accreditation, certification, and education, that will ultimately enhance patient care. - Answertrue
The American Nurses Credentialing Center offered the first ACNP certification exam in: -
Answer1995
Driving forces in the development of the Acute Care Nurse Practitioner role included : - Answerall of
the above (reduce in hospital LOS, increase severity of illness, changes in medical residency
Documented benefits of acute care nurse practitioners functioning in the inpatient setting include all
of the following except: - Answerfewer hospital admissions
Practice arenas for the ACNP: - Answerhave expanded to include tertiary and secondary settings
ICD 10 was created for all of the following benefits except: - Answerdecreased acuity
Standards of clinical practice is described as the level of care or performance common to the
profession of nursing by which the quality of nursing practice can be judged. - Answertrue
You are working as a hospitalist and you are consulted on a patient who is admitted to the surgical
service for hip arthroplasty. Shortly after surgery, you were consulted because the patient was
experiencing atrial fibrillation with RVR. Which of the following notes do you complete? -
Answerconsult note
Which ethical principle means "do no harm"? - Answernonmaleficience
You are working as a nurse practitioner in the Urgent Care setting and a 8 year old boy presents with
an earache. You are the only provider working at the clinic that day. You are certified as a AG-ACNP.
According to your scope of practice as a nurse practitioner you are able to provide care to this
patient. - Answerfalse
,As the ACNP you are preparing teaching for a 17 year old male patient. Based on risk factors which
would be the most important patient education to discuss? - Answeralways wearing a seat belt
when in a car
How often should a 68 year old woman have a Pap smear? - Answerthere is no need for her to have
a pap smear, if three previous smears have been negative
Treatment of abnormalities before illness occurs is an example of which prevention? -
Answersecondary
Healthy People 2020 is a... - Answernational health-promotion and disease prevention initiative
Which would presents the greatest risk for tetanus infection? - Answera wound obtained while
gardening
Factors important to consider in screening for a disease process include? - Answerall the above
(frequency of disease, the identification of the disease, the sensitivity and specificity)
A 52 year old woman with no previous health problems is admitted for pneumonia. She states that
she has not seen a health-care provider in 20 years. Denies previous history of tobacco use. Which of
the following preventive health measures should be recommended after the acute illness has
resolved? - Answermammogram and pap smear
Tertiary prevention measures for a 69 year old woman with congestive heart failure include: -
Answeradjusting therapy to minimize dyspnea
A client with a body mass index (BMI) of 18 is considered to be: - Answerunderweight
Screening is defined as... - Answerdetection of a disease process before occurrence of symptoms in
attempt to alter the natural history
A 40 year old male presents to the ED with complaints of chest pain. He describes his chest pain as
sharp, non-radiating, and located to his left chest. The pain began two days ago. It is rated a 5/10 at
its worst and is worse with movement and deep breath. His exam is unremarkable. You have
obtained a CXR, EKG, and troponin initially. All of which are without any acute findings. He has no
past medical history or significant family history. He denies any tobacco or substance abuse. He
reports he typically will run at least 4 times a week for 5 miles at a time and has no symptoms. Most
, recently, he helped his brother move into his new home. How will you proceed with the patient's
work-up? - Answerdischarge the patient home as his chest pain is most likely musculoskeletal
An elderly male presents with the complaint of constipation. He requests something to help his
bowels move. What does the nurse practitioner first do? - Answerinquire about his normal bowel
movements, including last bowel movement and characterisitics
A patient who has abdominal pain presents to the ER. Which of the following tests would you expect
to perform for a 48 year old female ? - AnswerHCG
An 18 year old presents with complaints of vomiting. She reports vomiting for the last couple of
days, mostly food. What are the appropriate tests to order to further evaluate her symptoms? -
AnswerHCG
Female patient presents with complaints of fever. She denies any cold symptoms. She has no other
symptoms other than some fatigue. Which of the following is a possible cause for her complaint? -
Answermalignancy
Which of the following would not be a common diagnosis for the presentation of a patient with
chest pain? - Answerdental pain
A 32 year old CNA has non traumatic low back pain. She has no medical history and her vital signs
and the rest of her exam is normal. What is the appropriate evaluation at this time? - Answernone of
the above (XR, CT, MRI)
Differential diagnosis for a client with the complaint of dizziness would include - Answerall the above
(meneires disease, dehydration, viral syndrome)
An elderly male patient presents complaining of dysuria. Which of the following are possible
differential diagnosis? - Answerall of the above (urethritis, prostatitis, gonorrhea)
A patient with appendicitis might have which of the following exam findings? - Answerobturator
A 42 year old male presents with complaints of feeling "dizzy". He reports not feeling well with some
nausea and vomiting. He has no past medical history. Which of the following is most important to
identify what the cause of his dizziness is related to? - Answerdetailed history of present illness,
including characteristics of the dizziness