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APEA Midterm with info advanced clinical diagnosis question and correct answer
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lOMoAR cPSD| 27753314APEA Midterm with info advanced
clinical diagnosis question and
correct answer
, lOMoAR cPSD| 27753314
APEA Questions
1. A patient report that she is taking kava kava regularly for anxiety with the
results. What should the nurse practitioners evaluate?
a. Liver function studies
2. A person with 20/80 vision: HAS POORER VISION THAN SOMEONE WITH 20/40
VISION
3. One exception to the recommendation to limit dietary fat intake is CHILDREN UNDER
2 YEARS OF AGE
4. The most effective treatment for anemia of chronic disease is: TREATMENT OF
UNDERLYING DISEASE
Rationale: The key phrase is “anemia of chronic disease” and with this, the pt’s
chronic disease has caused the deficiency so once you correct and or treat the chronic
disease, then the anemia will correct itself.
5. Salicylates and other non-steroidal anti-inflammatory agents have all of the
following actions EXCEPT- ANTI-EMETIC EFFECTS VIA SUPPRESSION OF
GASTRIC ACID SECRETION
6. Which of the following does NOT increase a woman’s risk of developing cervical
cancer? NULLIPARITY
7. All of the following principles apply to drug therapy for elders except
ENCOURAGE
THE ELDERLY TO CONTINUE SELF-MEDICATION ADMINISTRATION TO
FACILITATE INDEPENDENCE AND SELF-SUFFIENCY
8. A female patient believes that she was exposed to HIV through sexual intercourse
several months ago. She asks for “the test for AIDS.” Which statement is NOT
correct?
THE ELISA IS USED FOR SCREENING, BUT MAY YIELD A FALSE NEGATIVE
THIS SOON AFTER EXPOSURE
9. The nurse practitioner teaches the parents of a 2-month-old infant with GERD that
treatment typically includes all of the following interventions except
MAINTAINING
THE USUAL FEEDING REGIMEN AND BURPING THE INFANT WELL WHEN THE
FEEDING IS COMPLETED
, lOMoAR cPSD| 27753314
10. A widowed 85-year-old was recently moved from her home of 65 years to a bedroom
in her daughter’s home. According to reports by family members, she is now
“cantankerous” gets “mixed up” easily and cries for no apparent reason. Factors in the
client history that are consistent with delirium may include all of the following except
a. INSIDIOUS ONSET AND CHRONIC PROGRESSIVE COURSE
11. The two tests that can indicate current infection with hep B are:
a. Presents of hep B antigen and IgM
12. A characteristic of elders which affects the pharmacotherapeutics of drug therapy
in that population is an increase in PERCENT OF BODY FAT
13. An elder’s caretaker is planning the elder’s menu. The elder is on a bland diet. The
nurse practitioner reviews the meal plans and notes that which of the following is
NOT appropriate?
a. Coffee, tea, carbonated sodas, Orange juice
14. The leading cause of death from injury in childhood is MOTOR VEHICE
ACCIDENTS
15. Therapeutic International normalized ratio (INR) for a patient taking warfarin
(coumadin) for a chronic atrial fibrillation is expected to be:
a. Increased
16. The most accepted recommendation regarding a skin cancer prevention is:
a. Avoidance of excessive sun exposure
17. Antibiotic administration has been demonstrated to be of little benefit in the
treatment of which of the following disease processes?
a. Acute bronchitis
18. An anxious parent brings her three-day old female infant to see the nurse
practitioner because of the serosanguineous vaginal discharge. The nurse
practitioner tells the mother:
a. This is a normal finding in female newborns
19. A common finding associated with temporal arteritis is:
, lOMoAR cPSD| 27753314
a. Severe headache
20. What information would best help the parent who is concerned about a school age
childeating habits?
a. Establish a consistent schedule for meals and allow the child to participate in
meal planning
21. Which of the following scenarios in a 75-year-old patient would be inappropriately
managed in an outpatient setting (i.e. the patient should be referred for hospital
admission)?
a. UNSTABLE ANGINA
22. A patient with diabetes brings his glucose diary from the past seven days for the
nurse practitioner to review and evaluate. What changes should be made? Day one
through seven AM 67, 52, 61, 48, 39, 68, 70 PM 138, 161, 148, 168, 121, 142, 176.
a. Decreased the PM dose of NPH insulin
23. Appropriate nutritional guidance for the pregnant patient is:
a. Increase caloric intake buy 300 cal/day and add iron and folic acid
supplementation
24. The most successful patient interview is likely to:
a. Be a collaborative process
25. RhoGAM is not administered to an Rh-negative mother with negative anti-d
antibodies WITHIN 72 HOURS OF BIRTH OF AN RH-NEGATIVE INFANT
26. The most common presentation of thyroid cancer is A SOLITARY THYROID
NODULE
27. A benign thyroid nodule, that’s painless presents as SMOOTH
28. Initial treatment of a child presenting with a severe head injury is:
a. Aimed at resuscitation, then maintenance of oxygenation and blood flow
29. Which red blood cell (RBC) index is most useful for differentiating types of
anemias?
a. Mean corpuscular volume (MCV)
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