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ACNP III Exam 2: Questions & Complete Solutions
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ACNP III Exam 2: Questions & Complete Solutions
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ACNP III Exam 2: Questions & Complete SolutionsWhat is the first step in the management of a patient with mild levels of
anxiety?
a. electroconvulsant therapy.
b. lithium.
c. SSRIs.
d. behavior therapy. Right Ans - d. behavior therapy.
A 28-year-old male presents with symptoms of severe depression. Which of
the following lab tests are NOT part of a routine medical screening for this
patient?
a. thyroid function tests.
b. growth hormone.
c. urine drug screen.
d. complete blood count. Right Ans - b. growth hormone.
An agitated patient is admitted to a mental health unit. How does one best
establish a provider-patient relationship?
a. place in four-point restraints after talking to them briefly, so they can calm
down.
b. introduce yourself in a polite manner, try to empathize with them so they
know they are being heard, and ask if they would like to have a seat and talk.
c. medicate them before talking to them, so they are calmer when you see
them.
d. explain that they need to remain calm or there will be consequences.
Right Ans - b. introduce yourself in a polite manner, try to empathize with
them so they know they are being heard, and ask if they would like to have a
seat and talk.
What condition is associated with carphologia?
a. schizophrenia.
b. delirium.
c. Parkinson dementia.
d. Alzheimere dementia. Right Ans - b. delirium.
,Unintentional weight loss in an elderly nursing home patient is most likely
due to which of the following?
a. major depression.
b. malignancy.
c. drug adverse effects.
d. neurological disorder. Right Ans - a. major depression.
Which of the following is NOT a characteristic of depression?
a. delusions.
b. low energy.
c. psychomotor retardation.
d. sleep disturbance. Right Ans - a. delusions.
Two days after undergoing bowel surgery, the 75 year old patient presents
with confusion, disorientation, and paranoia. He is extremely agitated and
starts to pull out all his IV lines and catheter. Examination reveals normal vital
signs, but mental status evaluation is not possible. Blood work is within
normal limits. What is the most likely cause of his behavior?
a. schizophrenia.
b. manic disorder.
c. delirium.
c. opioid overdose. Right Ans - c. delirium.
A 25-year-old male has been brought into the ED by family due to worsening
outbursts at home and threatening violence against himself and others. You
are the NP on duty and your first priority step if this patient becomes agitated
or threatens violent behavior while in the ED is to:
a. summon the campus or local police immediately.
b. place the patient in 4 point restraints.
c. medicate him with Ziprasidone IM.
d. speak in a soft voice. Right Ans - a. summon the campus or local police
immediately.
, When dealing with an agitated or violent patient, the last option that a
provider has to control the patient's disruptive behavior is:
a. medication management.
b. physical restraints.
c. armed guards.
d. electro-convulsive therapy. Right Ans - b. physical restraints.
You are seeing a 59-year-old male with a known history of ETOH abuse in the
ED who collapsed in a store with a witnessed grand mal seizure. He was
transported to the ED via EMS. He is now alert, but suffering auditory
hallucinations. As the NP on duty, you know this is most likely due to:
a. new onset seizure disorder.
b. myocardial infarction.
c. alcohol withdrawal.
d. dementia. Right Ans - c. alcohol withdrawal.
The most common location of bleeding from esophageal varies occurs
__________
a. throughout the entire esophagus.
b. in the proximal 5 cm of the esophagus.
c. in the distal 5 cm of the esophagus.
d. in the mid 5 cm of the esophagus. Right Ans - c. in the distal 5 cm of the
esophagus.
Which one of the below findings is NOT a predictor of esophageal variceal
hemorrhage?
a. size of the varices.
b. decompensated cirrhosis.
c. endoscopic findings of red wale marks.
d. hepatic vein pressure gradient of 5 mmHg or less. Right Ans - d. hepatic
vein pressure gradient of 5 mmHg or less.
What is the "gold standard" diagnostic exam leading to a diagnosis of
esophageal varices?
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