1. In the early stages of iron deficient anemias, blood studies show:
macrocytic normochromic.
microcytic hypochromic.
normochromic normocytic.
pancytopenic hypocytic. correct answersnormochromic normocytic.
3. A patient has hyperactive reflexes of the lower extremities. The adult-gerontol...
3. A patient has hyperactive reflexes of the lower extremities. The adult-gerontology primary care nurse
practitioner assesses for ankle clonus by:
firmly applying a low-pitched tuning fork to the lateral malleolus.
flexing the leg at the knee, rotating it externally, and striking the Achilles tendon with the percussion
hammer.
sharply dorsiflexing the foot and maintaining this position while supporting the knee.
stroking the lateral aspect of the sole from the heel to the ball of the foot with the sharp end of the
percussion hammer. correct answerssharply dorsiflexing the foot and maintaining this position while
supporting the knee.
5. The adult-gerontology primary care nurse practitioner reminds a 16-year-old, male patient who just
received his driver's license to wear a seat belt at all times when in a car. The patient replies that he does
not need to wear a seat belt, because nothing will happen to him if he is involved in an automobile
collision. According to the health belief model, what chief component does the patient lack?
, 7. When disseminating research findings in a peer-reviewed journal, the adult-gerontology primary care
nurse practitioner:
-concludes that the study proves the hypothesis.
-excludes the discussion section, because the conclusion contains this information.
recommends incorporating the results -directly into clinical practice.
-uses the methodology section to support the validity of the study. correct answersuses the
methodology section to support the validity of the study.
12. The adult-gerontology primary care nurse practitioner evaluates an 80-year-old patient with cognitive
deficits, who is unaccompanied by the adult child who typically is present. The patient has urinary
symptoms, for which the nurse practitioner considers ordering sulfamethoxazole-trimethoprim
(Bactrim). The patient's previous medical record is unavailable. Before prescribing the medication, the
nurse practitioner:
contacts the patient's adult child.
queries the other staff members.
relies on the patient's self-report.
waits until the patient's chart is available. correct answerscontacts the patient's adult child.
21. A 68-year-old patient has sustained an unintended weight loss of 15 lb (6.8 kg) over the last two
months but reports feeling well. The patient's problems include depression, tobacco abuse, obesity, and
dyslipidemia. His or her medications are sertralizine (Zoloft), simvastatin (Zocor), and famotidine
(Pepcid). The adult-gerontology primary care nurse practitioner performs which three actions?
Adds a probiotic.
Conducts a depression screening.
Decreases the dosage of the statin medication.
Obtains a chest x-ray.
Orders a thyroid-stimulating hormone. correct answersConducts a depression screening.
Obtains a chest x-ray.
Orders a thyroid-stimulating hormone.
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