NR511 Final Complete Study Questions And Answers
Updated Solutions
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: ANS 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: ANS Abdominal
pain, pallor, and tachycardia.
Maria, age 35, asks if being obese predisposes her to cancer. How do you respond? ANS "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: ANS Disseminated malignancy, particularly of the hematologic system.
Which of the following is a benign neoplasm? ANS 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 ANS 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 ANS
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? ANS Aspirin or aspirin compound
9. Which of the following describes the pattern of inheritance that results in sickle cell ane ANS 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? ANS
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: ANS 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 ANS 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? ANS 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? ANS Perform a fecal occult blood test
Which of the following conditions is an X-linked recessive disorder commonly seen in African American
males? ANS Glucose-6-phosphate dehydrogenase deficiency
6. Ms. Jones, your client, has an elevated platelet count. You suspect: ANS Splenectomy
Which of the following is the most common type of leukemia in the United States? ANS 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? ANS "You must
observe these precautions forever"
is the best serum test for spotting an iron deficiency early, before it progresses to full-blown anemia ANS
ferritin
Updated Solutions
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: ANS 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: ANS Abdominal
pain, pallor, and tachycardia.
Maria, age 35, asks if being obese predisposes her to cancer. How do you respond? ANS "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: ANS Disseminated malignancy, particularly of the hematologic system.
Which of the following is a benign neoplasm? ANS 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 ANS 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 ANS
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? ANS Aspirin or aspirin compound
9. Which of the following describes the pattern of inheritance that results in sickle cell ane ANS 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? ANS
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: ANS 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 ANS 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? ANS 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? ANS Perform a fecal occult blood test
Which of the following conditions is an X-linked recessive disorder commonly seen in African American
males? ANS Glucose-6-phosphate dehydrogenase deficiency
6. Ms. Jones, your client, has an elevated platelet count. You suspect: ANS Splenectomy
Which of the following is the most common type of leukemia in the United States? ANS 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? ANS "You must
observe these precautions forever"
is the best serum test for spotting an iron deficiency early, before it progresses to full-blown anemia ANS
ferritin
