NR 603 Week 4 Advanced Clinical Diagnosis APEA EXAM LATEST 2023

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Advanced
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Clinical v




Diagnosis v




APEA EXAM
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LATEST 2023
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, 884




NR 603 Week 4 Advanced Clinical DiagnosisAPEA EXAM
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LATEST 2023 GENUINE EXAM A+
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1. A patient report that she is taking kava kava regularly for anxiety with theresults.
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vWhat should the nurse practitioners evaluate?
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a. Liver function studies v v




2. A person with 20/80 vision: HAS POORER VISION THAN SOMEONE WITH 20/40
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v VISION
3. One exception to the recommendation to limit dietary fat intake is CHILDREN UNDER
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v 2 YEARS OF AGE
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4. The most effective treatment for anemia of chronic disease is: TREATMENT OF
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v UNDERLYING DISEASE v




Rationale: The key phrase is “anemia of chronic disease” and with this, the pt’s
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v chronic disease has caused the deficiency so once you correct and or treat the chronic
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v disease, then the anemia will correct itself.
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5. Salicylates and other non-steroidal anti-inflammatory agents have all of the following
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v actions EXCEPT- ANTI-EMETIC EFFECTS VIA SUPPRESSION OF GASTRIC
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v ACID SECRETION v




6. Which of the following does NOT increase a woman’s risk of developing cervical
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v cancer? NULLIPARITY v




7. All of the following principles apply to drug therapy for elders except ENCOURAGE
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v THE ELDERLY TO CONTINUE SELF-MEDICATION ADMINISTRATION TO
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v FACILITATE INDEPENDENCE AND SELF-SUFFIENCY v v v




8. A female patient believes that she was exposed to HIV through sexual intercourse
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v several months ago. She asks for “the test for AIDS.” Which statement is NOT
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v correct? THE ELISA IS USED FOR SCREENING, BUT MAY YIELD A FALSE
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vNEGATIVE THIS SOON AFTER EXPOSURE v v v v




9. The nurse practitioner teaches the parents of a 2-month-old infant with GERD that
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, treatment v typically v includes v all v of v the v following v interventions except
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v MAINTAINING THE USUAL FEEDING REGIMEN AND BURPING THE INFANT v v v v v v v v




vWELL WHEN THE FEEDING IS COMPLETED
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10. A widowed 85-year-old was recently moved from her home of 65 years to a bedroom in
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vher daughter’s home. According to reports by family members, she is now
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“cantankerous” gets “mixed up” easily and cries for no apparent reason. Factors in the
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vclient history that are consistent with delirium may include all of the following except
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a. INSIDIOUS ONSET AND CHRONIC PROGRESSIVE COURSE v v v v v




11. The two tests that can indicate current infection with hep B are:
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a. Presents of hep B antigen and IgM v v v v v v




12. A characteristic of elders which affects the pharmacotherapeutics of drug therapy in
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vthat population is an increase in PERCENT OF BODY FAT
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13. An elder’s caretaker is planning the elder’s menu. The elder is on a bland diet. The
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vnurse practitioner reviews the meal plans and notes that which of the following is
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vNOT appropriate? v




a. Coffee, tea, carbonated sodas, Orange juice v v v v v




14. The leading cause of death from injury in childhood is MOTOR VEHICE ACCIDENTS
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15. Therapeutic International normalized ratio (INR) for a patient taking warfarin
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v(coumadin) for a chronic atrial fibrillation is expected to be:
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a. Increased
16. The most accepted recommendation regarding a skin cancer prevention is:
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a. Avoidance of excessive sun exposure v v v v




17. Antibiotic administration has been demonstrated to be of little benefit in the treatment
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vof which of the following disease processes?
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a. Acute bronchitis v




18. An anxious parent brings her three-day old female infant to see the nurse practitioner
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vbecause of the serosanguineous vaginal discharge. The nurse practitioner tells the
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vmother:
a. This is a normal finding in female newborns
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19. A common finding associated with temporal arteritis is:
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a. Severe headache v

, 20. What information would best help the parent who is concerned about a school age child
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veating habits? v




a. Establish a consistent schedule for meals and allow the child to participate in
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v meal planning v




21. Which of the following scenarios in a 75-year-old patient would be inappropriately
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vmanaged in an outpatient setting (i.e. the patient should be referred for hospital
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vadmission)?
a. UNSTABLE ANGINA v




22. A patient with diabetes brings his glucose diary from the past seven days for the
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vnurse practitioner to review and evaluate. What changes should be made? Day one
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vthrough seven AM 67, 52, 61, 48, 39, 68, 70 PM 138, 161, 148, 168, 121, 142, 176.
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a. Decreased the PM dose of NPH insulin v v v v v v




23. Appropriate nutritional guidance for the pregnant patient is:
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a. Increase caloric intake buy 300 cal/day and add iron and folic acid
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v supplementation
24. The most successful patient interview is likely to:
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a. Be a collaborative process
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25. RhoGAM is not administered to an Rh-negative mother with negative anti-d antibodies
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WITHIN 72 HOURS OF BIRTH OF AN RH-NEGATIVE INFANT
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26. The most common presentation of thyroid cancer is A SOLITARY THYROID NODULE
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27. A benign thyroid nodule, that’s painless presents as SMOOTH
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28. Initial treatment of a child presenting with a severe head injury is:
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a. Aimed at resuscitation, then maintenance of oxygenation and blood flow
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29. Which red blood cell (RBC) index is most useful for differentiating types of anemias?
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a. Mean corpuscular volume (MCV) v v v




30. A 31-year-old female is informed that her pregnancy test is positive, and she is
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vabout three weeks pregnant. The nurse practitioner is very concerned about the
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vpatient reported history of alcohol use. She correctly tells the patient that babies
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vborn to women who drink alcohol during pregnancy are at risk for all of the
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vfollowing except: v