Pre-Predictor exam review Questions
and Verified Answers
PrescriptiveAauthority:A-ACORRECTAANSWER-
mayAbeAexercisedAbyAgivingAaAverbalAmedicationAorderAtoAaApharmacist.
AnAexampleAofAexercisingAprescriptiveAauthorityAisAgivingAaAverbalAorderAtoAaApharmacistAorAwritin
gAanAorderAforAaAprescriptionAmedication.APrescriptiveAauthorityArulesAandAregulationsAvaryAfromA
stateAtoAstate.APrescriptiveAauthorityAisAgrantedAonlyAtoAthoseAAPRNsAwhoAmeetAtheArequirement
sAofAtheAgoverningAbodyAforAtheAstateAinAwhichAtheAAPRNApractices.
WhenAexaminingAaApregnantApatient,AwhereAshouldAtheAfundalAheightAbeAatA22Aweeks?A-
ACORRECTAANSWER-AboveAtheAumbilicus
BetweenA18AandA32Aweeks,AthereAisAgoodAcorrelationAbetweenAfundalAheightAandAgestationalAage
AofAtheAfetus.ATheAexpectedAheightsAare:A10-
12Aweeks:AfundusAslightlyAaboveAtheAsymphysisApubisA16Aweeks:AfundusAmidwayAbetweenAtheAsy
mphysisApubisAandAumbilicusA20Aweeks:AfundusAatAtheAlevelAofAumbilicusA28Aweeks:AfundusA3Afing
erbreadthsAaboveAtheAumbilicusA36Aweeks:AfundusAjustAbelowAtheAxiphoidAprocess
WhatAinterventionAdoesAtheAAmericanACollegeAofARheumatologyArecommendAasAfirst-
lineAtherapyAforAosteoarthritis?A-ACORRECTAANSWER-ExerciseAandAweightAloss
Exercise,AweightAloss,AandArestAareArecommendedAbyAtheAAmericanACollegeAofARheumatologyAgui
delinesAforAtheAinitialAmanagementAofAosteoarthritisA(OA).AGivenAtheAadverseAeffectsAofAmedicatio
nsAusedAtoAtreatAOA,AitAisAbestAtoAminimizeAdosageAandAdelayAuseAasAlongAasApossible.AAnAextensiv
eAdiagnosticAworkupAisAnotArecommendedAunlessAtheApresentationAisAinAquestion.APatientsAwhoAh
aveAsevereAdegenerativeAjointAdiseaseA(DJD),AjointAfusion,AorAwhoseApainAseverityAisAnotArelievedA
byAmoreAconservativeAtherapiesAmayAbeAcandidatesAforAjointAreplacement.AAcetaminophenAisArec
ommendedAasAaAfirst-lineAmedication.
AA63-year-
oldAmaleAretiredAaccountantAcomplainsAofApainAandAstiffnessAinAhisAfeetAandAhandsAofAseveralAyear
sAduration.AHeAreportsAthatAtheApainAandAstiffnessAbecomeAworseAwithAactivity.AOnAexamination,A
,heAisAnotedAtoAhaveAHeberden'sAnodesAbutAnoAotherAbonyAdeformities.AWhichAofAtheAfollowingAisA
theAmostAprobableAdiagnosis?A-ACORRECTAANSWER-OsteoarthritisA(OA)
AlthoughAhisAvocationAinvolvedAsedentaryAactivity,AthisApatientAisAnotAatAgreatAriskAforAosteoarthrit
is.ARheumatoidAarthritisAisAcharacterizedAbyAseveralAjointAdeformities,AusuallyAbilaterallyAsymmetr
ical.ARAAisAcharacterizedAbyAinflammatoryAprocesses,AwhileAOAAisAnot.ARAAandAOAAareAchronicAcon
ditions.AGoutAisAcharacterizedAbyAacuteAexacerbationsArelatedAtoAaAdefectAinApurineAmetabolism,Ai
ncreasedAuricAacidAproduction,AorAdecreasedAuricAacidAexcretion.
TheAfamilyAofAaA78-year-
oldAmanAmovedAhimAintoAanAassistedAlivingAcenterAbecauseAheAcanAnoAlongerAbeAleftAatAhomeAalo
ne.AHeAisAunableAtoAtoiletAwhenAaskedAtoAdoAsoAandAheAhasAhadAseveralAepisodesAofAincontinence.
AHeAhasAwalkedAoutAofAtheAfacilityAtwiceAandAbeenAunableAtoAfindAhisAwayAbackAfromA3AblocksAawa
y.AOnAexamination,AheAisApleasantAbutAmildlyAconfused.AWhichAofAhisAmedicationsAisALEASTAlikelyAc
ontributingAtoAhisAbehavior?A-ACORRECTAANSWER-ramiprilA(Altace®)
TricyclicAantidepressants,AlikeAamitriptyline,AhaveAanticholinergicAsideAeffectsAwhichAareAespeciall
yAproblematicAinAtheAelderlyAbecauseAtheyAcontributeAtoAurinaryAretention.AHydrochlorothiazideAi
sAaAdiureticAandAmayAcontributeAtoAhisAincontinence.ACimetidineAisAwellAknownAtoAproduceAadvers
eAreactionsAsuchAasAconfusionAinAelders.ARamipril,AanAACEAinhibitor,AisAunlikelyAtoAcontributeAtoAthi
sApatient'sAincontinenceAorAconfusion.AToiletingAmayAbeAaAcomplicatedAbyAtheAanticholinergicAme
dicationAand/orAtheAdiureticAcausingAdiuresis,AurgeAincontinence,AandAinabilityAtoAvoidAatAwill.
AApatientAwithAnoAsignificantAmedicalAhistoryAhasAvaricoseAveins.ASheAcomplainsAofA"achingAlegs".A
TheAinterventionAthatAwillAprovideAtheAgreatestAreliefAforAherAcomplaintAisAto:A-
ACORRECTAANSWER-elevateAherAlegsAperiodically.
TheAinterventionAthatAwillAprovideAtheAgreatestAreliefAforAthisApatientAisAelevatingAherAlegsAperiodi
cally.AThisAwillAfacilitateAvenousAreturn.AUseAofAsupportAstockingsAwillAprolongAtheAlengthAofAtimeAs
heAisAableAtoAstandAinAplace,AbutAwillAnotAprovideAreliefAafterAherAlegsAbeginAaching.ASupportAstocki
ngsAshouldAbeAappliedApriorAtoAgettingAoutAofAbed.
StressAurinaryAincontinenceAis:A-ACORRECTAANSWER-mayAbeAaggravatedAbyAcaffeineAorAalcohol.
StressAurinaryAincontinenceAisAnotAexpectedAasAaAresultAofAtheAnormalAagingAprocess.ATheAprimary
AproblemAisAsphincterAincompetence.ATheAingestionAofAcaffeineAorAalcoholAdecreasesAsphincterAco
,ntrol.AAnticholinergicAandAantidepressantAmedicationsAareAcausativeAfactorsArelatedAtoAoverflowAi
ncontinence.ADetrusorAmuscleAinstabilityAisAtheAprimaryAunderlyingAproblemAcausingAurgeAinconti
nence.
WhichAcommonlyAusedAherbalAremedyAisANOTAassociatedAwithAanxietyAand/orAdepressiveAsympto
mArelief?A-ACORRECTAANSWER-GinkgoAbiloba
GinkgoAbilobaAisAaAcommonAherbalAremedyAassociatedAwithAenhancementAofAvascularAandAcerebr
alAperfusionAandAmemory.ATheAnurseApractitionerAshouldAbeAawareAwhenAtheApatientAisAtakingAan
yAherbalAsupplementAtoAavoidAriskAofAdrugAinteractions.
UponAophthalmoscopicAexaminationAofAaA78-year-
oldApatient,AtheAnurseApractitionerAobservesAdarkAspotsAagainstAaAredAretina.AWhatAdiagnosisAisAth
isAfindingAmostAconsistentAwith?A-ACORRECTAANSWER-Cataract
AAcataractAopacityAisAseenAasAaAdarkAdisruptionAofAtheAredAreflexAonAophthalmoscopicAexam.
AA72AyearAoldAfemaleApatientAreportsAaA6AmonthAhistoryAofAprogressivelyAmoreAswollenAandApainf
ulAdistalAinterphalangealA(DIP)AjointsAofAoneAhand.AThereAareAnoAsystemicAsymptomsAbutAtheAeryt
hrocyteAsedimentationArateA(ESR),AantinuclearAantibodyA(ANA),AandArheumatoidAfactorA(RF)AareAal
lAminimallyAelevated.AWhatAisAtheAmostAlikelyAdiagnosis?A-ACORRECTAANSWER-Osteoarthritis
WhenAosteoarthritisAaffectsAtheAhands,AtheAdistalAinterphalangealA(DIP)AjointsAareAusuallyAinvolve
d.ARheumatoidAarthritisAisAusuallyAsymmetrical,AandAtheAproximalAinterphalangealA(PIP)AjointsAareA
moreAoftenAaffected.AInflammationAoftenAdevelopsAquickly,AnotAgradually.AThisApatientAisAelderly;A
therefore,AitAisAexpectedAthatAtheAESR,AANA,AandARFAwillAbeAonlyAsomewhatAelevated.AOver-
interpretationAofAlaboratoryAtestsAwithoutAevidenceAofAsystemicAinflammationAcanAleadAtoAmisdia
gnosis.
TheAnurseApractitionerAisAevaluatingAaA35-year-
oldAfemaleAnurse.ASheAhasAaAhistoryAofAhospitalizationAforAhepatitisABAinfectionA2AyearsAago.AHerAla
boratoryAtestsAdemonstrateApositiveAHBsAg.ATheAnurseApractitionerAwouldAmostAlikelyAdiagnose:A-
ACORRECTAANSWER-chronicAhepatitisABAinfection.
PresenceAofAhepatitisABAsurfaceAantigenAatAthisAtimeAindicatesAchronicAinfectionAwithAhepatitisAB.A
LabAstudiesAindicatingAaApositiveAsurfaceAantigenAonA2AseparateAoccasionsAatAleastA6AmonthsAapart
, AindicateAchronicAinfection.AImmunizationAproducesApositiveAhepatitisABAantibodiesAinAmostAinstan
ces.AHepatitisABAsurfaceAantigenAwouldAnotAbeApresentAinAaApersonAwhoAhasArecoveredAfromAhepa
titisABAinfection.AThisAcaseAwouldAnotAbeAanAacuteAepisodeAbecauseAofAtheAhistoryAofAhepatitisABAin
fectionA2AyearsAprior.
OneAexceptionAtoAtheArecommendationAtoAlimitAdietaryAfatAintakeAis:A-ACORRECTAANSWER-
childrenAunderA2Ayears-of-age.
InAorderAforAmyelinizationAofAtheAnervousAsystemAtoAoccur,AchildrenAunderA2Ayears-of-
ageArequireA>A30%AdailyAdietaryAfat.
TheAmostAeffectiveAprimaryApreventionAofAskinAcancerAisAtoAeducateAtheApublicAabout:A-
ACORRECTAANSWER-limitingAexposureAtoAnaturalAsolarAradiation.
PrimaryApreventionAofAskinAcancerAincludesAlimitingAsunAexposure,AavoidingAtanningAfacilities,Aand
AapplyingAsunscreen.AExaminingAtheAskinAandArecognizingAmelanomaAareAbothAsecondaryAprevent
ionAmeasures.
AApatientAhasAexperiencedAnauseaAandAvomiting,Aheadache,Amalaise,Alow-
gradeAfever,AabdominalAcramps,AandAdiarrheaAforA32Ahours.ATheAwhiteAcountAisAslightlyAelevatedA
withAaAshiftAtoAtheAleft.AHeAisArequestingAmedicationAforAdiarrhea.AWhatAisAtheAmostAappropriateAr
esponse?A-ACORRECTAANSWER-OfferAanAanti-
emeticAmedicationAsuchAasAprochlorperazineA(Compazine®)AandAprovideAoralAfluidAandAelectrolyt
eAreplacementAinstruction.
EnterocolitisAisAtheAmostAcommonAclinicalApresentationAofAsalmonellosis.ADiagnosisAisAmadeAbyAcli
nicalApresentation,AandAcanAbeAconfirmedAonlyAwithAstoolAorAbloodAcultures.AMostAhealthyAadultsA
haveAaAcourseAthatAisAself-
limitingAtoA72Ahours.AAntibioticsAshouldAbeAusedAveryAdiscriminantlyAasAresistanceAapproachesA50
%.AAnti-
diarrhealAagentsApotentiallyAincreaseAcomplicationsAandApredisposeAtheApatientAtoAbacteremia.
AAchildAwithATypeA1AdiabetesAmellitusAbringsAinAaAglucoseAdiaryAindicatingAconsistentAmorningAhyp
erglycemia.AHowAcanAtheAnurseApractitionerAdifferentiateAtheASomogyiAeffectAfromAdawnAphenom
enon?A-ACORRECTAANSWER-InstructAtheAparentAtoAmonitorAtheAbloodAglucoseAatA3:00Aam.
and Verified Answers
PrescriptiveAauthority:A-ACORRECTAANSWER-
mayAbeAexercisedAbyAgivingAaAverbalAmedicationAorderAtoAaApharmacist.
AnAexampleAofAexercisingAprescriptiveAauthorityAisAgivingAaAverbalAorderAtoAaApharmacistAorAwritin
gAanAorderAforAaAprescriptionAmedication.APrescriptiveAauthorityArulesAandAregulationsAvaryAfromA
stateAtoAstate.APrescriptiveAauthorityAisAgrantedAonlyAtoAthoseAAPRNsAwhoAmeetAtheArequirement
sAofAtheAgoverningAbodyAforAtheAstateAinAwhichAtheAAPRNApractices.
WhenAexaminingAaApregnantApatient,AwhereAshouldAtheAfundalAheightAbeAatA22Aweeks?A-
ACORRECTAANSWER-AboveAtheAumbilicus
BetweenA18AandA32Aweeks,AthereAisAgoodAcorrelationAbetweenAfundalAheightAandAgestationalAage
AofAtheAfetus.ATheAexpectedAheightsAare:A10-
12Aweeks:AfundusAslightlyAaboveAtheAsymphysisApubisA16Aweeks:AfundusAmidwayAbetweenAtheAsy
mphysisApubisAandAumbilicusA20Aweeks:AfundusAatAtheAlevelAofAumbilicusA28Aweeks:AfundusA3Afing
erbreadthsAaboveAtheAumbilicusA36Aweeks:AfundusAjustAbelowAtheAxiphoidAprocess
WhatAinterventionAdoesAtheAAmericanACollegeAofARheumatologyArecommendAasAfirst-
lineAtherapyAforAosteoarthritis?A-ACORRECTAANSWER-ExerciseAandAweightAloss
Exercise,AweightAloss,AandArestAareArecommendedAbyAtheAAmericanACollegeAofARheumatologyAgui
delinesAforAtheAinitialAmanagementAofAosteoarthritisA(OA).AGivenAtheAadverseAeffectsAofAmedicatio
nsAusedAtoAtreatAOA,AitAisAbestAtoAminimizeAdosageAandAdelayAuseAasAlongAasApossible.AAnAextensiv
eAdiagnosticAworkupAisAnotArecommendedAunlessAtheApresentationAisAinAquestion.APatientsAwhoAh
aveAsevereAdegenerativeAjointAdiseaseA(DJD),AjointAfusion,AorAwhoseApainAseverityAisAnotArelievedA
byAmoreAconservativeAtherapiesAmayAbeAcandidatesAforAjointAreplacement.AAcetaminophenAisArec
ommendedAasAaAfirst-lineAmedication.
AA63-year-
oldAmaleAretiredAaccountantAcomplainsAofApainAandAstiffnessAinAhisAfeetAandAhandsAofAseveralAyear
sAduration.AHeAreportsAthatAtheApainAandAstiffnessAbecomeAworseAwithAactivity.AOnAexamination,A
,heAisAnotedAtoAhaveAHeberden'sAnodesAbutAnoAotherAbonyAdeformities.AWhichAofAtheAfollowingAisA
theAmostAprobableAdiagnosis?A-ACORRECTAANSWER-OsteoarthritisA(OA)
AlthoughAhisAvocationAinvolvedAsedentaryAactivity,AthisApatientAisAnotAatAgreatAriskAforAosteoarthrit
is.ARheumatoidAarthritisAisAcharacterizedAbyAseveralAjointAdeformities,AusuallyAbilaterallyAsymmetr
ical.ARAAisAcharacterizedAbyAinflammatoryAprocesses,AwhileAOAAisAnot.ARAAandAOAAareAchronicAcon
ditions.AGoutAisAcharacterizedAbyAacuteAexacerbationsArelatedAtoAaAdefectAinApurineAmetabolism,Ai
ncreasedAuricAacidAproduction,AorAdecreasedAuricAacidAexcretion.
TheAfamilyAofAaA78-year-
oldAmanAmovedAhimAintoAanAassistedAlivingAcenterAbecauseAheAcanAnoAlongerAbeAleftAatAhomeAalo
ne.AHeAisAunableAtoAtoiletAwhenAaskedAtoAdoAsoAandAheAhasAhadAseveralAepisodesAofAincontinence.
AHeAhasAwalkedAoutAofAtheAfacilityAtwiceAandAbeenAunableAtoAfindAhisAwayAbackAfromA3AblocksAawa
y.AOnAexamination,AheAisApleasantAbutAmildlyAconfused.AWhichAofAhisAmedicationsAisALEASTAlikelyAc
ontributingAtoAhisAbehavior?A-ACORRECTAANSWER-ramiprilA(Altace®)
TricyclicAantidepressants,AlikeAamitriptyline,AhaveAanticholinergicAsideAeffectsAwhichAareAespeciall
yAproblematicAinAtheAelderlyAbecauseAtheyAcontributeAtoAurinaryAretention.AHydrochlorothiazideAi
sAaAdiureticAandAmayAcontributeAtoAhisAincontinence.ACimetidineAisAwellAknownAtoAproduceAadvers
eAreactionsAsuchAasAconfusionAinAelders.ARamipril,AanAACEAinhibitor,AisAunlikelyAtoAcontributeAtoAthi
sApatient'sAincontinenceAorAconfusion.AToiletingAmayAbeAaAcomplicatedAbyAtheAanticholinergicAme
dicationAand/orAtheAdiureticAcausingAdiuresis,AurgeAincontinence,AandAinabilityAtoAvoidAatAwill.
AApatientAwithAnoAsignificantAmedicalAhistoryAhasAvaricoseAveins.ASheAcomplainsAofA"achingAlegs".A
TheAinterventionAthatAwillAprovideAtheAgreatestAreliefAforAherAcomplaintAisAto:A-
ACORRECTAANSWER-elevateAherAlegsAperiodically.
TheAinterventionAthatAwillAprovideAtheAgreatestAreliefAforAthisApatientAisAelevatingAherAlegsAperiodi
cally.AThisAwillAfacilitateAvenousAreturn.AUseAofAsupportAstockingsAwillAprolongAtheAlengthAofAtimeAs
heAisAableAtoAstandAinAplace,AbutAwillAnotAprovideAreliefAafterAherAlegsAbeginAaching.ASupportAstocki
ngsAshouldAbeAappliedApriorAtoAgettingAoutAofAbed.
StressAurinaryAincontinenceAis:A-ACORRECTAANSWER-mayAbeAaggravatedAbyAcaffeineAorAalcohol.
StressAurinaryAincontinenceAisAnotAexpectedAasAaAresultAofAtheAnormalAagingAprocess.ATheAprimary
AproblemAisAsphincterAincompetence.ATheAingestionAofAcaffeineAorAalcoholAdecreasesAsphincterAco
,ntrol.AAnticholinergicAandAantidepressantAmedicationsAareAcausativeAfactorsArelatedAtoAoverflowAi
ncontinence.ADetrusorAmuscleAinstabilityAisAtheAprimaryAunderlyingAproblemAcausingAurgeAinconti
nence.
WhichAcommonlyAusedAherbalAremedyAisANOTAassociatedAwithAanxietyAand/orAdepressiveAsympto
mArelief?A-ACORRECTAANSWER-GinkgoAbiloba
GinkgoAbilobaAisAaAcommonAherbalAremedyAassociatedAwithAenhancementAofAvascularAandAcerebr
alAperfusionAandAmemory.ATheAnurseApractitionerAshouldAbeAawareAwhenAtheApatientAisAtakingAan
yAherbalAsupplementAtoAavoidAriskAofAdrugAinteractions.
UponAophthalmoscopicAexaminationAofAaA78-year-
oldApatient,AtheAnurseApractitionerAobservesAdarkAspotsAagainstAaAredAretina.AWhatAdiagnosisAisAth
isAfindingAmostAconsistentAwith?A-ACORRECTAANSWER-Cataract
AAcataractAopacityAisAseenAasAaAdarkAdisruptionAofAtheAredAreflexAonAophthalmoscopicAexam.
AA72AyearAoldAfemaleApatientAreportsAaA6AmonthAhistoryAofAprogressivelyAmoreAswollenAandApainf
ulAdistalAinterphalangealA(DIP)AjointsAofAoneAhand.AThereAareAnoAsystemicAsymptomsAbutAtheAeryt
hrocyteAsedimentationArateA(ESR),AantinuclearAantibodyA(ANA),AandArheumatoidAfactorA(RF)AareAal
lAminimallyAelevated.AWhatAisAtheAmostAlikelyAdiagnosis?A-ACORRECTAANSWER-Osteoarthritis
WhenAosteoarthritisAaffectsAtheAhands,AtheAdistalAinterphalangealA(DIP)AjointsAareAusuallyAinvolve
d.ARheumatoidAarthritisAisAusuallyAsymmetrical,AandAtheAproximalAinterphalangealA(PIP)AjointsAareA
moreAoftenAaffected.AInflammationAoftenAdevelopsAquickly,AnotAgradually.AThisApatientAisAelderly;A
therefore,AitAisAexpectedAthatAtheAESR,AANA,AandARFAwillAbeAonlyAsomewhatAelevated.AOver-
interpretationAofAlaboratoryAtestsAwithoutAevidenceAofAsystemicAinflammationAcanAleadAtoAmisdia
gnosis.
TheAnurseApractitionerAisAevaluatingAaA35-year-
oldAfemaleAnurse.ASheAhasAaAhistoryAofAhospitalizationAforAhepatitisABAinfectionA2AyearsAago.AHerAla
boratoryAtestsAdemonstrateApositiveAHBsAg.ATheAnurseApractitionerAwouldAmostAlikelyAdiagnose:A-
ACORRECTAANSWER-chronicAhepatitisABAinfection.
PresenceAofAhepatitisABAsurfaceAantigenAatAthisAtimeAindicatesAchronicAinfectionAwithAhepatitisAB.A
LabAstudiesAindicatingAaApositiveAsurfaceAantigenAonA2AseparateAoccasionsAatAleastA6AmonthsAapart
, AindicateAchronicAinfection.AImmunizationAproducesApositiveAhepatitisABAantibodiesAinAmostAinstan
ces.AHepatitisABAsurfaceAantigenAwouldAnotAbeApresentAinAaApersonAwhoAhasArecoveredAfromAhepa
titisABAinfection.AThisAcaseAwouldAnotAbeAanAacuteAepisodeAbecauseAofAtheAhistoryAofAhepatitisABAin
fectionA2AyearsAprior.
OneAexceptionAtoAtheArecommendationAtoAlimitAdietaryAfatAintakeAis:A-ACORRECTAANSWER-
childrenAunderA2Ayears-of-age.
InAorderAforAmyelinizationAofAtheAnervousAsystemAtoAoccur,AchildrenAunderA2Ayears-of-
ageArequireA>A30%AdailyAdietaryAfat.
TheAmostAeffectiveAprimaryApreventionAofAskinAcancerAisAtoAeducateAtheApublicAabout:A-
ACORRECTAANSWER-limitingAexposureAtoAnaturalAsolarAradiation.
PrimaryApreventionAofAskinAcancerAincludesAlimitingAsunAexposure,AavoidingAtanningAfacilities,Aand
AapplyingAsunscreen.AExaminingAtheAskinAandArecognizingAmelanomaAareAbothAsecondaryAprevent
ionAmeasures.
AApatientAhasAexperiencedAnauseaAandAvomiting,Aheadache,Amalaise,Alow-
gradeAfever,AabdominalAcramps,AandAdiarrheaAforA32Ahours.ATheAwhiteAcountAisAslightlyAelevatedA
withAaAshiftAtoAtheAleft.AHeAisArequestingAmedicationAforAdiarrhea.AWhatAisAtheAmostAappropriateAr
esponse?A-ACORRECTAANSWER-OfferAanAanti-
emeticAmedicationAsuchAasAprochlorperazineA(Compazine®)AandAprovideAoralAfluidAandAelectrolyt
eAreplacementAinstruction.
EnterocolitisAisAtheAmostAcommonAclinicalApresentationAofAsalmonellosis.ADiagnosisAisAmadeAbyAcli
nicalApresentation,AandAcanAbeAconfirmedAonlyAwithAstoolAorAbloodAcultures.AMostAhealthyAadultsA
haveAaAcourseAthatAisAself-
limitingAtoA72Ahours.AAntibioticsAshouldAbeAusedAveryAdiscriminantlyAasAresistanceAapproachesA50
%.AAnti-
diarrhealAagentsApotentiallyAincreaseAcomplicationsAandApredisposeAtheApatientAtoAbacteremia.
AAchildAwithATypeA1AdiabetesAmellitusAbringsAinAaAglucoseAdiaryAindicatingAconsistentAmorningAhyp
erglycemia.AHowAcanAtheAnurseApractitionerAdifferentiateAtheASomogyiAeffectAfromAdawnAphenom
enon?A-ACORRECTAANSWER-InstructAtheAparentAtoAmonitorAtheAbloodAglucoseAatA3:00Aam.
