COMMON DIAGNOSIS AND MANAGEMENT IN
ACUTE CARE PRACTICUM FINAL REVIEW 2026
FULL ANSWERS
◉ A 56-year old male patient screened for diabetes has a fasting
plasma glucose level of 96mg/dl. The nurse practitioner
management plan includes:
a. repeat fasting plasma glucose in three years
b. prescribe Metformin 500mg po BID
c. repeat fasting plasma glucose in one year
d. refer to ophthalmology for eye exam. Answer: a. repeat fasting
plasma glucose in three years
◉ RW, a 57 year old native American female, presents to the office.
RW states she feels irritable and has difficulty concentrating as well
as fallingn asleep and staying aleep. She states she is worried about
her finances, her husband has just lost his job. The NP diagnoses
anxiety. The NP prescribes a first line treatment which is
a. Diazepam
b. Clonazepam
c. Ariprprazole
,d. Paroxetine. Answer: d. Paroxetine
◉ The most common sustained rhythmic disorder, which consists of
fibrillatory p waves is:
a. AV block
b. atrial tachycardia
c. atrial fibrillation
d. atrial flutter. Answer: c. atrial fibrillation
◉ According to the Sexually presentation, atrophic vaginitis
a. the symptomsm are the same for each woman
b. creates a more acidic vaginal environment
c. is a contributing factor for frequent urinary tract infections
d. is not treated with vaginal lubricants. Answer: c. is a contributing
factor for frequent urinary tract infections
◉ Which of the following is the most appropriate screening tool for
delirium?
a. St Louis University Mental Status Exam (SLUMS)
,b. Montreal Cognitive Assessment
c. Lawton Scale of instrumental Activities of Daily Living
d. Confusion Assessment Model. Answer: d. Confusion Assessment
Model
◉ A drug that can be used to treat two very common symptoms in a
dying patient (pain and dyspnea_ is:
a. lorazepam
b. Gabapentin
c. Methadone
d. Morphine. Answer: d. Morphine
◉ Which of the following would you recommend annually for the
elderly type 2 diabetic?
a. periodic visits to a gastroenterologist
b. colonoscopy
c. follow up with a urologist
d. eye exam with an opthlamologist. Answer: d. eye exam with an
opthlamologist
, ◉ Which characteristic of delerium helps to distinguish it from
dementia?
a, short term memory impairment
b. personality changes
c. acute onset
d. impaired attention. Answer: c. acute onset
◉ The majority of patients enrolled in hospice care die:
a. in the hospital
b. in an inpatient hospice facility
c. in a nursing home
d. at home. Answer: d. at home
◉ A middle aged patient has been diagnosed with Parkinson's
disease. What influences the nurse practitioners descision to begin
pharmacological treatment for this patient?
a. medications initiated at first sign of unilateral involvement
b. gait instability requiring the use of a cane
c. intentional tremors
ACUTE CARE PRACTICUM FINAL REVIEW 2026
FULL ANSWERS
◉ A 56-year old male patient screened for diabetes has a fasting
plasma glucose level of 96mg/dl. The nurse practitioner
management plan includes:
a. repeat fasting plasma glucose in three years
b. prescribe Metformin 500mg po BID
c. repeat fasting plasma glucose in one year
d. refer to ophthalmology for eye exam. Answer: a. repeat fasting
plasma glucose in three years
◉ RW, a 57 year old native American female, presents to the office.
RW states she feels irritable and has difficulty concentrating as well
as fallingn asleep and staying aleep. She states she is worried about
her finances, her husband has just lost his job. The NP diagnoses
anxiety. The NP prescribes a first line treatment which is
a. Diazepam
b. Clonazepam
c. Ariprprazole
,d. Paroxetine. Answer: d. Paroxetine
◉ The most common sustained rhythmic disorder, which consists of
fibrillatory p waves is:
a. AV block
b. atrial tachycardia
c. atrial fibrillation
d. atrial flutter. Answer: c. atrial fibrillation
◉ According to the Sexually presentation, atrophic vaginitis
a. the symptomsm are the same for each woman
b. creates a more acidic vaginal environment
c. is a contributing factor for frequent urinary tract infections
d. is not treated with vaginal lubricants. Answer: c. is a contributing
factor for frequent urinary tract infections
◉ Which of the following is the most appropriate screening tool for
delirium?
a. St Louis University Mental Status Exam (SLUMS)
,b. Montreal Cognitive Assessment
c. Lawton Scale of instrumental Activities of Daily Living
d. Confusion Assessment Model. Answer: d. Confusion Assessment
Model
◉ A drug that can be used to treat two very common symptoms in a
dying patient (pain and dyspnea_ is:
a. lorazepam
b. Gabapentin
c. Methadone
d. Morphine. Answer: d. Morphine
◉ Which of the following would you recommend annually for the
elderly type 2 diabetic?
a. periodic visits to a gastroenterologist
b. colonoscopy
c. follow up with a urologist
d. eye exam with an opthlamologist. Answer: d. eye exam with an
opthlamologist
, ◉ Which characteristic of delerium helps to distinguish it from
dementia?
a, short term memory impairment
b. personality changes
c. acute onset
d. impaired attention. Answer: c. acute onset
◉ The majority of patients enrolled in hospice care die:
a. in the hospital
b. in an inpatient hospice facility
c. in a nursing home
d. at home. Answer: d. at home
◉ A middle aged patient has been diagnosed with Parkinson's
disease. What influences the nurse practitioners descision to begin
pharmacological treatment for this patient?
a. medications initiated at first sign of unilateral involvement
b. gait instability requiring the use of a cane
c. intentional tremors
