NR 661 APEA TEST BANK QUESTIONS AND ANSWERS LATEST 2020 A GRADED
A patient with iron deficiency anemia takes iron supplementation daily. What should he
... [Show More] be advised to avoid within a couple of hours of taking iron?
Leukemia may have varied clinical presentations. Which characteristic would be unusual to find in a patient with leukemia?
A 66 year-old African American male complains of pain in his trunk, especially his ribs. Cardiovascular disease is ruled out. He has a normocytic, normochromic anemia with hypercalcemia. The differential diagnosis should include:
What hallmark finding is associated with both B12 and folate deficiencies?
A patient demonstrates leukocytosis. This means:
What statement is true about anemia in older adults?
A patient has been treated for HIV infection with anti-retroviral therapy. He is stable. How often should CD4 counts be repeated?
A patient presents with hematuria, RBC casts, and proteinuria. What is a likely explanation?
A patient demonstrates leukocytosis. This means:
A patient is having an allergic reaction to seafood. Which white cell will probably be increased?
A female patient has been diagnosed with Glucose-6-phosphate dehydrogenase deficiency (G6PD). What should be done to prevent lysis of red cells in this patient?
A 75 year-old patient who has multiple chronic diseases has been in very poor health for a decade. What type of anemias is he most likely to exhibit?
A patient has been diagnosed with HIV. The patient’s viral load was ordered. What other test may be ordered to assess the status of the patient’s immune system?
A 70 year-old male has lymph nodes in his axillary and inguinal areas that are palpable but non-tender. He states that he feels well today. What should be included in a
An antacid Sickle shaped cells multiple myeloma. Macrocytosis he has an infection of unknown origin.
Anemia may have more than one origin and co-exist in older adults.
Every 3-6 months Glomerulonephritis
he has an infection of unknown origin.
Eosinophils Avoid aspirin and sulfa drugs Folic acid and pernicious CD4 cell count Lymphomadifferential diagnosis for this patient?
A two year-old with sickle cell anemia (SCA)
should receive which immunizations?
A three year-old child presents with
hematuria, petechiae, and a platelet count
of 50,000 (Normal = 150,000-450,000/ml).
The rest of his CBC is normal. He had an
upper respiratory infection about 2 weeks
ago. On exam today, he is found to have
petechiae and bruises. The most likely
diagnosis is:
A child and father live in an old house. They
both are found to be lead toxic. What type
anemia is typically observed in patients who
are lead toxic?
A patient with diarrhea has a stool
specimen positive for WBCs. What does this
indicate?
A 26 year-old female has thalassemia minor.
What should be limited in her diet to avoid
hepatotoxicity?
A patient is found to have eosinophilia. An expected
finding is:
An African American male complains of pain
in his back and trunk. He is diagnosed with
multiple myeloma. He is probably:
A patient has heavy menses. Which lab
value below reflects an iron deficiency
anemia?
An obese 78 year-old male with poorly
controlled hypertension and diabetes has a
normocytic, normochromic anemia. This
anemia is likely:
An elderly male diagnosed with a microcytic,
hypochromic anemia:
All routine childhood
immunizations at the usual
time
idiopathic
thrombocytopenia
purpura (ITP).
Iron deficiency anemia
A viral infection
Multi-vitamin with iron
asthma exacerbation.
about 65 years old.
Increased TIBC
associated with chronic disease. .
.
may have a GI bleed.
Which suggestion below is the standard for
treating iron deficiency anemia in infants
and children?
Iron supplementation in
divided doses between meals
with orange juice
A patient with pernicious anemia may be
observed to have:
Lead toxicity can be associated with:
glossitis.
sideroblastic anemia.A patient is being treated for iron deficiency
anemia. Iron is better absorbed:
on an empty stomach.
What choice below can be attributed to the
two most common causes of iron deficiency
anemia in adults?
The laboratory identifies metamyelocytes in
a 50 year-old patient who had a CBC
performed. What might be an expected
finding in this patient?
A patient is found to have an anemia. The
patient’s MCH is normal. The patient’s
anemia can be described as:
Which statement is true about Vitamin B-
12?
A serum ferritin level:
Which anemias are described as microcytic,
hypochromic anemias?
The nurse practitioner sees a child who
presents with fatigue and purpura on his
lower extremities. His temperature is
normal. The differential includes:
An older adult has suspected B12 deficiency.
Which of the following lab indices is most
indicative of a B12 deficiency?
A patient with anemia of chronic disease
probably has a:
A vitamin B-12 deficiency might be
suspected in an older patient with what
complaints?
A measure of the degree of variation in red
cell size is indicated by:
A definitive diagnosis of sickle cell anemia
can be made:
An example of a macrocytic anemia is:
An older adult has suspected B12 deficiency.
Which of the following lab indices is more
indicative of a B12 deficiency?
Besides inadequate intake of Vitamin D in
elder adults, what other factor contributes
to deficiencies?
Which white cell should be present in the
greatest number in a patient who is healthy
today?
A patient has CBC results that indicate a
microcytic, hypochromic anemia. The nurse
practitioner should suspect:
A 12 month-old was screened for iron
Gynecologic losses and
bleeding in the
gastrointestinal tract
Splenomegaly
normochromic.
Inadequate amounts can produce
cognitive changes.
demonstrates the amount
of iron in storage.
Iron deficiency anemia and
thalassemia
acute leukemia.
Increased MCV
normocytic anemia.
Memory issues and glossitis
RDW.
by a hemoglobin electrophoresis. .
pernicious anemia.
Macrocytosis
Impaired synthesis of previtamin D
Neutrophils
iron deficiency anemia.A patient is found to have an anemia. The
patient’s MCV is normal. The patient’s
anemia can be described as:
normocytic.
A B-12 deficiency can produce:
Thalassemia minor can be recognized by:
pernicious anemia.
microcytic, hypochromic
red cells.
A patient had a splenectomy after an automobile accident 3 months ago. Patients
who are asplenic are:
An example of a first generation
cephalosporin used to treat a skin
infection is:
cephalexin.
A 4 year-old has been diagnosed
with measles. The nurse
practitioner identifies Koplik’s
spots. These are:
The main difference between cellulitis
and erysipelas is the:
A patient reports that he found a
tick on himself about one month
ago. He reports that there is a red
circle and a white center near
where he remembers the tick bite.
He did not seek treatment at the
time. Today he complains of
myalgias and arthralgias. What
laboratory test can be used to help
diagnose Lyme disease?
A patient who is at high risk for
skin cancer should:
A patient has a “herald patch” and
is diagnosed with pityriasis rosea.
Where is the “herald patch” found?
Which of the following antibiotics
found on the
inside of the
cheek and are
granular.
layer of skin
involvement.
more
suscep
tible
to
bacter
ial
infecti
on.
ELISA
examine his
skin monthly
for changes.
On the chest
Fluoroquinolonesmay increase the likelihood of
photosensitivity?
A 60 year-old patient is noted to
have rounding of the distal
phalanx of the fingers. What might
have caused this?
Hepatic cirrhosis
A patient exhibits petechiae on
both lower legs but has no other
complaints. How should the NP
proceed?
When can a child with chickenpox
return to daycare?
Hand-foot-and-mouth disease and
herpangina:
What is the proper technique to
safely remove a tick from a
human?
Most cases of atopic dermatitis
exacerbation are treated with:
The primary therapeutic
intervention for patients who
present with hives is:
A patient is diagnosed with tinea
pedis. A microscopic examination
of the sample taken from the
infected area would likely
demonstrate:
A patient has been diagnosed with
scabies. What is the medication of
choice to treat this?
An adolescent has acne. The nurse
practitioner prescribed a benzoyl
peroxide product for him. What
important teaching point should
be given to this adolescent
regarding the benzoyl peroxide?
A patient presents with plaques on
the extensor surface of the elbows,
knees, and back. The plaques are
erythematous and there are thick,
silvery scales. This is likely:
An infant is diagnosed with diaper
dermatitis. Satellite lesions are
Order a CBC
After all lesions have crusted over
are viral infections caused by
Coxsackie viruses.
Pull it off with tweezers
topical steroids.
anti-histamines.
hyphae.
Permethrin
Photosensitivity of the skin can
occur
plaque psoriasis.
topical anti-fungal agent.visible. This should be treated with
a:
A key component of the approach
to a patient who has atopic
dermatitis is hydration. Which
agent should be avoided?
Patients with atopic dermatitis are
likely to exhibit:
A 16 year-old has been diagnosed
with Lyme disease. Which drug
should be used to treat him?
A 28 year-old has thick,
demarcated plaques on her
elbows. Which features are
suggestive of psoriasis?
A 71 year-old female presents
with a vesicular rash that burns
and itches. Shingles is diagnosed.
An oral antiviral:
A patient was burned with hot
water. He has several large fluid
filled lesions. What are these
termed?
A patient with a primary case of
scabies was probably infected:
A patient has a lower leg wound
that appears infected. It is red,
warm to touch and edematous. He
had an acute onset of pain,
symptoms, and low grade fever.
What is this?
A 15 year-old male has worked
this summer as a lifeguard at a
local swimming pool. He
complains of itching in the groin
area. He is diagnosed with tinea
cruris. The nurse practitioner is
likely to identify:
A patient has been diagnosed with
MRSA. She is sulfa allergic. Which
medication could be used to treat
her?
Lotions
Itching.
Doxycycline
Silvery scales that are not pruritic
should be started within 72 hours
of the onset of symptoms.
Bullae
3-4 weeks ago.
Erysipelas
well marginated half moon macules
on the inner thigh.
Doxycycline
A skin lesion which is a solid mass papule.is described as a:
Impetigo is characterized by:
A 10 year-old has thick,
demarcated plaques on her
elbows. Which features are
suggestive of psoriasis?
The agent commonly used to treat
patients with scabies is
permethrin. How often is it applied
to eradicate scabies?
Which test is NOT suitable to
diagnose shingles if the clinical
presentation is questionable?
A 74 year-old is diagnosed with
shingles. The NP is deciding how
to best manage her care. What
should be prescribed?
The term caput succedaneum
refers to:
A pregnant mother in her first
trimester has a 5 year-old who has
Fifth Disease. What implication
does this have for the mother?
A topical treatment for basal cell
carcinoma is:
The most common form of skin
cancer is:
A skin disorder has a hallmark
finding of silvery scales. What
word below describes this
common condition?
The most common place for basal
cell carcinoma to be found is the:
A low potency topical
hydrocortisone cream would be
most appropriate in a patient who
has been diagnosed with:
A patient with a positive history of
a tick bite about 2 weeks ago and
erythema migrans has a positive
ELISA for Borrelia. The Western
blot is positive. How should he be
managed?
honey-colored crusts.
Silvery scales that are not pruritic
Once
Complete blood count (CBC)
An oral antiviral agent
scalp edema.
There is a risk of fetal death if she
becomes infected.
5-fluorouracil.
basal cell carcinoma.
Chronic
face.
atopic dermatitis.
He should receive doxycycline for
Lyme disease.A 16 year-old male has
nodulocystic acne. What might
have the greatest positive impact
in managing his acne?
A patient who has been in the sun
for the past few weeks is very
tanned. He has numerous 3-6 mm
light colored flat lesions on his
trunk. What is the likely etiology?
A skin lesion fluoresces under a
Wood’s lamp. What microscopic
finding is consistent with this?
An example of a premalignant
lesion that develops on sun-
damaged skin is:
Isotretinoin (Accutane®)
Tinea versicolor
Hyphae
actinic keratosis.
A 9 year-old female has presented
to your clinic because of a rash on
the left, upper area of her anterior
trunk. She is embarrassed and very
reticent to lift her blouse because
her nipple will be exposed. How
should the NP proceed?
A patient reports to the minor care
area of the emergency department
after being bitten by a dog. The
patient states that the dog had a
tag around his neck and had been
seen roaming around the
neighborhood. The dog did not
exhibit any odd behavior. How
should this be managed?
A patient has seborrheic
dermatitis. Which vehicle would be
most appropriate to use in the
hairline area to treat this?
A 68 year old female adult with
pendulous breasts complains of
“burning” under her right breast.
The nurse practitioner observes a
malodorous discharge with mild
maceration under both breasts.
What is this?
Examine all other areas of the trunk,
then ask the child to lift her blouse
Report the bite to animal control
and administer appropriate medical
care.
Foam
IntertrigoA patient is found to have
koilonychia. What laboratory test
would be prudent to perform?
Which of the following areas of the
body has the greatest
percutaneous absorption?
A patient calls your office. He
states that he just came in from the
woods and discovered a tick on his
upper arm. He states that he has
removed the tick and the area is
slightly red. What should he be
advised?
A patient will be taking oral
terbinafine for fingernail fungus.
The NP knows that:
An elderly patient has been
diagnosed with shingles on the
right lateral aspect of her trunk. It
appeared initially yesterday. It is
very painful. How should she be
managed?
A young child has developed a
circumferential lesion on her inner
forearm. It is slightly raised, red
and is pruritic. It is about 2.5 cm in
diameter. This is probably related
to:
Which chronic skin disorder
primarily affects hairy areas of the
body?
A microscopic examination of the
sample taken from a skin lesion
indicates hyphae. What type
infection might this indicate?
A 40 year-old female patient
presents to the clinic with
multiple, painful reddened nodules
on the anterior surface of both
legs. She is concerned. These are
probably associated with her
history of:
Seborrheic dermatitis
Fungal
Complete blood count
Genitalia
No treatment is needed.
Terbinafine is a potent inhibitor of
the CYP 3A4 enzymes.
An oral antiviral agent and pain
medication.
the child’s new cat.
ulcerative colitis.
What advice should be given to a A parent may experience jointparent who has a child with Fifth Disease?
What finding characterizes shingles?
A 70 year-old is diagnosed with multiple cherry angiomas. The nurse practitioner knows that:
A patient with diabetes has a right lower leg that has recently become edematous, erythematous, and tender to touch over the anterior shin. There is no evidence of pus, but the leg is warm to touch. What is the most likely diagnosis to consider?
The American Cancer Society uses an ABCDE pneumonic to help patients develop awareness of suspicious skin lesions. What does the “B” represent?
A 9 year-old has been diagnosed with chickenpox. A drug that should be avoided in him is:
Mr. Johnson is a 74 year old who presents with a pearly-domed nodular looking lesion on the back of the neck. It does not hurt or itch. What is a likely etiology?
A 3 year-old female had a fever of 102 degrees F for 3 days. Today she woke up from a nap and is afebrile. She has a maculopapular rash. Which statement is true?
The lesions seen in a patient with folliculitis might be filled with:
A child has 8-10 medium brown café au lait spots > 1 cm in diameter. The differential diagnosis should include:
A patient presents with small vesicles on the lateral edges of his fingers and intense itching. On close inspection, there are small
aches and pains. Unilateral dermatomal rash
these may bleed profusely if ruptured.
Cellulitis Border aspirin. Basal cell carcinoma The rash will blanch. pus. neurofibromatosis. Dyshidrotic dermatitis [Show Less]