Pre-Predictor exam review EXAM 2025 QUESTIONS AND ANSWERS GRADED A+

Pre-Predictor exam review EXAM
2025 QUESTIONS AND ANSWERS
GRADED A+



1. Prescriptiveauthority: v
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mv Ans:maybeexercisedbygivingaverbalmedicationorderto a pharmacist.
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Rationale Anexampleofexercisingprescriptiveauthorityisgivingaverbalordertoa
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pharma- cistorwritinganorderforaprescriptionmedication.Prescriptiveauthorityrules
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and regulations vary from state to state.Prescriptive authority is granted only to those
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APRNs who meetthe requirementsofthe governingbodyfor the state in which the APRN
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practices.
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2. When examining a pregnant patient,where should the fundal height be at 22
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weeks?
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Ans : Above the umbilicus
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Rationale Between 18 and 32 weeks, there is good correlation between fundal height
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and gestationalageofthefetus.Theexpectedheightsare:10-12weeks:fundusslightly
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, abovethesymphysispubis16weeks:fundusmidwaybetweenthesymphysispubis and
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umbilicus 20 weeks:fundus at the level of umbilicus 28 weeks: fundus 3 fingerbreadths
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abovetheumbilicus36weeks:fundusjustbelowthexiphoidprocess
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3. WhatinterventiondoestheAmericanCollegeofRheumatologyrecommend as
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first-line therapy for osteoarthritis?
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Ans: Exercise and weight loss mv mv mv mv




Rationale Exercise, weight loss, and rest are recommended by the American College mv mv mv mv mv mv mv mv mv mv mv




of Rheumatologyguidelinesfortheinitialmanagementofosteoarthritis(OA).Giventhe
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adverse effects of medications used to treat OA, it is best to minimize dosage and delay
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useaslongaspossible.Anextensivediagnosticworkupisnotrecommended unless the
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presentation is in question.Patients who have severe degenerative
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joint disease (DJD), joint fusion, or whose pain severity is not relieved by more
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conservativetherapiesmaybe candidates for joint replacement.Acetaminophen is
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recommended as a first-line medication.
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4. A 63-year-old male retired accountant complains of pain and stiffness in his
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feet and hands of several years duration. He reports that the pain and stiffness
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become worse with activity. On examination, he is noted to have Heberden's
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nodesbutnootherbonydeformities.Whichofthefollowingisthe most probable
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diagnosis?
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Ans: Osteoarthritis (OA) mv mv




Rationale Although his vocation involved sedentary activity, this patient is not at great mv mv mv mv mv mv mv mv mv mv mv mv




risk forosteoarthritis.Rheumatoid arthritis is characterized by several jointdeformities,
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usually bilaterally symmetrical. RA is characterized by inflammatory processes, while
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OA is not.RA and OA are chronic conditions.Gout is characterized by
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acute exacerbations related to a defect in purine metabolism, increased uric acid
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production, or decreased uric acid excretion.
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, 5. The family of a 78-year-old man moved him into an assisted living center
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because he can no longer be left at home alone. He is unable to toilet when asked
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to do so and he has had several episodes of incontinence. He has walked out of
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the facility twice and been unable to find his way back from 3 blocksaway.On
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examination,heispleasantbutmildlyconfused.Whichofhis medications is
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LEAST likely contributing to his behavior?
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Ans: ramipril (Altace®) mv mv




Rationale Tricyclic antidepressants, like amitriptyline, have anticholinergic side mv mv mv mv mv mv mv




effects which areespeciallyproblematicintheelderlybecausetheycontributetourinary
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retention. Hydrochlorothiazideisadiureticandmaycontributetohisincontinence.
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Cimetidine is well known to produce adverse reactions such as confusion in elders.
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Ramipril, an ACE inhibitor,isunlikelyto contribute to thispatient's incontinence or
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confusion. Toiletingmaybeacomplicatedbytheanticholinergicmedicationand/orthe
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diuretic causing diuresis, urge incontinence, and inability to void at will.
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6. A patient with no significant medical history has varicose veins. She com-
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plains of "aching legs". The intervention that will provide the greatest relief for her
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complaint is to:
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Ans: elevate her legs periodically.
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Rationale The intervention that will provide the greatest relief for this patient is mv mv mv mv mv mv mv mv mv mv mv mv




elevating her legs periodically.This will facilitate venous return.Use of support
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stockings will prolong the length of time she is able to stand in place, but will not provide
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relief afterherlegsbegin aching.Supportstockingsshould beapplied prior to getting out
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of bed.
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7. Stress urinary incontinence is: mv mv mv




Ans:may be aggravated by caffeine or alcohol.
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Rationale Stressurinaryincontinenceisnotexpectedasaresultofthenormalaging mv m
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process. Theprimaryproblemissphincterincompetence.Theingestionofcaffeineor
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alcohol decreases sphincter control. Anticholinergic and antidepressant medications
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are causativefactorsrelatedtooverflowincontinence.Detrusormuscleinstabilityisthe
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primary underlying problem causing urge incontinence.
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8. Which commonly used herbal remedy is NOT associated with anxiety and/or v
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, mv depressive symptom relief? mv mv




Ans: Ginkgo biloba
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Rationale Ginkgobilobaisacommonherbalremedyassociatedwithenhancementof
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vascular and cerebral perfusion and memory.The nurse practitioner should be aware
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when the patient is taking any herbal supplement to avoid risk of drug interactions.
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9. Upon ophthalmoscopic examination of a 78-year-old patient, the nurse
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practitioner observes dark spots against a red retina.What diagnosis is this
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finding most consistent with?: Cataract
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