ANP 652: Final test review UPDATED ACTUAL Questions
and CORRECT Answers
23-year-old female no previous significant medical Echocardiogram
history who presents with a small, erythromatous, worry about cardiac issues m/b macules on hand
nonpainful macules on the palms of her hands. Which
test would be most useful for diagnosis?
Mini Mental exam, the max score is 30. A score of 23 Cognitive impairment
or less indicates?
Matt is a 44yo male with a past medical history Temperature of > 38.3 degrees Celsius for more than 3 days
significant for diabetes who presents to ER with a with a lack of diagnosis
fever. What criteria do you use to diagnose a fever of
unknown origin (FUO)?
A new bedside nurse calls to ask when you want to Two sets
draw the blood cultures. How should you respond? one on the onset of fever
one 10 minutes later.
Which of the following diseases cause degeneration Alzheimer's
or loss of nerve cells in the brain? Parkinson's
Huntington's
All of the following are correct, except: It is acceptable to treat severe dementia with Exelon
, Rosa is an 83yo female with a past medical history for d. All of the above
hypertension, CAD, and DM who presents to the ER
after a fall. What risk factors should the AGACNP
determine for geriatric patients during a fall’s
assessment?
a. Intrinsic: age related physiologic changes, acute and
chronic illness, mobility factors
b. Medications: polypharmacy, diuretics, sedative
medications, antidepressants, psychotropics, and
antihypertensives
c. Extrinsic: environmental, footwear, use of assistive
devices and or mechanical restraints
d. All of the above
Which of the following is not a risk factor that leads to Sleep apnea
functional decline in the geriatric patient?
SIADH is characterized by which of the following Increased release of ADH
high urine osmolarity (concentrated)
low plasma osmolarity (Dilute)
Ruth is an 82yo female with a past medical history macular degeneration
significant for only hypertension and smoking who
presents to the urgent care for gradual vision loss.
What is the leading cause of severe vision loss in the
elderly?
Richard a 77yo male with a past medical history of Assume the patient who is cognitively impaired will not report pain.
dementia and recent hip replacement. He is
requesting pain medication. What is not an effective
pain medication concept?
Noncancer or persistent (chronic) pain is defined as Pain lasting longer than 6 (3) months.
pain that is prolonged, generally:
55yo male with a past medical history significant for Normal saline bolus
Addison’s disease presents to ER with pain in back
and legs, severe vomiting, and hyponatremia. What is
the bast treatment?
Halos around lights in surrounding darkness indicate. Cataract and glaucoma
A 40-year-old female with a past medical history 50 ml of 50% dextrose intravenously
significant for diabetes presents to the ER with slurred
speech, confusion and headache. You enter the room
after the stroke alert has been called the vital signs
are as follow HR 77, BP 110/75, O2 93%, glucose 40
sodium 140 which of the following would be most
effective next step?
Which of the following statements is incorrect for Meperidine is a safe pain medication for treating acute episodes of pain.
geriatric patients?
Protein malnutrition is: Albumin < 3.5
and CORRECT Answers
23-year-old female no previous significant medical Echocardiogram
history who presents with a small, erythromatous, worry about cardiac issues m/b macules on hand
nonpainful macules on the palms of her hands. Which
test would be most useful for diagnosis?
Mini Mental exam, the max score is 30. A score of 23 Cognitive impairment
or less indicates?
Matt is a 44yo male with a past medical history Temperature of > 38.3 degrees Celsius for more than 3 days
significant for diabetes who presents to ER with a with a lack of diagnosis
fever. What criteria do you use to diagnose a fever of
unknown origin (FUO)?
A new bedside nurse calls to ask when you want to Two sets
draw the blood cultures. How should you respond? one on the onset of fever
one 10 minutes later.
Which of the following diseases cause degeneration Alzheimer's
or loss of nerve cells in the brain? Parkinson's
Huntington's
All of the following are correct, except: It is acceptable to treat severe dementia with Exelon
, Rosa is an 83yo female with a past medical history for d. All of the above
hypertension, CAD, and DM who presents to the ER
after a fall. What risk factors should the AGACNP
determine for geriatric patients during a fall’s
assessment?
a. Intrinsic: age related physiologic changes, acute and
chronic illness, mobility factors
b. Medications: polypharmacy, diuretics, sedative
medications, antidepressants, psychotropics, and
antihypertensives
c. Extrinsic: environmental, footwear, use of assistive
devices and or mechanical restraints
d. All of the above
Which of the following is not a risk factor that leads to Sleep apnea
functional decline in the geriatric patient?
SIADH is characterized by which of the following Increased release of ADH
high urine osmolarity (concentrated)
low plasma osmolarity (Dilute)
Ruth is an 82yo female with a past medical history macular degeneration
significant for only hypertension and smoking who
presents to the urgent care for gradual vision loss.
What is the leading cause of severe vision loss in the
elderly?
Richard a 77yo male with a past medical history of Assume the patient who is cognitively impaired will not report pain.
dementia and recent hip replacement. He is
requesting pain medication. What is not an effective
pain medication concept?
Noncancer or persistent (chronic) pain is defined as Pain lasting longer than 6 (3) months.
pain that is prolonged, generally:
55yo male with a past medical history significant for Normal saline bolus
Addison’s disease presents to ER with pain in back
and legs, severe vomiting, and hyponatremia. What is
the bast treatment?
Halos around lights in surrounding darkness indicate. Cataract and glaucoma
A 40-year-old female with a past medical history 50 ml of 50% dextrose intravenously
significant for diabetes presents to the ER with slurred
speech, confusion and headache. You enter the room
after the stroke alert has been called the vital signs
are as follow HR 77, BP 110/75, O2 93%, glucose 40
sodium 140 which of the following would be most
effective next step?
Which of the following statements is incorrect for Meperidine is a safe pain medication for treating acute episodes of pain.
geriatric patients?
Protein malnutrition is: Albumin < 3.5
