APEA Predictor Exam Q&A (Chamberlain University)

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A person with 20/80 vision: HAS POORER VISION THAN SOMEONE WITH 20/40 VISION 3. One exception to the recommendation to limit dietary fat intake is CHILDREN UNDER 2 YEARS OF AGE 4. The most effective treatment for anemia of chronic disease is: TREATMENT OF UNDERLYING DISEASE Rationale: The key phrase is “anemia of chronic disease” and with this, the pt’s chronic disease has caused the deficiency so once you correct and or treat the chronic disease, then the anemia will correct itself. 5. Salicylates and other non-steroidal anti-inflammatory agents have all of the following actions EXCEPT- ANTI-EMETIC EFFECTS VIA SUPPRESSION OF GASTRIC ACID SECRETION 6. Which of the following does NOT increase a woman’s risk of developing cervical cancer? NULLIPARITY 7. All of the following principles apply to drug therapy for elders except ENCOURAGE THE ELDERLY TO CONTINUE SELF-MEDICATION ADMINISTRATION TO FACILITATE INDEPENDENCE AND SELF-SUFFIENCY 8. A female patient believes that she was exposed to HIV through sexual intercourse several months ago. She asks for “the test for AIDS.” Which statement is NOT correct? THE ELISA IS USED FOR SCREENING, BUT MAY YIELD A FALSE NEGATIVE THIS SOON AFTER EXPOSURE 9. The nurse practitioner teaches the parents of a 2-month-old infant with GERD that treatment typically includes all of the following interventions except MAINTAINING THE USUAL FEEDING REGIMEN AND BURPING THE INFANT WELL WHEN THE FEEDING IS COMPLETED 10. A widowed 85-year-old was recently moved from her home of 65 years to a bedroom in her daughter’s home. According to reports by family members, she is now “cantankerous” gets “mixed up” easily and cries for no apparent reason. Factors in the client history that are consistent with delirium may include all of the following except a. INSIDIOUS ONSET AND CHRONIC PROGRESSIVE COURSE 11. The two tests that can indicate current infection with hep B are: a. Presents of hep B antigen and IgM 12. A characteristic of elders which affects the pharmacotherapeutics of drug therapy in that population is an increase in PERCENT OF BODY FAT 13. An elder’s caretaker is planning the elder’s menu. The elder is on a bland diet. The nurse practitioner reviews the meal plans and notes that which of the following is NOT appropriate? a. Coffee, tea, carbonated sodas, Orange juice 14. The leading cause of death from injury in childhood is MOTOR VEHICE ACCIDENTS 15. Therapeutic International normalized ratio (INR) for a patient taking warfarin (coumadin) for a chronic atrial fibrillation is expected to be: a. Increased 16. The most accepted recommendation regarding a skin cancer prevention is: a. Avoidance of excessive sun exposure 17. Antibiotic administration has been demonstrated to be of little benefit in the treatment of which of the following disease processes? a. Acute bronchitis 18. An anxious parent brings her three-day old female infant to see the nurse practitioner because of the serosanguineous vaginal discharge. The nurse practitioner tells the mother: a. This is a normal finding in female newborns 19. A common finding associated with temporal arteritis is: a. Severe headache 20. What information would best help the parent who is concerned about a school age child eating habits? a. Establish a consistent schedule for meals and allow the child to participate in meal planning 21. Which of the following scenarios in a 75-year-old patient would be inappropriately managed in an outpatient setting (i.e. the patient should be referred for hospital admission)? a. UNSTABLE ANGINA 22. A patient with diabetes brings his glucose diary from the past seven days for the nurse practitioner to review and evaluate. What changes should be made? Day one through seven AM 67, 52, 61, 48, 39, 68, 70 PM 138, 161, 148, 168, 121, 142, 176. a. Decreased the PM dose of NPH insulin 23. Appropriate nutritional guidance for the pregnant patient is: a. Increase caloric intake buy 300 cal/day and add iron and folic acid supplementation 24. The most successful patient interview is likely to: a. Be a collaborative process 25. RhoGAM is not administered to an Rh-negative mother with negative anti-d antibodies WITHIN 72 HOURS OF BIRTH OF AN RH-NEGATIVE INFANT 26. The most common presentation of thyroid cancer is A SOLITARY THYROID NODULE 27. A benign thyroid nodule, that’s painless presents as SMOOTH 28. Initial treatment of a child presenting with a severe head injury is: a. Aimed at resuscitation, then maintenance of oxygenation and blood flow 29. Which red blood cell (RBC) index is most useful for differentiating types of anemias? a. Mean corpuscular volume (MCV) 30. A 31-year-old female is informed that her pregnancy test is positive, and she is about three weeks pregnant. The nurse practitioner is very concerned about the patient reported history of alcohol use. She correctly tells the patient that babies born to women who drink alcohol during pregnancy are at risk for all of the following except: a. Post maturity delivery 31. According to Erikson, the developmental task of the early adult is: a. Ego integrity vs. despair 32. The parents of a two-year-old Report that she is not saying any words, but make sounds, babbles, and understand simple commands from her parents. The parents are not concerned. The nurse practitioner responds: a. Your child should be saying a few words by this time. She should be referred for further assessment 33. Which group is considered to be at high risk for the development of testicular tumors? a. Late adolescence to early adulthood (you need to know the actual age groups) 34. An urgent call is received from a patient’s wife who states that her husband is having chest pain I’m relieved by three nitroglycerin tablets. The nearest hospital is 40 minutes away. Besides having the patient reach the hospital as soon as possible, what intervention can the nurse practitioners suggest might influence a positive outcome? A. Have the patient to an aspirin on the way to the hospital 35. Which of the following postpartum mothers should receive RhoGAM (BayRho-D) to prevent Rh iso-immunization? a. A G1 P1 mother who is Rh negative without Rh antibodies; cord blood is Coombs negative; newborn is Rh positive. 36. A patient with a history of alcohol abuse presents with acute nausea, vomiting, and severe retrosternal pain that radiates to the back. Based on the most probable diagnosis, the nurse practitioner would appropriately order a CBC, chemistry profile, and: a. serum amylase and lipase, and liver function studies