Acute Care Final Exam Quiz Questions 2026-2027
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21 year old female presents with a persistent cough and upper respiratory symptoms for 2 weeks.
She has a history of recurrent pneumonia and was treated three times between the ages of 12 and
14, twice as an inpatient. Her medical history is significant for asthma and rhinitis. Which of the
following is the least significant aspect of the history when assessing immunodeficiency? -
CORRECT ANSWER: vaccination history
32 year old male was involved in a MVC prior to EMS arrival to the emergency department. Pt
is complaining of dyspnea. On exam his breath sounds are decreased on the right and there is
hyperresonance to percussion over the left lower lobe, as you continue your assessment you
notice the patient developing tachycardia, hypotension, and confusion. As the ACNP you
immediately: - CORRECT ANSWER: insert a needle in the second right intercostal space
anteriorly
A 13 year client presents to the Emergency Department reporting that she has been bitten by the
neighbor's cat on the hand. The wounds include multiple, superficial scratches and approximately
8 puncture wounds. The AG-ACNP wound include in the treatment plan for this client which of
the following? - CORRECT ANSWER: leave the wounds open and prescribe amoxicillin
clavulanate
A 19 year old college students arrives via EMS to the emergency department. The patient's
roommate reports she complained of fever, neck stiffness, and headache earlier this morning.
Five hours later, she was found unresponsive by her roommate. Upon examination she responds
only to noxious stimuli and has a macupapular rash. The most likely diagnosis for this patient is?
- CORRECT ANSWER: bacterial meningitis
A 22 year old woman presents to the emergency department with abdominal pain and malaise.
Her symptoms began about 8 hours prior to presentation. The pain is mostly in the right flank
currently but began in the periumbilical area. She has nausea and vomiting and no diarrhea.
Temperature is 100.3 F, BP 120/90, heart rate is 109. Physical examination shows only mild
,diffuse abdominal tenderness. The abdomen is soft and bowel sounds are diminished. She is
tender in the right flank and abdomen without CVA tenderness. The genitourinary and pelvic
examinations are normal. White blood cell count is elevated. A serum pregnancy is negative. She
has no past medical history and has never had similar symptoms. She is not sexually active.
Which of the following is the most likely diagnosis? - CORRECT ANSWER: acute appendicitis
A 23 year old sexually active patient comes into your office. She reports not using any type of
contraception. You note lower abdominal tenderness and cervical wall motion tenderness. Which
symptom would guide you in your diagnosis of pelvic inflammatory disease? - CORRECT
ANSWER: adenexal tenderness
A 25 year old woman is seen with complaints of severe mid-gastric abdominal pain for the past 4
days. She states she went to the emergency department 2 days ago and was told she had reflux
symptoms and was started on a trial of ranitidine with some relief. She states that she has bouts
of diarrhea and constipation with abdominal pain for the past 3 months, and that defecation
relieves the pain. She reports no weight loss. Her physical exam is benign. What is the most
likely diagnosis? - CORRECT ANSWER: IBS
A 28 year old female presents with vaginal bleeding. She denies known pregnancy, denies
abdominal pain. She has no medical history. She reports continuous bleeding for greater than 1
month. She has begun to feel light headed. Which of the following tests would NOT be
indicated? - CORRECT ANSWER: CT of the abdomen and pelvis
A 30 year old female with a family history of breast cancer presents for physical examination.
When discussing additional risk factors, you ask about: - CORRECT ANSWER: age at menarche
A 30 year old male presents with complaints of severe, unilateral eye pain. Symptoms last about
30 minutes. He has had multiple episodes in the last few days. He reports similar headaches and
manifestations in the past, but has not experienced any in several years. No recent head trauma.
No AMS. The nurse practitioner suspects which of the following conditions - CORRECT
ANSWER: cluster headache
A 30 yr old man is being evaluated after suffering an injury playing "touch" football. He
describes twisting his left leg and a sharp pain at the anteromedial aspect of the left knee. He was
,unable to walk or straighten his knee after the incident and had to be taken of the field. Physical
exam reveals swelling on the medial aspect of the left knee and excruciating anteromedial pain
with passive extension of the knee. What is the most likely diagnosis? - CORRECT ANSWER:
torn left medial meniscus
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? -
CORRECT ANSWER: none of the above (XR, CT, MRI)
A 35 year old woman presents with complaints of colicky right upper quadrant pain occurring 1
to 2 hours after meals. She has no health problems. She weighs 160 pounds and is 60 inches tall.
What is the most likely diagnoiss? - CORRECT ANSWER: cholelithiasis
A 35 yr old woman is seen for complaints of low-back pain after helping a friend move. The pain
is in her lower back and radiates down to the left thigh . What is the most likely diagnosis? -
CORRECT ANSWER: L5-S1 strain
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? - CORRECT ANSWER: discharge the patient home as his chest pain
is most likely musculoskeletal
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? - CORRECT ANSWER:
detailed history of present illness, including characteristics of the dizziness
, A 47 year old client has a confirmed blood pressure reading of 140/90 on three different
occasions. Past medical history is negative for diabetes and kidney disease. Pharmacological
treatment for this client would begin with: - CORRECT ANSWER: thiazide diuretic
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? - CORRECT ANSWER: mammogram and pap smear
A 56 year old man presents to the emergency department with complaints of chest pain that
radiates down the left arm and up into the neck and jaw, diaphoresis and dyspnea. He has a
history of type II diabetes and 40 year history of smoking. Family history includes his father and
several uncles that have died of coronary artery disease. The initial EKG is not diagnostic for
STEMI, but the client remains symptomatic. The best approach to this client would be: -
CORRECT ANSWER: repeated the EKG in 5-10 minutes
A 57 year old male presents with a vague history of fatigue of unknown duration. He has no
significant past medical history, and his physical examination is unremarkable. Laboratory
assessment reveals a hemoglobin of 10 g/dL and a hematocrit of 29%. The mean corpuscular
volume (MCV) is 75, and the mean corpuscular hemoglobin concentration (MCHC) is 30%. The
AGACNP knows that further evaluation of this patient must include: - CORRECT ANSWER:
endoscopic evaluation of the upper and lower GI tract
A 60 year old male patient is noted to have ipsilateral motor disturbance and proprioception with
contralateral loss of pain. This patient most likely has - CORRECT ANSWER: brown-sequard's
syndrome
A 60 year old man is diagnosed with COPD. Which of the following changes would you expect
to see on his pulmonary function tests? - CORRECT ANSWER: decreased forced expiratory
volume and increased residual volume
A 60 year old patient is brought to the emergency department with a history of severe substernal
chest pain. It has not been relieved with three doses of nitroglycerin and a cumulative dose of 10
mg of Morphine Sulfate. During examination the patient is diaphoretic and anxious. Her blood
Actual Exam with Real 300 Questions and Verified
Correct Answers Already Graded A+ Guaranteed
Success Brand New Version!!
21 year old female presents with a persistent cough and upper respiratory symptoms for 2 weeks.
She has a history of recurrent pneumonia and was treated three times between the ages of 12 and
14, twice as an inpatient. Her medical history is significant for asthma and rhinitis. Which of the
following is the least significant aspect of the history when assessing immunodeficiency? -
CORRECT ANSWER: vaccination history
32 year old male was involved in a MVC prior to EMS arrival to the emergency department. Pt
is complaining of dyspnea. On exam his breath sounds are decreased on the right and there is
hyperresonance to percussion over the left lower lobe, as you continue your assessment you
notice the patient developing tachycardia, hypotension, and confusion. As the ACNP you
immediately: - CORRECT ANSWER: insert a needle in the second right intercostal space
anteriorly
A 13 year client presents to the Emergency Department reporting that she has been bitten by the
neighbor's cat on the hand. The wounds include multiple, superficial scratches and approximately
8 puncture wounds. The AG-ACNP wound include in the treatment plan for this client which of
the following? - CORRECT ANSWER: leave the wounds open and prescribe amoxicillin
clavulanate
A 19 year old college students arrives via EMS to the emergency department. The patient's
roommate reports she complained of fever, neck stiffness, and headache earlier this morning.
Five hours later, she was found unresponsive by her roommate. Upon examination she responds
only to noxious stimuli and has a macupapular rash. The most likely diagnosis for this patient is?
- CORRECT ANSWER: bacterial meningitis
A 22 year old woman presents to the emergency department with abdominal pain and malaise.
Her symptoms began about 8 hours prior to presentation. The pain is mostly in the right flank
currently but began in the periumbilical area. She has nausea and vomiting and no diarrhea.
Temperature is 100.3 F, BP 120/90, heart rate is 109. Physical examination shows only mild
,diffuse abdominal tenderness. The abdomen is soft and bowel sounds are diminished. She is
tender in the right flank and abdomen without CVA tenderness. The genitourinary and pelvic
examinations are normal. White blood cell count is elevated. A serum pregnancy is negative. She
has no past medical history and has never had similar symptoms. She is not sexually active.
Which of the following is the most likely diagnosis? - CORRECT ANSWER: acute appendicitis
A 23 year old sexually active patient comes into your office. She reports not using any type of
contraception. You note lower abdominal tenderness and cervical wall motion tenderness. Which
symptom would guide you in your diagnosis of pelvic inflammatory disease? - CORRECT
ANSWER: adenexal tenderness
A 25 year old woman is seen with complaints of severe mid-gastric abdominal pain for the past 4
days. She states she went to the emergency department 2 days ago and was told she had reflux
symptoms and was started on a trial of ranitidine with some relief. She states that she has bouts
of diarrhea and constipation with abdominal pain for the past 3 months, and that defecation
relieves the pain. She reports no weight loss. Her physical exam is benign. What is the most
likely diagnosis? - CORRECT ANSWER: IBS
A 28 year old female presents with vaginal bleeding. She denies known pregnancy, denies
abdominal pain. She has no medical history. She reports continuous bleeding for greater than 1
month. She has begun to feel light headed. Which of the following tests would NOT be
indicated? - CORRECT ANSWER: CT of the abdomen and pelvis
A 30 year old female with a family history of breast cancer presents for physical examination.
When discussing additional risk factors, you ask about: - CORRECT ANSWER: age at menarche
A 30 year old male presents with complaints of severe, unilateral eye pain. Symptoms last about
30 minutes. He has had multiple episodes in the last few days. He reports similar headaches and
manifestations in the past, but has not experienced any in several years. No recent head trauma.
No AMS. The nurse practitioner suspects which of the following conditions - CORRECT
ANSWER: cluster headache
A 30 yr old man is being evaluated after suffering an injury playing "touch" football. He
describes twisting his left leg and a sharp pain at the anteromedial aspect of the left knee. He was
,unable to walk or straighten his knee after the incident and had to be taken of the field. Physical
exam reveals swelling on the medial aspect of the left knee and excruciating anteromedial pain
with passive extension of the knee. What is the most likely diagnosis? - CORRECT ANSWER:
torn left medial meniscus
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? -
CORRECT ANSWER: none of the above (XR, CT, MRI)
A 35 year old woman presents with complaints of colicky right upper quadrant pain occurring 1
to 2 hours after meals. She has no health problems. She weighs 160 pounds and is 60 inches tall.
What is the most likely diagnoiss? - CORRECT ANSWER: cholelithiasis
A 35 yr old woman is seen for complaints of low-back pain after helping a friend move. The pain
is in her lower back and radiates down to the left thigh . What is the most likely diagnosis? -
CORRECT ANSWER: L5-S1 strain
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? - CORRECT ANSWER: discharge the patient home as his chest pain
is most likely musculoskeletal
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? - CORRECT ANSWER:
detailed history of present illness, including characteristics of the dizziness
, A 47 year old client has a confirmed blood pressure reading of 140/90 on three different
occasions. Past medical history is negative for diabetes and kidney disease. Pharmacological
treatment for this client would begin with: - CORRECT ANSWER: thiazide diuretic
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? - CORRECT ANSWER: mammogram and pap smear
A 56 year old man presents to the emergency department with complaints of chest pain that
radiates down the left arm and up into the neck and jaw, diaphoresis and dyspnea. He has a
history of type II diabetes and 40 year history of smoking. Family history includes his father and
several uncles that have died of coronary artery disease. The initial EKG is not diagnostic for
STEMI, but the client remains symptomatic. The best approach to this client would be: -
CORRECT ANSWER: repeated the EKG in 5-10 minutes
A 57 year old male presents with a vague history of fatigue of unknown duration. He has no
significant past medical history, and his physical examination is unremarkable. Laboratory
assessment reveals a hemoglobin of 10 g/dL and a hematocrit of 29%. The mean corpuscular
volume (MCV) is 75, and the mean corpuscular hemoglobin concentration (MCHC) is 30%. The
AGACNP knows that further evaluation of this patient must include: - CORRECT ANSWER:
endoscopic evaluation of the upper and lower GI tract
A 60 year old male patient is noted to have ipsilateral motor disturbance and proprioception with
contralateral loss of pain. This patient most likely has - CORRECT ANSWER: brown-sequard's
syndrome
A 60 year old man is diagnosed with COPD. Which of the following changes would you expect
to see on his pulmonary function tests? - CORRECT ANSWER: decreased forced expiratory
volume and increased residual volume
A 60 year old patient is brought to the emergency department with a history of severe substernal
chest pain. It has not been relieved with three doses of nitroglycerin and a cumulative dose of 10
mg of Morphine Sulfate. During examination the patient is diaphoretic and anxious. Her blood
