ACNP EXAM REVIEW NEW GRADED A ACT UAL EXAM

ACNP EXAM REVIEW NEW GRADED A ACT UAL EXAM

SOLUTION

What percentage of the physicians fee schedule does Medicare typically pay a nurse practitioner?

- CORRECT ANSWER 0.85

An adult male comes to the emergency room after incurring a dog bite on his left hand. How should you treat after high pressure irrigation with normal saline?

• CORRECT ANSWER Leave wound open

In addition to infection by helicobacter pylori ( H. Pylori), Peptic ulcers may arise from regular use of certain medications and other condition. In which of the following populations of patients is prophylactic therapy not indicated for ulcers induced by non-steroidal anti- inflammatory drug?

• CORRECT ANSWER Patients taking potent antihypertensives

You are a nurse practitioner about to leave your current clinic for another. Your employer, The

clinic, Is not legally allowed to divulge:

• CORRECT ANSWER Treatment Received for work place accidents

A 36-year-old male comes to your office for his annual Physical examination. He asked if it is necessary to come in annually for a physical exam at his age. You tell the patient that at his age

he needs to get a physical exam every:

• CORRECT ANSWER 5 to 6 years

Which of the following CN is most implicated in the diagnosis of Bell's palsy - CORRECT

ANSWER CN VII

What percentage of the physician fee schedule does Medicare typically pay a nurse practitioner?

- CORRECT ANSWER 0.85

An adult male comes to the emergency room after incurring a dog bite on his left hand. How should you treat after high pressure irrigation with normal saline?

• CORRECT ANSWER Leave wound open

You are visited by 29-year-old Henry, Whom you have seen for tachycardia. Henry now notices strange sounds coming from his heart. Well there have been no other physical findings, Henry is worried that his symptom is related to his heart condition. The heart sound is low pitched and occurs during the first part sound. Of the following conditions which is the most likely diagnosis?

• CORRECT ANSWER Mitral stenosis

Of the following, which is NOT a goal of the "Healthy People 2020" program?

• CORRECT ANSWER Provide healthcare for the uninsured

Which of the following is NOT a cause of pericarditis? - CORRECT ANSWER Bacteria

According to the latest treatment guidelines, the preferred first-line pharmacological treatment

regimen for acute cystitis would include: - CORRECT ANSWER Trimethoprim-

sulfamethoxazole (TMP-SMZ)

For the outpatient management of peptic ulcer disease, patients should take H2 receptor antagonists at what time? - CORRECT ANSWER Every day at hours of sleep

Mr. Tanaka, a 79-y/o Japanese male, just migrated to the United States to live with his son after the death of his wife. When interpreting his purified protein derivative (PPD) test, according to national recommendations, which of the following induration results would qualify this patient as testing positive, thereby requiring chemoprophylaxis? - CORRECT ANSWER 11 mm

Your patient tells you that she is currently dating a man who is admittedly hepatitis B positive.She has not yet engaged in any sexual activity with him because she wants to find out more about the virus, and she asks for your advice. Which of the following is NOT true? - CORRECT ANSWER The incubation period is typically four to six weeks

A patient is in the emergency department receiving parenteral nutritional support after having major gastrointestinal surgery. The nurse practitioner should be aware of which complication of parenteral support in this patient? - CORRECT ANSWER Pneumothorax

In terms of hemodynamic monitoring, which of the following reflects a normal cardiac output

and cardiac index: - CORRECT ANSWER 5 and 3

A 42-y/o Female who has been living with HIV for the past five years visits your office for her regular tests. Her lab results reveal a CD4 count of 250, but she states that she feels "altogether fine." Of the following options for her treatment, which is most appropriate? - CORRECT ANSWER Antiretroviral therapy

A woman presents to your office with complaints of frequent dizziness and weakness. She adds, "I dropped my brush for no reason when applying I make up." A laboratory analysis reveals the patient is anemic. You perform a Romberg test, And she produces positive results, Swaying from side to side. What is the most likely diagnosis? - CORRECT ANSWER Pernicious anemia

You are treating a 69-year-old female patient with atrial fibrillation and metabolic syndrome.Which of the following represents a therapeutic Coumadin level - CORRECT ANSWER 2.6

What Is the most appropriate age to start chlamydia screening for adolescents? - CORRECT ANSWER 25 years or younger

The nurse practitioners ordered cryoprecipitate for her patient with disseminated intravascular coagulation, Understanding that this therapy is used specifically to: - CORRECT ANSWER Maintain fibrinogen levels

After presenting with white vaginal discharge, as well as vulvovaginal erythema with pruritus, you diagnose 38-year-old Tess with candidiasis vulvovaginitis. Tess wants the condition to be treated as soon as possible. Which of the following is the best treatment? - CORRECT ANSWER Miconazole

A fatigued 40-year-old female comes into your office with malaise, As well as pain and stiffness in her joints. While taking her medical history, You learn she has decreased appetite and weight loss in recent months. You suspect rheumatoid arthritis. What x-ray findings are NOT indicative of this condition? - CORRECT ANSWER Thickening of the subchondral bone

You are performing a routine check up on HIV-positive patient, And you are considering which vaccinations to order. Of the following vaccines, Which will put the patient at lowest health risk? - CORRECT ANSWER Tdap and hepatitis B

A 24-year-old patient comes to your facility after surviving a car accident. Knowing that damage to kidneys is common to many auto accident victims, you decide to test for this. Which test should you use to differentiate between intrarenal and post renal failure? - CORRECT ANSWER Urinary sediment

Considering vaccinations in adults, Which of these is least important to consider in routine practice? - CORRECT ANSWER Meningococcal conjugate vaccine (Menactra)

A post myocardial infarction patient is experiencing cardiogenic shock. Which of the following is exclusive to this type of shock and most clearly differentiates it from other types? - CORRECT ANSWER Increased central venous pressure

Of the following drugs, which is implicated as a cause of non-infectious post-op fever - CORRECT ANSWER Trimethoprim-sulfamethoxazole (TMP-SMZ)

A patient is admitted to the hospital with a head injury resulting from an automobile accident.On admission the patient's vital signs are: Temperature 98.6 (37 C), B/P 128/68, pulse 110, respirations 26. one hour after admission, the acute nursing care professional notes the presence of Cushings triad when the patient's vital signs are: - CORRECT ANSWER B/P 140/60, pulse 80, respirations 16. Widening pulse pressures; Bradycardia; Irregular breathing = increasing ICP.

Which of the following does the Health Insurance Portability and Accountability Act NOT consider as a covered entity? - CORRECT ANSWER Life insurance companies

Scientists do not yet fully understand what causes Alzheimer's disease, but it is clear that this disease develops because of a complex series of events in the brain that occur over a long period of time. The likely causes of Alzheimer's includes genetic, environmental, and lifestyle factors.One theoretical cause is am improper balance and functional of neurotransmitters in the brain.Which of the following is suspected as a cause of Alzheimer's? - CORRECT ANSWER Acetylcholine deficiency

What is the leading cause of death in AIDS patients? - CORRECT ANSWER Pneumocystis pneumonia

On a fundoscopic exam, the nurse practitioner should expect to normally see that the veins are:

• CORRECT ANSWER Bigger than the arteries

An 18-year-old college student comes to the emergency department with severe right lower quadrant pain. He is lying very still with his right thigh drawn up. Upon extension of the right thigh, the patient complains of strong pain. You should chart this findings as which of the following? - CORRECT ANSWER Psoas sign

When managing a patient experiencing a myocardial infection, what is the recommended door- to-needle time for fibrinolytic administration? - CORRECT ANSWER 30 minutes

A patient comes to your office and complains of "the worst flu" he has ever experienced. The patient presents with extreme weakness, muscle fatigue, cramps, and cold intolerance, as well as constipation and weight gain. You also notice the patient's dry skin, brittle nails, puffy eyes, and edema of the hands and face. "Must be some kind of allergy, or this dry weather here in L.A.," the patient adds. After performing some lab tests, the patient shows elevated levels of thyroid-stimulating hormone, T4 is low, and resin T3 uptake is decreased. What is the patient's diagnosis? - CORRECT ANSWER Hypothyroidism

A homeless man, 64, comes to the emergency room complaining of fatigue and fever. in taking his history, you find out that he is a combat veteran of the Vietnam War and was exposed to the chemical weapon known as Agent Orange. Upon examination, you notice he has greatly enlarged lymph nodes but no associated pain. He experiences pain in the upper left quadrant and admits to having recent unexplained weight loss. Based on this information, you suspect a serious illness such as leukemia. What labratory result would indicate chronic lymphocytic leukemia? - CORRECT ANSWER Lymphocytosis

In any patient who is 40 years old, which of these is indicated? - CORRECT ANSWER Tonometry

Your patient with Parkinson's disease is taking trihexyphenidyl HCL (Artane) and asks, "Why are you giving me tis medicine? I thought this was for crazy people." What would be the nurse practitioner's rationale for prescribing this medication? - CORRECT ANSWER Tremors

A patient has serum sodium of 149mEq/L and a serum osmolality of 279 mOsm/kg. The acute care nurse practitioner should treat which of the following diagnosis? - CORRECT ANSWER Hypernatremia euvolemia

What is the leading cause of death in African-Americans in the United States under the age of

40? - CORRECT ANSWER AIDS

What is the earliest approprate age to routinely begin cholesterol screening? - CORRECT

ANSWER 20

Sulfonyureas, one group of oral hypoglycemic agents, act by: - CORRECT ANSWER

Stimulating the pancreas to produce or release more insulin