A health care professional is caring for a patient admitted to the hospital with severe anorexia. What action by the health care professional would be most important?
Question 1 A health care professional is caring for a patient admitted to the hospital with severe anorexia. What action by the health care professional would be most important?
Ensuring the patient is on a cardiac monitor
Facilitating laboratory testing of electrolytes
Arranging a psychiatry consultation
Assessing the patient’s favorite foods
Question 2 John, 64, reports that he has a severe curvature of his penis which occurred all at once. He is involved in vigorous athletic activities 4-5 days per week and does not recall an injury during his activities, only that he awoke with a painful curved erection and shortened erection. The nurse practitioner knows that:
Peyronie’s disease self-limiting and will go away on its own.
Peyronie’s disease is an inflammatory condition, resulting in noncompliant fibrous nodules in the tunica albuginea.
Peyronie’s disease only occurs as a result of microvascular trauma. All activities should be avoided for 4-6 weeks, to allow for healing.
Peyronie’s disease results from an abnormality in arterial inflow, resulting in venous leakage at the site of veno-occlusion.
Question 3 A severely malnourished patient is in the hospital to improve nutrition. On the second day, the patient reports palpitations and difficulty breathing. After placing the patient on a cardiac monitor, what action does the health care professional take next?
Take the patient’s temperature.
Have lab drawn for electrolyte levels.
Cancel the patient’s next meal.
Facilitate a chest x-ray.
Question 4 What is the primary pathologic alteration resulting from ankylosing spondylitis (AS)?
Inflammation of the bursa
Inflammation of the long bones
Inflammation of fibrocartilaginous joints of the vertebrae
Inflammation of the small hand and feet bones
Question 5 Which spinal tract carries the most nociceptive information?
Archeospinothalamic
Paleospinothalamic
Dorsal spinothalamic
Lateral spinothalamic
Question 6 A patient is 8 hours postoperative after a long orthopedic procedure. The student asks why this patient is at particular risk of developing a thromboembolism. What response by the healthcare professional is best?
Patients tend to have venous stasis from orthopedic operations.
Anesthetic agents often cause an immune response against clotting factors.
Endothelial damage occurs and repair is slowed by postoperative pain.
Atherosclerotic build up causes turbulent blood flow leading to clots.
Question 7 In which stage of syphilis would the following clinical manifestations be found: destructive skin, bone and soft tissue lesions, aneurysms, heart failure, and neurosyphilis?
Primary
Secondary
Latent
Tertiary
Question 8 A student studying osteomyelitis and asks for an explanation of the term sequestrum. What response by the professor is best?
An area of devascularized and devitalized bone
An enzyme that phagocytizes necrotic bone
A subperiosteal abscess
A layer of new bone surrounding the infected bone
Question 9 Which mother does the healthcare professional prepare to administer Rh immune globulin (Rho-GAM) to?
Is Rh-positive and the fetus is Rh-negative
Is Rh-negative and the fetus is Rh-positive
Has type A blood and the fetus has type O
Has type AB blood and the fetus has type B
Question 10 A child has iron deficiency anemia. In addition to iron supplements, what else does the healthcare professional educate the parents on giving the child?
Vitamin A
Magnesium
Vitamin C
Zinc
Question 11 A healthcare professional is planning a community event to reduce risk of cerebrovascular accident (CVA) in high risk groups. Which group would the professional target as the priority?
Insulin-resistant diabetes mellitus
Hypertension
Polycythemia
Smoking
Question 12 Which pain theory proposes that a balance of impulses conducted from the spinal cord to the higher centers in the central nervous system (CNS) modulates the transmission of pain?
Gate control theory (GCT)
Pattern theory
Specificity theory
Neuromatrix theory
Question 13 Bronchiolitis tends to occur during the first years of life and is most often caused by what type of infection?
Respiratory syncytial virus (RSV)
Influenza virus
Adenoviruses
Rhinovirus
Question 14 What is the most abundant class of plasma protein?
Globulin
Albumin
Clotting factors
Complement proteins
Question 15 The APRN is assessing a patient that has monotone speech and unchanged facial expressions even though he states he is happy and excited about his life. This is an example of:
Delusion
Hallucination
Anhedonia
Pressured speech
Question 16 A patient in the hospital has been receiving heparin injections. The platelet count on admission was 222,000/mm 3 and four days later is 113,000/mm 3. What action by the healthcare professional is best?
Prepare to transfuse the patient with platelets.
Do nothing; this is an expected side effect.
Switch the heparin to lepirudin
Stop all the patient’s medications.
Question 17 A child has phenylketonuria (PKU). The healthcare professional educates the parents on the special diet needed, telling them that children with PKU are unable to synthesize what?
Essential amino acid, phenylalanine, to tyrosine
Renin, erythropoietin, and antidiuretic hormone
Aldosterone, cortisol, and androgens
Neurotransmitters gamma-aminobutyric acid (GABA) and acetylcholine
Question 18 A healthcare professional is trying to lower a patient’s body temperature by convection. What action by the professional will accomplish this?
Lower the temperature in the patient’s room.
Place the patient in a cooling blanket.
Obtain a fan and set it to blow over the patient.
Place cold moist towels over the patient.
Question 19 What are the clinical manifestations of testicular cancer?
Firm, nontender testicular mass
Painful, mobile, firm testicular mass
Painful fluid-filled testicular mass
Soft, nontender testicular mass
Question 20 Which condition is consistent with the cardiac defect of transposition of the great vessels?
The aorta arises from the right ventricle.
The pulmonary trunk arises from the right ventricle.
The right ventricle pumps blood to the lungs.
An intermittent murmur is present.
Question 21 What directly causes ovulation during the menstrual cycle?
Gradual decrease in estrogen levels
Sudden increase of LH
Sharp rise in progesterone levels
Gradual increase in estrogen levels
Question 22 A woman attempting to conceive tells the healthcare professional that she and her partner have intercourse when her basal body temperature (BBT) is around 37?C (98?F) without getting pregnant. What information does the professional give the woman?
Maybe you need a fertility workup.
That’s a normal temperature, but during ovulation BBT decreases.
Temperature alone is not the most accurate way to predict ovulation.
BBT rises consistently above 37.8″1eC (100″1eF) with ovulation.
Question 23 Cystic fibrosis is characterized by which symptom?
Excessive mucus production
Elevated blood glucose levels
Low sodium content in perspiration
Abnormally thin exocrine secretions
Question 24 A patient is in the intensive care unit and has intercranial pressure (ICP) monitoring. The patient’s ICP is 17 mmHg. The healthcare professional notes that the chart indicates the patient is now in stage 1 intracranial hypertension. What assessment finding does the professional associate with this condition?
Rapid spike in measured ICP
No significant change in ICP readings
Restlessness and subtle breathing and pupil changes
A widened pulse pressure and bradycardia
Question 25 What is the role of thromboxane A (TXA 2) in the secretion stage of hemostasis?
Stimulates the synthesis of serotonin.
Promotes vasodilation.
Stimulates platelet aggregation.
Promotes formation of cyclooxygenase.
Question 26 When examining a male age 50 and older, the Nurse Practitioner should know that:
It is not necessary to perform a DRE if the PSA is normal.
It is not necessary to perform a PSA if the DRE is normal.
The DRE and PSA should be performed.
The Nurse Practitioner can use her discretion until age 60.
Question 27 A patient has pernicious anemia and asks the healthcare professional to explain the disease. Which statement by the professional is most accurate?
The lack of certain foods in your diet
Your body cannot absorb vitamin B 12.
You are not getting enough vitamin C.
Your bone marrow has stopped working.
Question 28 Clinical manifestations that include irregular or heavy bleeding, the passage of large clots, and the depletion of iron stores support which diagnosis?
Premenstrual syndrome
Abnormal uterine bleeding
Polycystic ovary syndrome
Primary dysmenorrhea
Question 29 To quickly assess a patient’s nervous system for dysfunction, what assessment should the healthcare professional perform as the priority?
Size and reactivity of pupils
Pattern of breathing
Motor response
Level of consciousness
Question 30 A healthcare professional is seeing a patient with suspected schizophrenia. For which prenatal occurrence should the professional assess?
Viral infection
Maternal depression
Maternal smoking
Exposure to toxic waste
Collepals.com Plagiarism Free Papers
Are you looking for custom essay writing service or even dissertation writing services? Just request for our write my paper service, and we'll match you with the best essay writer in your subject! With an exceptional team of professional academic experts in a wide range of subjects, we can guarantee you an unrivaled quality of custom-written papers.
Get ZERO PLAGIARISM, HUMAN WRITTEN ESSAYS
Why Hire Collepals.com writers to do your paper?
Quality- We are experienced and have access to ample research materials.
We write plagiarism Free Content
Confidential- We never share or sell your personal information to third parties.
Support-Chat with us today! We are always waiting to answer all your questions.
