ACNP EXAM REVIEW NEW 2022 GRADED A ACTUAL EXAM
SOLUTION
What percentage of the physicians fee schedule does Medicare typically pay a nurse
practitioner?
- CORRECT ANSWER 0.85
An adult male comes to the emergency room after incurring a dog bite on his left hand. How
should you treat after high pressure irrigation with normal saline?
- CORRECT ANSWER Leave wound open
In addition to infection by helicobacter pylori ( H. Pylori), Peptic ulcers may arise from regular
use of certain medications and other condition. In which of the following populations of
patients is prophylactic therapy not indicated for ulcers induced by non-steroidal anti-
inflammatory drug?
- CORRECT ANSWER Patients taking potent antihypertensives
You are a nurse practitioner about to leave your current clinic for another. Your employer, The
clinic, Is not legally allowed to divulge:
- CORRECT ANSWER Treatment Received for work place accidents
A 36-year-old male comes to your office for his annual Physical examination. He asked if it is
necessary to come in annually for a physical exam at his age. You tell the patient that at his age
he needs to get a physical exam every:
- CORRECT ANSWER 5 to 6 years
Which of the following CN is most implicated in the diagnosis of Bell's palsy - CORRECT
ANSWER CN VII
What percentage of the physician fee schedule does Medicare typically pay a nurse
practitioner?
- CORRECT ANSWER 0.85
An adult male comes to the emergency room after incurring a dog bite on his left hand. How
should you treat after high pressure irrigation with normal saline?
- CORRECT ANSWER Leave wound open
You are visited by 29-year-old Henry, Whom you have seen for tachycardia. Henry now
notices strange sounds coming from his heart. Well there have been no other physical findings,
Henry is worried that his symptom is related to his heart condition. The heart sound is low
pitched and occurs during the first part sound. Of the following conditions which is the most
likely diagnosis?
- CORRECT ANSWER Mitral stenosis
Of the following, which is NOT a goal of the "Healthy People 2020" program?
- CORRECT ANSWER Provide healthcare for the uninsured
Which of the following is NOT a cause of pericarditis? - CORRECT ANSWER Bacteria
, According to the latest treatment guidelines, the preferred first-line pharmacological treatment
regimen for acute cystitis would include: - CORRECT ANSWER Trimethoprim-
sulfamethoxazole (TMP-SMZ)
For the outpatient management of peptic ulcer disease, patients should take H2 receptor
antagonists at what time? - CORRECT ANSWER Every day at hours of sleep
Mr. Tanaka, a 79-y/o Japanese male, just migrated to the United States to live with his son
after the death of his wife. When interpreting his purified protein derivative (PPD) test,
according to national recommendations, which of the following induration results would
qualify this patient as testing positive, thereby requiring chemoprophylaxis? - CORRECT
ANSWER 11 mm
Your patient tells you that she is currently dating a man who is admittedly hepatitis B positive.
She has not yet engaged in any sexual activity with him because she wants to find out more
about the virus, and she asks for your advice. Which of the following is NOT true? -
CORRECT ANSWER The incubation period is typically four to six weeks
A patient is in the emergency department receiving parenteral nutritional support after having
major gastrointestinal surgery. The nurse practitioner should be aware of which complication
of parenteral support in this patient? - CORRECT ANSWER Pneumothorax
In terms of hemodynamic monitoring, which of the following reflects a normal cardiac output
and cardiac index: - CORRECT ANSWER 5 and 3
A 42-y/o Female who has been living with HIV for the past five years visits your office for her
regular tests. Her lab results reveal a CD4 count of 250, but she states that she feels "altogether
fine." Of the following options for her treatment, which is most appropriate? - CORRECT
ANSWER Antiretroviral therapy
A woman presents to your office with complaints of frequent dizziness and weakness. She adds,
"I dropped my brush for no reason when applying I make up." A laboratory analysis reveals the
patient is anemic. You perform a Romberg test, And she produces positive results, Swaying
from side to side. What is the most likely diagnosis? - CORRECT ANSWER Pernicious
anemia
You are treating a 69-year-old female patient with atrial fibrillation and metabolic syndrome.
Which of the following represents a therapeutic Coumadin level - CORRECT ANSWER 2.6
What Is the most appropriate age to start chlamydia screening for adolescents? - CORRECT
ANSWER 25 years or younger
The nurse practitioners ordered cryoprecipitate for her patient with disseminated intravascular
coagulation, Understanding that this therapy is used specifically to: - CORRECT ANSWER
Maintain fibrinogen levels
SOLUTION
What percentage of the physicians fee schedule does Medicare typically pay a nurse
practitioner?
- CORRECT ANSWER 0.85
An adult male comes to the emergency room after incurring a dog bite on his left hand. How
should you treat after high pressure irrigation with normal saline?
- CORRECT ANSWER Leave wound open
In addition to infection by helicobacter pylori ( H. Pylori), Peptic ulcers may arise from regular
use of certain medications and other condition. In which of the following populations of
patients is prophylactic therapy not indicated for ulcers induced by non-steroidal anti-
inflammatory drug?
- CORRECT ANSWER Patients taking potent antihypertensives
You are a nurse practitioner about to leave your current clinic for another. Your employer, The
clinic, Is not legally allowed to divulge:
- CORRECT ANSWER Treatment Received for work place accidents
A 36-year-old male comes to your office for his annual Physical examination. He asked if it is
necessary to come in annually for a physical exam at his age. You tell the patient that at his age
he needs to get a physical exam every:
- CORRECT ANSWER 5 to 6 years
Which of the following CN is most implicated in the diagnosis of Bell's palsy - CORRECT
ANSWER CN VII
What percentage of the physician fee schedule does Medicare typically pay a nurse
practitioner?
- CORRECT ANSWER 0.85
An adult male comes to the emergency room after incurring a dog bite on his left hand. How
should you treat after high pressure irrigation with normal saline?
- CORRECT ANSWER Leave wound open
You are visited by 29-year-old Henry, Whom you have seen for tachycardia. Henry now
notices strange sounds coming from his heart. Well there have been no other physical findings,
Henry is worried that his symptom is related to his heart condition. The heart sound is low
pitched and occurs during the first part sound. Of the following conditions which is the most
likely diagnosis?
- CORRECT ANSWER Mitral stenosis
Of the following, which is NOT a goal of the "Healthy People 2020" program?
- CORRECT ANSWER Provide healthcare for the uninsured
Which of the following is NOT a cause of pericarditis? - CORRECT ANSWER Bacteria
, According to the latest treatment guidelines, the preferred first-line pharmacological treatment
regimen for acute cystitis would include: - CORRECT ANSWER Trimethoprim-
sulfamethoxazole (TMP-SMZ)
For the outpatient management of peptic ulcer disease, patients should take H2 receptor
antagonists at what time? - CORRECT ANSWER Every day at hours of sleep
Mr. Tanaka, a 79-y/o Japanese male, just migrated to the United States to live with his son
after the death of his wife. When interpreting his purified protein derivative (PPD) test,
according to national recommendations, which of the following induration results would
qualify this patient as testing positive, thereby requiring chemoprophylaxis? - CORRECT
ANSWER 11 mm
Your patient tells you that she is currently dating a man who is admittedly hepatitis B positive.
She has not yet engaged in any sexual activity with him because she wants to find out more
about the virus, and she asks for your advice. Which of the following is NOT true? -
CORRECT ANSWER The incubation period is typically four to six weeks
A patient is in the emergency department receiving parenteral nutritional support after having
major gastrointestinal surgery. The nurse practitioner should be aware of which complication
of parenteral support in this patient? - CORRECT ANSWER Pneumothorax
In terms of hemodynamic monitoring, which of the following reflects a normal cardiac output
and cardiac index: - CORRECT ANSWER 5 and 3
A 42-y/o Female who has been living with HIV for the past five years visits your office for her
regular tests. Her lab results reveal a CD4 count of 250, but she states that she feels "altogether
fine." Of the following options for her treatment, which is most appropriate? - CORRECT
ANSWER Antiretroviral therapy
A woman presents to your office with complaints of frequent dizziness and weakness. She adds,
"I dropped my brush for no reason when applying I make up." A laboratory analysis reveals the
patient is anemic. You perform a Romberg test, And she produces positive results, Swaying
from side to side. What is the most likely diagnosis? - CORRECT ANSWER Pernicious
anemia
You are treating a 69-year-old female patient with atrial fibrillation and metabolic syndrome.
Which of the following represents a therapeutic Coumadin level - CORRECT ANSWER 2.6
What Is the most appropriate age to start chlamydia screening for adolescents? - CORRECT
ANSWER 25 years or younger
The nurse practitioners ordered cryoprecipitate for her patient with disseminated intravascular
coagulation, Understanding that this therapy is used specifically to: - CORRECT ANSWER
Maintain fibrinogen levels
