NR 603 CEA EXAM 6 UPDATED ACTUAL
QUESTIONS AND CORRECT ANSWERS
◉ Treatment for symptomatic aplastic anemia includes what?
Answer: Bone marrow transplant
Prophylactic antibiotics
PRBC/Platelet/WBC transfusions
◉ A patient presents to the urgent care with SOB, fatigue, headache,
and chest pain. Cardiac work up is negative but CBC reveals a
hemoglobin of 6.5. What would indicate a potential iron deficiency
anemia?
Answer: MCV 67
MCHC 29
◉ A 78-year-old male patient reports chronic infections, bruising,
fatigue, SOB, and fevers. He has a history of rectal adenocarcinoma
and completed concurrent chemo/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?
Answer: Bone marrow biopsy and flow cytometry
,◉ A patient with a known intrinsic factor autoantibody is at risk for
developing which of the following conditions?
Answer: B12 deficiency and pernicious anemia
Rationale: Causes of B12 deficiency include malabsorption and
intrinsic factor deficiency. Intrinsic factor deficiency is a result of
gastric resection or IF autoantibody.
◉ A 35-year-old man presents with recurrent episodes of severe
pain in his back, chest and extremities. He has a history of sickle cell
disease. What is the most appropriate initial management during a
pain crisis?
Answer: Hospitalization for IV fluids and opioids
◉ Which of the following medication classes is the foundation of the
care of heart failure and has been shown to reduce mortality?
Answer: Beta blockers
◉ An adult female with rheumatoid arthritis presents to the office
for a follow up. She is currently taking methotrexate and over the
counter ibuprofen. Today she complains of severe stomach pain and
intense abdominal cramping. After the NP makes appropriate
adjustments to the patient's medication regimen, the patient still
complains of abdominal discomfort and reports dark stools. The
practitioner suspects:
Answer: Gastric ulceration
, ◉ A 43-year-old male with past medical history significant for GERD,
smoking, and obesity presents to your clinic for worsening GERD
symptoms, he has been taking Protonix 40mg daily with no
improvement. He had an EGD done with biopsy. Which findings
would diagnose the patient with Barret's esophagus?
Answer: Intestinal metaplasia with goblet cells
◉ Your patient presents with unilateral eye pain after a workplace
exposure to a causative substance. Which of the following
techniques is useful to assist in removal of the agent?
Answer: Flushing with Morgan lens
◉ Your patient has a Le Fort III fracture and is admitted for close
monitoring. Which of the following represent a potential
complication of this type of fracture?
Answer: Cerebrospinal fluid leak
◉ Which of the following best characterizes presbycusis in the older
adult?
Answer: Bilateral high-frequency sensorineural hearing loss
◉ Which of the following refers to the primary access point of
medical care patients are encouraged to use to aid in providing
continuity and reduction of cost per the Affordable Care Act?
QUESTIONS AND CORRECT ANSWERS
◉ Treatment for symptomatic aplastic anemia includes what?
Answer: Bone marrow transplant
Prophylactic antibiotics
PRBC/Platelet/WBC transfusions
◉ A patient presents to the urgent care with SOB, fatigue, headache,
and chest pain. Cardiac work up is negative but CBC reveals a
hemoglobin of 6.5. What would indicate a potential iron deficiency
anemia?
Answer: MCV 67
MCHC 29
◉ A 78-year-old male patient reports chronic infections, bruising,
fatigue, SOB, and fevers. He has a history of rectal adenocarcinoma
and completed concurrent chemo/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?
Answer: Bone marrow biopsy and flow cytometry
,◉ A patient with a known intrinsic factor autoantibody is at risk for
developing which of the following conditions?
Answer: B12 deficiency and pernicious anemia
Rationale: Causes of B12 deficiency include malabsorption and
intrinsic factor deficiency. Intrinsic factor deficiency is a result of
gastric resection or IF autoantibody.
◉ A 35-year-old man presents with recurrent episodes of severe
pain in his back, chest and extremities. He has a history of sickle cell
disease. What is the most appropriate initial management during a
pain crisis?
Answer: Hospitalization for IV fluids and opioids
◉ Which of the following medication classes is the foundation of the
care of heart failure and has been shown to reduce mortality?
Answer: Beta blockers
◉ An adult female with rheumatoid arthritis presents to the office
for a follow up. She is currently taking methotrexate and over the
counter ibuprofen. Today she complains of severe stomach pain and
intense abdominal cramping. After the NP makes appropriate
adjustments to the patient's medication regimen, the patient still
complains of abdominal discomfort and reports dark stools. The
practitioner suspects:
Answer: Gastric ulceration
, ◉ A 43-year-old male with past medical history significant for GERD,
smoking, and obesity presents to your clinic for worsening GERD
symptoms, he has been taking Protonix 40mg daily with no
improvement. He had an EGD done with biopsy. Which findings
would diagnose the patient with Barret's esophagus?
Answer: Intestinal metaplasia with goblet cells
◉ Your patient presents with unilateral eye pain after a workplace
exposure to a causative substance. Which of the following
techniques is useful to assist in removal of the agent?
Answer: Flushing with Morgan lens
◉ Your patient has a Le Fort III fracture and is admitted for close
monitoring. Which of the following represent a potential
complication of this type of fracture?
Answer: Cerebrospinal fluid leak
◉ Which of the following best characterizes presbycusis in the older
adult?
Answer: Bilateral high-frequency sensorineural hearing loss
◉ Which of the following refers to the primary access point of
medical care patients are encouraged to use to aid in providing
continuity and reduction of cost per the Affordable Care Act?
