NR667- CEA FNP EXAM QUESTIONS &
ANSWERS PASSED ALREADY
GRADED A+
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
D
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
C
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
B
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
C
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
D
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
B
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
D
,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
D
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
A
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
C
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
C
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.
D
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
D
A patient on warfarin (Coumadin) therapy for recurrent deep vein thrombosis (DVT) is about to
have lumbar spinal fusion surgery. The patient's warfarin is put on hold starting 5 days prior to
the surgery and subcutaneous enoxaparin (Lovenox) has been ordered for DVT prophylaxis until
the resumption of the warfarin. The nurse practitioner knows that the patient's postoperative
warfarin dose should be restarted based on the:
A. Value of her morning Prothrombin time
B. baseline PT and INR values
C. target INR of 2.5
D. Loading dose of 20 mg, plus the previous warfarin dose
B
Your patient presented yesterday to urgent care with symptoms of lower extremity weakness
and then went home for observation with family. They have returned to urgent care, and it now
appears to be affecting the patient’s abdomen in just the past few hours. What is your priority
intervention?
A. Order physical therapy evaluation and treatment
B. Immediate transportation to the hospital and monitor for airway involvement
C. Apply oxygen via nasal cannula
D. Assess muscular strength in bilateral lower extremities
B
ANSWERS PASSED ALREADY
GRADED A+
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
D
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
C
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
B
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
C
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
D
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
B
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
D
,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
D
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
A
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
C
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
C
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.
D
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
D
A patient on warfarin (Coumadin) therapy for recurrent deep vein thrombosis (DVT) is about to
have lumbar spinal fusion surgery. The patient's warfarin is put on hold starting 5 days prior to
the surgery and subcutaneous enoxaparin (Lovenox) has been ordered for DVT prophylaxis until
the resumption of the warfarin. The nurse practitioner knows that the patient's postoperative
warfarin dose should be restarted based on the:
A. Value of her morning Prothrombin time
B. baseline PT and INR values
C. target INR of 2.5
D. Loading dose of 20 mg, plus the previous warfarin dose
B
Your patient presented yesterday to urgent care with symptoms of lower extremity weakness
and then went home for observation with family. They have returned to urgent care, and it now
appears to be affecting the patient’s abdomen in just the past few hours. What is your priority
intervention?
A. Order physical therapy evaluation and treatment
B. Immediate transportation to the hospital and monitor for airway involvement
C. Apply oxygen via nasal cannula
D. Assess muscular strength in bilateral lower extremities
B
