100
QUESTIONS AND CORRECT ANSWERS WITH
RATIONALES ALREADY GRADED A+ (NEWEST VERSION)
1.You are treating a patient with acute anxiety and she is
having an acute attack in the office. The ANP has
knowledge that the fastest relief of symptoms is:
a TCA a beta
blocker a
benzodiazepine
an SSRI Correct
answer:
benzodiazepine
The fastest relief of anxiety symptoms will occur with
a
benzodiazepine. The other choices list agents that will
require multiple doses for results. With daily
continued use
of benzodiazepines, the anti-anxiety effect may
become
dimin
A geriatric patient with cardiovascular disease is in
the office being counseled on lifestyle changes. The
ANP knows that which of the following is the most
important to include in this discussion?
"Control your hypertension, stop smoking, maintain a
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,normal weight, and exercise regularly."
"Have a yearly physical examination, increase fiber in
your diet, and exercise regularly."
"Maintain a normal level of serum blood sugar and
decrease cholesterol intake."
"Decrease smoking, increase vitamin supplements,
and increase protein intake." Correct answer:
"Control your hypertension, stop smoking, maintain a
normal weight, and exercise regularly."
All of these are important for the geriatric patient to
decrease cardiovascular risk. Controlling
hyperglycemia,
high fiber intake, and vitamins all assist in maintaining
a
healthy lifestyle but do not help to prevent
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cardiovascular
disease.
You are seeing a female with inflammatory bowel
disease, known as IBD. The Adult Nurse Practitioner
knows that if she orders a hemogram on this patient,
which of the following results would be seen if the
patient was anemic?
microcytic, hypochromic type
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, macrocytic, normochromic type
normocytic, normochromic type
macrocytic, hypochromic type Correct
Answer:
normocytic, normochromic type
Anemia is a common problem in IBD. The etiology is
often
from multiple causes. The anemia of chronic disease,
a
normocytic, normochromic anemia, is a result of
inflammation of the IBD without blood loss. Blood loss
would result in a microcytic, hypochromic anemia.
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The
macrocytic anemias are a result of deficiency in
vitamin
B12 or other causes.
Which of the following is the least likely risk factor for
suicide?
physical illness
male increasing
age black race
Correct answer:
black race
Being of a white race is more likely to be a factor in
suicide. Besides the other three choices risk factors
include: substance abuse, living alone, and less
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