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Exam (elaborations)

FAMILY NURSE PRACTITIONER LABS ANCC EXAM PREPARATION QUESTIONS WITH COMPLETE SOLUTIONS

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Hgb male 13.5 to 17.5 g/dL Hgb female 12.0 to 15.5 g/dl 00:30 01:33 female male 36% to 46 % 41% to 53% MCV (size of RBC) 80 to100 fL >100 fl (macrocytic anemia) such as B12 deficiency (due to pernicious anemia) or folate deficiency <80 (microcytic anemia) such as iron deficiency or thalassemia trait Platelet count . 140 − 415 × 103/mL Thrombocytopenia increased risk of bleeding Thrombocytosis increased risk of clotting, emboli Total WBC count 4.0 − 10.5 × 103/mL Elevation usually due to bacterial infection Neutrophils (or segs) 56%-62% >70% usually due to bacterial infections Bands . Also called "shift to the left" Elevation due to serious bacterial infection Bands are immature neutrophils Lymphocytes Elevation due to viral infections Eosinophils Elevation in allergies and parasitic infections Reticulocytes Elevated after acute hemorrhage, hemolysis Thyroid Stimulating Hormone (TSH) Elevated - Hypothyroidism (>5.5 mU/L) Very low - Hyperthyroidism (0.4 mU/L) 00:02 01:33 International Normalized Ratio (INR) Atrial Fibrillation/Thrombosis PE: 2.0-3.0 times normal Bioprosthetic Valves: 2.0-3.0 Prosthetic Valves 2.5-3.5 alpha or beta thalassemia trait (or minor), normal to high ferritiniron and normal to "below normal" TIBC/transferrin levels. The gold standard test to diagnose thalassemia hemoglobin electrophoresis. Where is the best location to listen for the S3 heart sound? pulmonic area L n. A good example of a disease with no screening test ovarian cancer. Therefore, screening all women for this cancer is currently not recommended. reportable disease. Tuberculosis Lyme disease, meningococcemia, Rocky Mountain spotted fever, measles, rubella, diphtheria, chlamydia, gonorrhea, HIV, two different names that are used interchangeably osteoarthritis degenerative joint disease (DJD) two different names that are used interchangeably two different names that are used interchangeably atopic dermatitis two different names that are used interchangeably eczema two different names that are used interchangeably senile arcus two different names that are used interchangeably arcus senilis two different names that are used interchangeably purulent otitis media . two different names that are used interchangeably acute otitis media . two different names that are used interchangeably group A beta streptococcus n. two different names that are used interchangeably strep pyogenes . two different names that are used interchangeably tinea corporis . two different names that are used interchangeably ringworm two different names that are used interchangeably enterobiasis or two different names that are used interchangeably ringworm two different names that are used interchangeably vitamin B12 or cobalamin two different names that are used interchangeably cyanocobalamin (chemical two different names that are used interchangeably scarlet fever or . two different names that are used interchangeably scarlet fever or . two different names that are used interchangeably otitis externa . two different names that are used interchangeably swimmer's ear two different names that are used interchangeably condyloma acuminata two different names that are used interchangeably genital warts two different names that are used interchangeably tic douloureux or two different names that are used interchangeably trigeminal neuralgia two different names that are used interchangeably tinea cruris two different names that are used interchangeably jock itch two different names that are used interchangeably tinea capitis two different names that are used interchangeably ringworm of the scalp two different names that are used interchangeably thalassemia minor two different names that are used interchangeably thalassemia trait two different names that are used interchangeably giant cell arteritis two different names that are used interchangeably temporal arteritis two different names that are used interchangeably asthma or two different names that are used interchangeably reactive airway disease (infants and children) two different names that are used interchangeably psoas sign or two different names that are used interchangeably iliopsoas muscle sign two different names that are used interchangeably light reflex or . two different names that are used interchangeably Hirschsprung test two different names that are used interchangeably sentinel nodes two different names that are used interchangeably sentinel nodes Which of the following drug classes is indicated as first line treatment of both major depression and OCD? selective serotonin reuptake inhibitors (SSRIs) they are used to treat anxiety or insomnia benzodiazepines; mood stabilizers bipolar disorder (process . SSRIs first line treatment for OCD, generalized anxiety disorder, panic disorder, social anxiety disorder (extreme shyness), and premenstrual mood disorder (fluoxetine or Prozac). SSRIs fluoxetine (Prozac) sertraline (Zoloft) paroxetine (Paxil) ssri Do not discontinue the SSRI paroxetine (Paxil) abruptly. Wean the patient slowly. TCAs now considered second line treatment for depression. They are also used for post-herpetic neuralgia and migraine headache prophylaxis.

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