AGACNP 106 Document Questions And
100% Correct Answers
What disease conditions do you see Telangiectasia in?
Differential?
Physical Exam? - ANSWER -( "spider veins") dilated or broken blood vessels located
near the surface of the skin or mucous membranes.
-Rosasea
-Liver dx
-Scleroderma
-Lupus
-Corticosteriod use
-Raynauds
-Basal cell Skin CA
-Differential: PVD
-PE: Hemosiderans deposition (staining)
Type 1 Error - ANSWER -False positive
-Incorrectly rejecting the true null hypothesis (occurs if the null hypothesis is rejected
when it is true)
-Reject the null hypothesis when, as a matter of fact true.
Type 2 Error - ANSWER -False negative
-Failure to reject a null hypothesis that is false - this occurs if the null hypothesis isn't
,rejected when, as a matter of fact it is false
National mandate to prevent VAP? - ANSWER Elevate the HOB
Credentials - ANSWER 1. Include necessary education, licensure and certification
2. Define minimal standards of acceptable performance
3. Necessary to: ensure the safe healthcare is provided by qualified individuals and
comply with federal and state laws relating to advanced practice nursing
4. Scope of practice
5. Mandates accountability
6. Enforces professional standards of practice
What is credentialing or priviliging? - ANSWER -Process by which a NP is granted
permission to practice in an inpatient setting
Hospital Privileges: Credentialing provided by a Hospital Credentialing Committee
consisting of MDs having privileges at the specific hospital the NP has requested
privileges from
Privileges may be granted in part or in whole; conditions regarding granting future
privileges may be given by Credentialing Committee
Licensure - ANSWER - Indicates a person is competent to practice a certain profession.
-legally and officially approved to practice by a governmental agency using rules and
regulations
State board of nursing
Sensitivity -ANSWER -True positives
-the degree to which those having a disease screen/test positive
Specificity -ANSWER -True negatives
-the degree to which those not having a disease screen/test negative
Null hypothesis
What if the null hypothesis is rejected? -ANSWER-There is no significant relation
between the variables of the study
, -Results are due to chance and are not significant in terms of supporting the idea being
investigated. Thus, the null hypothesis assumes that whatever you are trying to prove
did not happen
-It means the results of the study are not due to chance
What is p-value? - ANSWER -Number describing how likely it is that your data would
have occurred by random chance-ie that the null hypothesis is true.
-0.05 as the standard level of significance
-The smaller the p-value, the stronger the evidence that you should reject the null
hypothesis
if P<0.05 it? - ANSWER -Rejects null hypothesis
-Statistically significant
-A significant result and this would have only arose 5/100 times through chance
-Experimental and control groups are considered to be significantly different
if p>0.05? - ANSWER -Fail to reject the null hypothesis
-Not statistically significant and indicates strong evidence for the null hypothesis
What is treatment for VAP? - ANSWER Cover MRSA+ Double antipseudomonal coverage
-Abs with MRSA activity = vanc or linezolid
-Gram neg with antipseudomonal coverage: beta lactam-based agents = Zosyn or
cefepime/ceftazidine or imipenem/meropenem or aztreonam
Gram neg with antipseudomonal coverage: non-beta lactam-based agents =
levofloxacin/cipro or amikacin/gentamicin/tobramycin or colistin/polymyxin B
Right flank pain radiating to the back could indicate? - ANSWER Pancreatitis
What is treatment for cardiac tamponade? - ANSWER Pericardiocentesis to remove the
blood and fluid from around the heart
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