Pre-Predictor exam review
Questions and Correct Detailed
Answers (Verified Answers)
QUIZ:Prescriptive authority:
✓✓~ may be exercised by giving a verbal medication order to a
pharmacist.
An example of exercising prescriptive authority is giving a verbal
order to a pharmacist or writing an order for a prescription
medication. Prescriptive authority rules and regulations vary from
state to state. Prescriptive authority is granted only to those APRNs
who meet the requirements of the governing body for the state in
which the APRN practices.
QUIZ:
When examining a pregnant patient, where should the
fundal height be at 22 weeks?
,✓✓~ Above the umbilicus
Between 18 and 32 weeks, there is good correlation between fundal
height and gestational age of the fetus. The expected heights are:
10-12 weeks: fundus slightly above the symphysis pubis 16 weeks:
fundus midway between the symphysis pubis and umbilicus 20
weeks: fundus at the level of umbilicus 28 weeks: fundus 3
fingerbreadths above the umbilicus 36 weeks: fundus just below the
xiphoid process
QUIZ:
What intervention does the American College of
Rheumatology recommend as first-line therapy for
osteoarthritis?
,✓✓~ Exercise and weight loss
Exercise, weight loss, and rest are recommended by the American
College of Rheumatology guidelines for the initial management of
osteoarthritis (OA). Given the adverse effects of medications used
to treat OA, it is best to minimize dosage and delay use as long as
possible. An extensive diagnostic workup is not recommended
unless the presentation is in question. Patients who have severe
degenerative joint disease (DJD), joint fusion, or whose pain severity
is not relieved by more conservative therapies may be candidates
for joint replacement. Acetaminophen is recommended as a first-
line medication.
QUIZ:
A 63-year-old male retired accountant complains of pain
and stiffness in his feet and hands of several years duration.
He reports that the pain and stiffness become worse with
activity. On examination, he is noted to have Heberden's
nodes but no other bony deformities. Which of the
following is the most probable diagnosis?
, ✓✓~ Osteoarthritis (OA)
Although his vocation involved sedentary activity, this patient is not
at great risk for osteoarthritis. Rheumatoid arthritis is characterized
by several joint deformities, usually bilaterally symmetrical. RA is
characterized by inflammatory processes, while OA is not. RA and
OA are chronic conditions. Gout is characterized by acute
exacerbations related to a defect in purine metabolism, increased
uric acid production, or decreased uric acid excretion.
QUIZ:
The family of a 78-year-old man moved him into an assisted
living center because he can no longer be left at home
alone. He is unable to toilet when asked to do so and he
has had several episodes of incontinence. He has walked
out of the facility twice and been unable to find his way
back from 3 blocks away. On examination, he is pleasant
but mildly confused. Which of his medications is LEAST likely
contributing to his behavior?
Questions and Correct Detailed
Answers (Verified Answers)
QUIZ:Prescriptive authority:
✓✓~ may be exercised by giving a verbal medication order to a
pharmacist.
An example of exercising prescriptive authority is giving a verbal
order to a pharmacist or writing an order for a prescription
medication. Prescriptive authority rules and regulations vary from
state to state. Prescriptive authority is granted only to those APRNs
who meet the requirements of the governing body for the state in
which the APRN practices.
QUIZ:
When examining a pregnant patient, where should the
fundal height be at 22 weeks?
,✓✓~ Above the umbilicus
Between 18 and 32 weeks, there is good correlation between fundal
height and gestational age of the fetus. The expected heights are:
10-12 weeks: fundus slightly above the symphysis pubis 16 weeks:
fundus midway between the symphysis pubis and umbilicus 20
weeks: fundus at the level of umbilicus 28 weeks: fundus 3
fingerbreadths above the umbilicus 36 weeks: fundus just below the
xiphoid process
QUIZ:
What intervention does the American College of
Rheumatology recommend as first-line therapy for
osteoarthritis?
,✓✓~ Exercise and weight loss
Exercise, weight loss, and rest are recommended by the American
College of Rheumatology guidelines for the initial management of
osteoarthritis (OA). Given the adverse effects of medications used
to treat OA, it is best to minimize dosage and delay use as long as
possible. An extensive diagnostic workup is not recommended
unless the presentation is in question. Patients who have severe
degenerative joint disease (DJD), joint fusion, or whose pain severity
is not relieved by more conservative therapies may be candidates
for joint replacement. Acetaminophen is recommended as a first-
line medication.
QUIZ:
A 63-year-old male retired accountant complains of pain
and stiffness in his feet and hands of several years duration.
He reports that the pain and stiffness become worse with
activity. On examination, he is noted to have Heberden's
nodes but no other bony deformities. Which of the
following is the most probable diagnosis?
, ✓✓~ Osteoarthritis (OA)
Although his vocation involved sedentary activity, this patient is not
at great risk for osteoarthritis. Rheumatoid arthritis is characterized
by several joint deformities, usually bilaterally symmetrical. RA is
characterized by inflammatory processes, while OA is not. RA and
OA are chronic conditions. Gout is characterized by acute
exacerbations related to a defect in purine metabolism, increased
uric acid production, or decreased uric acid excretion.
QUIZ:
The family of a 78-year-old man moved him into an assisted
living center because he can no longer be left at home
alone. He is unable to toilet when asked to do so and he
has had several episodes of incontinence. He has walked
out of the facility twice and been unable to find his way
back from 3 blocks away. On examination, he is pleasant
but mildly confused. Which of his medications is LEAST likely
contributing to his behavior?
