A patient with iron deficiency anemia takes iron
supplementation daily. What should he be
advised to avoid within a couple of hours of
taking iron?
An
... [Show More] antacid
Leukemia may have varied clinical
presentations. Which characteristic would
be unusual to find in a patient with
leukemia?
Sickle shaped cells
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:
multiple myeloma.
What hallmark finding is associated with
both B12 and folate deficiencies? Macrocytosis
A patient demonstrates leukocytosis. This
means:
he has an infection of
unknown origin.
What statement is true about anemia in
older adults?
Anemia may have more than one
origin and co-exist 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?
Every 3-6 months
A patient presents with hematuria, RBC
casts, and proteinuria. What is a likely
explanation?
Glomerulonephritis
A patient demonstrates leukocytosis. This
means:
he has an infection of
unknown origin.
A patient is having an allergic reaction to
seafood. Which white cell will probably be
increased?
Eosinophils
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?
Avoid aspirin and sulfa drugs
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?
Folic acid and pernicious
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?
CD4 cell count
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
Lymphoma
NURSING MISC APEA TEST BANK
differential diagnosis for this patient?
A two year-old with sickle cell anemia (SCA)
should receive which immunizations?
All routine childhood
immunizations at the usual
time
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:
idiopathic
thrombocytopenia
purpura (ITP).
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?
Iron deficiency anemia
A patient with diarrhea has a stool
specimen positive for WBCs. What does this
indicate?
A viral infection
A 26 year-old female has thalassemia minor.
What should be limited in her diet to avoid
hepatotoxicity?
Multi-vitamin with iron
A patient is found to have eosinophilia. An expected
finding is:
asthma exacerbation.
An African American male complains of pain
in his back and trunk. He is diagnosed with
multiple myeloma. He is probably:
about 65 years old. .
A patient has heavy menses. Which lab
value below reflects an iron deficiency
anemia?
Increased TIBC
An obese 78 year-old male with poorly
controlled hypertension and diabetes has a
normocytic, normochromic anemia. This
anemia is likely:
associated with chronic disease. .
An elderly male diagnosed with a microcytic,
hypochromic anemia: 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: glossitis.
Lead toxicity can be associated with: 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?
Gynecologic losses and
bleeding in the
gastrointestinal tract
The laboratory identifies metamyelocytes in
a 50 year-old patient who had a CBC
performed. What might be an expected
finding in this patient?
Splenomegaly
A patient is found to have an anemia. The
patient’s MCH is normal. The patient’s
anemia can be described as:
normochromic.
Which statement is true about Vitamin B-
12?
Inadequate amounts can produce
cognitive changes.
A serum ferritin level: demonstrates the amount
of iron in storage.
Which anemias are described as microcytic,
hypochromic anemias?
Iron deficiency anemia and
thalassemia
The nurse practitioner sees a child who
presents with fatigue and purpura on his
lower extremities. His temperature is
normal. The differential includes:
acute leukemia.
An older adult has suspected B12 deficiency.
Which of the following lab indices is most
indicative of a B12 deficiency?
Increased MCV
A patient with anemia of chronic disease
probably has a: normocytic anemia.
A vitamin B-12 deficiency might be
suspected in an older patient with what
complaints?
Memory issues and glossitis
A measure of the degree of variation in red
cell size is indicated by: RDW.
A definitive diagnosis of sickle cell anemia
can be made: by a hemoglobin electrophoresis. .
An example of a macrocytic anemia is: pernicious anemia.
An older adult has suspected B12 deficiency.
Which of the following lab indices is more
indicative of a B12 deficiency?
Macrocytosis
Besides inadequate intake of Vitamin D in
elder adults, what other factor contributes
to deficiencies?
Impaired synthesis of previtamin D
Which white cell should be present in the
greatest number in a patient who is healthy
today?
Neutrophils
A patient has CBC results that indicate a
microcytic, hypochromic anemia. The nurse
practitioner should suspect:
iron deficiency anemia.
A 12 month-old was screened for iron
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: pernicious anemia.
Thalassemia minor can be recognized by: 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:
found on the
inside of the
cheek and are
granular.
The main difference between cellulitis
and erysipelas is the:
layer of skin
involvement.
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?
ELISA
A patient who is at high risk for
skin cancer should:
examine his
skin monthly
for changes.
A patient has a “herald patch” and
is diagnosed with pityriasis rosea.
Where is the “herald patch” found?
On the chest
Which of the following antibiotics Fluoroquinolones
more
suscep
tible
to
bacter
ial
infecti
on.
may [Show Less]