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Which of the following disease-modifying antirheumatic drugs is a folic acid antagonist? 

The nurse practitioner is evaluating a client with the complaint of “joint pain”. Lab work is ordered and reveals an increased erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP).  Which condition would be LEAST likely to cause a change in acute-phase proteins? 

The nurse practitioner is evaluating a 30-year-old client with a chief complaint of intermittent “itchy hives over my chest and arms.” The client denies difficulty swallowing or breathing, but reports a family history of allergic rhinitis and asthma. Which of the following would be the next best step in evaluating the client?

When should prostate screening begin in select client populations? 

When assessing an elderly adult with active infection, what associated findings may be likely in this client population? 

The nurse practitioner is evaluating a client with rheumatoid arthritis for a new diagnosis of anemia.  What mechanism contributes to the development of anemia of chronic disease in individuals with inflammatory disorders? 

The nurse practitioner is evaluating labs on a client who presented 3 days prior for the complaint of new-onset fatigue and decreased appetite with mild nausea. The client’s past medical history includes hypertension and hyperlipidemia. The client is a smoker and drinks 2-3 alcoholic drinks per day. Current medications include an ACE inhibitor and statin.  On the physical examination, the client had a normal cardiovascular and respiratory exam. Bowel sounds were present x4 quadrants, there was mild abdominal distension but no guarding or rigidity and no palpable organomegaly.  Lab results are as follows: Hgb 10.6 g/dL (reference 12.5-15.1), MCV 126 fL (reference 80-100), RDW 13% (reference 11.5-14.5), Platelet count 65,000 mm3 (reference 150,000-400,000), WBC 3,900 mm3 (reference 4,500-10,000) with a normal differential.  What determination does the NP make regarding the client’s lab results? 

From which causative organism does infectious mononucleosis arise? 

When considering a client’s complaint of “muscle pain” with no specific injury, which condition should the NP recognize as the most common cause of generalized musculoskeletal pain in women ages 20 to 55?

The nurse practitioner is referring a couple who are attempting to conceive, to genetic counseling. The mother and father both have beta thalassemia minor/trait with a mild, microcytic hypochromic anemia. Considering that each parent will contribute 1 beta-globin gene, what is the possibility with each pregnancy, the offspring will have beta-thalassemia major, a severe microcytic anemia?