Leik Fnp Certification Review

A 30-year-old chef complains of pruritic hives over her chest and arms, but denies difficulty swallowing or breathing. She reports a family history of allergic rhinitis and asthma. Which of the following interventions is most appropriate? A. Obtain a complete and thorough history B. Recommend an oral antihistamine such as diphenhydramine 25 mg PO QID C. Give an injection of epinephrine 1:1000 intramuscularly stat D. Call 911 - Answer-A) Obtain a complete and thorough history Before prescribing medications, a thorough history must be obtained to determine possible causes of hives. The patient denied difficulty with swallowing and breathing, so there was no medical emergency that would require calling 911. Which of the following findings is most likely in young primigravidas with pregnancy-induced hypertension? A. Abdominal cramping and constipation B. Edema of the face and the upper extremities C. Shortness of breath D. Dysuria and frequency - Answer-B) Edema of the face and the upper extremities Common signs and symptoms of pregnancy-induced hypertension include edema of the face and the upper extremities, weight gain, blurred vision, elevated blood pressure, proteinuria, and headaches Which of the following symptoms is associated with B12 deficiency anemia? A. Spoon-shaped nails and pica B. Abnormal neurological exam C. Vegan diet D. Tingling and numbness of both feet - Answer-D) Tingling and numbness of both feet Vitamin B12 deficiency anemia can cause nerve cell damage if not treated. Symptoms of B12 deficiency anemia may include tingling or numbness in fingers and toes, difficulty walking, mood changes or depression, memory loss, disorientation, and dementia.