NR511 Final Exam Study Questions and Answers Graded A 2024

Your client George, age 60, presents with pruritus and complaints of a Lymphadenopathy in his neck. He also complains of night sweats and has noticed a low-grade fever. He has not lost any weight and otherwise feel as well. He was widow and has been dating a new one recently. On physical exam, you find in large supraclavicular knows. You suspect: - HODGKIN LYMPHOMA Mindy, age 6, was recently discharged from the hospital after sickle cell crisis. You are teaching her parents to be alert to the manifestations of splenic sequestration and you tell them to be alert to: - Abdominal pain, pallor, and tachycardia. Maria, age 35, asks if being obese predisposes her to cancer. How do you respond? - "Yes, you have an increased risk of hormone-dependent cancers because of your obesity." You have a new client, Robert, age 67, who presents with generalized lymphadenopathy. You know that this is indicative of: - Disseminated malignancy, particularly of the hematologic system. Which of the following is a benign neoplasm? - Leiomyoma . Marsha states that a relative is having a carcinoembryonic antigen (CEA) test done to detect some type of cancer. She wants to know what kind. You tell her a CEA is performed to detect - Adenocarcinomas of the colon, lung, breast, ovary, stomach, and pancreas Jan is having biological therapy for her pancreatic cancer. What kind of treatment is this - Immunotherapy Sara comes today with numerous petechiae on her arms. You know she is not taking warfarin (Coumadin). What other drugs do you ask her about? - Aspirin or aspirin compound 9. Which of the following describes the pattern of inheritance that results in sickle cell ane - autosomal recessive A 15-year-old male presents to your office complaining of fatigue, shortness of breath, and joint pain for 2 weeks. The parent has blamed these symptoms on a "growth spurt." On physical exam, you notice multiple areas of bruising. His throat is not erythematous, and no exudates are seen. He has palpable splenomegaly, and his rapid strep and mono tests are negative. Which of the following is the most likely diagnosis? - Acute lymphocytic leukemia (ALL) Your client Mrs. Young, age 64, is here to see you because she has pain in her left breast. She reports no pain in her right breast and no noted lesions or masses on breast self-exam, which she performs monthly. You know that: - She must be sent for mammogram as soon as possible A 30-year-old male nurse presents to the emergency department. He was stuck with a needle yesterday while working and found out today that the patient involved in the needle stick is human immunodeficiency virus (HIV) positive. What is the time window for starting postexposure prophylaxis to help prevent the transmission of HIV - 72 hours Jill has just been given a diagnosis of human immunodeficiency virus (HIV) and has a normal initial Pap smear. When do the Centers for Disease Control and Prevention (CDC) guidelines state she should have a repeat Pap test? - in 6 months Stu, age 49, has slightly reduced hemoglobin and hematocrit readings. What is your next action after you ask him about his diet? - Perform a fecal occult blood test Which of the following conditions is an X-linked recessive disorder commonly seen in African American males? - Glucose-6-phosphate dehydrogenase deficiency 6. Ms. Jones, your client, has an elevated platelet count. You suspect: - Splenectomy Which of the following is the most common type of leukemia in the United States? - Chronic lymphocytic leukemia (CLL). Joan had a modified radical mastectomy with radiation therapy 10 years ago. She asks when she can have her blood pressure and needle sticks performed in the affected arm. How do you respond? - "You must observe these precautions forever" is the best serum test for spotting an iron deficiency early, before it progresses to full-blown anemia - ferritin Which of the following is not considered an AIDS-defining condition? - A human immunodeficiency virus (HIV) positive patient with 1 episode of bacterial pneumonia and a CD4 count greater than 500 Robin has human immunodeficiency virus (HIV) and is having a problem with massive diarrhea. You suspect the cause is: - Cryptosporidiosis In which of the following circumstances is the reticulocyte count elevated? - acute blood loss Jimmy, age 6 months, is newly diagnosed with sickle cell disease. His mother brings him to the clinic for a well-baby visit. Which of the following should you do on this visit?