ACNP BOARD CERTIFICATION EXAM REVIEW
1. To improve the health of a population, an acute care nurse practitioner's intervention is to:
-join a professional nursing organization and run for an organizational office.
-maintain current certification as an acute care nurse practitioner.
-parti...
1. To improve the health of a population, an acute care nurse practitioner's intervention is to:
-join a professional nursing organization 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.
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.
consult social services for assistance.
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.
obtain an abdominal ultrasound.
Abdominal Aortic aneurysm
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
Osteoarthritis
Heberden: distal phalanges
Bouchard: proximal phalanges
Difference between OA and RA:
Heberden and Bouchard nodes are often seen in digits, they are bony round growth near the joints, while
, rheumatoid nodules are more common with arms and elbows underneath the skin, people with RA later
develop curving and bending of fingers.
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
beneficence
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.
replenish volume by infusing a 0.9% sodium chloride solution.
priority is to replenish the volume and the fix the osmolality
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).
ciprofloxacin (Cipro)
Cephalosporin (ceph) are "cousins" with penicillin (cross-allergy).
Tetracyclines can cause severe side effects and are not recommended for elderly.
7. 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.
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