QUESTION Systemic lupus erythematosis (SLE) is a multiorgansystem autoimmune disorder that can prevent with a wide

variety of manifestations. Which clinical triad should prompt an evaluation for SLE?

A.           Fever, normal white count, elevated sedimentation rate

B.           Hyperkalemia, hyponatremia, low blood pressure

C.           Leukocytosis, hyperglycemia, hypokalemia

D.           Joint pain, rash, fever

QUESTION Mrs. Mireya is an 85-year-old female who is admitted for evaluation of acute mental status change from the long term care facility. She is normally ambulatory and participates in lots of facility activities. Today a nursing assistant found her in her room, appearing confused and disconnected from her environment. When she tried to get up she fell down. Her vital signs are stable excepting a blood pressure of 90/60 mm Hg. The AGACNP knows that the most likely cause of her symptoms is:

A.           Osteoarthritis

B.           Drug or alcohol toxicity

C.           Hypotension

D.           Urosepsis

QUESTION Mr. Truman is transferred to the emergency department by ambulance. His wife called 911 this morning because he was acting “funny” when he woke up. Both the patient and his wife went to bed last night at approximately 10:30 and everything was normal. This morning he could not communicate orally and seemed confused about how to ambulate. Upon arrival to the emergency department his vital signs are as follows: Temperature 100.9° F, pulse 89 b.p.m., respirations 14 b.p.m. and blood pressure 168/94 mm Hg. A non-contrast CT scan of the head reveals thrombotic CVA. The AGACNP know that immediate management of this patient should include:

A.           Thrombolytics

B.           IV vasodilators

C.           Aspirin

D.           Antiepileptics