AANP| 100 Test 2 for Boards |Frequently Asked Questions (FAQ)|76 Pages
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A 28-year-old female patient is in the office and is to undergo radioactive iodine treatment for Graves disease. The ANP is counseling her and understands that the mechanism of action of this treatment therapy is:
alter the thyroid metabolic rate
relieve distress caused by increased thyroid s...
A 28-year-old female patient is in the office and is to
undergo radioactive iodine treatment for Graves disease.
The ANP is counseling her and understands that the
mechanism of action of this treatment therapy is:
alter the thyroid metabolic rate
relieve distress caused by increased thyroid size
destroy the overactive thyroid tissue
reduce production of TSH - ✔ ✔ Correct answer:
destroy the overactive thyroid tissue
Graves disease is the most common form of
thyrotoxicosis. Radioactive iodine is used for thyroid
ablation to destroy the overactive thyroid tissue that
causes the thyroid hormone dysfunction.
You have a patient who has just had a diagnostic
arthroscopy. You are instructing him about what to do
when he gets home. Which of the following would you
NOT instruct him to do?
,report severe pain to the physician immediately
elevate the extremity for 24 - 48 hours
resume normal activities within 12 hours so as to help
reduce the swelling
apply ice to the area involved intermittently - ✔ ✔
Correct answer:
resume normal activities within 12 hours so as to help
reduce the swelling
You would not tell this patient to resume normal activities
within 12 hours since activity is initially limited and will
slowly progress. He should elevate the extremity for 24-48
hours, report severe pain immediately and treat pain with
a mild analgesic.
You have a patient with AIDS. You recognize that a low
CD4 T-cell count puts the patient at risk for opportunistic
infections. You are reviewing his lab reports and see that
his CD4 T-cell count is indeed low. Which of the following
is the normal range for CD4 T-cell count?
The normal CD4 T-cell count is 600 - 1200. A low CD4 T-
cell count is below 600. The destruction of the CD4 T-cell
causes depletion in the number of CD4 T-cells and
consequently increases the risk of infection. This puts the
patient at risk for infection.
You have diagnosed a 74-year-old patient with angle-
closure glaucoma. Which of these MOST likely caused the
condition?
Sudden increase in intraocular pressure.
Hardening of the lens.
Lens clouding.
Gradual onset of increased intraocular pressure. - ✔ ✔
Correct answer: Sudden increase in intraocular pressure
Presbyopia is caused by the hardening of the lens. Senile
cataracts is caused by lens clouding. Open-angle
glaucoma is caused by the gradual onset of increased
, intraocular pressure. Angle-closure glaucoma is caused by
the sudden increase in intraocular pressure.
A 29-year old woman who is 6 weeks postpartum reports
she is having rectal bleeding that she believes is related to
hemorrhoids. The Adult Nurse Practitioner knows that this
type of rectal bleeding is usually described as:
dark brown to black blood color with normal-appearing
stool
significant amounts of bright red blood
large blood clots and mucus mixed with stool
streaks of bright red blood on the stool - ✔ ✔ The
Correct answer is:
streaks of bright red blood on the stool
Choice D is the right answer. The color of blood related to
hemorrhoids is described as bright red, eliminating choice
A. Amount of blood with hemorrhoids is usually small or
scant, eliminating choices B and C. Internal hemorrhoids
can occur during or after childbirth. With chronically
protruding or prolapsing hemorrhoids, the patient often
reports mucous leaking and staining of the
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