NR667- CEA FNP
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1. A patient currently undergoing concurrent chemotherapy/radiation treat-
ment for glottic squamous cell carcinoma is admitted to the rehab unit you
oversee for management of intractable nausea, vomiting, and dehydration.
Admission CBC showed WBC 1.3, Hgb 7.5, PLT 45, ANC 0.8. Which of the
following conditions is this patient at risk for?
A. Macrocytic anemia due to B12 deficiency
B. Iron deficiency anemia due to chronic blood loss
C. Microcytic anemia due to chronic kidney disease
D. Aplastic anemia due to bone marrow suppression: D
2. Your patient presents to the urgent care clinic with a swollen exudative
pharynx, profound fatigue, and a very tender left upper quadrant abdomen.
What is the most likely diagnosis?
A. Strep pharyngitis
B. Tonsillitis
C. Epstein Barr virus (EBV)
D. Pancreatitis: C
3. Which of the following best characterizes presbycusis in the older adult?
A. Bilateral low-frequency sensorineural hearing loss
B. Bilateral high-frequency sensorineural hearing loss
C. Unilateral high-frequency sensorineural hearing loss
D. Unilateral low-frequency sensorineural hearing loss: B
4. A 35-year-old woman presents with allergic rhinitis, experiencing significant
nasal congestion, sneezing, and itchy eyes. She has tried over-the-counter
antihistamines with limited relief. What is the most appropriate next step in
management?
A. Oral decongestants
B. Nasal saline irrigation
C. Intranasal corticosteroids
D. Referral to an allergist for immunotherapy: C
5. A patient currently undergoing concurrent chemotherapy/radiation treat-
ment for glottic squamous cell carcinoma is admitted to the rehab unit you
oversee for management of intractable nausea, vomiting, and dehydration.
Admission CBC showed WBC 1.3, Hgb 7.5, PLT 45, ANC 0.8. Which of the
following conditions is this patient at risk for?
, NR667- CEA FNP
Study online at https://quizlet.com/_fctvfl
A. Iron deficiency anemia due to chronic blood loss
B. Microcytic anemia due to chronic kidney disease
C. Macrocytic anemia due to B12 deficiency
D. Aplastic anemia due to bone marrow suppression: D
6. A 78 y.o. M patient reports chronic infections, bruising, fatigue, SOB, and
fevers. He has a history of rectal adenocarcinoma and completed concurrent
chemotherapy/radiation earlier this year. His CBC shows Hgb 7.5, PLT 88, WBC
1.2, ANC 0.8, and peripheral smear shows dysplasia. What additional work-up
would you anticipate for this patient?
A. Colonoscopy and fecal occult blood test
B. Bone marrow biopsy and flow cytometry
C. No additional work-up is required, these are expected sequela of his onco-
logic treatment
D. Repeat CBC/CMP/peripheral smear in eight weeks: B
7. Progression to Acute Myelogenous Leukemia (AML) is a risk for untreated
or poorly responsive:
A. Pancytopenia
B. Aplastic anemia
C. Macrocytic anemia
D. Myelodysplastic syndrome: D
8. Treatment for symptomatic aplastic anemia includes all the following ex-
cept:
A. Bone marrow transplant
B. PRBC/Platelet/WBC transfusions
C. Prophylactic antibiotics
D. Removal of bone marrow stimulants: D
9. A patient diagnosed with iron deficiency anemia requires iron supplemen-
tation. Which of the following treatments would likely be ineffective?
A. Ferrous sulfate 325 mg PO BID for a 43 y.o. F s/p gastric bypass 2 years ago
B. Iron sucrose 200 mg IV infusion weekly x 8 weeks in a 26 y.o. F at 34 weeks
of pregnancy
C. Ferrous sulfate 325 mg PO TID for a 25 y.o. F with menorrhagia
D. Ferrous sulfate 325 mg PO BID for a 63 y.o. M with ulcerative colitis: A
10. Which of the following is not a common mechanism of neutrophil expen-
diture and resultant neutropenia?
, NR667- CEA FNP
Study online at https://quizlet.com/_fctvfl
A. Decreased neutrophil production in the bone marrow
B. Redistribution of neutrophils to the spleen or vascular endothelium
C. Loss of circulating neutrophils in acute blood loss
D. Immune destruction: C
11. Which of the following blood lead levels (BLL) would likely require chela-
tion therapy?
A. < 80 mcg/dL
B. 35 mcg/dL
C. >100 mcg/dL
D. 75 mcg/dL: C
12. A geriatric patient with anemia, back pain, osteoporosis, and elevated
erythrocyte sedimentation rate should be evaluated for:
A. cauda equina syndrome.
B. renal dystrophy.
C. Paget's disease.
D. multiple myeloma.: D
13. Overactivation of coagulation and fibrinolysis resulting in thrombosis and
hemorrhage is a trademark of which of the following?
A. Thrombocytopenia
B. Aplastic anemia
C. Myelodysplastic syndrome
D. Disseminated intravascular coagulation: D
14. A patient on warfarin (Coumadin) therapy for recurrent deep vein thrombo-
sis (DVT) is about to have lumbar spinal fusion surgery. The patient's warfarin
is put on hold starting 5 days prior to the surgery and subcutaneous enoxa-
parin (Lovenox) has been ordered for DVT prophylaxis until the resumption
of the warfarin. The nurse practitioner knows that the patient's postoperative
warfarin dose should be restarted based on the:
A. Value of her morning Prothrombin time
B. baseline PT and INR values
C. target INR of 2.5
D. Loading dose of 20 mg, plus the previous warfarin dose: B
15. Your patient presented yesterday to urgent care with symptoms of lower
extremity weakness and then went home for observation with family. They
, NR667- CEA FNP
Study online at https://quizlet.com/_fctvfl
have returned to urgent care, and it now appears to be affecting the patient's
abdomen in just the past few hours. What is your priority intervention?
A. Order physical therapy evaluation and treatment
B. Immediate transportation to the hospital and monitor for airway involve-
ment
C. Apply oxygen via nasal cannula
D. Assess muscular strength in bilateral lower extremities: B
16. Which of the following is a common symptom of Systemic Lupus Erythe-
matosus (SLE)?
A. Joint pain and swelling
B. Frequent urination and thirst
C. Sudden weight gain and high blood pressure
D. Persistent cough and shortness of breath: A
17. Patients with Stevens-Johnson syndrome should be managed by which of
the following mechanisms?
A. With negative pressure isolation due to contagious nature of SJS
B. Similarly to burn patients due to loss of fluid volume
C. Similarly to heart surgery patients due to risk of hypervolemia
D. With off floor privileges to encourage mobility and retaining muscle mass: B
18. Which of the following categories of medication are not likely to be includ-
ed in the medication regimen for a patient with HIV?
A. NRTIs
B. Protease antagonists
C. NNRTIs
D. Protease inhibitors: B
19. A patient who has active herpes zoster is at risk of shedding which conta-
gious virus?
A. Varicella zoster
B. Herpes simplex virus -2
C. Herpes simplex virus -1
D. Shingles: A
20. Your patient presents with painless lymph node swelling, weight loss, night
sweats, and asks what is wrong with him. Which of the following represents a
most appropriate intervention to confirm a diagnosis of lymphoma?
Study online at https://quizlet.com/_fctvfl
1. A patient currently undergoing concurrent chemotherapy/radiation treat-
ment for glottic squamous cell carcinoma is admitted to the rehab unit you
oversee for management of intractable nausea, vomiting, and dehydration.
Admission CBC showed WBC 1.3, Hgb 7.5, PLT 45, ANC 0.8. Which of the
following conditions is this patient at risk for?
A. Macrocytic anemia due to B12 deficiency
B. Iron deficiency anemia due to chronic blood loss
C. Microcytic anemia due to chronic kidney disease
D. Aplastic anemia due to bone marrow suppression: D
2. Your patient presents to the urgent care clinic with a swollen exudative
pharynx, profound fatigue, and a very tender left upper quadrant abdomen.
What is the most likely diagnosis?
A. Strep pharyngitis
B. Tonsillitis
C. Epstein Barr virus (EBV)
D. Pancreatitis: C
3. Which of the following best characterizes presbycusis in the older adult?
A. Bilateral low-frequency sensorineural hearing loss
B. Bilateral high-frequency sensorineural hearing loss
C. Unilateral high-frequency sensorineural hearing loss
D. Unilateral low-frequency sensorineural hearing loss: B
4. A 35-year-old woman presents with allergic rhinitis, experiencing significant
nasal congestion, sneezing, and itchy eyes. She has tried over-the-counter
antihistamines with limited relief. What is the most appropriate next step in
management?
A. Oral decongestants
B. Nasal saline irrigation
C. Intranasal corticosteroids
D. Referral to an allergist for immunotherapy: C
5. A patient currently undergoing concurrent chemotherapy/radiation treat-
ment for glottic squamous cell carcinoma is admitted to the rehab unit you
oversee for management of intractable nausea, vomiting, and dehydration.
Admission CBC showed WBC 1.3, Hgb 7.5, PLT 45, ANC 0.8. Which of the
following conditions is this patient at risk for?
, NR667- CEA FNP
Study online at https://quizlet.com/_fctvfl
A. Iron deficiency anemia due to chronic blood loss
B. Microcytic anemia due to chronic kidney disease
C. Macrocytic anemia due to B12 deficiency
D. Aplastic anemia due to bone marrow suppression: D
6. A 78 y.o. M patient reports chronic infections, bruising, fatigue, SOB, and
fevers. He has a history of rectal adenocarcinoma and completed concurrent
chemotherapy/radiation earlier this year. His CBC shows Hgb 7.5, PLT 88, WBC
1.2, ANC 0.8, and peripheral smear shows dysplasia. What additional work-up
would you anticipate for this patient?
A. Colonoscopy and fecal occult blood test
B. Bone marrow biopsy and flow cytometry
C. No additional work-up is required, these are expected sequela of his onco-
logic treatment
D. Repeat CBC/CMP/peripheral smear in eight weeks: B
7. Progression to Acute Myelogenous Leukemia (AML) is a risk for untreated
or poorly responsive:
A. Pancytopenia
B. Aplastic anemia
C. Macrocytic anemia
D. Myelodysplastic syndrome: D
8. Treatment for symptomatic aplastic anemia includes all the following ex-
cept:
A. Bone marrow transplant
B. PRBC/Platelet/WBC transfusions
C. Prophylactic antibiotics
D. Removal of bone marrow stimulants: D
9. A patient diagnosed with iron deficiency anemia requires iron supplemen-
tation. Which of the following treatments would likely be ineffective?
A. Ferrous sulfate 325 mg PO BID for a 43 y.o. F s/p gastric bypass 2 years ago
B. Iron sucrose 200 mg IV infusion weekly x 8 weeks in a 26 y.o. F at 34 weeks
of pregnancy
C. Ferrous sulfate 325 mg PO TID for a 25 y.o. F with menorrhagia
D. Ferrous sulfate 325 mg PO BID for a 63 y.o. M with ulcerative colitis: A
10. Which of the following is not a common mechanism of neutrophil expen-
diture and resultant neutropenia?
, NR667- CEA FNP
Study online at https://quizlet.com/_fctvfl
A. Decreased neutrophil production in the bone marrow
B. Redistribution of neutrophils to the spleen or vascular endothelium
C. Loss of circulating neutrophils in acute blood loss
D. Immune destruction: C
11. Which of the following blood lead levels (BLL) would likely require chela-
tion therapy?
A. < 80 mcg/dL
B. 35 mcg/dL
C. >100 mcg/dL
D. 75 mcg/dL: C
12. A geriatric patient with anemia, back pain, osteoporosis, and elevated
erythrocyte sedimentation rate should be evaluated for:
A. cauda equina syndrome.
B. renal dystrophy.
C. Paget's disease.
D. multiple myeloma.: D
13. Overactivation of coagulation and fibrinolysis resulting in thrombosis and
hemorrhage is a trademark of which of the following?
A. Thrombocytopenia
B. Aplastic anemia
C. Myelodysplastic syndrome
D. Disseminated intravascular coagulation: D
14. A patient on warfarin (Coumadin) therapy for recurrent deep vein thrombo-
sis (DVT) is about to have lumbar spinal fusion surgery. The patient's warfarin
is put on hold starting 5 days prior to the surgery and subcutaneous enoxa-
parin (Lovenox) has been ordered for DVT prophylaxis until the resumption
of the warfarin. The nurse practitioner knows that the patient's postoperative
warfarin dose should be restarted based on the:
A. Value of her morning Prothrombin time
B. baseline PT and INR values
C. target INR of 2.5
D. Loading dose of 20 mg, plus the previous warfarin dose: B
15. Your patient presented yesterday to urgent care with symptoms of lower
extremity weakness and then went home for observation with family. They
, NR667- CEA FNP
Study online at https://quizlet.com/_fctvfl
have returned to urgent care, and it now appears to be affecting the patient's
abdomen in just the past few hours. What is your priority intervention?
A. Order physical therapy evaluation and treatment
B. Immediate transportation to the hospital and monitor for airway involve-
ment
C. Apply oxygen via nasal cannula
D. Assess muscular strength in bilateral lower extremities: B
16. Which of the following is a common symptom of Systemic Lupus Erythe-
matosus (SLE)?
A. Joint pain and swelling
B. Frequent urination and thirst
C. Sudden weight gain and high blood pressure
D. Persistent cough and shortness of breath: A
17. Patients with Stevens-Johnson syndrome should be managed by which of
the following mechanisms?
A. With negative pressure isolation due to contagious nature of SJS
B. Similarly to burn patients due to loss of fluid volume
C. Similarly to heart surgery patients due to risk of hypervolemia
D. With off floor privileges to encourage mobility and retaining muscle mass: B
18. Which of the following categories of medication are not likely to be includ-
ed in the medication regimen for a patient with HIV?
A. NRTIs
B. Protease antagonists
C. NNRTIs
D. Protease inhibitors: B
19. A patient who has active herpes zoster is at risk of shedding which conta-
gious virus?
A. Varicella zoster
B. Herpes simplex virus -2
C. Herpes simplex virus -1
D. Shingles: A
20. Your patient presents with painless lymph node swelling, weight loss, night
sweats, and asks what is wrong with him. Which of the following represents a
most appropriate intervention to confirm a diagnosis of lymphoma?
