cancer care

Which of the following is a role of the advanced practice nurse in palliative cancer care? (Points : 2)

Detecting cancer in asymptomatic patients or those with specific symptoms

Arranging for follow-up care, including psychosocial and spiritual support

Identifying and managing complications of care

All of the above

Question 23. 23. Which type of burn injury results in destruction of epidermis with most of the dermis, yet the epidermal cells lining hair follicles and sweat glands remain intact? (Points : 2)

Superficial burns

Superficial partial-thickness burns

Deep partial-thickness burns

Full-thickness burns

Question 24. 24. The criteria for diagnosing generalized aniety disorder in the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders (tet revision) (DSM-IV-TR) state that ecessive worry or apprehension must be present more days than not for at least: (Points : 2)

1 month.

3 months.

6 months.

12 months.

Question 25. 25. In the United States, what is the second most common connective tissue disease and the most destructive to the joints? (Points : 2)

Osteoarthritis

Systemic lupus erythematosus (SLE)

Rheumatoid arthritis (RA)

Sjogren’s syndrome

Question 26. 26. A sunscreen with a sun-protection factor (SPF) of at least what number will block most harmful ultraviolet (UV) radiation? (Points : 2)

4

8

10

15

Question 27. 27. The hallmark of an absence seizure is: (Points : 2)

No activity at all.

A blank stare.

Urine is usually voided involuntarily.

The attack usually lasts several minutes.

Question 28. 28. The effectiveness of benzodiazepines in treating aniety disorders suggests that which of the following neurotransmitters plays a role in aniety? (Points : 2)

Acetylcholine

Gamma-aminobutyric acid (GABA)

Dopamine

Serotonin

Question 29. 29. Which characteristic of delirium helps to distinguish delirium from dementia? (Points : 2)

Abrupt onset

Impaired attention

Affective changes

Delusions

Question 30. 30. A 26-year-old woman is seen with complaints of irregular vaginal bleeding. Which of the following tests should be the first priority? (Points : 2)

Pregnancy test

Pelvic ultrasound

Endometrial biopsy

Platelet count

Question 31. 31. The clinician should question the patient with suspected gout about use of which of these medications that may be a risk factor? (Points : 2)

Low-dose aspirin

Thiazide diuretics

Ethambutol

All of the above

Question 32. 32. A bulla is: (Points : 2)

A vesicle larger than 1 cm in diameter.

An elevated solid mass with a hard teture, and the shape and borders can be regular or irregular.

A superficial elevated lesion filled with purulent fluid.

Thinning of the skin (epidermis and dermis) that appears white or translucent.

Question 33. 33. Sam is a 25-year-old man who has been diagnosed with low back strain based on his history of localized low back pain and muscle spasm along with a normal neurological eamination. As the clinician, you eplain to Sam that low back pain is a diagnosis of eclusion. Which of the following symptoms would alert the clinician to the more serious finding of a herniated nucleus pulposus or ruptured disc? (Points: 2)

Morning stiffness and limited mobility of the lumbar spine

Unilateral radicular pain symptoms that etend below the knee and are equal to or greater than the back pain

Fever, chills, and elevated erythrocyte sedimentation rate

Pathologic fractures, severe night pain, weight loss, and fatigue

Question 34. 34. Which of the following statements is true concerning the musculoskeletal eam? (Points : 2)

The uninvolved side should be eamined initially and compared to the involved side.

The part of the body that is causing the patient pain should be eamined first.

The patient should not be asked to perform active range-of-motion (ROM) eercises whenever possible to avoid causing pain.

Radiographs should always be obtained prior to eamination so as not to cause further injury to the patient.

Question 35. 35. The current goal of treatment for a patient with HIV infection is which of the following? (Points : 2)

Viral suppression of HIV to undetectable levels in the peripheral blood

Compete eradication of the virus

Encouraging the person to have no contact with uninfected individuals

Complete abstinence

Question 36. 36. Which of the following classes of drugs should be used as first-line therapy for treatment of delirium? (Points : 2)

Benzodiazepines

Antipsychotic

Anticonvulsants

Antidepressants

Question 37. 37. After removing a tack from a type 2 diabetic’s heel and evaluating the site for infection, what is the best plan for this patient? (Points : 2)

Suggest she use a heating pad to improve circulation

Refer to a podiatrist for a foot care treatment plan

Send her for acupuncture treatments

All of the above

Question 38. 38. Which of the following statements is true concerning the management of the client with a herniated disc? (Points : 2)

Muscle relaants and narcotics can be used to control moderate pain but should be discontinued after 3 weeks of use.

An epidural injection is helpful in reducing leg pain that has persisted for at least 3 weeks after the herniation occurred.

Intolerable pain for more than a 3-month period is an indication for surgical intervention.

All of the above

Question 39. 39. Which patient is more likely to have a cluster headache? (Points : 2)

A female in her reproductive years

A 40-year-old African American male

A 55-year-old female who drinks 10 cups of coffee daily

A 45-year-old male awakened at night