Test 3: NURS 5463 / NURS5463
(Latest Update ) Adult
Gerontology Acute Care | Questions &
Answers | Grade A | 100% Correct -
UTA
A 65-year-old male with no prior medical history presents to the ED with a complaint of low
back pain and fatigue x1 month. The pain is constant, a dull ache, does not radiate and has
progressively gotten worse. Lab results: WBC 5,000, Hgb 7.0 g/dL, HCT 30%, MCV 80%,
platelets 500,000, creatinine 1.0 mg/dL, BUN 15 mg/dL, Na 135 mEq/L, potassium 3.5 mEq/L,
calcium is 10.5 mg/dL, Alkaline Phosphatase is 300 units/L. A lumbar x-ray shows lytic lesions.
It is most important for the AGACNP to perform an exam on which body part/system?
Rectal Exam r/o prostate cancer (met bone CA) malignancy
A female patient presents to your office for follow up after having a CT of the abdomen and
pelvis completed to evaluate a complaint of abdominal pain. The CT scan showed liver lesions
consistent with metastatic cancer with an unknown primary site. Her mother died from colon
cancer. Which intervention should the AGACNP complete next?
Refer to GI for a colonoscopy
A patient newly diagnosed with adenocarcinoma of the pancreas presents to your oncology
practice for evaluation and treatment. Which test is best to order to rule out pulmonary
metastasis?
CXR can r/o CA without radiation but CT is good as well but always if you have a choice CXR
first
(Latest Update ) Adult
Gerontology Acute Care | Questions &
Answers | Grade A | 100% Correct -
UTA
A 65-year-old male with no prior medical history presents to the ED with a complaint of low
back pain and fatigue x1 month. The pain is constant, a dull ache, does not radiate and has
progressively gotten worse. Lab results: WBC 5,000, Hgb 7.0 g/dL, HCT 30%, MCV 80%,
platelets 500,000, creatinine 1.0 mg/dL, BUN 15 mg/dL, Na 135 mEq/L, potassium 3.5 mEq/L,
calcium is 10.5 mg/dL, Alkaline Phosphatase is 300 units/L. A lumbar x-ray shows lytic lesions.
It is most important for the AGACNP to perform an exam on which body part/system?
Rectal Exam r/o prostate cancer (met bone CA) malignancy
A female patient presents to your office for follow up after having a CT of the abdomen and
pelvis completed to evaluate a complaint of abdominal pain. The CT scan showed liver lesions
consistent with metastatic cancer with an unknown primary site. Her mother died from colon
cancer. Which intervention should the AGACNP complete next?
Refer to GI for a colonoscopy
A patient newly diagnosed with adenocarcinoma of the pancreas presents to your oncology
practice for evaluation and treatment. Which test is best to order to rule out pulmonary
metastasis?
CXR can r/o CA without radiation but CT is good as well but always if you have a choice CXR
first
