1
Q

Determine which of the following is not a common physical finding in patients with systemic lupus erythematosus (SLE).

Joint pain and swelling

Weight gain

Facial rash

Fatigue

A

Weight gain

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2
Q

Predict the most common cause of disability and death in HIV patients who are not receiving antiretroviral therapy.

Suicide

Urinary tract infections

Opportunistic infections

Unintentional injuries

A

Opportunistic infections

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3
Q

Thrombocytopenia is defined as the platelet count of less than __________ per microL for adults.

50,000

175,000

150,000

200,000

A

150,000

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4
Q

Predict the diagnostic finding that is not expected in a patient with systemic lupus erythematosus.

Proteinuria

Negative ANA

Elevated ESR

Anemia

A

Negative ANA

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5
Q

Determine a factor that can activate chronic cancer pain.

Infection or trauma due to progression of disease

Surgical procedures

Recent medical disorders

New traumatic injury

A

Infection or trauma due to progression of disease

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6
Q

The hallmark of sickle cell disease includes common inherited hemoglobinopathies. Determine the clinical presentation of sickle cell disease.

Chronic blood loss from gastrointestinal tract

Vitamin B12 deficiency with nausea, gastrointestinal discomfort, and black stool

Acute vaso-occlusive crisis that causes severe pain and organ damage

Platelet count of less than 150,000

A

Acute vaso-occlusive crisis that causes severe pain and organ damage

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7
Q

Recommend a medication that is often helpful in relieving symptoms associated with Raynaud’s phenomenon.

Diuretics

Beta-adrenergic antagonist

NSAIDs

Angiotensin-converting enzyme inhibitors

A

Angiotensin-converting enzyme inhibitors

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8
Q

Predict the patient who is more likely to have a new onset of primary Raynaud’s phenomenon.

A 16-year-old woman

A 60-year-old man

A 45-year-old woman

A 25-year-old man

A

A 16-year-old woman

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9
Q

Predict one of the most common causes of morbidity in HIV patients.

Acute diarrhea

Community-acquired bacterial pneumonia

Influenza B

Staphylococcus aureus

A

Community-acquired bacterial pneumonia

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10
Q

Predict which of the following is not a risk factor for giant cell arteritis.

Northern European descent

Female gender

Osteoarthritis

Older age

A

Osteoarthritis

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11
Q

Anemia is a deficiency of hemoglobin concentration. Hemoglobin concentration that is less than __________ g/dL for men and less than __________ g/dL for women suggests anemia.

10; 8

20; 16

14; 12

8; 10

A

14; 12

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12
Q

Determine which of the following is not a common predisposing factor for clotting disorders.

Inflammation

Immobilization

Autoimmune disorders

Cancer

A

Autoimmune disorders

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13
Q

Determine which of the following is not a primary test for diagnosing HIV.

ELISA

Home test

Saliva test

CD4 decline

A

CD4 decline

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14
Q

When managing a patient with cancer pain, a nurse practitioner must understand all aspects of patient management and work collaboratively to ensure positive outcomes. Propose an accurate statement regarding pain management in cancer patients.

Cancer patients may benefit from administration of round-the-clock pain medicine with breakthrough dosing.

Meeting with family members to inform them of plan to utilize pain medication is the last resort.

Nonpharmacologic management should be implemented on all patients prior to starting pain medications.

Opioid medication must be minimized to avoid addiction.

A

Cancer patients may benefit from administration of round-the-clock pain medicine with breakthrough dosing.

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15
Q

Determine what patients diagnosed with acute lymphocytic leukemia (ALL) and acute myeloid leukemia (AML) require.

Surgery

Stem cell transplant therapy

Aggressive hormone therapy

Aggressive chemotherapy

A

Aggressive chemotherapy

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16
Q

Determine which of the following is not a characteristic of rheumatoid arthritis.

Patients with rheumatoid arthritis typically have a family history of autoimmune conditions.

Wrist ankles and toes are involved.

It is more common in women.

Peak age for onset is individuals aged 50-70 years.

A

Peak age for onset is individuals aged 50-70 years.

17
Q

Propose the most common cause of iron deficiency anemia.

Inherited hemoglobinopathy

Chronic blood loss (e.g., gastrointestinal blood loss or menorrhagia)

Vitamin B12 and folate deficiency

Autoimmune disorder

A

Chronic blood loss (e.g., gastrointestinal blood loss or menorrhagia

18
Q

Propose an appropriate description of lymphoma.

Cancer that starts in the skin or the tissues that line other organs

Cancer of connective tissues such as bones, muscles, cartilage, and blood vessels

A diverse group of neoplasms affecting the lymphoid tissue

Cancer of the bone marrow that creates blood cells

A

A diverse group of neoplasms affecting the lymphoid tissue

19
Q

Leukemia can be broadly classified into acute and chronic. Acute leukemias are distinguished by an abnormal production of immature white blood cells by over how many months?

3

6

10

1

A

6

20
Q

Determine which of the following is not a way to transmit HIV.

Parenteral transmission

Saliva not mixed with the blood of a person with HIV

Oral sex

Sexual activity

A

Saliva not mixed with the blood of a person with HIV

21
Q

Determine which of the following is not included in antineoplastic treatment.

Bone marrow transplant

Prophylactic antibiotics

Chemotherapy

Radiation therapy

A

Prophylactic antibiotics

22
Q

Propose a factor that negatively impacts appropriate pain management and treatment of cancer pain.

Patient fear of addiction

Lack of knowledge related to fear of patient addiction

Patient compliance

Cost of medications

A

Lack of knowledge related to fear of patient addiction

23
Q

A patient with multiple myeloma presents with all of the following clinical signs except which?

Radiculopathy

Bone pain with lytic lesions

Abdominal mass

Increased risk of infection

A

Abdominal mass

24
Q

Non-Hodgkin’s lymphoma is often seen in patients with all of the following except which?

Rheumatoid arthritis

Long-term immunosuppressive medications

Coughing up phlegm or blood

HIV/AIDS

A

Coughing up phlegm or blood