ANCC Adult Gerontology
Acute Care Questions with
Accurate Answers
02 exchance in lungs in elderly correct answer 02 decreases due to
decreased elasticity in the alveoli
ACS diagnostics correct answer Peaked t waves, st elevations, q waves,
30% of people have no changes
I avL=Lateral
II, III, avF= inferior
V leads= Anterior (think AV)
Troponin I, CKMB troponin I is purely cardiac I=MI
ACS management correct answer ASA 325
NTG Sl every 5 minutesx 3
Begin 02
IV at KVO place 3 total
12 lead ECg after you treat the patient
Consider betablocker 5mg metoprolol IV x 3 doses
Actinic keratosis correct answer Sun exposes small, rough flesh colored,
pink
,Acute heart failure correct answer L abrupt onset usually after MI or
valve rupture
Acute Myelogenous Leukemia correct answer 80% of leukemias in
adults, not the greatest survival rate
Acute Renal /Pre Renal Disease labs correct answer Serum BUN to Cr:
10:!, urine sodium <20, spec grav >1.1015, urinary sediment normal,
FeNa<1
Treat with volume, dopamine for BP
Acute Renal Insufficiency correct answer Bun increased out of
proportion to Cr, ATN, Obstruction, or contrast media, reversible
Addison's ADRENOcorticoid deficiency correct answer Remember: SEX,
SALT, and SUGAR
Deficient cortisol, androgens, and aldosterone, hyperpigmentation in
buccal mucosa, tanning, HYPOtension, scant hair, HYPOglycemia,
HYPOnatremia, HYPERkalemia, cosyntropin is the rule out for addison's,
manage: referral, glucorticoid, hydrocortisone, fludrocortisone
inpatient: hydrocortisone and fluids
Age to start and DC PAPs correct answer Start: age 21
Stop if no abnormal PAPs in last 10 years and >65
,Age to start colonscopy and how often correct answer Age 50 every 10
years
AIDS correct answer 3 weeks-3 months for seroconversion, flu like
symptoms
ELISA for initial screen
Western blot for DX
CD4>800=normal
Viral load...should be 0
CD4<200=AIDS or CD4 low with opportunistic infection
P jirovecii leading cause of death, Bactrim prophylaxis
CDC HART/AART started with CD4 no less than 350, MUST TAKE AS
PRESCRIBED SAME TIME EVERY DAY
Albumin correct answer 3.5-5
Alcoholism correct answer CAGE= cut down
Annoyed
Guilty
Ever need a a drink in the AM EYE opener
Communicate kindly "concerned about alcoholism" not you "are an
alcoholic"
, AA
ALL correct answer Pancytopenia with circulating blasts all labs are
down
allopurinol is started in chemo/CA treatment to prevent what? correct
answer tumor lysis syndrome
Alzheimer's correct answer Aphasia-speech
Apraxia-performed learned task
Agnosia-recognize objects
Acetylcholine deficiency
Tx with acetylcholinesterase inhibtors donepsezil (Aricept)
Anaphylactic shock correct answer Massive vasodilatory response
Resp distress or stridor=intubate
Anaphylaxis with hives=Benadryl
Resp distress=epi
IVF+Benadryl+h2 blocker
Anemia of chronic disease correct answer Normocytic, normochromic
Most common in elderly because they have lots of comorbidities
Usually an underlying problem
Acute Care Questions with
Accurate Answers
02 exchance in lungs in elderly correct answer 02 decreases due to
decreased elasticity in the alveoli
ACS diagnostics correct answer Peaked t waves, st elevations, q waves,
30% of people have no changes
I avL=Lateral
II, III, avF= inferior
V leads= Anterior (think AV)
Troponin I, CKMB troponin I is purely cardiac I=MI
ACS management correct answer ASA 325
NTG Sl every 5 minutesx 3
Begin 02
IV at KVO place 3 total
12 lead ECg after you treat the patient
Consider betablocker 5mg metoprolol IV x 3 doses
Actinic keratosis correct answer Sun exposes small, rough flesh colored,
pink
,Acute heart failure correct answer L abrupt onset usually after MI or
valve rupture
Acute Myelogenous Leukemia correct answer 80% of leukemias in
adults, not the greatest survival rate
Acute Renal /Pre Renal Disease labs correct answer Serum BUN to Cr:
10:!, urine sodium <20, spec grav >1.1015, urinary sediment normal,
FeNa<1
Treat with volume, dopamine for BP
Acute Renal Insufficiency correct answer Bun increased out of
proportion to Cr, ATN, Obstruction, or contrast media, reversible
Addison's ADRENOcorticoid deficiency correct answer Remember: SEX,
SALT, and SUGAR
Deficient cortisol, androgens, and aldosterone, hyperpigmentation in
buccal mucosa, tanning, HYPOtension, scant hair, HYPOglycemia,
HYPOnatremia, HYPERkalemia, cosyntropin is the rule out for addison's,
manage: referral, glucorticoid, hydrocortisone, fludrocortisone
inpatient: hydrocortisone and fluids
Age to start and DC PAPs correct answer Start: age 21
Stop if no abnormal PAPs in last 10 years and >65
,Age to start colonscopy and how often correct answer Age 50 every 10
years
AIDS correct answer 3 weeks-3 months for seroconversion, flu like
symptoms
ELISA for initial screen
Western blot for DX
CD4>800=normal
Viral load...should be 0
CD4<200=AIDS or CD4 low with opportunistic infection
P jirovecii leading cause of death, Bactrim prophylaxis
CDC HART/AART started with CD4 no less than 350, MUST TAKE AS
PRESCRIBED SAME TIME EVERY DAY
Albumin correct answer 3.5-5
Alcoholism correct answer CAGE= cut down
Annoyed
Guilty
Ever need a a drink in the AM EYE opener
Communicate kindly "concerned about alcoholism" not you "are an
alcoholic"
, AA
ALL correct answer Pancytopenia with circulating blasts all labs are
down
allopurinol is started in chemo/CA treatment to prevent what? correct
answer tumor lysis syndrome
Alzheimer's correct answer Aphasia-speech
Apraxia-performed learned task
Agnosia-recognize objects
Acetylcholine deficiency
Tx with acetylcholinesterase inhibtors donepsezil (Aricept)
Anaphylactic shock correct answer Massive vasodilatory response
Resp distress or stridor=intubate
Anaphylaxis with hives=Benadryl
Resp distress=epi
IVF+Benadryl+h2 blocker
Anemia of chronic disease correct answer Normocytic, normochromic
Most common in elderly because they have lots of comorbidities
Usually an underlying problem
