ACNP BOARDS REVIEW: Fitzgerald Practice Test 1

ACNP BOARDS REVIEW: Fitzgerald Practice Test 1

• studiers in 3 days Leave the first rating

Students also studied Terms in this set (43) Science MedicineNursing Save ANCC Practice Questions 122 terms Halese9Preview Fitzgerald NP Exam Review Post Tes...150 terms ChristinaLombardo Preview ANCC AGACNP - Frances Guide Re...531 terms HatownsPreview

FITZ EX

150 term Jen When coding a hospital-based patient encounter, the AGACNP knows that the evaluation and management

(E&M) codes:

Determine the amount of reimbursement.A 65-year-old female presents with right-sided temporal headache. She also reports ipsilateral jaw claudication.

The AGACNP expects laboratory evaluation to reveal:

An erythrocyte sedimentation rate >100 mm/h.The management of critical care patients on

neuromuscular blockade must include prophylaxis for:

Deep vein thrombosis and corneal abrasion.The Synergy Model provides a comprehensive approach to patient assessment. Consistent with this model, patient

characteristics include all of the following:

Resiliency.Vulnerability.Stability.In accordance with JNC 8 recommendations for the management of hypertension in the adult => the age of 60 years, the nurse practitioner instructs the patient that

her blood pressure goal on medication is:

<150/90 mm Hg.Which of the following is an example of evidenced- based practice in the management of a patient having an asthma exacerbation?Preparing for intubation in a patient with a peak expiratory flow rate (PEFR) of 33% after one hour of emergency care.Which of the following best describes Six Sigma? A quality improvement plan characterized by limiting variability and removing defects in a process.

Mrs. Das is a 47-year-old patient of Hindi faith. She tells the nurse practitioner that she is very uncomfortable because she feels unclean - she says she has not been properly washed since her bowel resection 5 days ago.She is able to move around in bed but she is not yet able to ambulate to the bathroom. The appropriate response

would be to:

Arrange for her to have a bedside pan of water with a pitcher so that she can clean herself with running water.Hospitals are required under the U.S. Department of Labor Occupational Safety and Health Administration (OSHA) to have a Hospital Emergency Response Plan that protects health care workers dealing with hazardous waste and emergency operations. Joint Commission--

accredited hospitals are further required to:

Implement the plan twice a year either as an actual response or a drill.Medicare will not reimburse hospitals for the cost of care associated with hospital-acquired infection. This is part of

a quality improvement effort made possible by:

The Deficit Reduction Act.Ms. Brady is a 45-year-old female with stage 3 chronic kidney disease who is treated for anemia with erythropoietin 4000 units weekly. Within two months of beginning erythropoietin treatment her hemoglobin has

risen to 11.5 g/dL. The appropriate action is to:

Consider decreasing erythropoietin to 3000 units weekly.While preparing to suture a traumatic laceration to the pinna, the AGACNP knows that the ring block technique will produce local anesthesia for the external auditory

meatus and the:

Concha.The AGACNP has just intubated a 55-year-old female in the emergency department who presented in respiratory arrest. She is now producing persistent high pressure

alarms. The cause is most likely due to:

Mainstem bronchus intubation.Saw palmetto is a natural therapy best known for its

efficacy in improving symptoms in patients with:

Prostatic hypertrophy.Which form of renal replacement therapy does not remove toxins or solutes from blood?Dry ultrafiltration.A frail elderly patient is recovering from hip replacement surgery and has had an episode of aspiration pneumonia.The decision is made to provide assisted feeding for four

to six weeks. The appropriate approach would be:

A nasoduodenal tube.

A 59-year-old male patient presents with substernal chest tightness and shortness of breath. Cardiac isoenzymes are negative and troponin determinations are equivocal. A 12-lead electrocardiogram is consistent with a non-ST elevation myocardial infarction. He is treated according to acute coronary syndrome protocol and discharged to home. Three days later he presents to the emergency room with the same symptoms. At this time, a 12-lead electrocardiogram, cardiac isoenzymes and troponins are negative. Assessment at this point should

include a(n):

D-dimer assay.A 77-year-old female patient returns to the intensive care unit from endoscopy following a feeding tube insertion.She experienced a respiratory arrest during the insertion and is now intubated and on mechanical ventilation. She is on an FIO2 of 60% and synchronous intermittent mandatory ventilation (SIMV) of 12 breaths per minute. An arterial blood gas reveals a pH of 7.37, paO2 of 55 mmHg, pCO2 of 50 mmHg, and a HCO3 of 27 mmHg.

The appropriate action would be to:

Increase the respiratory rate.Mrs. L. is a 36-year-old female who presents in a minimally responsive state. According to the paramedics, she was discovered this way by her two children approximately 30 minutes ago. She was diagnosed two days ago with community-acquired pneumonia and has been taking levofloxacin 500 mg PO daily at home.Infusion of 1 L of normal saline solution has not improved her blood pressure; she remains hypotensive and tachycardic. A basic metabolic panel reveals the following: Na+: 124 mEq/dL K+: 6 mEq/dL Cl-: 89 mEq/dL HCO3: 28 mEq/dL BUN: 30 mg/dL Cr: 1.0 mg/dL Glucose: 70 mg/dL Which of the following diagnoses should be considered?Addison's disease.Mr. Wright is being evaluated in the emergency department for a complaint of abdominal pain. He describes the pain as constant and progressive, and while he has had it before, it is worse today. It started a day or two ago but this morning he felt that it was severe enough to come to the emergency department. He denies nausea, vomiting, diarrhea or constipation. His temperature is 37.7 ºC (99.9ºF), other vital signs are normal. The abdomen is diffusely tender to palpation in the left lower quadrant without rebound tenderness. A stool sample is heme-negative. Based upon the most

likely diagnosis, the AGACNP orders:

Antibiotic therapy.An 84-year-old female patient is nil per os (NPO) after midnight in preparation for surgical intervention for diverticulitis. The AGACNP recognizes that which age- related change puts her at increased risk for complications?Decreased glomerular filtration rate (GFR).

Mrs. Everett is a 48-year-old female who presents to the emergency department with a pounding headache and a blood pressure of 220/135 mmHg. The AGACNP wants to rule out pheochromocytoma. The appropriate diagnostic

evaluation would begin with:

A 24-hour urine for catecholamine metabolites A new graduate is applying for a first position as a nurse practitioner. The human resources department asks for evidence of professional certification. The AGACNP

knows that this must be conferred by:

A recognized and accredited nongovernmental professional nursing organization.Mr. R. is a 40-year-old male patient who was seen in the emergency department for the evaluation of chest tightness. His cardiac evaluation was negative and he is being discharged to home. He says he wants to be much more health conscious and he wants to know if there are any tests he should have to make sure he doesn't have any diseases. The AGACNP advises Mr. R. that he should see a primary care provider to arrange for an age-

appropriate health screening to include a:

Fractionated lipid panel.A critique of a research report is that internal validity is

questionable. The AGACNP knows that this means:

A critique of a research report is that internal validity is questionable. The

AGACNP knows that this means:

The AGACNP is reading a research study about the impact of a particular technique for diabetes self- management education. While considering whether the sample size is large enough to detect the effect of the

intervention, he considers the:

Power analysis.All of the following typically designate a decision-maker

in the event that the patient becomes incapable except:

Living wills.Which of the following is a true statement regarding informed consent?Knowledge of the diagnosis and alternatives are required elements of informed consent.The highest level of evidence to support a health care

practice is:

Prospective, double-blind, randomized experimental research.With respect to reporting elder abuse, the AGACNP

knows that:

Every state has different requirements with respect to healthcare providers' responsibility to report.