GERONTOLOGY ACUTE CARE NURSE
PRACTITIONER) NEWEST EXAM
QUESTIONS AND CORRECT DETAILED
ANSWERS NEW UPDATE
65 yo. M presents with complaints of nausea, vomiting, and
constipation x several days and a 6 lb weight loss. Pt is s/p total knee
replacement several weeks ago and reports not really getting off the
couch. What electrolyte abnormality is most likley?
- ✔✔✔ Correct Answer > Hypercalcemia related to immobility s/p
TKR 34 yo. M presents to ED with mother who reports that patient
"downed an entire bottle of Tylenol". PMH significant for
schizophrenia. What is the initial management in this patient? - ✔✔✔
Correct Answer > OGT and GI lavage r/t AMS and ARF aspiration.
Then followed by N-Acetyclcystine (Mucomyst) 140 mg loading
dose.
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, 53 yo. M presents with complaints of dribbling and nocturia. You
suspect BPH. PSA level is elevated. What confirms this diagnosis? -
✔✔✔ Correct Answer > Transrectal ultrasound is confirmation of
BPH in presence of elevated PSA level.
Your 52 yo. F patient expresses concerns for side effects associated
with hormonal replacement therapy (HRT). What are the associated
side effects? - ✔✔✔ Correct Answer > Gallstones
Blood clots
CVA
Hormonal replacement therapy (HRT) has been shown to improve
what dx? - ✔✔✔ Correct Answer > Osteoporosis
What diagnostic is used to distinguish intrarenal or postrenal etiology
of acute renal failure? - ✔✔✔ Correct Answer > Urinary sediment
Intrarenal - urinary sediment has granular white casts
Postrenal - urinary sediment is normal
25 yo. M presents with mid-diastolic, apical "crescendo" murmur.
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