? ✔✔Decreased bowel muscle tone
The most common sign of cervical cancer is: ✔✔postcoital bleeding.
, A pediatric male is present with his mother, who states that he is extremely restless at night and
constantly scratches his anal area. Which diagnostic procedure would confirm a diagnosis of
pinworm infestation? ✔✔Examination of transparent tape sample from perianal skin
Congenital dysplasia of the hip: ✔✔occurs more commonly in females.
A patient on warfarin (Coumadin) therapy for recurrent deep vein thrombosis (DVT) is about to
have lumbar spinal fusion surgery. The patient's warfarin is put on hold starting 5 days prior to
the surgery and subcutaneous Lovenox has been ordered for DVT prophylaxis until the
resumption of the warfarin. The nurse practitioner knows that the patient's postoperative warfarin
dose should be restarted based on the: ✔✔baseline PT and INR values.
An adult female who recently returned from a business trip to Japan presents for a recheck
appointment. The only remarkable laboratory result is for thyroid-stimulating hormone (TSH), at
0.3 microunits/mL (normal = 0.4-6 microunits/mL). The patient reports that her neck hurts;
examination reveals thyroid tenderness. Which of the following laboratory tests should the nurse
practitioner order now? ✔✔Triiodothyronine (T3) and free thyroxine (FT4)
Which of the following microorganisms are most frequently associated with acute bacterial
rhino-sinusitis? ✔✔Streptococcus pneumoniae and Haemophilus influenzae