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Pre-Predictor exam review questions with correct solutions; graded A+

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Pre-Predictor exam review
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Terms in this set (132)

, may be exercised by giving a verbal medication order to a pharmacist.


An example of exercising prescriptive authority is giving a verbal
order to a pharmacist or writing an order for a prescription
Prescriptive authority:
medication.
Prescriptive authority rules and regulations vary from state to
state. Prescriptive authority is granted only to those APRNs who
meet the requirements of the governing body for the state in
which the APRN practices.
Above the umbilicus


Between 18 and 32 weeks, there is good correlation between fundal
When examining a pregnant
height and gestational age of the fetus. The expected heights are: 10-12
patient, where should the fundal
weeks: fundus slightly above the symphysis pubis 16 weeks: fundus
height be at 22 weeks?
midway between the symphysis pubis and umbilicus 20 weeks: fundus at
the level of umbilicus 28 weeks: fundus 3 fingerbreadths above the
umbilicus 36 weeks: fundus just below the xiphoid process

, Exercise and weight loss


Exercise, weight loss, and rest are recommended by the American
College of Rheumatology guidelines for the initial management of
What intervention does the
osteoarthritis (OA). Given the adverse effects of medications used to
American College of Rheumatology
treat OA, it is best to minimize dosage and delay use as long as
recommend as first-line therapy for
possible. An extensive diagnostic workup is not recommended unless
osteoarthritis?
the presentation is in question. Patients who have severe degenerative
joint disease (DJD), joint fusion, or whose pain severity is not relieved by
more conservative therapies may be candidates for joint replacement.
Acetaminophen is recommended as a first-line medication.


A 63-year-old male retired Osteoarthritis (OA)
accountant complains of pain and
stiffness in his feet and hands of Although his vocation involved sedentary activity, this patient is not at
several years duration. He reports great risk for osteoarthritis. Rheumatoid arthritis is characterized by
that the pain and stiffness several joint deformities, usually bilaterally symmetrical. RA is
become worse with activity. On characterized by inflammatory processes, while OA is not. RA and
examination, he is noted to have OA are chronic conditions. Gout is characterized by acute
Heberden's nodes but no other exacerbations related to a defect in purine metabolism, increased uric
bony deformities. Which of the acid production, or decreased uric acid excretion.
following is the most probable
diagnosis?

, The family of a 78-year-old man ramipril (Altace®)
moved him into an assisted living
center because he can no longer Tricyclic antidepressants, like amitriptyline, have anticholinergic side
be left at home alone. He is effects which are especially problematic in the elderly because they
unable to toilet when asked to do contribute to urinary retention. Hydrochlorothiazide is a diuretic and
so and he has had several may contribute to his incontinence. Cimetidine is well known to
episodes of incontinence. He has produce adverse reactions such as confusion in elders. Ramipril, an
walked out of the facility twice and ACE inhibitor, is unlikely to contribute to this patient's incontinence or
been unable to find his way back confusion.
from 3 blocks away. On Toileting may be a complicated by the anticholinergic medication
examination, he is pleasant but and/or the diuretic causing diuresis, urge incontinence, and inability to
mildly confused. Which of his void at will.
medications is LEAST likely
contributing to his behavior?




elevate her legs periodically.
A patient with no significant
medical history has varicose veins. The intervention that will provide the greatest relief for this patient
She complains of "aching legs". is elevating her legs periodically. This will facilitate venous return.
The intervention that will provide Use of support stockings will prolong the length of time she is able to
the greatest relief for her complaint stand in place, but will not provide relief after her legs begin
is to: aching. Support stockings should be applied prior to getting out of
bed.

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