Fitz Practice Test 1 – Questions & Accurate
Solutions
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Terms in this set (78)
The legal authority of a nurse C
practitioner's scope of practice is
defined by:
A. The NP's accreditation
organization.
B. The healthcare institution.
C. State law
D. Federal law.
,You see a 34-year-old woman who B
complains of fatigue. Laboratory
results reveal a microcytic,
hypochromic anemia with elevated
RDW. You expect to find which of the
following upon review of the patient's
health history?
A. Report that she has been a
vegetarian since age 18
B. Report of heavy and prolonged
bleeding during menstrual cycle
C. A history of alcohol abuse
D. A prior diagnosis of rheumatoid
arthritis
Most appropriate next-step testing 1
for:
A.
Hb 10.2 g/dL (102 g/L) (12-14 g/dL
[120-140 g/L]); LOW
MCV 85 fL (81-96 fL); NORMOCYTIC
MCHC 33.8 g/dL (338 g/L) (31-37
g/dL [310-370 g/L]);
NORMOCHROMIC
RDW 13.2% (0.132 proportion) (11.5-
15% [0.115-0.15 proportion]); NL
RBC 3.1 million/mm3 (4.2-5.4
million/mm3); NL
1. Fecal occult blood test
2. Serum ferritin
3. Serum vitamin B12 or folate
4. Hemoglobin electrophoresis
,Most appropriate next-step testing 2
for:
B.
Hb 9.6 g/dL (96 g/L) (12-14 g/dL [120-
140 g/L]); LOW
MCV 73 fL (81-96 fL); MICROCYTIC
MCHC 27.6 g/dL (276 g/L) (31-37 g/dL
[310-370 g/L]); HYPOCHROMIC
RDW 19.2% (0.192 proportion) (11.5-
15% [0.115-0.15 proportion]); HIGH
RBC 3.4 million/mm3 (4.2-5.4
million/mm3); LOW
1. Fecal occult blood test
2. Serum ferritin
3. Serum vitamin B12 or folate
4. Hemoglobin electrophoresis
Next step test for: 3
C.
Hb 8.4 g/dL (84 g/L) (12-14 g/dL [120-
140 g/L]); LOW
MCV 118 fL (81-96 fL); MACROCYTIC
MCHC 33.4 g/dL (334 g/L) (31-37
g/dL [310-370 g/L]);
NORMOCHROMIC
RDW 18.6% (0.186 proportion) (11.5-
15% [0.115-0.15 proportion); HIGH
RBC 2.9 million/mm3 (4.2-5.4
million/mm3); LOW
1. Fecal occult blood test
2. Serum ferritin
3. Serum vitamin B12 or folate
4. Hemoglobin electrophoresis
, Next step test for: 4
D.
Hb 11.6 g/dL (116 g/L) (12-14 g/dL [120-
140 g/L]); LOW
MCV 76 fL (81-96 fL); MICROCYTIC
MCHC 29.2 g/dL (292 g/L) (31-37
g/dL [310-370 g/L]); HYPOCHROMIC
RDW 14.0% (0.14 proportion) (11.5-15%
[0.115-0.15 proportion]); NL
RBC 5.8 million/mm3 (4.2-5.4
million/mm3) HIGH
1. Fecal occult blood test
2. Serum ferritin
3. Serum vitamin B12 or folate
4. Hemoglobin electrophoresis
Which of the following is most at risk A
of beta thalassemia minor?
A. A 26-year-old man of Middle
Eastern ancestry and generally
healthy
B. A 43-year-old woman of Northern
European ancestry and type 2
diabetes mellitus
C. A 23-year-old woman of Asian
ancestry with a BMI of 19 kg/m2
D. A 35-year-old man of Eastern
European ancestry and a family
history of hypertension
Solutions
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Terms in this set (78)
The legal authority of a nurse C
practitioner's scope of practice is
defined by:
A. The NP's accreditation
organization.
B. The healthcare institution.
C. State law
D. Federal law.
,You see a 34-year-old woman who B
complains of fatigue. Laboratory
results reveal a microcytic,
hypochromic anemia with elevated
RDW. You expect to find which of the
following upon review of the patient's
health history?
A. Report that she has been a
vegetarian since age 18
B. Report of heavy and prolonged
bleeding during menstrual cycle
C. A history of alcohol abuse
D. A prior diagnosis of rheumatoid
arthritis
Most appropriate next-step testing 1
for:
A.
Hb 10.2 g/dL (102 g/L) (12-14 g/dL
[120-140 g/L]); LOW
MCV 85 fL (81-96 fL); NORMOCYTIC
MCHC 33.8 g/dL (338 g/L) (31-37
g/dL [310-370 g/L]);
NORMOCHROMIC
RDW 13.2% (0.132 proportion) (11.5-
15% [0.115-0.15 proportion]); NL
RBC 3.1 million/mm3 (4.2-5.4
million/mm3); NL
1. Fecal occult blood test
2. Serum ferritin
3. Serum vitamin B12 or folate
4. Hemoglobin electrophoresis
,Most appropriate next-step testing 2
for:
B.
Hb 9.6 g/dL (96 g/L) (12-14 g/dL [120-
140 g/L]); LOW
MCV 73 fL (81-96 fL); MICROCYTIC
MCHC 27.6 g/dL (276 g/L) (31-37 g/dL
[310-370 g/L]); HYPOCHROMIC
RDW 19.2% (0.192 proportion) (11.5-
15% [0.115-0.15 proportion]); HIGH
RBC 3.4 million/mm3 (4.2-5.4
million/mm3); LOW
1. Fecal occult blood test
2. Serum ferritin
3. Serum vitamin B12 or folate
4. Hemoglobin electrophoresis
Next step test for: 3
C.
Hb 8.4 g/dL (84 g/L) (12-14 g/dL [120-
140 g/L]); LOW
MCV 118 fL (81-96 fL); MACROCYTIC
MCHC 33.4 g/dL (334 g/L) (31-37
g/dL [310-370 g/L]);
NORMOCHROMIC
RDW 18.6% (0.186 proportion) (11.5-
15% [0.115-0.15 proportion); HIGH
RBC 2.9 million/mm3 (4.2-5.4
million/mm3); LOW
1. Fecal occult blood test
2. Serum ferritin
3. Serum vitamin B12 or folate
4. Hemoglobin electrophoresis
, Next step test for: 4
D.
Hb 11.6 g/dL (116 g/L) (12-14 g/dL [120-
140 g/L]); LOW
MCV 76 fL (81-96 fL); MICROCYTIC
MCHC 29.2 g/dL (292 g/L) (31-37
g/dL [310-370 g/L]); HYPOCHROMIC
RDW 14.0% (0.14 proportion) (11.5-15%
[0.115-0.15 proportion]); NL
RBC 5.8 million/mm3 (4.2-5.4
million/mm3) HIGH
1. Fecal occult blood test
2. Serum ferritin
3. Serum vitamin B12 or folate
4. Hemoglobin electrophoresis
Which of the following is most at risk A
of beta thalassemia minor?
A. A 26-year-old man of Middle
Eastern ancestry and generally
healthy
B. A 43-year-old woman of Northern
European ancestry and type 2
diabetes mellitus
C. A 23-year-old woman of Asian
ancestry with a BMI of 19 kg/m2
D. A 35-year-old man of Eastern
European ancestry and a family
history of hypertension
