Final ANP 6001
In AR disorders, carriers have:
Two mutated genes; two from one parent that cause disease
A mutation on a sex chromosome that causes a disease
A single gene mutation that causes the disease
One copy of a gene mutation but not the disease - answer One copy of a gene mutation
but not the disease
A 76-year-old patient with a 200-pack year smoking history presents with complaints of
chronic cough, dyspnea, fatigue, hemoptysis, and weight loss over the past 2 months.
The physical exam reveals decreased breath sounds and dullness to percussion over
the left lower lung field. The chest X-ray demonstrates shift of the mediastinum and
trachea to the left. These are classic signs of:
Lung cancer
Tuberculosis
Pneumonia
COPD - answerLung cancer
The nurse practitioner is discussing lifestyle changes with a patient diagnosed with
gastroesophageal reflux. What are the nonpharmacological management interventions
that should be included? - answerIt will be helpful to keep the head of your bed elevated
on blocks
In examining the mouth of an older adult with a history of smoking, the nurse
practitioner finds a suspicious oral lesion. The patient has been referred for a biopsy to
be sent for pathology. Which is the most common oral precancerous lesion? -
answerleukoplakia
You have a patient complaining of vertigo and want to know what could be the cause.
Knowing there are many causes for vertigo, you question the length of time the
sensation lasts. She tells you several hours to days and is accompanied by tinnitus and
hearing loss. You suspect which of the following conditions?
Ménière's disease
Benign paroxysmal positional vertigo
Transient ischemic attack (TIA)
MigraineDefinition - answerMénière's disease
Age-related changes in the bladder, urethra, and ureters include all of the following in
older women except:
A. Increased estrogen production's influence on the bladder and ureter
B. Decline in bladder outlet function
C. Decline in ureteral resistance pressure
,D. Laxity of the pelvic muscle - answerA. Increased estrogen production's influence on
the bladder and ureter
Your patient has been using chewing tobacco for 10 years. On physical examination,
you observe a white ulceration surrounded by erythematous base on the side of his
tongue. The clinician should recognize that very often this is
Malignant melanoma
Squamous cell carcinoma
Aphthous ulceration
Behcet's syndromeDefinition - answerSquamous cell carcinoma
When interpreting laboratory data, you would expect to see the following in a patient
with Anemia of Chronic Disease (ACD)
Hemoglobin <12 g/dl, MCV decreased, MCH decreased
Hemoglobin >12 g/dl, MCV increased, MCH increased
Hemoglobin <12 g/dl, MCV normal, MCH normal
Hemoglobin >12 g/dl, MCV decreased, MCH increased - answerHemoglobin <12 g/dl,
MCV normal, MCH normal
What test is used to confirm the diagnosis of appendicitis?
CBC
Flat plate of abdomen
Rectal exam
CT of abdomen with attention to appendix - answerCT of abdomen with attention to
appendix
Functional abilities are best assessed by: - answerobserved assessment of function
Your patient is a 43-year-old female golfer who complains of arm pain. On physical
examination, there is point tenderness on the elbow and pain when the patient is asked
to flex the wrist against the clinician's resistance. These are typical signs of:
Carpal tunnel syndrome
Osteoarthritis of the wrist
Epicondylitis
Cervical osteoarthritis - answerEpicondylitis
An 86-year-old patient who wears a hearing aid complains of poor hearing in the
affected ear. In addition to possible hearing aid malfunction, this condition is often due
to
Acoustic neurom
Cerumen impaction
Otitis media
Ménière's disease - answerCerumen impaction
Which lesions are typically located along the distribution of dermatome? -
answerHerpes Zoster
, n differentiating a gastric ulcer from a duodenal ulcer, you know that each type of ulcer
can present with distinct signs and symptoms. Which of the following pieces of
information from the patient's history is the least useful for you to determine that the
patient has a duodenal ulcer?
A. Pain occurs on an empty stomach
B. Diffuse epigastric pain
C. Rarely associated with non-steroidal use
D. Occurs in patients under 40 years of age - answerDiffuse epigastric pain
A pneumatic otoscopic examination is used to assess:
A. Inner ear conditions
B. Otitis externa
C. Cerumen impaction
D. Tympanic membrane mobility - answerD. Tympanic membrane mobility
In autosomal recessive (AR) disorders, individuals need:
Only one mutated gene on the sex chromosomes to acquire the disease
Only one mutated gene to acquire the disease
Two mutated genes to acquire the disease
Two mutated genes to become carriers - answerTwo mutated genes to acquire the
disease
Which of the following disorders can cause urinary incontinence?
Cystocele
Overactive bladder
Uterine prolapse
All of the above - answerAll of the above
meals. What assessment would assist the nurse practitioner in making a diagnosis of
GERD?
A. Identification of a fluid wave
B. Positive Murphy's sign
C. Palpable spleen
D. Midepigastric pain that is not reproducible with palpation - answerD. Midepigastric
pain that is not reproducible with palpation
Which of the following medications are commonly associated with the side effect of
cough
A. Beta blocker
B. Diuretic
C. ACE inhibitor
D. Calcium antagonist - answerC. ACE inhibitor
In AR disorders, carriers have:
Two mutated genes; two from one parent that cause disease
A mutation on a sex chromosome that causes a disease
A single gene mutation that causes the disease
One copy of a gene mutation but not the disease - answer One copy of a gene mutation
but not the disease
A 76-year-old patient with a 200-pack year smoking history presents with complaints of
chronic cough, dyspnea, fatigue, hemoptysis, and weight loss over the past 2 months.
The physical exam reveals decreased breath sounds and dullness to percussion over
the left lower lung field. The chest X-ray demonstrates shift of the mediastinum and
trachea to the left. These are classic signs of:
Lung cancer
Tuberculosis
Pneumonia
COPD - answerLung cancer
The nurse practitioner is discussing lifestyle changes with a patient diagnosed with
gastroesophageal reflux. What are the nonpharmacological management interventions
that should be included? - answerIt will be helpful to keep the head of your bed elevated
on blocks
In examining the mouth of an older adult with a history of smoking, the nurse
practitioner finds a suspicious oral lesion. The patient has been referred for a biopsy to
be sent for pathology. Which is the most common oral precancerous lesion? -
answerleukoplakia
You have a patient complaining of vertigo and want to know what could be the cause.
Knowing there are many causes for vertigo, you question the length of time the
sensation lasts. She tells you several hours to days and is accompanied by tinnitus and
hearing loss. You suspect which of the following conditions?
Ménière's disease
Benign paroxysmal positional vertigo
Transient ischemic attack (TIA)
MigraineDefinition - answerMénière's disease
Age-related changes in the bladder, urethra, and ureters include all of the following in
older women except:
A. Increased estrogen production's influence on the bladder and ureter
B. Decline in bladder outlet function
C. Decline in ureteral resistance pressure
,D. Laxity of the pelvic muscle - answerA. Increased estrogen production's influence on
the bladder and ureter
Your patient has been using chewing tobacco for 10 years. On physical examination,
you observe a white ulceration surrounded by erythematous base on the side of his
tongue. The clinician should recognize that very often this is
Malignant melanoma
Squamous cell carcinoma
Aphthous ulceration
Behcet's syndromeDefinition - answerSquamous cell carcinoma
When interpreting laboratory data, you would expect to see the following in a patient
with Anemia of Chronic Disease (ACD)
Hemoglobin <12 g/dl, MCV decreased, MCH decreased
Hemoglobin >12 g/dl, MCV increased, MCH increased
Hemoglobin <12 g/dl, MCV normal, MCH normal
Hemoglobin >12 g/dl, MCV decreased, MCH increased - answerHemoglobin <12 g/dl,
MCV normal, MCH normal
What test is used to confirm the diagnosis of appendicitis?
CBC
Flat plate of abdomen
Rectal exam
CT of abdomen with attention to appendix - answerCT of abdomen with attention to
appendix
Functional abilities are best assessed by: - answerobserved assessment of function
Your patient is a 43-year-old female golfer who complains of arm pain. On physical
examination, there is point tenderness on the elbow and pain when the patient is asked
to flex the wrist against the clinician's resistance. These are typical signs of:
Carpal tunnel syndrome
Osteoarthritis of the wrist
Epicondylitis
Cervical osteoarthritis - answerEpicondylitis
An 86-year-old patient who wears a hearing aid complains of poor hearing in the
affected ear. In addition to possible hearing aid malfunction, this condition is often due
to
Acoustic neurom
Cerumen impaction
Otitis media
Ménière's disease - answerCerumen impaction
Which lesions are typically located along the distribution of dermatome? -
answerHerpes Zoster
, n differentiating a gastric ulcer from a duodenal ulcer, you know that each type of ulcer
can present with distinct signs and symptoms. Which of the following pieces of
information from the patient's history is the least useful for you to determine that the
patient has a duodenal ulcer?
A. Pain occurs on an empty stomach
B. Diffuse epigastric pain
C. Rarely associated with non-steroidal use
D. Occurs in patients under 40 years of age - answerDiffuse epigastric pain
A pneumatic otoscopic examination is used to assess:
A. Inner ear conditions
B. Otitis externa
C. Cerumen impaction
D. Tympanic membrane mobility - answerD. Tympanic membrane mobility
In autosomal recessive (AR) disorders, individuals need:
Only one mutated gene on the sex chromosomes to acquire the disease
Only one mutated gene to acquire the disease
Two mutated genes to acquire the disease
Two mutated genes to become carriers - answerTwo mutated genes to acquire the
disease
Which of the following disorders can cause urinary incontinence?
Cystocele
Overactive bladder
Uterine prolapse
All of the above - answerAll of the above
meals. What assessment would assist the nurse practitioner in making a diagnosis of
GERD?
A. Identification of a fluid wave
B. Positive Murphy's sign
C. Palpable spleen
D. Midepigastric pain that is not reproducible with palpation - answerD. Midepigastric
pain that is not reproducible with palpation
Which of the following medications are commonly associated with the side effect of
cough
A. Beta blocker
B. Diuretic
C. ACE inhibitor
D. Calcium antagonist - answerC. ACE inhibitor
