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1. You are treating a patient with Correct answer:
acute anxiety and she is hav- benzodiazepine
ing an acute attack in the office.
The ANP has knowledge that the The fastest relief of anxiety symptoms will occur with a
fastest relief of symptoms is: benzodiazepine. The other choices list agents that will re-
quire multiple doses for results. With daily continued use
a TCA of benzodiazepines, the anti-anxiety effect may become
a beta-blocker diminished.
a benzodizepine
an SSRI
2. A geriatric patient with cardio- Correct answer:
vascular disease is in the of- "Control your hypertension, stop smoking, maintain a nor-
fice being counseled on lifestyle mal weight, and exercise regularly."
changes. The ANP knows that
which of the following is the All of these are important for the geriatric patient to de-
most important to include in this crease cardiovascular risk. Controlling hyperglycemia, high
discussion? fiber intake, and vitamins all assist in maintaining a healthy
lifestyle but do not help to prevent cardiovascular disease.
"Control your hypertension,
stop smoking, maintain a nor-
mal weight, and exercise regu-
larly."
"Have a yearly physical examina-
tion, increase fiber in your diet,
and exercise regularly."
"Maintain a normal level of
serum blood sugar and decrease
cholesterol intake."
"Decrease smoking, increase vit-
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amin supplements, and increase
protein intake."
3. You are seeing a female with Correct Answer:
inflammatory bowel disease, normocytic, normochromic type
known as IBD. The Adult Nurse
Practitioner knows that if she or-
Anemia is a common problem in IBD. The etiology is often
ders a hemogram on this pa-
from multiple causes. The anemia of chronic disease, a
tient, which of the following re-
normocytic, normochromic anemia, is a result of inflam-
sults would be seen if the patient
mation of the IBD without blood loss. Blood loss would
was anemic?
result in a microcytic, hypochromic anemia. The macrocytic
microcytic, hypochromic type anemias are a result of deficiency in vitamin B12 or other
macrocytic, normochromic type causes.
normocytic, normochromic
type
macrocytic, hypochromic type
4. Which of the following is the Correct answer:
least likely risk factor for sui- black race
cide?
Being of a white race is more likely to be a factor in suicide.
physical illness Besides the other three choices risk factors include: sub-
male stance abuse, living alone, and less education.
increasing age
black race
5. The healthcare provider's re- Correct answer:
quired level of expected conduct Standard of care
as established by custom, law, Standard of care is another term associated with negli-
or professional organizations is gence. Standard of care is a healthcare provider's required
called the: level of expected conduct as established by custom, law, or
professional organizations.
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Standard of care.
Breach of duty.
Duty.
Malpractice.
6. A brief account by the patient Correct Answer:
of any signs or symptoms he or Review of systems
she is experiencing is one com-
ponent of: In the review of systems, the patient tells the nurse in his
or her own words what signs or symptoms he or she has
Review of systems. experienced in various body systems. It is important that
Symptom assessment. these be in a patient's own words to perform the most
Functional assessment. complete and accurate assessment.
Objective assessment.
7. All of the following are typical Correct answer:
changes to the gastrointestinal increased absorption of calcium
system that come with aging EX-
CEPT: Decreased absorption of calcium is a common change
that comes with aging, not increased absorption. Other
decreased liver size gastrointestinal changes include: less efficient cholesterol
decreased muscle tone in bow- stabilization and absorption, atrophy of taste buds, and
el slowing in esophageal emptying, among others.
increased absorption of calci-
um
atrophy of salivary glands
8. A 28-year-old female patient is Correct answer:
in the office and is to undergo destroy the overactive thyroid tissue
radioactive iodine treatment for
Graves disease. The ANP is coun- Graves disease is the most common form of thyrotoxicosis.
seling her and understands that Radioactive iodine is used for thyroid ablation to destroy
the mechanism of action of this
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treatment therapy is: the overactive thyroid tissue that causes the thyroid hor-
mone dysfunction.
alter the thyroid metabolic rate
relieve distress caused by in-
creased thyroid size
destroy the overactive thyroid
tissue
reduce production of TSH
9. Which of the following state- Correct Answer:
ments about falls in the elderly is Black women are at higher risk for hip fractures than white
least accurate? women.
Black women are at higher
risk for hip fractures than white It is white women, not black women, who are at higher risk
women. for hip fractures. Falls are one of the most common ad-
The majority of deaths from falls verse events that threaten the quality of life of older adults.
are among people aged 65 years Falls among older adults are not a normal consequence of
or older. aging.
Injuries from falls include head
injuries, pelvic injuries, lacera-
tions, and more.
About 90% of hip fractures are
due to falls.
10. Normal age-related changes of Correct Answer:
the skin may be confused with dehydration
which of the following clinical ab-
normalities?
Normal age-related changes of the skin may be confused
dehydration with dehydration. Sebaceous gland activity tends to de-
vitiligo crease with age, and the skin's natural hydrators decline
over the years. The skin's ability to regenerate lipids com-