NUR 660 FINAL EXAM 100+ QUESTIONS
AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS)
ALREADY GRADED A+
Mrs. Williams is diagnosed with anemia related to a vitamin deficiency. To differentiate
which deficiency she is experiencing, which tests do you anticipate need to be
completed?
Select one:
a. CBC, ferritin, TIBC
b. CBC, LFT, ferritin
c. CBC, CMP, TIBC
d. CBC, Schilling test, CMP - Answer-CBC, Schilling test, CMP
Mrs. Williams has been diagnosed with anemia of Vitamin B12 deficiency. What do you
expect her labs to show?
Select one:
a. Normal RBC, Hgb, Hct; Schilling test positive
b. Increased RBC, decreased Hgb, decreased Hct, Schilling test positive
c. Decreased RBC, Hgb, Hct; Schilling test positive
d. Normal Hgb, normal Hct, decreased RBC, Schilling test positive - Answer-Decreased
RBC, Hgb, Hct; Schilling test positive
Mrs. Albrecht is a 65 year old female who presents with complaints of fatigue. PMH
significant for ETOH use of four martinis per week for the past 35 years, tobacco use,
and diabetes. You know that her history puts her at risk of anemia for which of the
following reasons?
Select one:
a. anemia of folate deficiency
b. Cooley's anemia (beta thalassemia major)
c. beta thalassemia minor
d. both b and c - Answer-anemia of folate deficiency
Lab results for a patient with iron deficiency anemia could be expected to appear as
which of the following?
Select one:
a. Decreased Hgb, Hct, MCV, RDW; increased ferritin, TIBC
b. Decreased Hgb, Hct, MCV; increased RDW, ferritin, TIBC
c. Decreased Hgb, Hct; normal MCV, RDW; increased ferritin, TIBC
d. Decreased Hgb, Hct, MCV, ferritin; increased RDW, TIBC - Answer-Decreased Hgb,
Hct, MCV, ferritin; increased RDW, TIBC
,For your patient with iron deficiency anemia, patient teaching should include which of
the following pieces of information?
Select one:
a. all of the above
b. anticipate dark colored stools
c. Take your iron tablets on an empty stomach
d. you will not feel better immediately - Answer-All of the above
Which one of the following severity-of-illness scores can be used to identify patients
with community-acquired pneumonia (CAP) who may be candidates for outpatient
treatment?
Select one:
a. ASCVD Risk Score
b. Disease Risk Index
c. CURB-65 Criteria
d. CHADS2 Score - Answer-CURB-65 Criteria
Which one of the following treatment options for acute uncomplicated bronchitis is not
consistent with current EBP guidelines?
Select one:
a. Antibiotics
b. Cough suppressants
c. First-generation antihistamines
d. Decongestants - Answer-Antibiotics
What is the most accurate method of classifying the severity of chronic obstructive
pulmonary disease (COPD)?
Select one:
a. Polycythemia noted on complete blood cell count
b. Dyspnea on exhalation
c. Elevated diaphragms noted on x-ray
d. Assessment of airflow limitation using spirometry - Answer-Assessment of airflow
limitation using spirometry
The cornerstone of moderate persistent asthma drug therapy is the use of?
Select one:
a. oral theophylline
b. mast cell stabilizers
c. short-acting beta agonists
d. inhaled corticosteroids - Answer-Inhaled Corticosteroids
,According to the GOLD COPD guidelines, which of the following medications are
indicated for all patients with stages II to IV COPD?
Select one:
a. mucolytic agents
b. inhaled corticosteroids
c. theophylline
d. inhaled bronchodilators - Answer-Inhaled Bronchodilators
Which pathogens are most likely responsible for CAP in patients with COPD and/or
smokers?
Select one:
a. Oral anaerobes
b. Haemophilus influenzae, Streptococcus pneumoniae, Moraxella catarrhalis, and
Chlamydia pneumoniae
c. CA-MRSA, oral anaerobes, and fungal pneumonia
d. Bordatella pertussis and Pseudomonas aeruginosa - Answer-Haemophilus
influenzae, Streptococcus pneumoniae, Moraxella catarrhalis, and Chlamydia
pneumoniae
Your 76-year-old patient comes to the office today complaining of increasing SOB,
chest pain, tachycardia, and blood-tinged sputum. She is currently treated with
dabigatran for atrial fibrillation. She admits to not taking this medication for the last
month. Which diagnostic test should be ordered?
Select one:
a. CT pulmonary angiogram with contrast
b. Transesophageal echocardiogram
c. MRA of the pulmonary arteries with and without contrast
d. Ultrasound of the lower extremities with Doppler - Answer-CT pulmonary angiogram
with contrast
Which of the following is an example of a primary prevention activity in a 76-year old
woman with osteoporosis?
Select one:
a. ensuring adequate illumination in the house
b. use of a back brace
c. bisphosphonate therapy
d. calcium supplementation - Answer-ensuring adequate illumination in the house
A tertiary prevention measure for a 69-year old woman with heart failure would include:
Select one:
a. surveying the skin for precancerous lesions
b. adjusting therapy to minimize dyspnea
c. reviewing safe handling of food
d. administering pneumococcal vaccine - Answer-adjusting therapy to minimize
dyspnea
, Linda is a 52-year old woman who presents for a follow-up visit for hypertension, type 2
diabetes mellitus, and dyslipidemia. She has a 50 pack-year cigarette smoking history,
quit smoking 6 months ago, and now reports smoking about 10 cigarettes a day for the
past 2 weeks while being particularly stressed during her 78-year old mother's recent
serious illness. Linda states, "I give up. I guess I cannot quit." Which of the following is
the appropriate response to Linda's statement?
Select one:
a. "Do you think your mother's illness was a trigger for your smoking?"
b. "You sound really discouraged about this."
c. "Once your mom is well again, you should try quitting again."
d. "Can we work on a plan to help you get back to being smoke free?" - Answer-"Do you
think your mother's illness was a trigger for your smoking?"
Your patient's lab values are as follows: Hgb 11.2 g/dL, Hct 33.5%, MCV indicates
microcytosis and MCH indicates hypochromia. What do you suspect?
Select one:
a. pernicious anemia
b. Vitamin B12 deficiency anemia
c. sickle cell anemia
d. thalassemia - Answer-Thalassemia
Which of the following is essential to diagnose COPD?
Select one:
a. Arterial Blood Gases (ABGs)
b. Chest xray
c. Pulmonary Function Tests (PFTs)
d. CT scan of the chest - Answer-Pulmonary Function tests (PFTs)
An ACE inhibitor should be discontinued IMMEDIATELY if:
Select one:
a. the patient develops gout
b. dry cough develops
c. the patient becomes pregnant
d. potassium levels decrease - Answer-The patient becomes pregnant
Metformin is an appropriate initial pharmacologic agent to prescribe in all of the
following EXCEPT:
Select one:
a. Patient with a history of thalassemia and a low mean corpuscular volume (MCV)
b. Patient with an implantable cardioverter defibrillator
c. Patient with a history of Chronic Kidney Disease (CKD) and a low Glomerular
Filtration Rate (GFR)
d. Patient with an elevated BMI - Answer-Patient with a history of Chronic Kidney
Disease (CKD) and a low Glomerular Filtration Rate (GFR)
