FITZ PRACTICE TEST 1 EXAM
QUESTIONS & COMPLETE SOLUTIONS
100%
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.
C
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
B
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
1
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
2
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
3
Next step test for:
D.
QUESTIONS & COMPLETE SOLUTIONS
100%
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.
C
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
B
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
1
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
2
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
3
Next step test for:
D.
