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Acute Care Final Exam – Questions With Solutions (A+)
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Acute Care Final Exam – Questions With Solutions (A+)
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Acute Care Final Exam – Questions With Solutions (A+)The APRN Consensus Model was developed to provide clarity and uniformity
with licensure, accreditation, certification, and education, that will ultimately
enhance patient care. Right Ans - true
The American Nurses Credentialing Center offered the first ACNP certification
exam in: Right Ans - 1995
Driving forces in the development of the Acute Care Nurse Practitioner role
included : Right Ans - all of the above (reduce in hospital LOS, increase
severity of illness, changes in medical residency
Documented benefits of acute care nurse practitioners functioning in the
inpatient setting include all of the following except: Right Ans - fewer
hospital admissions
Practice arenas for the ACNP: Right Ans - have expanded to include tertiary
and secondary settings
ICD 10 was created for all of the following benefits except: Right Ans -
decreased acuity
Standards of clinical practice is described as the level of care or performance
common to the profession of nursing by which the quality of nursing practice
can be judged. Right Ans - true
You are working as a hospitalist and you are consulted on a patient who is
admitted to the surgical service for hip arthroplasty. Shortly after surgery, you
were consulted because the patient was experiencing atrial fibrillation with
RVR. Which of the following notes do you complete? Right Ans - consult
note
Which ethical principle means "do no harm"? Right Ans - nonmaleficience
You are working as a nurse practitioner in the Urgent Care setting and a 8
year old boy presents with an earache. You are the only provider working at
the clinic that day. You are certified as a AG-ACNP. According to your scope of
,practice as a nurse practitioner you are able to provide care to this patient.
Right Ans - false
As the ACNP you are preparing teaching for a 17 year old male patient. Based
on risk factors which would be the most important patient education to
discuss? Right Ans - always wearing a seat belt when in a car
How often should a 68 year old woman have a Pap smear? Right Ans -
there is no need for her to have a pap smear, if three previous smears have
been negative
Treatment of abnormalities before illness occurs is an example of which
prevention? Right Ans - secondary
Healthy People 2020 is a... Right Ans - national health-promotion and
disease prevention initiative
Which would presents the greatest risk for tetanus infection? Right Ans - a
wound obtained while gardening
Factors important to consider in screening for a disease process include?
Right Ans - all the above (frequency of disease, the identification of the
disease, the sensitivity and specificity)
A 52 year old woman with no previous health problems is admitted for
pneumonia. She states that she has not seen a health-care provider in 20
years. Denies previous history of tobacco use. Which of the following
preventive health measures should be recommended after the acute illness
has resolved? Right Ans - mammogram and pap smear
Tertiary prevention measures for a 69 year old woman with congestive heart
failure include: Right Ans - adjusting therapy to minimize dyspnea
A client with a body mass index (BMI) of 18 is considered to be: Right Ans -
underweight
Screening is defined as... Right Ans - detection of a disease process before
occurrence of symptoms in attempt to alter the natural history
, A 40 year old male presents to the ED with complaints of chest pain. He
describes his chest pain as sharp, non-radiating, and located to his left chest.
The pain began two days ago. It is rated a 5/10 at its worst and is worse with
movement and deep breath. His exam is unremarkable. You have obtained a
CXR, EKG, and troponin initially. All of which are without any acute findings.
He has no past medical history or significant family history. He denies any
tobacco or substance abuse. He reports he typically will run at least 4 times a
week for 5 miles at a time and has no symptoms. Most recently, he helped his
brother move into his new home. How will you proceed with the patient's
work-up? Right Ans - discharge the patient home as his chest pain is most
likely musculoskeletal
An elderly male presents with the complaint of constipation. He requests
something to help his bowels move. What does the nurse practitioner first do?
Right Ans - inquire about his normal bowel movements, including last bowel
movement and characterisitics
A patient who has abdominal pain presents to the ER. Which of the following
tests would you expect to perform for a 48 year old female ? Right Ans -
HCG
An 18 year old presents with complaints of vomiting. She reports vomiting for
the last couple of days, mostly food. What are the appropriate tests to order to
further evaluate her symptoms? Right Ans - HCG
Female patient presents with complaints of fever. She denies any cold
symptoms. She has no other symptoms other than some fatigue. Which of the
following is a possible cause for her complaint? Right Ans - malignancy
Which of the following would not be a common diagnosis for the presentation
of a patient with chest pain? Right Ans - dental pain
A 32 year old CNA has non traumatic low back pain. She has no medical
history and her vital signs and the rest of her exam is normal. What is the
appropriate evaluation at this time? Right Ans - none of the above (XR, CT,
MRI)
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