NUR 654 FINAL EXAM QUESTIONS WITH CORRECT
ANSWERS
1) A 70 year old man presents with fatigue and the following lab results hg 9, MCV
70, RDW 19%. A critical diagnosis to consider is -- Answer ✔✔ Gastrointestinal
blood loss
2) The FNP reviews a patient's complete blood count with differential white blood
cell values and recognizes a "left shift" because of: -- Answer ✔✔ an elevated
neutrophil count
3) A 30 year old female patient has thalassemia minor. Which of the following
should be limiting in her diet? -- Answer ✔✔ Iron
4) The anemia associated with chronic disease is -- Answer ✔✔ normocytic and
normochromic
5) How can the FNP confirm that a patient has Hodgkin’s lymphoma when reviewing
the findings of a lymph biopsy? -- Answer ✔✔ Presence of reed Sternberg cells
,6) The FNP sees a 12 month old infant who is being fed goat's milk and a vegetarian
diet. The child is pale and has a beefy red sore tongue and oral mucous
membranes. Which of the following tests should the FNP order to evaluate this
child's condition? -- Answer ✔✔ RBC folate, iron, and b12 levels
7) When performing a neurologic exam to assess for meningeal signs in an infant,
the primary family nurse practitioner will attempt to elicit the Kernig's sign by --
Answer ✔✔ Extending the leg at the knee with the infant supine
8) The diagnostic criteria required for COPD is an FEV1/FVC ratio of less than 70%
via spirometry. Spirometry must be conducted: -- Answer ✔✔
Postbronchodilator
9) Sleep apnea (central or obstructive) is typically diagnosed via which of the
following? -- Answer ✔✔ Split polysomnography
10) A 15 year old female presents to the clinic with cerebral palsy. Due to her
inability to ambulate, the family nurse practitioner should evaluate the child for
possible deficiencies in which of the following nutrients? -- Answer ✔✔ Ca and
vitamin D
11) Women are at highest risk for developing postpartum depression for up to how
long after childbirth? -- Answer ✔✔ 6 months
12) Careful monitoring of COPD patients with the annual pulse oximetry or blood
gases must be documented if they do not use supplemental oxygen and have a
postbronchodilator FEV1 of less than: -- Answer ✔✔ 70%
13) A 6 year old female has had a recent growth spurt, and an exam reveals breast
and pubic hair development. Her bone age is determined to be 8 years. What will
the FNP do next? -- Answer ✔✔ Refer the child to a pediatric endocrinologist
for management
, 14) NSAID or daily ASA equal to or greater than 81 mg must always include
documentation that GI bleeding risk was discussed with the patient in addition to
GI bleeds, what additional risks do NSAIDS post to the elderly -- Answer ✔✔
Increase in blood pressure, peripheral edema, decreased renal function, all of the
above
15) Which of the following symptoms is not part of the diagnostic criteria for post-
traumatic stress disorder (PTSD)? -- Answer ✔✔ Hypersomnolence
16) Which of the following statements best explains the importance of palliative care?
-- Answer ✔✔ Multiple harmful physiologic effects can occur from uncontrolled
pain
17) The mother of a female infant is concerned that her daughter is developing
breasts. The primary care pediatric nurse practitioner notes development but no
pubic or axillary hair. What is the likely diagnosis? -- Answer ✔✔ Congenital
adrenal hyperplasia, causing breast development
18) Observing a 10 year old child stepping on and off the scale to be weighed is an
easy way to partially screen for which of the following? -- Answer ✔✔ Balance
and proprioception
19) When assessing a 1 year old who presents with a history of a fall, what would be
used to determine appropriate level of consciousness? -- Answer ✔✔ Cries in
response to being examined
20) Acetaminophen at doses greater than 3gm daily may cause liver toxicity. For the
geriatric patient, in addition to carefully monitoring meds that may contain
acetaminophen, care should be taken to do all but which of the following? --
Answer ✔✔ Avoid first generation antihistamines, such as Claritin and Zyrtec
ANSWERS
1) A 70 year old man presents with fatigue and the following lab results hg 9, MCV
70, RDW 19%. A critical diagnosis to consider is -- Answer ✔✔ Gastrointestinal
blood loss
2) The FNP reviews a patient's complete blood count with differential white blood
cell values and recognizes a "left shift" because of: -- Answer ✔✔ an elevated
neutrophil count
3) A 30 year old female patient has thalassemia minor. Which of the following
should be limiting in her diet? -- Answer ✔✔ Iron
4) The anemia associated with chronic disease is -- Answer ✔✔ normocytic and
normochromic
5) How can the FNP confirm that a patient has Hodgkin’s lymphoma when reviewing
the findings of a lymph biopsy? -- Answer ✔✔ Presence of reed Sternberg cells
,6) The FNP sees a 12 month old infant who is being fed goat's milk and a vegetarian
diet. The child is pale and has a beefy red sore tongue and oral mucous
membranes. Which of the following tests should the FNP order to evaluate this
child's condition? -- Answer ✔✔ RBC folate, iron, and b12 levels
7) When performing a neurologic exam to assess for meningeal signs in an infant,
the primary family nurse practitioner will attempt to elicit the Kernig's sign by --
Answer ✔✔ Extending the leg at the knee with the infant supine
8) The diagnostic criteria required for COPD is an FEV1/FVC ratio of less than 70%
via spirometry. Spirometry must be conducted: -- Answer ✔✔
Postbronchodilator
9) Sleep apnea (central or obstructive) is typically diagnosed via which of the
following? -- Answer ✔✔ Split polysomnography
10) A 15 year old female presents to the clinic with cerebral palsy. Due to her
inability to ambulate, the family nurse practitioner should evaluate the child for
possible deficiencies in which of the following nutrients? -- Answer ✔✔ Ca and
vitamin D
11) Women are at highest risk for developing postpartum depression for up to how
long after childbirth? -- Answer ✔✔ 6 months
12) Careful monitoring of COPD patients with the annual pulse oximetry or blood
gases must be documented if they do not use supplemental oxygen and have a
postbronchodilator FEV1 of less than: -- Answer ✔✔ 70%
13) A 6 year old female has had a recent growth spurt, and an exam reveals breast
and pubic hair development. Her bone age is determined to be 8 years. What will
the FNP do next? -- Answer ✔✔ Refer the child to a pediatric endocrinologist
for management
, 14) NSAID or daily ASA equal to or greater than 81 mg must always include
documentation that GI bleeding risk was discussed with the patient in addition to
GI bleeds, what additional risks do NSAIDS post to the elderly -- Answer ✔✔
Increase in blood pressure, peripheral edema, decreased renal function, all of the
above
15) Which of the following symptoms is not part of the diagnostic criteria for post-
traumatic stress disorder (PTSD)? -- Answer ✔✔ Hypersomnolence
16) Which of the following statements best explains the importance of palliative care?
-- Answer ✔✔ Multiple harmful physiologic effects can occur from uncontrolled
pain
17) The mother of a female infant is concerned that her daughter is developing
breasts. The primary care pediatric nurse practitioner notes development but no
pubic or axillary hair. What is the likely diagnosis? -- Answer ✔✔ Congenital
adrenal hyperplasia, causing breast development
18) Observing a 10 year old child stepping on and off the scale to be weighed is an
easy way to partially screen for which of the following? -- Answer ✔✔ Balance
and proprioception
19) When assessing a 1 year old who presents with a history of a fall, what would be
used to determine appropriate level of consciousness? -- Answer ✔✔ Cries in
response to being examined
20) Acetaminophen at doses greater than 3gm daily may cause liver toxicity. For the
geriatric patient, in addition to carefully monitoring meds that may contain
acetaminophen, care should be taken to do all but which of the following? --
Answer ✔✔ Avoid first generation antihistamines, such as Claritin and Zyrtec
