You are treating a patient with acute anxiety and she is having an acute attack in the office. The ANP
has knowledge that the fastest relief of symptoms is:
a TCA
a beta-blocker
a benzodizepine
an SSRI
Correct answer:
benzodiazepine
The fastest relief of anxiety symptoms will occur with a benzodiazepine. The other choices list agents
that will require multiple doses for results. With daily continued use of benzodiazepines, the anti-
anxiety effect may become diminished.
A geriatric patient with cardiovascular disease is in the office being counseled on lifestyle changes.
The ANP knows that which of the following is the most important to include in this discussion?
"Control your hypertension, stop smoking, maintain a normal weight, and exercise regularly."
"Have a yearly physical examination, increase fiber in your diet, and exercise regularly."
"Maintain a normal level of serum blood sugar and decrease cholesterol intake."
"Decrease smoking, increase vitamin supplements, and increase protein intake."
Correct answer:
"Control your hypertension, stop smoking, maintain a normal weight, and exercise regularly."
All of these are important for the geriatric patient to decrease cardiovascular risk. Controlling
hyperglycemia, high fiber intake, and vitamins all assist in maintaining a healthy lifestyle but do not
help to prevent cardiovascular disease.
,You are seeing a female with inflammatory bowel disease, known as IBD. The Adult Nurse
Practitioner knows that if she orders a hemogram on this patient, which of the following results
would be seen if the patient was anemic?
microcytic, hypochromic type
macrocytic, normochromic type
normocytic, normochromic type
macrocytic, hypochromic type
Correct Answer:
normocytic, normochromic type
Anemia is a common problem in IBD. The etiology is often from multiple causes. The anemia of
chronic disease, a normocytic, normochromic anemia, is a result of inflammation of the IBD without
blood loss. Blood loss would result in a microcytic, hypochromic anemia. The macrocytic anemias
are a result of deficiency in vitamin B12 or other causes.
Which of the following is the least likely risk factor for suicide?
physical illness
male
increasing age
black race
Correct answer:
black race
Being of a white race is more likely to be a factor in suicide. Besides the other three choices risk
factors include: substance abuse, living alone, and less education.
,The healthcare provider's required level of expected conduct as established by custom, law, or
professional organizations is called the:
Standard of care.
Breach of duty.
Duty.
Malpractice.
Correct answer:
Standard of care
Standard of care is another term associated with negligence. Standard of care is a healthcare
provider's required level of expected conduct as established by custom, law, or professional
organizations.
A brief account by the patient of any signs or symptoms he or she is experiencing is one component
of:
Review of systems.
Symptom assessment.
Functional assessment.
Objective assessment.
Correct Answer:
Review of systems
In the review of systems, the patient tells the nurse in his or her own words what signs or symptoms
he or she has experienced in various body systems. It is important that these be in a patient's own
words to perform the most complete and accurate assessment.
All of the following are typical changes to the gastrointestinal system that come with aging EXCEPT:
, decreased liver size
decreased muscle tone in bowel
increased absorption of calcium
atrophy of salivary glands
Correct answer:
increased absorption of calcium
Decreased absorption of calcium is a common change that comes with aging, not increased
absorption. Other gastrointestinal changes include: less efficient cholesterol stabilization and
absorption, atrophy of taste buds, and slowing in esophageal emptying, among others.
A 28-year-old female patient is in the office and is to undergo radioactive iodine treatment for Graves
disease. The ANP is counseling her and understands that the mechanism of action of this treatment
therapy is:
alter the thyroid metabolic rate
relieve distress caused by increased thyroid size
destroy the overactive thyroid tissue
reduce production of TSH
Correct answer:
destroy the overactive thyroid tissue
Graves disease is the most common form of thyrotoxicosis. Radioactive iodine is used for thyroid
ablation to destroy the overactive thyroid tissue that causes the thyroid hormone dysfunction.
Which of the following statements about falls in the elderly is least accurate?
Black women are at higher risk for hip fractures than white women.
The majority of deaths from falls are among people aged 65 years or older.
has knowledge that the fastest relief of symptoms is:
a TCA
a beta-blocker
a benzodizepine
an SSRI
Correct answer:
benzodiazepine
The fastest relief of anxiety symptoms will occur with a benzodiazepine. The other choices list agents
that will require multiple doses for results. With daily continued use of benzodiazepines, the anti-
anxiety effect may become diminished.
A geriatric patient with cardiovascular disease is in the office being counseled on lifestyle changes.
The ANP knows that which of the following is the most important to include in this discussion?
"Control your hypertension, stop smoking, maintain a normal weight, and exercise regularly."
"Have a yearly physical examination, increase fiber in your diet, and exercise regularly."
"Maintain a normal level of serum blood sugar and decrease cholesterol intake."
"Decrease smoking, increase vitamin supplements, and increase protein intake."
Correct answer:
"Control your hypertension, stop smoking, maintain a normal weight, and exercise regularly."
All of these are important for the geriatric patient to decrease cardiovascular risk. Controlling
hyperglycemia, high fiber intake, and vitamins all assist in maintaining a healthy lifestyle but do not
help to prevent cardiovascular disease.
,You are seeing a female with inflammatory bowel disease, known as IBD. The Adult Nurse
Practitioner knows that if she orders a hemogram on this patient, which of the following results
would be seen if the patient was anemic?
microcytic, hypochromic type
macrocytic, normochromic type
normocytic, normochromic type
macrocytic, hypochromic type
Correct Answer:
normocytic, normochromic type
Anemia is a common problem in IBD. The etiology is often from multiple causes. The anemia of
chronic disease, a normocytic, normochromic anemia, is a result of inflammation of the IBD without
blood loss. Blood loss would result in a microcytic, hypochromic anemia. The macrocytic anemias
are a result of deficiency in vitamin B12 or other causes.
Which of the following is the least likely risk factor for suicide?
physical illness
male
increasing age
black race
Correct answer:
black race
Being of a white race is more likely to be a factor in suicide. Besides the other three choices risk
factors include: substance abuse, living alone, and less education.
,The healthcare provider's required level of expected conduct as established by custom, law, or
professional organizations is called the:
Standard of care.
Breach of duty.
Duty.
Malpractice.
Correct answer:
Standard of care
Standard of care is another term associated with negligence. Standard of care is a healthcare
provider's required level of expected conduct as established by custom, law, or professional
organizations.
A brief account by the patient of any signs or symptoms he or she is experiencing is one component
of:
Review of systems.
Symptom assessment.
Functional assessment.
Objective assessment.
Correct Answer:
Review of systems
In the review of systems, the patient tells the nurse in his or her own words what signs or symptoms
he or she has experienced in various body systems. It is important that these be in a patient's own
words to perform the most complete and accurate assessment.
All of the following are typical changes to the gastrointestinal system that come with aging EXCEPT:
, decreased liver size
decreased muscle tone in bowel
increased absorption of calcium
atrophy of salivary glands
Correct answer:
increased absorption of calcium
Decreased absorption of calcium is a common change that comes with aging, not increased
absorption. Other gastrointestinal changes include: less efficient cholesterol stabilization and
absorption, atrophy of taste buds, and slowing in esophageal emptying, among others.
A 28-year-old female patient is in the office and is to undergo radioactive iodine treatment for Graves
disease. The ANP is counseling her and understands that the mechanism of action of this treatment
therapy is:
alter the thyroid metabolic rate
relieve distress caused by increased thyroid size
destroy the overactive thyroid tissue
reduce production of TSH
Correct answer:
destroy the overactive thyroid tissue
Graves disease is the most common form of thyrotoxicosis. Radioactive iodine is used for thyroid
ablation to destroy the overactive thyroid tissue that causes the thyroid hormone dysfunction.
Which of the following statements about falls in the elderly is least accurate?
Black women are at higher risk for hip fractures than white women.
The majority of deaths from falls are among people aged 65 years or older.
