NR667- CEA FNP | Chamberlain University-Illinois | Questions with 100%
Verified Answers | Latest Update
Question: A patient currently undergoing concurrent
chemotherapy/radiation treatment for glottic squamous cell carcinoma is
admitted to the rehab unit you oversee for management of intractable
nausea, vomiting, and dehydration. Admission CBC showed WBC 1.3,
Hgb 7.5, PLT 45, ANC 0.8. Which of the following conditions is this
patient at risk for?
A. Macrocytic anemia due to B12 deficiency
B. Iron deficiency anemia due to chronic blood loss
C. Microcytic anemia due to chronic kidney disease
D. Aplastic anemia due to bone marrow suppression
Answer:
D
Question: Your patient presents to the urgent care clinic with a swollen
exudative pharynx, profound fatigue, and a very tender left upper
quadrant abdomen. What is the most likely diagnosis?
A. Strep pharyngitis
B. Tonsillitis
C. Epstein Barr virus (EBV)
D. Pancreatitis
Answer:
C
Question: Which of the following best characterizes presbycusis in the
older adult?
A. Bilateral low-frequency sensorineural hearing loss
B. Bilateral high-frequency sensorineural hearing loss
C. Unilateral high-frequency sensorineural hearing loss
D. Unilateral low-frequency sensorineural hearing loss
Answer:
B
,Question: A 35-year-old woman presents with allergic rhinitis,
experiencing significant nasal congestion, sneezing, and itchy eyes. She
has tried over-the-counter antihistamines with limited relief. What is the
most appropriate next step in management?
A. Oral decongestants
B. Nasal saline irrigation
C. Intranasal corticosteroids
D. Referral to an allergist for immunotherapy
Answer:
C
Question: A patient currently undergoing concurrent
chemotherapy/radiation treatment for glottic squamous cell carcinoma is
admitted to the rehab unit you oversee for management of intractable
nausea, vomiting, and dehydration. Admission CBC showed WBC 1.3,
Hgb 7.5, PLT 45, ANC 0.8. Which of the following conditions is this
patient at risk for?
A. Iron deficiency anemia due to chronic blood loss
B. Microcytic anemia due to chronic kidney disease
C. Macrocytic anemia due to B12 deficiency
D. Aplastic anemia due to bone marrow suppression
Answer:
D
Question: A 78 y.o. M patient reports chronic infections, bruising,
fatigue, SOB, and fevers. He has a history of rectal adenocarcinoma and
completed concurrent chemotherapy/radiation earlier this year. His CBC
shows Hgb 7.5, PLT 88, WBC 1.2, ANC 0.8, and peripheral smear
shows dysplasia. What additional work-up would you anticipate for this
patient?
A. Colonoscopy and fecal occult blood test
B. Bone marrow biopsy and flow cytometry
C. No additional work-up is required, these are expected
sequela of his oncologic treatment
D. Repeat CBC/CMP/peripheral smear in eight weeks
Answer:
B
,Question: Progression to Acute Myelogenous Leukemia (AML) is a
risk for untreated or poorly responsive:
A. Pancytopenia
B. Aplastic anemia
C. Macrocytic anemia
D. Myelodysplastic syndrome
Answer:
D
Question: Treatment for symptomatic aplastic anemia includes all the
following except:
A. Bone marrow transplant
B. PRBC/Platelet/WBC transfusions
C. Prophylactic antibiotics
D. Removal of bone marrow stimulants
Answer:
D
Question: A patient diagnosed with iron deficiency anemia requires
iron supplementation. Which of the following treatments would likely
be ineffective?
A. Ferrous sulfate 325 mg PO BID for a 43 y.o. F s/p gastric
bypass 2 years ago
B. Iron sucrose 200 mg IV infusion weekly x 8 weeks in a 26
y.o. F at 34 weeks of pregnancy
C. Ferrous sulfate 325 mg PO TID for a 25 y.o. F with
menorrhagia
D. Ferrous sulfate 325 mg PO BID for a 63 y.o. M with
ulcerative colitis
Answer:
A
, Question: Which of the following is not a common mechanism of
neutrophil expenditure and resultant neutropenia?
A. Decreased neutrophil production in the bone marrow
B. Redistribution of neutrophils to the spleen or vascular
endothelium
C. Loss of circulating neutrophils in acute blood loss
D. Immune destruction
Answer:
C
Question: Which of the following blood lead levels (BLL) would likely
require chelation therapy?
A. < 80 mcg/dL
B. 35 mcg/dL
C. >100 mcg/dL
D. 75 mcg/dL
Answer:
C
Question: A geriatric patient with anemia, back pain, osteoporosis, and
elevated erythrocyte sedimentation rate should be evaluated for:
A. cauda equina syndrome.
B. renal dystrophy.
C. Paget's disease.
D. multiple myeloma.
Answer:
D
Question: Overactivation of coagulation and fibrinolysis resulting in
thrombosis and hemorrhage is a trademark of which of the following?
A. Thrombocytopenia
B. Aplastic anemia
C. Myelodysplastic syndrome
D. Disseminated intravascular coagulation
Answer:
D
Verified Answers | Latest Update
Question: A patient currently undergoing concurrent
chemotherapy/radiation treatment for glottic squamous cell carcinoma is
admitted to the rehab unit you oversee for management of intractable
nausea, vomiting, and dehydration. Admission CBC showed WBC 1.3,
Hgb 7.5, PLT 45, ANC 0.8. Which of the following conditions is this
patient at risk for?
A. Macrocytic anemia due to B12 deficiency
B. Iron deficiency anemia due to chronic blood loss
C. Microcytic anemia due to chronic kidney disease
D. Aplastic anemia due to bone marrow suppression
Answer:
D
Question: Your patient presents to the urgent care clinic with a swollen
exudative pharynx, profound fatigue, and a very tender left upper
quadrant abdomen. What is the most likely diagnosis?
A. Strep pharyngitis
B. Tonsillitis
C. Epstein Barr virus (EBV)
D. Pancreatitis
Answer:
C
Question: Which of the following best characterizes presbycusis in the
older adult?
A. Bilateral low-frequency sensorineural hearing loss
B. Bilateral high-frequency sensorineural hearing loss
C. Unilateral high-frequency sensorineural hearing loss
D. Unilateral low-frequency sensorineural hearing loss
Answer:
B
,Question: A 35-year-old woman presents with allergic rhinitis,
experiencing significant nasal congestion, sneezing, and itchy eyes. She
has tried over-the-counter antihistamines with limited relief. What is the
most appropriate next step in management?
A. Oral decongestants
B. Nasal saline irrigation
C. Intranasal corticosteroids
D. Referral to an allergist for immunotherapy
Answer:
C
Question: A patient currently undergoing concurrent
chemotherapy/radiation treatment for glottic squamous cell carcinoma is
admitted to the rehab unit you oversee for management of intractable
nausea, vomiting, and dehydration. Admission CBC showed WBC 1.3,
Hgb 7.5, PLT 45, ANC 0.8. Which of the following conditions is this
patient at risk for?
A. Iron deficiency anemia due to chronic blood loss
B. Microcytic anemia due to chronic kidney disease
C. Macrocytic anemia due to B12 deficiency
D. Aplastic anemia due to bone marrow suppression
Answer:
D
Question: A 78 y.o. M patient reports chronic infections, bruising,
fatigue, SOB, and fevers. He has a history of rectal adenocarcinoma and
completed concurrent chemotherapy/radiation earlier this year. His CBC
shows Hgb 7.5, PLT 88, WBC 1.2, ANC 0.8, and peripheral smear
shows dysplasia. What additional work-up would you anticipate for this
patient?
A. Colonoscopy and fecal occult blood test
B. Bone marrow biopsy and flow cytometry
C. No additional work-up is required, these are expected
sequela of his oncologic treatment
D. Repeat CBC/CMP/peripheral smear in eight weeks
Answer:
B
,Question: Progression to Acute Myelogenous Leukemia (AML) is a
risk for untreated or poorly responsive:
A. Pancytopenia
B. Aplastic anemia
C. Macrocytic anemia
D. Myelodysplastic syndrome
Answer:
D
Question: Treatment for symptomatic aplastic anemia includes all the
following except:
A. Bone marrow transplant
B. PRBC/Platelet/WBC transfusions
C. Prophylactic antibiotics
D. Removal of bone marrow stimulants
Answer:
D
Question: A patient diagnosed with iron deficiency anemia requires
iron supplementation. Which of the following treatments would likely
be ineffective?
A. Ferrous sulfate 325 mg PO BID for a 43 y.o. F s/p gastric
bypass 2 years ago
B. Iron sucrose 200 mg IV infusion weekly x 8 weeks in a 26
y.o. F at 34 weeks of pregnancy
C. Ferrous sulfate 325 mg PO TID for a 25 y.o. F with
menorrhagia
D. Ferrous sulfate 325 mg PO BID for a 63 y.o. M with
ulcerative colitis
Answer:
A
, Question: Which of the following is not a common mechanism of
neutrophil expenditure and resultant neutropenia?
A. Decreased neutrophil production in the bone marrow
B. Redistribution of neutrophils to the spleen or vascular
endothelium
C. Loss of circulating neutrophils in acute blood loss
D. Immune destruction
Answer:
C
Question: Which of the following blood lead levels (BLL) would likely
require chelation therapy?
A. < 80 mcg/dL
B. 35 mcg/dL
C. >100 mcg/dL
D. 75 mcg/dL
Answer:
C
Question: A geriatric patient with anemia, back pain, osteoporosis, and
elevated erythrocyte sedimentation rate should be evaluated for:
A. cauda equina syndrome.
B. renal dystrophy.
C. Paget's disease.
D. multiple myeloma.
Answer:
D
Question: Overactivation of coagulation and fibrinolysis resulting in
thrombosis and hemorrhage is a trademark of which of the following?
A. Thrombocytopenia
B. Aplastic anemia
C. Myelodysplastic syndrome
D. Disseminated intravascular coagulation
Answer:
D
