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Exam (elaborations)

ACNP 807 - Questions With Well Detailed Solutions

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  • ACNP
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  • ACNP

ACNP 807 - Questions With Well Detailed Solutions

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  • November 2, 2024
  • 9
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • ACNP
  • ACNP
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LeCrae
ACNP 807 - Questions With Well Detailed Solutions

When the APRN is assessing a patient with a suspected cerebellar
hemorrhage, what findings would be expected on the physical exam? Right
Ans - Ataxia
Facial weakness
Inability to walk/stand
Ipsilateral conjugate gaze
Paresis
Vertigo

The APRN knows that a tonic-clinic seizure will include which findings?
Right Ans - Full body involvement
Presence of an aura
Loss of consciousness
Respiratory arrest
Muscle rigidity/muscle jerking
Post-octal state after seizure

What would the APRN expect to see on a CT scan of a patient who just
suffered a hemorrhagic stroke? Right Ans - An abnormal white hyper
density

A patient presents to the ED with stroke like symptoms. A CT of the head was
ordered but the results were negative. What should the APRN tell the family
and do next? Right Ans - Explain to the family that a stroke cannot yet be
ruled out and an additional CT scan or MRI should be completed

A patient presents to the ED with stroke like symptoms that started 2 hours
ago and is hypertensive with a systolic blood pressure of 200 mmHg. The CT
scan is positive for an ischemic stroke and the patient is a candidate for a
thrombosis. What medications should the APRN order prior to completing a
thrombolysis? Right Ans - Labetolol, 10-20mg IV

What is the drug of choice for a patient that is having a seizure? Right Ans -
Ativan

A patient presents to the ED stating that they have the worst headache of their
life. What should the APRN do first? Right Ans - CT scan

, A patent in ICU states that they are having the worst headache of their life.
What condition is the APRN most concerned for? Right Ans - SAH

How would the APRN calculate a patients cerebral perfusion pressure?
Right Ans - CPP = MAP - ICP

What is the normal range for cerebral perfusion pressure? Right Ans - 50 -
70 mmHg

A patient presents to the ED after suffering a traumatic spinal injury. When
completing the physical exam, flaccid to partial paralysis is noted. Where
would the APRN suspect that the patient's spinal injury is located? Right
Ans - C5-C6

A patient presents to the ED with a spinal injury and is exhibiting paralysis of
the intercostal and abdominal muscles. Where would the APRN suspect that
the patient's spinal injury is located? Right Ans - C2 - C3

What are the 2 most common types of meningitis? Right Ans - Bacterial
Viral

When reviewing labs for a patient with suspected bacterial meningitis, what
would the APRN expect to find on the CSF analysis? Right Ans - Cloudy
appearance
Elevated opening pressure
Elevated protein
Elevated WBC, polymorphonuclear
Decrease glucose
Bacteria present on culture

When reviewing labs for a patient with suspected viral meningitis, what
would the APRN expect to find on the CSF analysis? Right Ans - Clear
appearance
Normal opening pressure
Normal to slightly elevated proteins
Normal glucose
Elevated WBC, mononuclear
Positive for PCR on fluid

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