ACNP BOARD REVIEW QUESTIONS WITH COMPLETE SOLUTIONS 2023

ACNP BOARD REVIEW QUESTIONS WITH COMPLETE SOLUTIONS 2023 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. - CORRECT ANSWER report any unusual pattern of infections to the local health department. 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. - CORRECT ANSWER consult social services for assistance. 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. - CORRECT ANSWER obtain an abdominal ultrasound. Abdominal Aortic aneurysm 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 - CORRECT ANSWER 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. 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 - CORRECT ANSWER beneficence