NR 603 Week 4 v v v
Advanced
v
Clinical v
Diagnosis v
APEA EXAM
v v
LATEST 2023
v v
, 884
NR 603 Week 4 Advanced Clinical DiagnosisAPEA EXAM
v v v v v v v v
LATEST 2023 GENUINE EXAM A+
v v v v v
1. A patient report that she is taking kava kava regularly for anxiety with theresults.
v v v v v v v v v v v v v
vWhat should the nurse practitioners evaluate?
v v v v v
a. Liver function studies v v
2. A person with 20/80 vision: HAS POORER VISION THAN SOMEONE WITH 20/40
v v v v v v v v v v v
v VISION
3. One exception to the recommendation to limit dietary fat intake is CHILDREN UNDER
v v v v v v v v v v v v
v 2 YEARS OF AGE
v v v
4. The most effective treatment for anemia of chronic disease is: TREATMENT OF
v v v v v v v v v v v
v UNDERLYING DISEASE v
Rationale: The key phrase is “anemia of chronic disease” and with this, the pt’s
v v v v v v v v v v v v v
v chronic disease has caused the deficiency so once you correct and or treat the chronic
v v v v v v v v v v v v v v
v disease, then the anemia will correct itself.
v v v v v v
5. Salicylates and other non-steroidal anti-inflammatory agents have all of the following
v v v v v v v v v v
v actions EXCEPT- ANTI-EMETIC EFFECTS VIA SUPPRESSION OF GASTRIC
v v v v v v v
v ACID SECRETION v
6. Which of the following does NOT increase a woman’s risk of developing cervical
v v v v v v v v v v v v
v cancer? NULLIPARITY v
7. All of the following principles apply to drug therapy for elders except ENCOURAGE
v v v v v v v v v v v v
v THE ELDERLY TO CONTINUE SELF-MEDICATION ADMINISTRATION TO
v v v v v v
v FACILITATE INDEPENDENCE AND SELF-SUFFIENCY v v v
8. A female patient believes that she was exposed to HIV through sexual intercourse
v v v v v v v v v v v v
v several months ago. She asks for “the test for AIDS.” Which statement is NOT
v v v v v v v v v v v v v
v correct? THE ELISA IS USED FOR SCREENING, BUT MAY YIELD A FALSE
v v v v v v v v v v v
vNEGATIVE THIS SOON AFTER EXPOSURE v v v v
9. The nurse practitioner teaches the parents of a 2-month-old infant with GERD that
v v v v v v v v v v v v
, treatment v typically v includes v all v of v the v following v interventions except
v
v MAINTAINING THE USUAL FEEDING REGIMEN AND BURPING THE INFANT v v v v v v v v
vWELL WHEN THE FEEDING IS COMPLETED
v v v v v
10. A widowed 85-year-old was recently moved from her home of 65 years to a bedroom in
v v v v v v v v v v v v v v v
vher daughter’s home. According to reports by family members, she is now
v v v v v v v v v v v
“cantankerous” gets “mixed up” easily and cries for no apparent reason. Factors in the
v v v v v v v v v v v v v
vclient history that are consistent with delirium may include all of the following except
v v v v v v v v v v v v v
a. INSIDIOUS ONSET AND CHRONIC PROGRESSIVE COURSE v v v v v
11. The two tests that can indicate current infection with hep B are:
v v v v v v v v v v v
a. Presents of hep B antigen and IgM v v v v v v
12. A characteristic of elders which affects the pharmacotherapeutics of drug therapy in
v v v v v v v v v v v
vthat population is an increase in PERCENT OF BODY FAT
v v v v v v v v v
13. An elder’s caretaker is planning the elder’s menu. The elder is on a bland diet. The
v v v v v v v v v v v v v v v
vnurse practitioner reviews the meal plans and notes that which of the following is
v v v v v v v v v v v v v
vNOT appropriate? v
a. Coffee, tea, carbonated sodas, Orange juice v v v v v
14. The leading cause of death from injury in childhood is MOTOR VEHICE ACCIDENTS
v v v v v v v v v v v v
15. Therapeutic International normalized ratio (INR) for a patient taking warfarin
v v v v v v v v v
v(coumadin) for a chronic atrial fibrillation is expected to be:
v v v v v v v v v
a. Increased
16. The most accepted recommendation regarding a skin cancer prevention is:
v v v v v v v v v
a. Avoidance of excessive sun exposure v v v v
17. Antibiotic administration has been demonstrated to be of little benefit in the treatment
v v v v v v v v v v v v
vof which of the following disease processes?
v v v v v v
a. Acute bronchitis v
18. An anxious parent brings her three-day old female infant to see the nurse practitioner
v v v v v v v v v v v v v
vbecause of the serosanguineous vaginal discharge. The nurse practitioner tells the
v v v v v v v v v v
vmother:
a. This is a normal finding in female newborns
v v v v v v v
19. A common finding associated with temporal arteritis is:
v v v v v v v
a. Severe headache v
, 20. What information would best help the parent who is concerned about a school age child
v v v v v v v v v v v v v v
veating habits? v
a. Establish a consistent schedule for meals and allow the child to participate in
v v v v v v v v v v v v
v meal planning v
21. Which of the following scenarios in a 75-year-old patient would be inappropriately
v v v v v v v v v v v
vmanaged in an outpatient setting (i.e. the patient should be referred for hospital
v v v v v v v v v v v v
vadmission)?
a. UNSTABLE ANGINA v
22. A patient with diabetes brings his glucose diary from the past seven days for the
v v v v v v v v v v v v v v
vnurse practitioner to review and evaluate. What changes should be made? Day one
v v v v v v v v v v v v
vthrough seven AM 67, 52, 61, 48, 39, 68, 70 PM 138, 161, 148, 168, 121, 142, 176.
v v v v v v v v v v v v v v v v v
a. Decreased the PM dose of NPH insulin v v v v v v
23. Appropriate nutritional guidance for the pregnant patient is:
v v v v v v v
a. Increase caloric intake buy 300 cal/day and add iron and folic acid
v v v v v v v v v v v
v supplementation
24. The most successful patient interview is likely to:
v v v v v v v
a. Be a collaborative process
v v v
25. RhoGAM is not administered to an Rh-negative mother with negative anti-d antibodies
v v v v v v v v v v v
WITHIN 72 HOURS OF BIRTH OF AN RH-NEGATIVE INFANT
v v v v v v v v
26. The most common presentation of thyroid cancer is A SOLITARY THYROID NODULE
v v v v v v v v v v v
27. A benign thyroid nodule, that’s painless presents as SMOOTH
v v v v v v v v
28. Initial treatment of a child presenting with a severe head injury is:
v v v v v v v v v v v
a. Aimed at resuscitation, then maintenance of oxygenation and blood flow
v v v v v v v v v
29. Which red blood cell (RBC) index is most useful for differentiating types of anemias?
v v v v v v v v v v v v v
a. Mean corpuscular volume (MCV) v v v
30. A 31-year-old female is informed that her pregnancy test is positive, and she is
v v v v v v v v v v v v v
vabout three weeks pregnant. The nurse practitioner is very concerned about the
v v v v v v v v v v v
vpatient reported history of alcohol use. She correctly tells the patient that babies
v v v v v v v v v v v v
vborn to women who drink alcohol during pregnancy are at risk for all of the
v v v v v v v v v v v v v v
vfollowing except: v
Advanced
v
Clinical v
Diagnosis v
APEA EXAM
v v
LATEST 2023
v v
, 884
NR 603 Week 4 Advanced Clinical DiagnosisAPEA EXAM
v v v v v v v v
LATEST 2023 GENUINE EXAM A+
v v v v v
1. A patient report that she is taking kava kava regularly for anxiety with theresults.
v v v v v v v v v v v v v
vWhat should the nurse practitioners evaluate?
v v v v v
a. Liver function studies v v
2. A person with 20/80 vision: HAS POORER VISION THAN SOMEONE WITH 20/40
v v v v v v v v v v v
v VISION
3. One exception to the recommendation to limit dietary fat intake is CHILDREN UNDER
v v v v v v v v v v v v
v 2 YEARS OF AGE
v v v
4. The most effective treatment for anemia of chronic disease is: TREATMENT OF
v v v v v v v v v v v
v UNDERLYING DISEASE v
Rationale: The key phrase is “anemia of chronic disease” and with this, the pt’s
v v v v v v v v v v v v v
v chronic disease has caused the deficiency so once you correct and or treat the chronic
v v v v v v v v v v v v v v
v disease, then the anemia will correct itself.
v v v v v v
5. Salicylates and other non-steroidal anti-inflammatory agents have all of the following
v v v v v v v v v v
v actions EXCEPT- ANTI-EMETIC EFFECTS VIA SUPPRESSION OF GASTRIC
v v v v v v v
v ACID SECRETION v
6. Which of the following does NOT increase a woman’s risk of developing cervical
v v v v v v v v v v v v
v cancer? NULLIPARITY v
7. All of the following principles apply to drug therapy for elders except ENCOURAGE
v v v v v v v v v v v v
v THE ELDERLY TO CONTINUE SELF-MEDICATION ADMINISTRATION TO
v v v v v v
v FACILITATE INDEPENDENCE AND SELF-SUFFIENCY v v v
8. A female patient believes that she was exposed to HIV through sexual intercourse
v v v v v v v v v v v v
v several months ago. She asks for “the test for AIDS.” Which statement is NOT
v v v v v v v v v v v v v
v correct? THE ELISA IS USED FOR SCREENING, BUT MAY YIELD A FALSE
v v v v v v v v v v v
vNEGATIVE THIS SOON AFTER EXPOSURE v v v v
9. The nurse practitioner teaches the parents of a 2-month-old infant with GERD that
v v v v v v v v v v v v
, treatment v typically v includes v all v of v the v following v interventions except
v
v MAINTAINING THE USUAL FEEDING REGIMEN AND BURPING THE INFANT v v v v v v v v
vWELL WHEN THE FEEDING IS COMPLETED
v v v v v
10. A widowed 85-year-old was recently moved from her home of 65 years to a bedroom in
v v v v v v v v v v v v v v v
vher daughter’s home. According to reports by family members, she is now
v v v v v v v v v v v
“cantankerous” gets “mixed up” easily and cries for no apparent reason. Factors in the
v v v v v v v v v v v v v
vclient history that are consistent with delirium may include all of the following except
v v v v v v v v v v v v v
a. INSIDIOUS ONSET AND CHRONIC PROGRESSIVE COURSE v v v v v
11. The two tests that can indicate current infection with hep B are:
v v v v v v v v v v v
a. Presents of hep B antigen and IgM v v v v v v
12. A characteristic of elders which affects the pharmacotherapeutics of drug therapy in
v v v v v v v v v v v
vthat population is an increase in PERCENT OF BODY FAT
v v v v v v v v v
13. An elder’s caretaker is planning the elder’s menu. The elder is on a bland diet. The
v v v v v v v v v v v v v v v
vnurse practitioner reviews the meal plans and notes that which of the following is
v v v v v v v v v v v v v
vNOT appropriate? v
a. Coffee, tea, carbonated sodas, Orange juice v v v v v
14. The leading cause of death from injury in childhood is MOTOR VEHICE ACCIDENTS
v v v v v v v v v v v v
15. Therapeutic International normalized ratio (INR) for a patient taking warfarin
v v v v v v v v v
v(coumadin) for a chronic atrial fibrillation is expected to be:
v v v v v v v v v
a. Increased
16. The most accepted recommendation regarding a skin cancer prevention is:
v v v v v v v v v
a. Avoidance of excessive sun exposure v v v v
17. Antibiotic administration has been demonstrated to be of little benefit in the treatment
v v v v v v v v v v v v
vof which of the following disease processes?
v v v v v v
a. Acute bronchitis v
18. An anxious parent brings her three-day old female infant to see the nurse practitioner
v v v v v v v v v v v v v
vbecause of the serosanguineous vaginal discharge. The nurse practitioner tells the
v v v v v v v v v v
vmother:
a. This is a normal finding in female newborns
v v v v v v v
19. A common finding associated with temporal arteritis is:
v v v v v v v
a. Severe headache v
, 20. What information would best help the parent who is concerned about a school age child
v v v v v v v v v v v v v v
veating habits? v
a. Establish a consistent schedule for meals and allow the child to participate in
v v v v v v v v v v v v
v meal planning v
21. Which of the following scenarios in a 75-year-old patient would be inappropriately
v v v v v v v v v v v
vmanaged in an outpatient setting (i.e. the patient should be referred for hospital
v v v v v v v v v v v v
vadmission)?
a. UNSTABLE ANGINA v
22. A patient with diabetes brings his glucose diary from the past seven days for the
v v v v v v v v v v v v v v
vnurse practitioner to review and evaluate. What changes should be made? Day one
v v v v v v v v v v v v
vthrough seven AM 67, 52, 61, 48, 39, 68, 70 PM 138, 161, 148, 168, 121, 142, 176.
v v v v v v v v v v v v v v v v v
a. Decreased the PM dose of NPH insulin v v v v v v
23. Appropriate nutritional guidance for the pregnant patient is:
v v v v v v v
a. Increase caloric intake buy 300 cal/day and add iron and folic acid
v v v v v v v v v v v
v supplementation
24. The most successful patient interview is likely to:
v v v v v v v
a. Be a collaborative process
v v v
25. RhoGAM is not administered to an Rh-negative mother with negative anti-d antibodies
v v v v v v v v v v v
WITHIN 72 HOURS OF BIRTH OF AN RH-NEGATIVE INFANT
v v v v v v v v
26. The most common presentation of thyroid cancer is A SOLITARY THYROID NODULE
v v v v v v v v v v v
27. A benign thyroid nodule, that’s painless presents as SMOOTH
v v v v v v v v
28. Initial treatment of a child presenting with a severe head injury is:
v v v v v v v v v v v
a. Aimed at resuscitation, then maintenance of oxygenation and blood flow
v v v v v v v v v
29. Which red blood cell (RBC) index is most useful for differentiating types of anemias?
v v v v v v v v v v v v v
a. Mean corpuscular volume (MCV) v v v
30. A 31-year-old female is informed that her pregnancy test is positive, and she is
v v v v v v v v v v v v v
vabout three weeks pregnant. The nurse practitioner is very concerned about the
v v v v v v v v v v v
vpatient reported history of alcohol use. She correctly tells the patient that babies
v v v v v v v v v v v v
vborn to women who drink alcohol during pregnancy are at risk for all of the
v v v v v v v v v v v v v v
vfollowing except: v
