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AC PNP Pediatric Nurse Practitioner - Acute Care Melnic Questions and Answers 100% Pass $12.59
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AC PNP Pediatric Nurse Practitioner - Acute Care Melnic Questions and Answers 100% Pass

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AC PNP Pediatric Nurse Practitioner - Acute Care Melnic Questions and Answers 100% Pass

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  • July 13, 2024
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  • 2023/2024
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  • ac pnp
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AC PNP Pediatric Nurse Practitioner -
Acute Care Melnic Questions and
Answers 100% Pass
Which of the following best describes continuous renal
replacement therapy (CCRT)
A. Blood from an artery is circulated to a hemofilter using only
arterial pressure and not a blood pump
B. Blood is circulated by hydrostatic pressure through a
semipermeable membrane
C. Blood is pumped through a double-lumen venous catheter to a
hemofilter
D. A dialysate is used to increase clearance of uremic toxins -
Answer>> CCRT circulates the blood by hydrostatic pressure
through a semipermeable membrane. It is used in critical care
units because it can be instituted quickly.
A. Blood is pumped through a double-lumen venous catheter to a
hemofilter is continuous venovenous hemofiltration (CVVH)
B. Use of a dialysate to increase clearance of uremic toxins is
also a description of CVVH
D. Blood from an artery circulated to a hemofilter using only
arterial pressure and not a blood pump is an example of
continuous arteriovenous hemofiltration (CAVH)

Complications associated with dialysis include:
A. Peritonitis
B. Dysrhythmias
C. Bleeding especially in females
D. Anorexia - Answer>> Correct Answer: Dysrhythmias.

Hemodialysis can cause hypotension, muscle cramping and
dysrhythmias during treatment

,A, B, C are all examples of complications of peritoneal dialysis.

The difference in myocarditis and pericarditis is:
A. Myocarditis is diagnosed by a myocardial biopsy
B. Pericarditis is treated according to the cause and the type and
extent of inflammation
C. Pericarditis is caused by endocarditis
D. Myocarditis requires pericardiocentesis - Answer>> A.
Diagnostic procedures for pericarditis are similar to those for
endocarditis and myocarditis. The age, size and condition of the
patient with pericarditis also determine treatment which may
include: analgesics, anti-inflammatory drugs, restriction of activity,
corticosteroids, and surgical intervention including
percardiocentesis


B. Performing a myocardial biopsy in a patient with suspected
myocarditis would allow diagnosis but the procedure is so high
risk due to the friability of the myocardium, it is not recommended
C. Myocarditis may be a complication of endocarditis but is
usually triggered by a viral infection such as influenza, coxsackie
and HIV
D. Pericarditis may require surgical intervention such as
pericardiocentesis or removing fluid from the pericardial sac to
relieve increasing pressure and diagnose causative agents.

Acute tubular necrosis (ATN) occurs when a hypoxic condition
causes renal ischemia that damages tubular cells of the glomeruli
so they are unable to adequately filter the urine, leading to acute
renal failure. Treatment of ATN includes:

A. Loop diuretics
B. Fluid restriction
C. Antibiotics

,D. FFP for coagulopathy - Answer>> Correct Answer: Loop
diuretics
Explanation: A. Adequate fluid balance is necessary to perfuse
the kidneys. Identifying and treating underlying cause is key
C. Antibiotics including sulfonamides and streptomycin can cause
ATN. Antibiotics should only be continued if infection is present
D. Coagulopathy may develop if uremia is present. Uremia leads
to destruction of platelets and bleeding.

In Piaget's formal operational stage, development includes:

A. Egocentrism
B. Flexibility of thought
C. Magical thinking
D. Organization - Answer>> Correct Answer: Flexibility of
thought
D. The formal operational stage of Piaget's theory of cognitive
approach to development includes abstract thought and flexibility
of thought. The age range a child begins to exhibit this is 12 years
and older
A. Magical thinking and
B. Egocentrism are in the preoperational thinking stage; ages 2-7
years
C. Organization is found in the concrete operational thinking
which is 7-12 years of age

The most common cause of bladder obstruction in the pediatric
male patient is:

A. Hypospadius
B. Post urethral valve related issues
C. Undescended testes
D. Single kidney - Answer>> Explanation: C. Post urethral valve
issues are the most common cause of bladder obstruction in
pediatric male patients.

, A, B, D. None of these GU or renal abnormalities cause bladder
obstruction

When doing Pulmonary Function Tests (PFTs), the NP recalls:
A. Asthma is a form of restrictive lung disease
B. Forced expiration is the best indicator of obstructive airway
disease
C. Forced expiration is the best indicator of restrictive airway
disease
D. A value is considered abnormal if it is less than 50% of your
predicted value - Answer>> Correct Answer: Forced expiration
is the best indicator of obstructive airway disease

Explanation: A. In PFT's, forced expiration is the best indicator of
obstructive airway disease. Obstructive disease make the lungs
contain too much air and take longer to empty. Changes in lung
volumes and capacities are generally consistent with the pattern
of impairment. With obstructive lung disease total lung capacity,
functional residual capacity and residual lung volume increase.
With obstructive lung diseases, these decrease.
B. See explanation for A.
C. A value is considered abnormal if it is less than 80% of your
predicted value
D. Asthma is a type of obstructive lung disease

A child in the emergency department has point tenderness over
the proximal tibia and an appropriate history of trauma. The
radiograph show a fracture through the growth plate that extends
in to the epiphysis and joint space. This type of fracture would be
characterized as:

A. Salter - Harris Type I
B. Salter - Harris Type II
C. Salter - Harris Type III

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