APEA 3P EXAM PREP - HEALTH
PROMOTION QUESTIONS & CORRECT
ANSWERS 100% CORRECT GUARANTEED
PASS
A 58-year-old patient has an annual exam. A fecal occult blood test was
used to screen for colon cancer. Three were ordered on separate days.
The first test was positive; the last two were negative. How should the
nurse practitioner proceed?
Rescreen in one year.
Perform a fourth exam.
Examine him for
hemorrhoids. Refer him
for a colonoscopy.
A fecal occult blood test is performed multiple times on different days
because tumors don’t consistently excrete blood. The reason multiple tests
are performed isto increase the likelihood of identifying blood. The patient
needs to have a colonoscopy performed for examination of the colon. The
standard of practice is to refer all positive colon cancer screens for
colonoscopy.
A criterion for medication choice in an older adult is:
long half-life to prevent frequent
dosing. dosing of 3-4 times
daily.
pill color and shape for easy
identification.half- life less than 24
,hours.
Many factors go into prescribing for older adults. Some important safety
criteria include established efficacy, low adverse event profile, and half-
life less than 24 hours with no active metabolites. Active metabolites
would produce a longer effectof the drug in the patient.
Dosing of a medication three to four times daily invites dosing and
medication errors. Once- or twice-daily dosing is ideal. Pill color and
shape is never a criterion for prescribing. Patients who are cognitively able
will recognize the color, shape, and size of pills they take on a regular
basis.
What should the nurse practitioner recommend to any elder taking
medications?Have someone check your medications prior to taking them
Never take your medicine on an empty
stomachKeep a list of all of your medications
with you.
Have a pharmacist review your list once a year
A list of current medications should be kept with each patient and carried
with him,especially when healthcare visits are scheduled. Many older
adults can take medications without supervision. Many medications
should be taken without food (thyroid supplementation for example). A
pharmacist can evaluate the list of medications for drug-drug interactions,
but the pharmacist will not know the diagnoses and other reasons for
choosing the medications.
What temperature should be set on a water heater in the home of an older
adult to prevent burn injury?
Less than 110
degrees Less than
, 120 degrees Less
than 130 degrees
Less than 140
degrees
Hot water heaters are common sources of burns in homes of older adults
and veryyoung patients. Many safety organizations in the United States
believe that burns can be prevented if hot water heaters are set to less than
120° F.
What is the recommendation from American Cancer Society for
assessment of the prostate gland in a man who is 45 years old and of
average risk for development ofprostate cancer? He should have:
screening starting at 50 years of
age. prostate-specific antigen
(PSA) now. PSA and digital
rectal exam now. digital rectal
exam only.
At age 50 years, males of average prostate cancer risk should have a
PSA measurement with or without a digital rectal exam (DRE). If they are
deemed to beof high risk because of a family history (first-degree relative
with prostate cancer before age 65 years) or race (African American),
screening discussions should takeplace at age 40-45 years. If the initial
PSA is >
2.5 ng/mL, annual testing should take place. If the initial PSA is < 2.5
ng/mL, test every 2 years.
PROMOTION QUESTIONS & CORRECT
ANSWERS 100% CORRECT GUARANTEED
PASS
A 58-year-old patient has an annual exam. A fecal occult blood test was
used to screen for colon cancer. Three were ordered on separate days.
The first test was positive; the last two were negative. How should the
nurse practitioner proceed?
Rescreen in one year.
Perform a fourth exam.
Examine him for
hemorrhoids. Refer him
for a colonoscopy.
A fecal occult blood test is performed multiple times on different days
because tumors don’t consistently excrete blood. The reason multiple tests
are performed isto increase the likelihood of identifying blood. The patient
needs to have a colonoscopy performed for examination of the colon. The
standard of practice is to refer all positive colon cancer screens for
colonoscopy.
A criterion for medication choice in an older adult is:
long half-life to prevent frequent
dosing. dosing of 3-4 times
daily.
pill color and shape for easy
identification.half- life less than 24
,hours.
Many factors go into prescribing for older adults. Some important safety
criteria include established efficacy, low adverse event profile, and half-
life less than 24 hours with no active metabolites. Active metabolites
would produce a longer effectof the drug in the patient.
Dosing of a medication three to four times daily invites dosing and
medication errors. Once- or twice-daily dosing is ideal. Pill color and
shape is never a criterion for prescribing. Patients who are cognitively able
will recognize the color, shape, and size of pills they take on a regular
basis.
What should the nurse practitioner recommend to any elder taking
medications?Have someone check your medications prior to taking them
Never take your medicine on an empty
stomachKeep a list of all of your medications
with you.
Have a pharmacist review your list once a year
A list of current medications should be kept with each patient and carried
with him,especially when healthcare visits are scheduled. Many older
adults can take medications without supervision. Many medications
should be taken without food (thyroid supplementation for example). A
pharmacist can evaluate the list of medications for drug-drug interactions,
but the pharmacist will not know the diagnoses and other reasons for
choosing the medications.
What temperature should be set on a water heater in the home of an older
adult to prevent burn injury?
Less than 110
degrees Less than
, 120 degrees Less
than 130 degrees
Less than 140
degrees
Hot water heaters are common sources of burns in homes of older adults
and veryyoung patients. Many safety organizations in the United States
believe that burns can be prevented if hot water heaters are set to less than
120° F.
What is the recommendation from American Cancer Society for
assessment of the prostate gland in a man who is 45 years old and of
average risk for development ofprostate cancer? He should have:
screening starting at 50 years of
age. prostate-specific antigen
(PSA) now. PSA and digital
rectal exam now. digital rectal
exam only.
At age 50 years, males of average prostate cancer risk should have a
PSA measurement with or without a digital rectal exam (DRE). If they are
deemed to beof high risk because of a family history (first-degree relative
with prostate cancer before age 65 years) or race (African American),
screening discussions should takeplace at age 40-45 years. If the initial
PSA is >
2.5 ng/mL, annual testing should take place. If the initial PSA is < 2.5
ng/mL, test every 2 years.
