Adult Gerontology Acute Care Nurse Practitioner Sample Question 1
A patient who is an IV drug user presents with intermittent visual loss and fundoscopic eye exam shows white-centered hemorrhages in the retinal artery. Which of the following conditions does this patient most likely have?
- BMacular degeneration
- CInfective endocarditis
- DViral conjunctivitis
- ERetinal artery occlusion
Adult Gerontology Acute Care Nurse Practitioner Sample Question 2
A 23-year-old female G1P0 who is 26 weeks pregnant presents to urgent care after complaining of a headache. Her blood pressure in triage is 180/95 mmHg. She is sent to the nearest emergency department for blood pressure control and workup. After the patient’s arrival, routine labs reveal a white blood cell count of 4.5 cells/μL (normal 3.5-10.5 cells/μL), hemoglobin 9.5g/dL (normal 12-16g/dL), and platelet count 74 thousand/μL (normal 150-400 thousand/μL). Platelet count was 258 thousand/μL a week prior. AST is 358 IU/L, and ALT is 461 IU/L (normal 5-45 (IU/L). CMP shows an elevated indirect bilirubin. What is the treatment of choice?
- ATreatment for immune thrombocytopenia (ITP)
- BPlasmapheresis for thrombotic thrombocytopenic purpura (TTP)
- DDelivery of fetus
- ELiver biopsy and workup for acute hepatitis
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K. Wright, AGACNP-C