WITH QUESTIONS AND EXPERT-
VERIFIED CORRECT ANSWERS |
ALREADY GRADED A+ |
GUARANTEED PASS | NR 603 EXAM
A 60-year-old woman with a history of hypertension and diabetes presents with
progressive fatigue and anemia. Her laboratory results show microcytic
hypochromic anemia. What is the most likely diagnosis? - ANSWER-Iron
deficiency anemia
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.