NR511 final Questions and Correct
Answers
Your client George, age 60, presents with pruritus and complaints of a
Lymphadenopathy in his neck. He also complains of night sweats and has noticed a
low-grade fever. He has not lost any weight and otherwise feel as well. He was
widow and has been dating a new one recently. On physical exam, you find in large
supraclavicular knows. You suspect:
✓ ~~~ HODGKIN LYMPHOMA
Mindy, age 6, was recently discharged from the hospital after sickle cell crisis. You
are teaching her parents to be alert to the manifestations of splenic sequestration
and you tell them to be alert to:
✓ ~~~ Abdominal pain, pallor, and tachycardia.
Maria, age 35, asks if being obese predisposes her to cancer. How do you respond?
✓ ~~~ "Yes, you have an increased risk of hormone-dependent cancers
because of your obesity."
You have a new client, Robert, age 67, who presents with generalized
lymphadenopathy. You know that this is indicative of:
✓ ~~~ Disseminated malignancy, particularly of the hematologic system.
Which of the following is a benign neoplasm?
✓ ~~~ Leiomyoma
. Marsha states that a relative is having a carcinoembryonic antigen (CEA) test done
to detect some type of cancer. She wants to know what kind. You tell her a CEA is
performed to detect
✓ ~~~ Adenocarcinomas of the colon, lung, breast, ovary, stomach, and
pancreas
Jan is having biological therapy for her pancreatic cancer. What kind of treatment is
this
✓ ~~~ Immunotherapy
Sara comes today with numerous petechiae on her arms. You know she is not taking
warfarin (Coumadin). What other drugs do you ask her about?
✓ ~~~ Aspirin or aspirin compound
9. Which of the following describes the pattern of inheritance that results in sickle cell
ane
✓ ~~~ autosomal recessive
A 15-year-old male presents to your office complaining of fatigue, shortness of
breath, and joint pain for 2 weeks. The parent has blamed these symptoms on a
"growth spurt." On physical exam, you notice multiple areas of bruising. His throat is
, not erythematous, and no exudates are seen. He has palpable splenomegaly, and
his rapid strep and mono tests are negative. Which of the following is the most likely
diagnosis?
✓ ~~~ Acute lymphocytic leukemia (ALL)
Your client Mrs. Young, age 64, is here to see you because she has pain in her left
breast. She reports no pain in her right breast and no noted lesions or masses on
breast self-exam, which she performs monthly. You know that:
✓ ~~~ She must be sent for mammogram as soon as possible
A 30-year-old male nurse presents to the emergency department. He was stuck with
a needle yesterday while working and found out today that the patient involved in the
needle stick is human immunodeficiency virus (HIV) positive. What is the time
window for starting postexposure prophylaxis to help prevent the transmission of HIV
✓ ~~~ 72 hours
Jill has just been given a diagnosis of human immunodeficiency virus (HIV) and has
a normal initial Pap smear. When do the Centers for Disease Control and Prevention
(CDC) guidelines state she should have a repeat Pap test?
✓ ~~~ in 6 months
Stu, age 49, has slightly reduced hemoglobin and hematocrit readings. What is your
next action after you ask him about his diet?
✓ ~~~ Perform a fecal occult blood test
Which of the following conditions is an X-linked recessive disorder commonly seen in
African American males?
✓ ~~~ Glucose-6-phosphate dehydrogenase deficiency
6. Ms. Jones, your client, has an elevated platelet count. You suspect:
✓ ~~~ Splenectomy
Which of the following is the most common type of leukemia in the United States?
✓ ~~~ Chronic lymphocytic leukemia (CLL).
Joan had a modified radical mastectomy with radiation therapy 10 years ago. She
asks when she can have her blood pressure and needle sticks performed in the
affected arm. How do you respond?
✓ ~~~ "You must observe these precautions forever"
is the best serum test for spotting an iron deficiency early, before it progresses to
full-blown anemia
✓ ~~~ ferritin
Which of the following is not considered an AIDS-defining condition?
✓ ~~~ A human immunodeficiency virus (HIV) positive patient with 1
episode of bacterial pneumonia and a CD4 count greater than 500
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