Final Exam: NRNP 6566/ NRNP6566
Advanced Care of Adults in Acute
Settings I| Questions and Verified
Answers| 2023/ 2024 New UpdateWalden
Question 1
Which antibiotics would NOT be appropriate to empirically treat an E. Coli infection?
Penicillin VK (Pen VK)
Cephalexin (Keflex)
Nitrofurantoin (Macrobid)
Trimethoprim-Sulfamethoxazole (Bactri
m DS)
Question 2
The NP is managing a 66 year old female admitted to the ICU with a serum potassium level of
8.9 mEg/L. Hemodialysis will be started as soon as the on-call staff can arrive. What
intervention should the NP order now?
Dextrose 50% , insulin and ,sodium bicarbonate
Sodium bicarbonate and ipratropium bromide (Atrovent)
Calcium gluconate and calcium acetate (PhosLo)
Sodium polystyrene (Kayexalate) PO and Kayexalate enema
Question 3
The APRN is treating a patient with type 2 diabetes. The patient is on the maximum dose
of metformin and glucotrol. Current weight 212 pounds. Labs from this morning indicate a
fasting blood sugar of 312 and HbA1C of 9. The APRN wants to start the patient
on Lantus 0.2 unit/kg. What dose and instructions should the APRN provide?
Give 2 units of Lantus subcutaneously prior to lunch
every day
Give 19 units of Lantus subcutaneously prior to
bedtime.
Give 24 units of Lantus subcutaneously prior to
dinner
Give 42 units of Lantus subcutaneously prior to
bedtime.
Question 4
When prescribing sildenafil (Viagra) to a patient, the patient should be screened for
which of the following? Select all that apply.
Use of a statin medication
Use of a nitrate medication
History of coronary artery disease
Use of opiods
History of priapism
Question 5
The NP is assessing a patient receiving benzodiazepines who is experiencing confusion,
dizziness, slurred speech, and difficulty breathing. What medication should the NP order to
counter the effects?
Ropivacaine
Naloxone
Bromazepa
m
Flumazenil
Question 6
The AGACNP orders a renal angiogram for a patient with suspected
renal artery stenosis. Which of the following medications would be
contraindicated for the patient?
a Calcium channel
. blockers
b
.
Alpha blockers
c
.
Beta blockers
d
.
ACE inhibitors
Question 7
The AGACNP is assessing a patient in the urgent care area. The patient is a 44 year old
women in her third round of chemotherapy for breast cancer. She presents today with
complains of generalize malaise and fever that has gradually increased over the past 12
hours, BP 110/62 P 96 T 102.6 RR 18 WBC 4.2 ANC 300 The best initial treatment by the
AGACNP is:
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