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AC-PNP Exam Review Latest Update Actual Exam from Credible Sources with 280 Questions and Verified Correct Answers Golden Ticket to Guaranteed A+ Verified by Professor

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  • November 16, 2024
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  • 2024/2025
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AC-PNP Exam Review Latest Update 2024-2025
Actual Exam from Credible Sources with 280
Questions and Verified Correct Answers Golden
Ticket to Guaranteed A+ Verified by Professor

" - CORRECT ANSWER:


" - CORRECT ANSWER:


"Name and describe the type of migraine typical to adolescence? - CORRECT
ANSWER: Common migraine without aura, throbbing or pounding headache that is
usually unilateral, may have nausea and vomiting, often relieved by sleep


3rd generation cephalosporins cover which organisms? - CORRECT ANSWER: Gram
Positive, HENPEK, Serratia, Ceftazidime also covers pseudomonas


A 6 year old with fever, rash, joint pain, elevated CRP and + ASO titer should be worked
up for - CORRECT ANSWER: Rheumatic fever


A fixed split S2 is commonly found in which disorder? - CORRECT ANSWER: ASD


A patient with café' au lait spots are at increased risk for - CORRECT ANSWER:
Neurofibromatosis


Are immunizations given during treatment of childhood cancer? Explain your answer -
CORRECT ANSWER: Immunizations are not given during active chemotherapy


At what age do you suspect newborn jaundice - CORRECT ANSWER: 48-72 hours of
age

,At what age should children first be able to combine words? - CORRECT ANSWER: 18
months


At which age should prophylactic penicillin be initiated in a child with Sickle Cell anemia
and why - CORRECT ANSWER: 2 to 3 months of age because of functional asplenia


Both Stevens Johns Syndrome and Staphylococcal Skin Disease start with - CORRECT
ANSWER: Prodrome of fever, malaise and irrtability


Calculate the Glasgow Coma Score the the following child: 3 yr old who opens his eyes,
moans, and withdraws to pain - CORRECT ANSWER: Eye opening (2) - eye opening to
pain, Merbal (2) - moans to pain. Motor (4) withdraws to pain= Total 8


Define " double- effect." - CORRECT ANSWER: A decision that may cause both
desirable and undesirable effects. Intent is key to definition


Define assent, consent, and informed permission - CORRECT ANSWER: Assent- refers
to agreement by the patient who may be underaged or of diminished capacity and not
legally competent for their own decision-making; Consent Refers to agreement by the
patient competent for their own decision making; Permission-Refers to agreement by
someone legally competent for the other's decision-making


Define beneficence and nonmaleficence - CORRECT ANSWER: Beneficence- Refers to
the moral obligation to act for the benefit of others Nonmaleficence- Refers to the moral
obligation to do no harm


Define palliative care - CORRECT ANSWER: Palliative care means patient and
familycentered care that optimizes quality of life by anticipating, preventing and treating
suffering. Palliative care throught out the continum of illness involves addressin
physical, intellectual , emotional, social and spirtiual needs and to facilitate patient
autonomy, access to information and choice. Hospice is a subset of palliative care.

,Define precocious puberty - CORRECT ANSWER: Secondary sexual characteristics
before 9 years in males; in females, onset of breast developemnt before 8 years, sexual
pubic hair before 9 years or menses before the age of 9.5 years


Define sensitivity and specificity - CORRECT ANSWER: Sensitivity- refers to the
proportion of people who have positive test results and who really have the disease,
Specificity- Refers to the people who do not have the disease and whose test results
are negative


Describe brushfield's spots - CORRECT ANSWER: margin of the iris of the eye has a
rosary of small white stromal tufts


Describe Epidural Hemmorhages? - CORRECT ANSWER: Epidural, between inner
table of skull and dura mater, lenticular shape, do not cross hemispheres, often follow
middle meningeal artery tear, period of lucency followed by decreased LOA, emergent
surgical evacuation if symptomatic


Describe hyphema and its treatment - CORRECT ANSWER: Ruptured iris blood vessel
or ciliary body resulting in blood and increased pressure in the anterior chamber. May
result in glaucoma or vision loss, often associated with other eye injury, coagulopathies
may impact prognosis and recovery, May require surgical correction, Treatment options
include:Acetazolamide, Amicar, Bedrest, Eye patching, Elevated HOB , Avoidance of
vlasalva maneuver


Describe methods to treat hyperkalemia - CORRECT ANSWER: Push K into cells-
Albuterol, Insulin/glucose, Sodium bicarbonate - Remove K- Kayexalate, dialysis;
Stabilize cardiac cell membrane- Ca chloride


Describe pertussis... course, diagnosis and treatment? - CORRECT ANSWER: Course,
catarrhal phase, paroxysmal phase, convelescent phase. May have co-findings of
pneumonia, otits, seizures or encephalitis
Diagnosis- Lymphocytosis, Bordetella pertussis, a coccobacillus.
Treatment erythromycin

, Describe subarchnoid hemmorhage? - CORRECT ANSWER: Subarachnoid, between
arachnoid and pia mater, severe headache and neck pain, surgical evacuation if
symptomatic


Describe Subdural Hemmorhages? - CORRECT ANSWER: Subdural, between dura
mater and arachnoid, may be associated with a skull fracture, often bilateral and will
cross hemispheres, symptoms may be acute or insidious ICP- surgical evacuation if
symptomatic


Describe the cause of nephrogenic or vasopressin resistant DI - CORRECT ANSWER:
It's caused by reduced renal responsiveness to antifiurectic hormone (ADH)


Describe the differences between the Syndrome of Inappropriate Diuretic Hormone and
Diabetes Insipidus - CORRECT ANSWER: SIADH - Inappropriate ADH secretion,
decreased Na with decreased serum osmo, increased urine osmo, Normal kidney
function, often follow cerebral illness, or injury esp. spinal surgery, Tx with supp theray
and fluid restriction. DI--Inadequate antidiuretic, Hormone effect, Disease of free water,
Polyuria/polydipsia, Decreased urine osmo/sp.gr. even, When serum osmo increased,
Increased NA, Central or nephrogenic, Often follows Cerebral illness of injuryTreat with
supportive, Therapy and vasopressin


Describe the differences in CSF findings between bacterial, viral, & herpes meningitis -
CORRECT ANSWER: Bacterial- Decreased glucose and highly Increased WBC,
Lactate, protein: Diff- PMN
Viral- Glucose normal and lactate normal or decreased, protein and WBC mildly
increased. DIff PMN first than monos
Herpes- Glucose normal, protein and WBC increased, Diff PMN than monos, RBC
>1000 in absence of traumatic tap.


Describe the patho, laboratory findings and treatment of DIC - CORRECT ANSWER:
Pathophysiology - Desposition of fibrin in the microvasculature resulting in consumption
of coagulation factors and platelets
Laboratory Findings- PT, PTT, FDP, D Dimers, Plts, Fibrinogen
Treatment- FFP, Cryoprecipitate, Platelets

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