*NURSING > QUESTIONS & ANSWERS > Acute Care Nurse Practitioner Exam: Exam Questions and Answers (All)

Acute Care Nurse Practitioner Exam: Exam Questions and Answers

Document Content and Description Below

Acute Care Nurse Practitioner Exam: Exam Questions and Answers 1. To improve the health of a population, an acute care nurse practitioner's intervention is to: join a professional nursing organi... zation and run for an organizational office. maintain current certification as an acute care nurse practitioner. participate in hospital grand rounds. report any unusual pattern of infections to the local health department. 2. A patient, who is allergic to penicillin, requires antibiotic treatment for community-acquired pneumonia. The patient has a limited income, lacks health insurance, and is about to be discharged from the hospital. An acute care nurse practitioner's intervention is to: consult social services for assistance. order an aerosol antibiotic. transfer the patient to an extended care facility. write a prescription for an antibiotic. 3. A patient is scheduled for elective orthopedic surgery. During the preadmission physical examination, the acute care nurse practitioner detects an asymptomatic pulsatile mass in the middle upper abdomen. The nurse practitioner's most appropriate action is to: obtain a kidney-urethra-bladder x-ray. obtain a renal arteriogram. obtain an abdominal ultrasound. proceed with the patient's elective surgery. 4. Which musculoskeletal disease primarily involves the distal joints, hips, knees, and spine, and is characterized by the development of Heberden and Bouchard nodes? Gout Osteoarthritis Osteoporosis Rheumatoid arthritis 5. An acute care nurse practitioner is deciding whether to recommend a long-term medication regimen that will help a patient manage disease symptoms but may also introduce problematic side effects. This decision reflects which ethical principle? Autonomy Beneficence Fidelity Justice 6. A patient, who has been in the intensive care unit for 17 days, develops hypernatremic hyperosmolality. The patient weighs 132 lb (59.9 kg), is intubated, and is receiving mechanical ventilation. The serum osmolality is 320 mOsm/L kg H2O. Clinical signs include tachycardia and hypotension. An acute care nurse practitioner's initial treatment is to: reduce serum osmolality by infusing a 5% dextrose in 0.2% sodium chloride solution. reduce serum sodium concentration by infusing a 0.45% sodium chloride solution. replenish volume by infusing a 0.9% sodium chloride solution. replenish volume by infusing a 5% dextrose in water solution. 7. A 78-year-old male patient with heart failure develops a bacterial urinary tract infection secondary to an indwelling Foley catheter. The patient has a known history of allergy to penicillin and sulfonamides. The appropriate choice for antimicrobial therapy is: cephalexin (Keflex). ciprofloxacin (Cipro). doxycycline (Vibramycin). tetracycline (Sumycin). 8. An acute care nurse practitioner is evaluating a 78-year-old patient for an aortic valve replacement. Laboratory results indicate a low serum albumin level. The nurse practitioner prescribes a high-protein diet and evaluates the patient's response by: assessing the total serum protein level. calculating the body fat percentage. obtaining a complete blood count. obtaining a serum prealbumin level. 9. A 42-year-old patient with metastatic lung cancer is admitted with severe intractable pain related to a pathologic fracture of the left femur. The plan is to stabilize the fracture surgically, and begin local radiation therapy to the site. For this patient, the most appropriate analgesic regimen is: fentanyl (Duragesic) transdermal system applied every 72 hours. meperidine (Demerol) 50 mg intramuscularly every three hours around the clock. morphine sulfate (Avinza) IV via a patient-controlled analgesia pump with a basal rate. oxycodone/acetaminophen (Percocet) orally every six hours around the clock. 10. A female patient is receiving adjuvant chemotherapy for breast cancer and has been given information about her treatment regimen, expected side effects, and symptom management. Which symptom, if occurring two weeks after treatment, warrants a prompt call to the acute care nurse practitioner? Alopecia Fatigue Fever Nausea 11. A patient with hydrocephalus secondary to a subarachnoid hemorrhage has developed an intracranial pressure of 25 mm Hg. The acute care nurse practitioner's intervention is to: hyperventilate to reach a PCO2 of 30 mm Hg. order dexamethasone (Decadron) 4 mg IV. perform a ventriculostomy and drainage of cerebrospinal fluid. prescribe mannitol (Osmitrol) 100 g IV. 12. Which medication is used with caution in older adults due to the potential for confusion and delirium? Fluoxetine (Prozac) Haloperidol (Haldol) Lorazepam (Ativan) Phenelzine (Nardil) 13. A 45-year-old patient, who is on mechanical ventilatory support in the intensive care unit, is receiving a neuromuscular blockade for respiratory control related to acute respiratory failure. To prevent keratoconjunctivitis sicca, the acute care nurse practitioner prescribes: artificial tears preparations. IV antibiotic administration. local sulfonamide therapy. topical steroid administration. 14. After undergoing a successful autologous bone marrow transplant for multiple myeloma, a 55-year-old male patient comes to the clinic for his followup appointment. The patient reports that a skin lesion has changed in appearance. The acute care nurse practitioner responds by: consulting dermatology to evaluate the lesion. inspecting and excising the lesion. prescribing a topical steroid preparation. recommending reevaluation in two weeks. 15. An 83-year-old patient arrives in the emergency department in severe respiratory distress. The patient verbalizes a desire not to be intubated nor to have cardiopulmonary resuscitation performed. The patient states that a neighbor has a copy of the patient's recently signed living will. The acute care nurse practitioner leaves the bedside momentarily and returns to find the physician preparing to intubate. The nurse practitioner's initial action is to: assist the physician with intubation. call the patient's neighbor to deliver a copy of the living will. locate a previous patient record to find a copy of the living will. notify the physician of the conversation with the patient. 16. A 24-year-old male patient with a closed head injury has been intubated for 12 days. The patient's parents have repeatedly refused consent for a tracheostomy and long-term care placement. On multiple occasions, the surgeon has discussed the risks and benefits of the surgery with them. Addressing the parents, the acute care nurse practitioner states: “I understand you have reservations about the placement of a tracheostomy.” “Please know that not many patients die while undergoing a tracheostomy.” “Without a tracheostomy, we can't transfer your son to another facility.” “You know, your son will die if a tracheostomy is not placed.” 17. Before initiating a new antihypertensive drug therapy, an acute care nurse practitioner uses which evidence-based practice approach? Discussing the medication choices with a collaborating physician Discussing the medication's side effects with a colleague Reviewing the confidence intervals of related research Reviewing the institutional formulary 18. During a clinic appointment, an acute care nurse practitioner sees a 56-year-old male patient with a history of hypertension, metabolic syndrome, and hyperlipidemia. A review of the patient's symptoms reveals nocturia, occasional heartburn, and transient rhinitis. The patient asks about the appropriate interval of certain screening tests for someone his age. The nurse practitioner responds that a: digital prostate examination should be performed monthly. prostate-specific antigen should be performed annually. sigmoidoscopy should be performed every 10 years. testicular examination should be performed every two years. 19. Which is an accurate statement regarding the formal evaluation of quality of care? Continuous quality improvement (CQI) programs focus on individual incidents. Health care regulatory agencies have not identified an effective means to measure quality. Hospitals do not receive payment for services if quality of care evaluations are not performed. The Joint Commission mandates that hospitals implement CQI programs. 20. While providing a history, a patient requests that an acute care nurse practitioner disclose the information gathered with no one but the patient's spouse. By respecting this request, the nurse practitioner demonstrates which component of a therapeutic relationship? Autonomy Beneficence Confidentiality Empathy 21. A 57-year-old male patient arrives at the emergency department with substernal chest pain. An electrocardiogram reveals ST segment depression in leads V3 and V4. Before administering nitrates, an acute care nurse practitioner assesses the patient's use of: angiotensin-converting enzyme inhibitors. aspirin. beta-blockers. phosphodiesterase inhibitors. 22. For an 84-year-old patient who undergoes surgery, the most accurate predictor of mortality and patient outcome is: a low score on a Mini-Mental State Examination. an impaired functional status. the availability of social support. the patient's chronological age. 23. An acute care nurse practitioner performs a cardiac assessment on a patient with a confirmed mitral valve prolapse. During which activity does the nurse practitioner expect the patient's murmur to diminish? Inhaling Sitting Squatting Standing 24. A 21-year-old patient is admitted to the intensive care unit with a severe closed head injury. The patient's family is becoming louder and more insistent about seeing the patient. To establish a therapeutic relationship with the family, an acute care nurse practitioner’s initial action is to: acknowledge the family’s anxiety. arrange for a meeting with a social worker. escort the family to a conference room. gently direct the family to maintain composure. 25. An acute care nurse practitioner is called to the medical intensive care unit to evaluate a patient who is intubated for mechanical ventilation. The patient's arterial blood gas results are: pH-7.35; PCO2-44 mm Hg; HCO3-22 mEq/L; and PO2-52 mm Hg. The current ventilator settings are: Assist control; Respiratory rate-14 breaths/min; Tidal volume (TV)-400 mL; Fraction of inspired O2-100%; and positive-end expiratory pressure (PEEP)-5 cm H2O. The nurse practitioner's next action is to increase the: peak pressure alarm to 40 mm Hg. PEEP to 10 cm H2O. respiratory rate to 18 breaths/min. TV to 500 mL. [Show More]

Last updated: 8 months ago

Preview 1 out of 9 pages

Reviews( 0 )

Recommended For You

 Business> QUESTIONS & ANSWERS > CE Shop, CE Shop Final Exam Questions and Answers 100% Pass (All)

preview
CE Shop, CE Shop Final Exam Questions and Answers 100% Pass

CE Shop Final Exam Questions and Answers 100% Pass Blaire apparently hasn't learned her lesson. She paid a $5,000 penalty when MREC found her guilty of misrepresentation, a $10,000 penalty when she...

By Nutmegs , Uploaded: Jul 16, 2023

$11

 *NURSING> QUESTIONS & ANSWERS > NR 602/ NR602 MIDTERM EXAM QUESTIONS and 100% CORRECT ANSWERS. (All)

preview
NR 602/ NR602 MIDTERM EXAM QUESTIONS and 100% CORRECT ANSWERS.

Question 1. A Bethesda System Pap smear report that reads LSIL is most consistent with which classification Question 2. A single Pap smear reading of ASCUS in a patient negative for HPV infection...

By Tashaj , Uploaded: Jan 25, 2021

$10

 Art> QUESTIONS & ANSWERS > ILLUSTRATOR CC EXAM QUESTIONS AND ANSWERS GRADED A+ 2023 LATEST UPDATE (All)

preview
ILLUSTRATOR CC EXAM QUESTIONS AND ANSWERS GRADED A+ 2023 LATEST UPDATE

You are designing a mobile app to be used on smartphones, and you need to create graphics that can be used in the application/ Under which circumstances might you need to get permission to use a p...

By StudyMasters Hub , Uploaded: Oct 27, 2023

$12

 *NURSING> QUESTIONS & ANSWERS > NGN ATI BIO RESPIRATORY PRACTICE EXAM QUESTIONS AND ANSWERS 100% GUARANTEED SUCCESS LATEST UPDATE 2023/2024 RATED A+ (All)

preview
NGN ATI BIO RESPIRATORY PRACTICE EXAM QUESTIONS AND ANSWERS 100% GUARANTEED SUCCESS LATEST UPDATE 2023/2024 RATED A+

NGN ATI BIO RESPIRATORY PRACTICE EXAM QUESTIONS AND ANSWERS 100% GUARANTEED SUCCESS LATEST UPDATE 2023/2024 RATED A+ An infant with respiratory syncytial virus (RSV) is being admitted to the hosp...

By skpass , Uploaded: Jun 29, 2023

$16

 Law> QUESTIONS & ANSWERS > CLG 0010 DOD GOV. COM. PUR. CARD OVERVIEW EXAM Questions and Answers. (All)

preview
CLG 0010 DOD GOV. COM. PUR. CARD OVERVIEW EXAM Questions and Answers.

CLG 0010 DOD GOV. COM. PUR. CARD OVERVIEW EXAM Questions and answers, 2022 update, Rated A+ whose responsibility is it to comply with Government agency standards of conduct? (select the three tha...

By bundleHub Solution guider , Uploaded: Aug 28, 2022

$10.5

 Social Sciences> QUESTIONS & ANSWERS > BCBA Exam Questions and Answers 100% Pass (All)

preview
BCBA Exam Questions and Answers 100% Pass

BCBA Exam Questions and Answers 100% Pass stimulus class ✔✔any group of stimuli sharing a predetermined set of common elements in one or more of the following: physical features, temporally, & func...

By Nutmegs , Uploaded: May 10, 2023

$15

 Medical Studies> QUESTIONS & ANSWERS > CSEP CPT Exam Questions and Answers Latest Updated 2022 Rated A (All)

preview
CSEP CPT Exam Questions and Answers Latest Updated 2022 Rated A

what is the average stroke volume during exercise and at rest? Correct Answer-Rest: 70 mL/b Exercise: 120-190mL/b what is the average cardiac output at rest and during Exercise? Correct Answer-Rest:...

By clairel^ , Uploaded: Jan 20, 2023

$9

 Emergency Medicine> QUESTIONS & ANSWERS > NREMT Exam Questions and Answers/Explained 2023/2024. (All)

preview
NREMT Exam Questions and Answers/Explained 2023/2024.

National Registry of Emergency Medical Technicians: Emergency Medical Responder NREMT Exam Questions and Answers/Explained 2022. You arrive to find a 48 year old male complaining that his chest feel...

By Expert#1 , Uploaded: May 14, 2022

$16

 Risk Management and Insurance> QUESTIONS & ANSWERS > Property and Casualty insurance exam questions and answers already passed (All)

preview
Property and Casualty insurance exam questions and answers already passed

Property and Casualty insurance exam questions and answers already passed Insurance ✔✔The transfer of risk through a legal contract Property ✔✔Covers real property and personal property against dam...

By Nutmegs , Uploaded: Oct 30, 2022

$12

 Mathematics> QUESTIONS & ANSWERS > State Farm Estimates Exam Questions and Answers Rated A+ (All)

preview
State Farm Estimates Exam Questions and Answers Rated A+

The formula for determining the area of a trapezoid is: Select the single best answer: A. [(Base1 + Base2) ÷ 2] x Height B. ½ Base x Height C. Base x Height D. ???? (pi r squared) Ans- [(base1+ba...

By Native , Uploaded: Feb 11, 2023

$11

$10.50

Add to cart

Instant download

Can't find what you want? Try our AI powered Search

OR

GET ASSIGNMENT HELP
214
1

Document information


Connected school, study & course



About the document


Uploaded On

Apr 30, 2020

Number of pages

9

Written in

Seller


seller-icon
Kirsch

Member since 4 years

897 Documents Sold


Additional information

This document has been written for:

Uploaded

Apr 30, 2020

Downloads

 1

Views

 214

THE BEST STUDY GUIDES

Avoid resits and achieve higher grades with the best study guides, textbook notes, and class notes written by your fellow students

custom preview

Avoid examination resits

Your fellow students know the appropriate material to use to deliver high quality content. With this great service and assistance from fellow students, you can become well prepared and avoid having to resits exams.

custom preview

Get the best grades

Your fellow student knows the best materials to research on and use. This guarantee you the best grades in your examination. Your fellow students use high quality materials, textbooks and notes to ensure high quality

custom preview

Earn from your notes

Get paid by selling your notes and study materials to other students. Earn alot of cash and help other students in study by providing them with appropriate and high quality study materials.


$10.50

WHAT STUDENTS SAY ABOUT US


What is Browsegrades

In Browsegrades, a student can earn by offering help to other student. Students can help other students with materials by upploading their notes and earn money.

We are here to help

We're available through e-mail, Twitter, Facebook, and live chat.
 FAQ
 Questions? Leave a message!

Follow us on
 Twitter

Copyright © Browsegrades · High quality services·