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ACCURATE ANSWERS
hich of the following laboratory tests are most widely accepted as indicators of the
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progression of HIV infection?
CD4 count and viral load
patient who is 28 weeks pregnant reports a single episode of vaginal bleeding. History
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indicates normal prenatal progress to date, and the patient denies pain, vaginal itching,
or discharge. Which of the following is the most appropriate intervention to aid in the
diagnosis of this case?
Ultrasound
3-year-old patient presents at an inner-city clinic with fever, cough, malaise, and loss
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of appetite. The patient lives with several relatives, including a grandmother who also
has a cough. Which of the following diagnostic tests would be most appropriate for the
patient?
Sputum culture
hich of the following best describes psoriatic lesions in an elderly patient?
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Red, sharply defined plaques with silvery scales
patient is referred with a diagnosis of diabetes mellitus, hypertension, and coronary
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artery disease. The patient is on both insulin and a beta blocker. Assuming that the
patient will continue the beta blocker, it will be important to educate the patient on the
recognition of hypoglycemia. Which symptom would be most indicative of hypoglycemia
in this patient?
Sweating
n 88-year-old male presents with concerns about memory loss. He feels good, takes
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an aspirin daily, and has no chronic diseases. He lives alone, drives his own car, and
manages his financial affairs. To evaluate his memory, which of the following tests
should the nurse practitioner choose?
Folstein Mini-Mental State Examination
hich of the following is the leading cause of cancer-related deaths in the majority of
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women?
, Lung cancer
hich of the following findings is typically a sign of acute appendicitis?
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Rebound tenderness at McBurney's point
patient with macular degeneration has difficulty seeing objects?
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In the center of the visual field.
o assess a patient's ability to think abstractly, a nurse practitioner could ask the
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patient?
the meaning of a common proverb.
uring an employment physical examination of a 21-year-old female, bruising around
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the areolae on the breasts is noted. An appropriate health history for these findings
should include all of the following EXCEPT:
socioeconomic status.
The best laboratory test to distinguish iron deficiency anemia from other anemias is:
serum ferritin level.
A 17-year-old female is suspected of having polycystic ovary syndrome. In addition to
testosterone, the most appropriate diagnostic tests to order would be:
follicle-stimulating hormone (FSH), luteinizing hormone (LH), prolactin, and
thyroid-stimulating hormone (TSH).
Office spirometry performed with an albuterol nebulizer treatment can confirm a
diagnosis of asthma because it indicates:
whether a patient has reversible airway obstruction.
n 88-year-old patient presents with right-sided weakness after being unable to rise
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unassisted following a fall to the bathroom floor. History includes aphasia and
noncompliance with a hypertension medication regimen. What is the most likely
diagnosis?
Left-sided stroke
29-year-old male with noncomplicated Chlamydia infection may exhibit:
no remarkable clinical symptoms.
To assess spinal function at the S1 level, which deep tendon reflex should be tested?
Achilles
An 18-year-old college student presents for an athletic physical. When asked about
current medications, she mentions that she takes "some herb" she bought at a health
food store for migraines and menstrual cramps. Which of the following herbal remedies
has been commonly used for these conditions?
Feverfew