APEA TEST BANK
A patient with iron deficiency anemia takes
iron supplementation daily. What should he be
An antacid
advised to avoid within a couple of hours of
taking iron?
Leukemia may have varied clinical
presentations. Which characteristic
Sickle shaped cells
would be unusual to find in a patient with
leukemia?
A 66 year-old African American male
complains of pain in his trunk, especially his
ribs. Cardiovascular disease is ruled out. He
multiple myeloma.
has a normocytic, normochromic anemia
with hypercalcemia. The differential
diagnosis should include:
What hallmark finding is associated
Macrocytosis
with both B12 and folate deficiencies?
A patient demonstrates leukocytosis. he has an infection of
This means: unknown origin.
What statement is true about anemia Anemia may have more than one
in older adults? origin and co-exist in older adults.
A patient has been treated for HIV
infection with anti-retroviral therapy. He is Every 3-6 months
stable.
How often should CD4 counts be repeated?
A patient presents with hematuria,
RBC casts, and proteinuria. What is a Glomerulonephritis
likely explanation?
A patient demonstrates leukocytosis. he has an infection of
This means: unknown origin.
A patient is having an allergic reaction to
seafood. Which white cell will probably Eosinophils
be increased?
A female patient has been diagnosed with
Glucose-6-phosphate dehydrogenase
Avoid aspirin and sulfa drugs
deficiency (G6PD). What should be done
to prevent lysis of red cells in this patient?
A 75 year-old patient who has multiple
chronic diseases has been in very poor
Folic acid and pernicious
health for a decade. What type of
anemias is he most likely to exhibit?
A patient has been diagnosed with HIV. The
patient’s viral load was ordered. What
CD4 cell count
other test may be ordered to assess the
status of the patient’s immune system?
A 70 year-old male has lymph nodes in his Lymphoma
axillary and inguinal areas that are palpable
but non-tender. He states that he feels well
today. What should be included in a
1
, APEA TEST BANK
differential diagnosis for this patient?
All routine childhood
A two year-old with sickle cell anemia
immunizations at the usual
(SCA) should receive which immunizations?
time
A three year-old child presents with
hematuria, petechiae, and a platelet
count of 50,000 (Normal = 150,000-
idiopathic
450,000/ml).
thrombocytopenia
The rest of his CBC is normal. He had an
purpura (ITP).
upper respiratory infection about 2
weeks ago. On exam today, he is found
to have petechiae and bruises. The most
likely
diagnosis is:
A child and father live in an old house. They
both are found to be lead toxic. What type
Iron deficiency anemia
anemia is typically observed in patients
who are lead toxic?
A patient with diarrhea has a stool
specimen positive for WBCs. What does A viral infection
this indicate?
A 26 year-old female has thalassemia
minor. What should be limited in her diet Multi-vitamin with iron
to avoid hepatotoxicity?
A patient is found to have eosinophilia. An expected
finding is: asthma exacerbation.
An African American male complains of
pain in his back and trunk. He is diagnosed about 65 years old. .
with multiple myeloma. He is probably:
A patient has heavy menses. Which
lab value below reflects an iron Increased TIBC
deficiency anemia?
An obese 78 year-old male with poorly
controlled hypertension and diabetes has
associated with chronic disease. .
a normocytic, normochromic anemia. This
anemia is likely:
An elderly male diagnosed with a microcytic,
hypochromic anemia: may have a GI bleed.
Which suggestion below is the standard for Iron supplementation in
treating iron deficiency anemia in infants divided doses between meals
and children? with orange juice
A patient with pernicious anemia may
glossitis.
be observed to have:
Lead toxicity can be associated with: sideroblastic anemia.
2
, APEA TEST BANK
A patient is being treated for iron
on an empty stomach.
deficiency anemia. Iron is better absorbed:
What choice below can be attributed to the Gynecologic losses and
two most common causes of iron bleeding in the
deficiency anemia in adults? gastrointestinal tract
The laboratory identifies metamyelocytes
in a 50 year-old patient who had a CBC
Splenomegaly
performed. What might be an expected
finding in this patient?
A patient is found to have an anemia.
The patient’s MCH is normal. The normochromic.
patient’s anemia can be described as:
Which statement is true about Vitamin Inadequate amounts can
B- 12? produce cognitive changes.
demonstrates the amount
A serum ferritin level:
of iron in storage.
Which anemias are described as Iron deficiency anemia and
microcytic, hypochromic anemias? thalassemia
The nurse practitioner sees a child who
presents with fatigue and purpura on
acute leukemia.
his lower extremities. His temperature
is normal. The differential includes:
An older adult has suspected B12
deficiency. Which of the following lab Increased MCV
indices is most indicative of a B12
deficiency?
A patient with anemia of chronic
normocytic anemia.
disease probably has a:
A vitamin B-12 deficiency might be
suspected in an older patient with Memory issues and glossitis
what complaints?
A measure of the degree of variation in
RDW.
red cell size is indicated by:
A definitive diagnosis of sickle cell anemia
by a hemoglobin electrophoresis. .
can be made:
An example of a macrocytic anemia is: pernicious anemia.
An older adult has suspected B12
deficiency. Which of the following lab Macrocytosis
indices is more indicative of a B12
deficiency?
Besides inadequate intake of Vitamin D in
elder adults, what other factor Impaired synthesis of previtamin D
contributes to deficiencies?
Which white cell should be present in the
greatest number in a patient who is Neutrophils
healthy today?
A patient has CBC results that indicate a
microcytic, hypochromic anemia. The iron deficiency anemia.
nurse practitioner should suspect:
3
, APEA TEST BANK
A 12 month-old was screened for iron
4
A patient with iron deficiency anemia takes
iron supplementation daily. What should he be
An antacid
advised to avoid within a couple of hours of
taking iron?
Leukemia may have varied clinical
presentations. Which characteristic
Sickle shaped cells
would be unusual to find in a patient with
leukemia?
A 66 year-old African American male
complains of pain in his trunk, especially his
ribs. Cardiovascular disease is ruled out. He
multiple myeloma.
has a normocytic, normochromic anemia
with hypercalcemia. The differential
diagnosis should include:
What hallmark finding is associated
Macrocytosis
with both B12 and folate deficiencies?
A patient demonstrates leukocytosis. he has an infection of
This means: unknown origin.
What statement is true about anemia Anemia may have more than one
in older adults? origin and co-exist in older adults.
A patient has been treated for HIV
infection with anti-retroviral therapy. He is Every 3-6 months
stable.
How often should CD4 counts be repeated?
A patient presents with hematuria,
RBC casts, and proteinuria. What is a Glomerulonephritis
likely explanation?
A patient demonstrates leukocytosis. he has an infection of
This means: unknown origin.
A patient is having an allergic reaction to
seafood. Which white cell will probably Eosinophils
be increased?
A female patient has been diagnosed with
Glucose-6-phosphate dehydrogenase
Avoid aspirin and sulfa drugs
deficiency (G6PD). What should be done
to prevent lysis of red cells in this patient?
A 75 year-old patient who has multiple
chronic diseases has been in very poor
Folic acid and pernicious
health for a decade. What type of
anemias is he most likely to exhibit?
A patient has been diagnosed with HIV. The
patient’s viral load was ordered. What
CD4 cell count
other test may be ordered to assess the
status of the patient’s immune system?
A 70 year-old male has lymph nodes in his Lymphoma
axillary and inguinal areas that are palpable
but non-tender. He states that he feels well
today. What should be included in a
1
, APEA TEST BANK
differential diagnosis for this patient?
All routine childhood
A two year-old with sickle cell anemia
immunizations at the usual
(SCA) should receive which immunizations?
time
A three year-old child presents with
hematuria, petechiae, and a platelet
count of 50,000 (Normal = 150,000-
idiopathic
450,000/ml).
thrombocytopenia
The rest of his CBC is normal. He had an
purpura (ITP).
upper respiratory infection about 2
weeks ago. On exam today, he is found
to have petechiae and bruises. The most
likely
diagnosis is:
A child and father live in an old house. They
both are found to be lead toxic. What type
Iron deficiency anemia
anemia is typically observed in patients
who are lead toxic?
A patient with diarrhea has a stool
specimen positive for WBCs. What does A viral infection
this indicate?
A 26 year-old female has thalassemia
minor. What should be limited in her diet Multi-vitamin with iron
to avoid hepatotoxicity?
A patient is found to have eosinophilia. An expected
finding is: asthma exacerbation.
An African American male complains of
pain in his back and trunk. He is diagnosed about 65 years old. .
with multiple myeloma. He is probably:
A patient has heavy menses. Which
lab value below reflects an iron Increased TIBC
deficiency anemia?
An obese 78 year-old male with poorly
controlled hypertension and diabetes has
associated with chronic disease. .
a normocytic, normochromic anemia. This
anemia is likely:
An elderly male diagnosed with a microcytic,
hypochromic anemia: may have a GI bleed.
Which suggestion below is the standard for Iron supplementation in
treating iron deficiency anemia in infants divided doses between meals
and children? with orange juice
A patient with pernicious anemia may
glossitis.
be observed to have:
Lead toxicity can be associated with: sideroblastic anemia.
2
, APEA TEST BANK
A patient is being treated for iron
on an empty stomach.
deficiency anemia. Iron is better absorbed:
What choice below can be attributed to the Gynecologic losses and
two most common causes of iron bleeding in the
deficiency anemia in adults? gastrointestinal tract
The laboratory identifies metamyelocytes
in a 50 year-old patient who had a CBC
Splenomegaly
performed. What might be an expected
finding in this patient?
A patient is found to have an anemia.
The patient’s MCH is normal. The normochromic.
patient’s anemia can be described as:
Which statement is true about Vitamin Inadequate amounts can
B- 12? produce cognitive changes.
demonstrates the amount
A serum ferritin level:
of iron in storage.
Which anemias are described as Iron deficiency anemia and
microcytic, hypochromic anemias? thalassemia
The nurse practitioner sees a child who
presents with fatigue and purpura on
acute leukemia.
his lower extremities. His temperature
is normal. The differential includes:
An older adult has suspected B12
deficiency. Which of the following lab Increased MCV
indices is most indicative of a B12
deficiency?
A patient with anemia of chronic
normocytic anemia.
disease probably has a:
A vitamin B-12 deficiency might be
suspected in an older patient with Memory issues and glossitis
what complaints?
A measure of the degree of variation in
RDW.
red cell size is indicated by:
A definitive diagnosis of sickle cell anemia
by a hemoglobin electrophoresis. .
can be made:
An example of a macrocytic anemia is: pernicious anemia.
An older adult has suspected B12
deficiency. Which of the following lab Macrocytosis
indices is more indicative of a B12
deficiency?
Besides inadequate intake of Vitamin D in
elder adults, what other factor Impaired synthesis of previtamin D
contributes to deficiencies?
Which white cell should be present in the
greatest number in a patient who is Neutrophils
healthy today?
A patient has CBC results that indicate a
microcytic, hypochromic anemia. The iron deficiency anemia.
nurse practitioner should suspect:
3
, APEA TEST BANK
A 12 month-old was screened for iron
4
