NR 667 EXAM STUDY GUIDE – CHAMBERLAIN
CEA FNP Capstone Practicum and Intensive
Consists of 400+ multiple-choice Questions with Answers
1. 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
2. A patient currently undergoing concurrent chemotherapy/radiation treat- ment 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
3. 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 onco- logic treatment
D. Repeat CBC/CMP/peripheral smear in eight weeks
Answer>: B
4. A patient currently undergoing concurrent chemotherapy/radiation treat-
ment 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
5. 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
6. 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
7. 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
8. Treatment for symptomatic aplastic anemia includes all the following ex- cept:
A. Bone marrow transplant
B. PRBC/Platelet/WBC transfusions
C. Prophylactic antibiotics
D. Removal of bone marrow stimulants
Answer>: D
9. A patient diagnosed with iron deficiency anemia requires iron supplemen- tation. 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
10. Which of the following is not a common mechanism of neutrophil expen- diture 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
11. Which of the following blood lead levels (BLL) would likely require chela- tion therapy?
A. < 80 mcg/dL
B. 35 mcg/dL
C. >100 mcg/dL
D. 75 mcg/dL
Answer>: C
12. 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
13. 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
14. A patient on warfarin (Coumadin) therapy for recurrent deep vein thrombo- sis (DVT) is
about to have lumbar spinal fusion surgery. The patient's warfarin is put on hold starting 5
CEA FNP Capstone Practicum and Intensive
Consists of 400+ multiple-choice Questions with Answers
1. 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
2. A patient currently undergoing concurrent chemotherapy/radiation treat- ment 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
3. 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 onco- logic treatment
D. Repeat CBC/CMP/peripheral smear in eight weeks
Answer>: B
4. A patient currently undergoing concurrent chemotherapy/radiation treat-
ment 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
5. 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
6. 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
7. 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
8. Treatment for symptomatic aplastic anemia includes all the following ex- cept:
A. Bone marrow transplant
B. PRBC/Platelet/WBC transfusions
C. Prophylactic antibiotics
D. Removal of bone marrow stimulants
Answer>: D
9. A patient diagnosed with iron deficiency anemia requires iron supplemen- tation. 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
10. Which of the following is not a common mechanism of neutrophil expen- diture 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
11. Which of the following blood lead levels (BLL) would likely require chela- tion therapy?
A. < 80 mcg/dL
B. 35 mcg/dL
C. >100 mcg/dL
D. 75 mcg/dL
Answer>: C
12. 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
13. 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
14. A patient on warfarin (Coumadin) therapy for recurrent deep vein thrombo- sis (DVT) is
about to have lumbar spinal fusion surgery. The patient's warfarin is put on hold starting 5
