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Which is the most significant procedure in screening for benign prostatic hypertrophy?
PSA
DRE
TRU
Prostate biopsy
Answer: B - PSA, or Protein Specific Antigen, is a tool for detecting prostate disease; however, digital rectal examination, where the prostate can be palpated through the rectal wall, would be a more definitive diagnosis. Hard nodule or benign enlargement of the prostate can be felt through DRE. An increasing PSA may indicate prostate cancer.
Question: 65
A patient is diagnosed with diabetes insipidus after a series of diagnostic tests. Which of the following signs and symptoms is indicative of this disorder?
Polydipsia
Weight gain
Hypertension
Changes in level of consciousness
Answer: A
Diabetes insipidus is hyposecretion of aldosterone, a hormone that increases the absorption of sodium and water. This disorder is manifested by signs of fluid deficit. Diabetes insipidus is manifested by polydipsia, polyuria, dehydration, fatigue, inability to concentrate urine, and postural hypotension. Options B, C, and D are common signs of syndrome of inappropriate antidiuretic hormone.
Question: 66
You suspect a patient has Type I Diabetes. The following statements are true
about Type I Diabetes except:
May be linked to autoimmunity
Onset usually prior to age 20
Beta islet cells destroyed
Does not require insulin injections
Answer: D
Type 1 Diabetes Mellitus is caused by the destruction of Beta islet cells in the pancreas, which ensue a deficiency of insulin. Type 1 DM is formerly known as juvenile-onset DM since it afflicts the younger population, usually prior to the age of 20. The recommended treatment for this condition is insulin replacement (thru injection) therapy.
Question: 67
A female patient complains of an enlarged thyroid gland, and protruding eye ball.
Further evaluation reveals that the patient has hypertension, nervousness, and fine tremors of the hands. Which of the following medications should be ordered for the patient?
Propylthiouracil (PTU)
Levothyroxine (Synthroid)
Liotrix (Thyrolar)
Liothyronine (Cytomel)
Answer: B
Propylthiouraciis an anti-thyroid medication that inhibits the synthesis of thyroid hormones. The other medications are thyroid hormones that control the metabolic balance rate of tissues.
Question: 68
A newly diagnosed client is prescribed with insulin. The patient is taught to rotate
injection sites when administering insulin to prevent which of the following reasons complications?
Increased resistance to insulin
Insulin lipodystrophy
Hypersensitivity
Increased bleeding and bruises
Answer: B
Rotating injection sites are essential to prevent insulin lipodystrophy, which may result in decreased or altered absorption of insulin. The other options are not correct.
Question: 69
The following statements are true regarding Burkitt’s lymphoma, except:
Close association with Epstein Barr virus
High-grade T-cell malignancy
Cytogenic chromosomal change is seen
It is a form of non-Hodgkin lymphoma
Answer: B
Burkitt’s lymphoma is a rare and highly aggressive type of Non-Hodgkin’s lymphoma that usually affects children. It is a rapid-growing B-cell lymphoma that involves parts of the body other than the lymph nodes. Burkitt’s lymphoma is highly associated with the chromosomal translocation of the c-myc gene. Numerous cases of this lymphoma have decreased resistance to EBV (Epstein- Barr virus).
Question: 70
The following are characteristics of nephrogenic diabetes insipidus, except:
Sensitized kidney tubules to ADH
A genetic (sex-linked) predilection in men
Normal ADH production and secretion
Large volumes of dilute urine are produced
Answer: A
Unlike Central Diabetes Insipidus, Nephrogenic diabetes insipidus is caused by the kidney’s resistance to ADH rather than a deficiency of this hormone. This results in a decreased ability of the kidneys to concentrate the urine. The disease is rare, but 90% of the known cases are believed to be X-linked, which causes the vasopressing receptor to not function properly. The primary symptom of NDI is excessive thirst and excretion of large amount of urine. Dehydration is a common complication of the disease.
Medical ANP-BC Exam (ANCC Adult Nurse Practitioner) Detailed Information
ANP-BC ANCC Adult Nurse Practitioner
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ANCC Adult Nurse Practitioner certification
Neuroscience Nursing Certification evaluation | ANP-BC Real Questions and VCE Practice Test
speakers:
Anna Ver Hage, MSN, RN, AGACNP-BC, CNRN is an authorized important Care Nurse, certified Neuroscience Nurse, and an adult-Gerontology Acute Care Nurse Practitioner. She presently serves as stroke nurse practitioner within the division of neurological critical care, Mesa, Arizona. Anna has labored as a nurse for over 13 years in the critical care area in numerous university settings across the USA. Anna is an lively member of the American association of Neuroscience Nurses (AANN) and a student member of the American affiliation of Nurse Practitioners (AANP).
Tracey Anderson, MSN, RN, FNP-BC, ACNP-BC, CNRN is an authorized Neuroscience Nurse and family Nurse and Acute Care Nurse Practitioner. She currently serves as a nurse practitioner for Colorado health medical community - mind & spine. She is a normal lecturer nationally and internationally. Her publications include work on stroke and subarachnoid hemorrhage as well as procedural instructions for advanced apply nurses.
Donna Elmore, BSN, MS, RN-BC, CCRN, CMSRN, CNRN is an authorized Neuroscience Nurse, certified essential Care Nurse, certified clinical-Surgical Nurse, and licensed in Nursing professional development. She at the moment serves as an expert practice & construction clinical Educator for Bay clinical middle-Sacred heart fitness system and Adjunct college at Gulf Coast State faculty in Panama metropolis, Florida. She has been licensed in or been an teacher in right here nursing certification and forte areas: Neuroscience, critical Care, medical-Surgical, Trauma, group of workers development, ACLS, associates, 12 Lead ECG and Rhythm Strip Interpretation, Cardiovascular, ache administration, Orthopedics, and IV therapy.
Gil Gonzales, MSN, RN, CCRN, SCRN, CNRN, CNL, is a Nurse manager, Neuro important Care Unit & go with the flow Pool, Swedish clinical middle, and Neuro personnel Nurse, Swedish Neuroscience Institute, Seattle, WA. After working in the airline industry, Gonzales made a profession become nursing, focusing on neuroscience nursing. He has been a peer reviewer for the Journal of Neuroscience Nursing, enjoys educating and providing, and is pursuing a physician of Nursing observe expert diploma.
Catherine Lang, MSN, RN, ACNS-BC, CNRN, SCRN, is a certified grownup medical Nurse expert. She has huge journey in stroke neurology and neurosurgery nursing with most of her neurology history spanning neuroscience intensive care. Lang looks ahead to helping nurses to assessment neuroscience nursing concepts and/or prepare for neuroscience nursing certification.
Endorsement
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AANN particular Membership expense: $340 per attendee (To acquire your particular fee, click right here to sign-in to the AANN membership enviornment and click on on the hyperlink for the Nurse.com Neuroscience Nurse focused CE collection. no longer an AANN member? be part of these days to be eligible to register at the member cost!)
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