Acute Care Nurse Practitioner Exam 1 QUESTIONS ANSWERED 100% CORRECT 2023 |VERIFIED

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Acute Care Nurse Practitioner Exam 1 QUESTIONS ANSWERED 100% CORRECT 2023 |VERIFIED A client is admitted to the emergency department with chest pain that is consistent with myocardial infarction base... d on elevated troponin levels. Heart sounds are normal. The nurse should alert the primary health care provider because the vital sign changes and client assessment are most consistent with which complication? Refer to chart {{Correct Ans:- Cardiogenic shock A client in shock develops a central venous pressure (CVP) of 2 mm Hg. Which prescribed intervention should the nurse implement first? {{Correct Ans:- Increase the rate of intravenous (IV) fluids A client at risk for shock secondary to pneumonia develops restlessness and is agitated and confused. Urinary output has decreased and the blood pressure is 92/68 mm Hg. The nurse minimally suspects which stage of shock based on this data? {{Correct Ans:- Stage 2 The nurse is caring for a client hospitalized for heart failure exacerbation and suspects the client may be entering a state of shock. The nurse knows that which intervention is the priority for this client? {{Correct Ans:- Administration of digoxin (Cardiogenic Shock) Which clinical findings are consistent with sepsis diagnostic criteria? Select all that apply. {{Correct Ans:- Temperature of 102° F (38.9° C) Heart rate of 96 beats per minute Mean arterial pressure 65 mm Hg respiratory rate above 22 breaths per minute systolic blood pressure (SBP) less than or equal to 100 mm Hg oliguria ileus (absent bowel sounds) Decreased Capillary refill/molting The nurse is assessing a client for meningeal irritation and elicits a positive Brudzinski's sign. Which finding did the nurse observe? {{Correct Ans:- The client passively flexes the hip and knee in response to neck flexion and reports pain in the vertebral column The nurse performing a neurological examination is assessing eye movement to evaluate cranial nerves III, IV, and VI. Using a flashlight, the nurse would perform which action to obtain the assessment data? {{Correct Ans:- Ask the client to follow the flashlight through the 6 cardinal positions of gaze. The nurse is performing a neurological assessment on a client who had a stroke (brain attack). The nurse checks for proprioception using which assessment technique? {{Correct Ans:- Holding the sides of the client's great toe and, while moving it, asking what position it is in The nurse is performing a neurological assessment on a client with a head injury. The nurse should use which technique to assess the plantar reflex? {{Correct Ans:- Stroking the foot from the heel to the toe The nurse is performing a physical examination on an assigned client. Which item should the nurse select to test the function of cranial nerve II? {{Correct Ans:- Snellen chart The nurse is preparing to test the sensory function of cranial nerve V in a client. The nurse should obtain which item to test the sensory function of this nerve? {{Correct Ans:- A wisp of cotton The nurse is testing the coordinated functioning of cranial nerves III, IV, and VI. To do this correctly, what should the nurse test? {{Correct Ans:- The 6 cardinal fields of gaze [Show More]

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