WEEK 5 FINAL ADVANCED PRACTICE
NURSE QUESTIONS WITH COMPLETE
ANSWERS
A 42-year-old woman is seen in the clinic with fever, chills, vomiting, and severe
dysuria. She is diagnosed with acute pyelonephritis. How should this patient be
managed? - ANSWER-hospitalization
Which of the following Macrobid doses is appropriate to treat a lower UTI? -
ANSWER-100 mg bid 5 days
A patient is seen in the office complaining of severe flank pain and hematuria. The
clinician should assess this patient for which risk factor for poststreptococcal
glomerulonephritis? - ANSWER-hypertension
A patient is diagnosed with urge incontinence. Before prescribing Detrol LA, the
provider should question the patient about which of these contraindications to this
medication? - ANSWER-Closed angle glaucoma
A patient is diagnosed with overactive bladder. Which of the following instructions
should be given to this woman? - ANSWER-Eliminate caffeine from your diet
Reuben, age 24, has HIV and just had a routine viral load test done. The results
showa falling viral load. What does this indicate? - ANSWER-A favorable prognostic
trend
A patient with atrial fibrillation is taking warfarin (Coumadin) and has an international
normalized ratio (INR) of 4.0 with no active bleeding. How should the clinician
manage this
patient? - ANSWER-Withhold 1 or more days of anticoagulant therapy
The patient with severe iron deficiency anemia is eating ice chips. Which term should
the clinician use to document this finding? - ANSWER-Pica
As a rule of thumb, the estimated level of hematocrit is how many times the value of
the hemoglobin? - ANSWER-three
Which medication for type 2 diabetes mellitus would be contraindicated during
pregnancy? - ANSWER-Glipizide (Glucotrol)
A 35-year-old woman presents with symptoms of hypoglycemia. There is no history
of diabetes
mellitus. Which condition should be included in the differential diagnosis? -
ANSWER-Pheochromocytoma
e is a 35-year-old Caucasian woman who presents with weakness, anorexia, weight
loss, and fatigue. Her history is significant for inflammatory bowel disease,
, Hashimoto's thyroiditis, and cigarette smoking. Which of the following pieces of her
history leads the clinician to believe she has primary sclerosing cholangitis? -
ANSWER-Inflammatory bowel disease
Carl has been diagnosed with Wilson's disease. Which of the following should be
included in his dietary education? - ANSWER-Limit shrimp intake
Ron has cirrhosis and now presents with altered mental status after increasing
protein intake because he was trying to increase muscle mass. Which of the
following diseases should the clinician be concerned about? - ANSWER-Hepatic
encephalopathy
The clinician is speaking with Bernadette, who has recently been diagnosed with
urinary incontinence. She has had this condition for a number of years, she is 5 feet
5 inches, and she weighs 140 pounds. Which of the following should the health-care
provider be aware of? - ANSWER-Bernadette may be suffering from depression and
may need a psychiatric consult.
Which of the following patients is most likely to have urge incontinence? - ANSWER-
Devon, a 40-year-old male with a history of MS.
A 27-year-old female presents with a chief complaint of burning and pain on
urination. She has no previous history of urinary tract infection (UTI). What are some
additional symptoms consistent with a diagnosis of lower UTI? - ANSWER-Blood in
urine and frequency
A 30-year-old patient presents with pain on urination. The urine microscopy of clean-
catch urine shows greater than 10 leukocytes/mL, and a dipstick is positive for
nitrites. What is the probable diagnosis? - ANSWER-Lower urinary-tract infection
A patient presents with CVA tenderness and a several-day history of high fever,
chills, and dysuria. Which of the following diagnoses is most likely given the above
information? - ANSWER-Pyelonephritis
Which of the following are predisposing factors for pyelonephritis? - ANSWER-
pregnancy
Which action would the clinician take to elicit Chvostek's sign? - ANSWER-Tap the
facial nerve below the zygomatic arch anterior to the earlobe
Cydney presents with a history of asthma. She has not been treated for a while. She
complains of daily but not continual symptoms, greater than 1 week and at nighttime.
She has been using her rescue inhaler. Her FEV1 is 60% to 80% predicted. How
would you classify her asthma severity? - ANSWER-Moderate persistent
African American patients seem to have a negative reaction to which of the following
asthma
medications? - ANSWER-Long-term beta-agonist bronchodilators
NURSE QUESTIONS WITH COMPLETE
ANSWERS
A 42-year-old woman is seen in the clinic with fever, chills, vomiting, and severe
dysuria. She is diagnosed with acute pyelonephritis. How should this patient be
managed? - ANSWER-hospitalization
Which of the following Macrobid doses is appropriate to treat a lower UTI? -
ANSWER-100 mg bid 5 days
A patient is seen in the office complaining of severe flank pain and hematuria. The
clinician should assess this patient for which risk factor for poststreptococcal
glomerulonephritis? - ANSWER-hypertension
A patient is diagnosed with urge incontinence. Before prescribing Detrol LA, the
provider should question the patient about which of these contraindications to this
medication? - ANSWER-Closed angle glaucoma
A patient is diagnosed with overactive bladder. Which of the following instructions
should be given to this woman? - ANSWER-Eliminate caffeine from your diet
Reuben, age 24, has HIV and just had a routine viral load test done. The results
showa falling viral load. What does this indicate? - ANSWER-A favorable prognostic
trend
A patient with atrial fibrillation is taking warfarin (Coumadin) and has an international
normalized ratio (INR) of 4.0 with no active bleeding. How should the clinician
manage this
patient? - ANSWER-Withhold 1 or more days of anticoagulant therapy
The patient with severe iron deficiency anemia is eating ice chips. Which term should
the clinician use to document this finding? - ANSWER-Pica
As a rule of thumb, the estimated level of hematocrit is how many times the value of
the hemoglobin? - ANSWER-three
Which medication for type 2 diabetes mellitus would be contraindicated during
pregnancy? - ANSWER-Glipizide (Glucotrol)
A 35-year-old woman presents with symptoms of hypoglycemia. There is no history
of diabetes
mellitus. Which condition should be included in the differential diagnosis? -
ANSWER-Pheochromocytoma
e is a 35-year-old Caucasian woman who presents with weakness, anorexia, weight
loss, and fatigue. Her history is significant for inflammatory bowel disease,
, Hashimoto's thyroiditis, and cigarette smoking. Which of the following pieces of her
history leads the clinician to believe she has primary sclerosing cholangitis? -
ANSWER-Inflammatory bowel disease
Carl has been diagnosed with Wilson's disease. Which of the following should be
included in his dietary education? - ANSWER-Limit shrimp intake
Ron has cirrhosis and now presents with altered mental status after increasing
protein intake because he was trying to increase muscle mass. Which of the
following diseases should the clinician be concerned about? - ANSWER-Hepatic
encephalopathy
The clinician is speaking with Bernadette, who has recently been diagnosed with
urinary incontinence. She has had this condition for a number of years, she is 5 feet
5 inches, and she weighs 140 pounds. Which of the following should the health-care
provider be aware of? - ANSWER-Bernadette may be suffering from depression and
may need a psychiatric consult.
Which of the following patients is most likely to have urge incontinence? - ANSWER-
Devon, a 40-year-old male with a history of MS.
A 27-year-old female presents with a chief complaint of burning and pain on
urination. She has no previous history of urinary tract infection (UTI). What are some
additional symptoms consistent with a diagnosis of lower UTI? - ANSWER-Blood in
urine and frequency
A 30-year-old patient presents with pain on urination. The urine microscopy of clean-
catch urine shows greater than 10 leukocytes/mL, and a dipstick is positive for
nitrites. What is the probable diagnosis? - ANSWER-Lower urinary-tract infection
A patient presents with CVA tenderness and a several-day history of high fever,
chills, and dysuria. Which of the following diagnoses is most likely given the above
information? - ANSWER-Pyelonephritis
Which of the following are predisposing factors for pyelonephritis? - ANSWER-
pregnancy
Which action would the clinician take to elicit Chvostek's sign? - ANSWER-Tap the
facial nerve below the zygomatic arch anterior to the earlobe
Cydney presents with a history of asthma. She has not been treated for a while. She
complains of daily but not continual symptoms, greater than 1 week and at nighttime.
She has been using her rescue inhaler. Her FEV1 is 60% to 80% predicted. How
would you classify her asthma severity? - ANSWER-Moderate persistent
African American patients seem to have a negative reaction to which of the following
asthma
medications? - ANSWER-Long-term beta-agonist bronchodilators
