test Flashcards
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
Weight gain
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
Opportunistic infections
Thrombocytopenia is defined as the platelet count of less than __________ per microL for adults.
50,000
175,000
150,000
200,000
150,000
Predict the diagnostic finding that is not expected in a patient with systemic lupus erythematosus.
Proteinuria
Negative ANA
Elevated ESR
Anemia
Negative ANA
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
Infection or trauma due to progression of disease
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
Acute vaso-occlusive crisis that causes severe pain and organ damage
Recommend a medication that is often helpful in relieving symptoms associated with Raynaud’s phenomenon.
Diuretics
Beta-adrenergic antagonist
NSAIDs
Angiotensin-converting enzyme inhibitors
Angiotensin-converting enzyme inhibitors
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 16-year-old woman
Predict one of the most common causes of morbidity in HIV patients.
Acute diarrhea
Community-acquired bacterial pneumonia
Influenza B
Staphylococcus aureus
Community-acquired bacterial pneumonia
Predict which of the following is not a risk factor for giant cell arteritis.
Northern European descent
Female gender
Osteoarthritis
Older age
Osteoarthritis
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
14; 12
Determine which of the following is not a common predisposing factor for clotting disorders.
Inflammation
Immobilization
Autoimmune disorders
Cancer
Autoimmune disorders
Determine which of the following is not a primary test for diagnosing HIV.
ELISA
Home test
Saliva test
CD4 decline
CD4 decline
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.
Cancer patients may benefit from administration of round-the-clock pain medicine with breakthrough dosing.
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
Aggressive chemotherapy
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.
Peak age for onset is individuals aged 50-70 years.
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
Chronic blood loss (e.g., gastrointestinal blood loss or menorrhagia
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 diverse group of neoplasms affecting the lymphoid tissue
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
6
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
Saliva not mixed with the blood of a person with HIV
Determine which of the following is not included in antineoplastic treatment.
Bone marrow transplant
Prophylactic antibiotics
Chemotherapy
Radiation therapy
Prophylactic antibiotics
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
Lack of knowledge related to fear of patient addiction
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
Abdominal mass
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
Coughing up phlegm or blood
