FITZ TEST 1 Questions with Correct Solutions

FITZ TEST 1 Questions with Correct Solutions


Question:
1. The legal authority of a nurse practitioner's scope of practice is defined by:
A. The NP's accreditation organization.
B. The healthcare institution.
C. State law
D. Federal law.

Answer:
C


Question:
2. You see a 34-year-old woman who 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

Answer:
B


Question:
3. Most appropriate next-step testing 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

Answer:
1

,Question:
4. Most appropriate next-step testing 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

Answer:
2


Question:
5. Next step test for:
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

Answer:
3


Question:
6. Next step test for:
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

Answer:
4

, Question:
7. Which of the following is most at risk 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

Answer:
A


Question:
8. A 14-year-old female presents with a 3-day history of fever, sore throat and fatigue. During
physical examination the nurse practitioner appreciates exudative pharyngitis and diffuse
lymphadenopathy. A CBC with differential reveals the following: WBC: 6,000/mm3
(4,500-11,000/mm3) Neutrophils: 40% (40-60%) Lymphocytes: 55% (20-40%); HIGH Bands:
3% (0-5%) This most likely reflects:
A. Bacterial infection.
B. Viral infection.
C. Fungal infection. D Malignancy.

Answer:
B


Question:
9. Eosinophilia is often seen in infections caused by:
A. Viruses.
B. Encapsulated bacteria.
C. Mycobacterium.
D. Protozoans.

Answer:
D Eosinophils are active against parasitic infections, such as protozoans, and if the parasite is
too large for ingestion, the cells can release substances directly onto the parasite surface.