Adult Nurse Practitioner Exam Prep - Question List

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6. Of the following lab values, which would be true in a case of iron deficiency anemia?
  1. Decreased MCV and an increased RDW
  2. Decreased MCV and an decreased RDW
  3. Increased MCV and an increased RDW
  4. Decreased MCV and an increased MCHC
7. A patient who sustained a spinal cord injury 48 hours ago presents with diaphoresis, flushed face and neck, and severe headache. Further assessment reveals bradycardia and severe hypertension. The patient is most likely experiencing:
  1. Autonomic dysreflexia
  2. Pulmonary embolism
  3. Malignant hypertension
  4. Spinal shock
8. A nurse determines that the following clients are contraindicated to receive the measles, mumps, and rubella vaccine except:
  1. A female client at 12 weeks gestation
  2. A school-age child with HIV
  3. A female client with a history of hypersensitive reactions to neomycin
  4. A female client with HIV who is admitted for Pneumocystis carinii pneumonia
9. A patient is taken in due to a motorcycle accident. Which of the following is not a warning sign of internal bleeding?
  1. Hematomas
  2. Board-like abdomen
  3. Deformed extremities
  4. Vomiting of bile
10. A nurse is assessing a patient for signs and symptoms of severe anemia. Besides the lab values and vital signs what observations in the physical assessment would give indication that the patient is severely anemic?
  1. A bluish color over the abdomen.
  2. Pedal edema.
  3. Abnormalities in the patient’s nails.
  4. A jerking of the wrist and arm when the blood pressure cuff is applied.

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