NURS 5342 FNP 1 Final Study Guide Questions And
Answers
What are S/S of iron deficiency anemia? ANS Microcytic/hypochromic anemia, presents with fatigue,
SOB, PICA, soft spoon nails, cheilosis, sore tongue, and in children learning difficulties. PALLOR is late sign.
May also be asymptomatic. Know labs are Low MCV, MCHC and HGB
What are treatments for iron deficiency anemia? ANS Fix the site of bleeding, give iron supplementation,
recheck in about 3 months
Risk factors for the development of iron deficiency anemia? ANS Those with dietary restrictions or
malabsorption issues, GI bleed, in children high amounts of cows milk, premature infants, exclusively breast
feeding past 4-6 month
What are contraindications to hormonal contraception or HRT? ANS Clotting disorders, history of DVT or
PE, migraine with aura or focal neurological deficit, uncontrolled HTN, smoking, active breast or uterine
cancer, undiagnosed vaginal bleeding, or liver disease
What are the assessment findings in testicular torsion? How is it diagnosed? ANS Pain in the testicle or
abdomen, N/V, one testicle higher or at strange angle, swelling of scrotum.
Diagnosed with physical exam, cremasteric reflex, and scrotal ultrasound
What are common problems seen in Klinefelters? ANS Sterile males, feminine characteristics, learning
disabilities
What are common problems seen in Down's Syndrome? ANS Congenital heart disease, hirschprungs,
duodenal atresia, imperforate anus, expressive language difficulty, delayed development
What are common problems seen in Turner's Syndrome? ANS Short statured, broad chested, often sterile
or will need help to conceive,
What is included in a functional geriatric assessment? ANS Need to assess basic self cares (ADLs) can use
Katz index. Also need to assess instrumental ADLs which indicate their ability for independent community
living... can use Lawton-Brody scale for this
, How do you determine to use Progestin only vs combination HRT? ANS Progestin only is useful in
breastfeeding mothers. Can use estrogen only if local application. Unopposed systemic estrogen therapy not
recommended due to risk of osteoporosis and worsening CV disease
Absolute contraindications for systemic HRT? ANS Pregnancy, VTE, Breast or liver cancer, high
triglycerides
Why is progesterone given in HRT? ANS To prevent endometrial thickening which could potentially lead
to endometrial cancers
What is the dosage of Vit D needed to prevent osteoporosis? ANS It is thought we need about 800IU daily
along with 1200-1500 mg calcium
What are the numbers on the DEXA scan and their corresponding diagnoses? ANS T-Score -2.5 or below
is osteoporosis
T-Score -1 to -2.4 is osteopenia
S/S of sickle cell crisis? Treatment? ANS joint or abd pain, microvascular necrosis, MI, bone pain,
swelling in the face.
Treated with O2, hydration, analgesia and education to prevent further attacks
What is the presentation of cradle cap in an infant? Treatment? ANS This is infantile seborrheic dermatitis
and presents as oily, greasy, yellowish scales on the scalp. Parents can use olive or mineral oil or dawn
dishwashing soap. May also try mizoram shampoo. Need to remove flakes with soft brush of some sort
What are the most common skin lesions in the elderly and how do they present? ANS seborrheic keratosis-
flaking skin lesions, will pull them off and they often return... use moisturizer
Actinic keratoses- dry, gritty lesions that could be early sign of skin cancer
What are the most important pieces of a post-partum assessment? ANS Depression
