ANCC AGACNP Elaborate Exam
Questions with Correct Answers |
Already Graded A+
1. Calculated in metabolic acidosis; [(Na+) + (K+)] - [(HCO3 + Cl-)] > 12 -
ANSWER Anion Gap
2. High pH, high HCO3 > 26; caused by excessive loss of metabolic acids -
ANSWER Metabolic Alkalosis
3. 1st degree: dry red, 2nd: partial thickness with blisters, 3rd: full thickness -
ANSWER Burn Categories
4. Allocation of % burn area to body regions for fluid resuscitation -
ANSWER Rule of 9's in Burn Management
5. Starts at burn time, use Parkland formula, give half fluids in first 8 hours -
ANSWER Fluid Resuscitation in Burns
6. Partial thickness >10%, burns on face/hands/feet/genitals, chemical burns -
ANSWER Burn Center Criteria
7. Prescribe for face/hand bites or signs of infection; cover staph and anaerobes
- ANSWER Antibiotics for Bites
8. Gram-negative, S. aureus, streptococci - ANSWER Cellulitis Organisms
,9. Trimethoprim/sulfamethoxazole (Bactrim) - ANSWER CA-MRSA Drug
10.Induces vomiting; used for poisoning cases - ANSWER Ipecac
11.Nausea, RUQ pain, hepatotoxicity; treat with emesis, charcoal - ANSWER
Acetaminophen Intoxication
12.N/V, tinnitus, metabolic acidosis; treat with emesis, charcoal - ANSWER
Salicylate Intoxication
13.N/V, salivation, miOsis; treat with activated charcoal, atropine - ANSWER
Organophosphate Poisoning
14.Confusion, seizures, hypotension; treat with gastric lavage, bicarbonate -
ANSWER Antidepressant Toxicity
15.Resp depression, pinpoint pupils; treat with naloxone, gastric lavage -
ANSWER Narcotic Toxicity
16.Drowsiness, resp depression; treat with flumazenil, charcoal - ANSWER
Benzo Overdose
17.Immediate organ failure, flu-like symptoms; biopsy for confirmation -
ANSWER Transplant Rejection Signs
18.Calcineurin inhibitor, Antimetabolite, Steroid - ANSWER Transplant
Medications
,19.Asymmetry, border irregularity, diameter > 6 mm; high mortality -
ANSWER Melanoma Signs
20.Common, least severe skin cancer; light or pearly nodules - ANSWER
Basal Cell Carcinoma
21.Serious skin cancer; scaly red papules, nodules; treatment with Mohs -
ANSWER Squamous Cell Carcinoma
22.Precancerous sun-damaged skin growth; rough, flesh-colored - ANSWER
Actinic Keratosis
23.Benign skin growth with waxy look; often no treatment needed - ANSWER
Seborrheic Keratosis
24.For burns to face, singed nares, dark soot/mucous - ANSWER Burn Patient
Intubation
25.Keep legs elevated while seated - ANSWER Stasis Dermatitis
Recommendation
26.Increase insulin dose at bedtime - ANSWER Dawn Phenomenon Treatment
27.Ciprofloxacin - ANSWER Bacterial UTI Treatment
28.Ceftriaxone - ANSWER Acute Pyelonephritis Treatment
, 29.Balanced Budget Act - ANSWER NPs Medicare Recognition Act
30.Differentiated by specific symptoms and signs - ANSWER Distinguishing
cardiac tamponade vs constrictive pericarditis
31.Lung cancer - ANSWER Most fatal cancer in men & women
32.Breast cancer - ANSWER Most common cancer in US women
33.Prostate cancer - ANSWER Most common cancer in US men
34.Military, travelers, MSM - ANSWER Hep A vaccine recipients
35.Healthcare workers, high-risk patients - ANSWER Hep B vaccine recipients
36.Nausea relief, INCREASED BLEEDING risk - ANSWER Ginger usage &
risk
37.Well-being enhancement, INCREASED BLEEDING risk, mania with
MAOIs - ANSWER Ginseng usage & risk
38.Depression aid, INCREASED CLOTTING risk, drug interactions -
ANSWER St. John's wort usage & risk
39.Cold remedy, Anaphylaxis risk, hepatotoxicity - ANSWER Echinacea
usage & risk
Questions with Correct Answers |
Already Graded A+
1. Calculated in metabolic acidosis; [(Na+) + (K+)] - [(HCO3 + Cl-)] > 12 -
ANSWER Anion Gap
2. High pH, high HCO3 > 26; caused by excessive loss of metabolic acids -
ANSWER Metabolic Alkalosis
3. 1st degree: dry red, 2nd: partial thickness with blisters, 3rd: full thickness -
ANSWER Burn Categories
4. Allocation of % burn area to body regions for fluid resuscitation -
ANSWER Rule of 9's in Burn Management
5. Starts at burn time, use Parkland formula, give half fluids in first 8 hours -
ANSWER Fluid Resuscitation in Burns
6. Partial thickness >10%, burns on face/hands/feet/genitals, chemical burns -
ANSWER Burn Center Criteria
7. Prescribe for face/hand bites or signs of infection; cover staph and anaerobes
- ANSWER Antibiotics for Bites
8. Gram-negative, S. aureus, streptococci - ANSWER Cellulitis Organisms
,9. Trimethoprim/sulfamethoxazole (Bactrim) - ANSWER CA-MRSA Drug
10.Induces vomiting; used for poisoning cases - ANSWER Ipecac
11.Nausea, RUQ pain, hepatotoxicity; treat with emesis, charcoal - ANSWER
Acetaminophen Intoxication
12.N/V, tinnitus, metabolic acidosis; treat with emesis, charcoal - ANSWER
Salicylate Intoxication
13.N/V, salivation, miOsis; treat with activated charcoal, atropine - ANSWER
Organophosphate Poisoning
14.Confusion, seizures, hypotension; treat with gastric lavage, bicarbonate -
ANSWER Antidepressant Toxicity
15.Resp depression, pinpoint pupils; treat with naloxone, gastric lavage -
ANSWER Narcotic Toxicity
16.Drowsiness, resp depression; treat with flumazenil, charcoal - ANSWER
Benzo Overdose
17.Immediate organ failure, flu-like symptoms; biopsy for confirmation -
ANSWER Transplant Rejection Signs
18.Calcineurin inhibitor, Antimetabolite, Steroid - ANSWER Transplant
Medications
,19.Asymmetry, border irregularity, diameter > 6 mm; high mortality -
ANSWER Melanoma Signs
20.Common, least severe skin cancer; light or pearly nodules - ANSWER
Basal Cell Carcinoma
21.Serious skin cancer; scaly red papules, nodules; treatment with Mohs -
ANSWER Squamous Cell Carcinoma
22.Precancerous sun-damaged skin growth; rough, flesh-colored - ANSWER
Actinic Keratosis
23.Benign skin growth with waxy look; often no treatment needed - ANSWER
Seborrheic Keratosis
24.For burns to face, singed nares, dark soot/mucous - ANSWER Burn Patient
Intubation
25.Keep legs elevated while seated - ANSWER Stasis Dermatitis
Recommendation
26.Increase insulin dose at bedtime - ANSWER Dawn Phenomenon Treatment
27.Ciprofloxacin - ANSWER Bacterial UTI Treatment
28.Ceftriaxone - ANSWER Acute Pyelonephritis Treatment
, 29.Balanced Budget Act - ANSWER NPs Medicare Recognition Act
30.Differentiated by specific symptoms and signs - ANSWER Distinguishing
cardiac tamponade vs constrictive pericarditis
31.Lung cancer - ANSWER Most fatal cancer in men & women
32.Breast cancer - ANSWER Most common cancer in US women
33.Prostate cancer - ANSWER Most common cancer in US men
34.Military, travelers, MSM - ANSWER Hep A vaccine recipients
35.Healthcare workers, high-risk patients - ANSWER Hep B vaccine recipients
36.Nausea relief, INCREASED BLEEDING risk - ANSWER Ginger usage &
risk
37.Well-being enhancement, INCREASED BLEEDING risk, mania with
MAOIs - ANSWER Ginseng usage & risk
38.Depression aid, INCREASED CLOTTING risk, drug interactions -
ANSWER St. John's wort usage & risk
39.Cold remedy, Anaphylaxis risk, hepatotoxicity - ANSWER Echinacea
usage & risk
