NU 668
Adult Gerontology
Acute Care Nurse
Practitioner II Review
Exam
Q&A
2024
,1. In assessing a patient with acute heart failure, which clinical finding
would be most indicative of decreased cardiac output?
A. Hypertension
B. Bradycardia
C. Tachypnea
D. Jugular venous distention
**Answer: C. Tachypnea**
Rationale: Tachypnea, or rapid breathing, is a common sign of
decreased cardiac output as the body attempts to compensate for
inadequate perfusion.
2. A nurse is evaluating a patient's risk of developing pressure ulcers in an
acute care setting. Which factor is most significant?
A. Age of the patient
B. Mobility status
C. Nutritional intake
D. Skin moisture level
**Answer: B. Mobility status**
Rationale: Immobility or limited mobility greatly increases the risk of
pressure ulcer development due to prolonged pressure on the skin.
3. When creating evidence-based guidelines for pain management in
adults with chronic arthritis, which source of evidence should be
prioritized?
A. Expert opinion
B. Randomized controlled trials
C. Case studies
D. Qualitative research
**Answer: B. Randomized controlled trials**
Rationale: Randomized controlled trials provide high-level evidence due
to their design, which minimizes bias and provides reliable data for
guideline development.
4. In managing a patient with acute respiratory distress syndrome (ARDS),
which intervention should be initiated first?
A. High-flow oxygen therapy
B. Intravenous corticosteroids
C. Prone positioning
, D. Fluid resuscitation
**Answer: A. High-flow oxygen therapy**
Rationale: The initial management of ARDS involves supporting
oxygenation, and high-flow oxygen therapy can help meet the increased
oxygen demands.
5. A 65-year-old patient presents with symptoms of an acute ischemic
stroke. What is the priority nursing action?
A. Administering aspirin
B. Starting IV thrombolytics
C. Performing a CT scan
D. Monitoring vital signs
**Answer: C. Performing a CT scan**
Rationale: Immediate imaging, typically a CT scan, is crucial to confirm
the diagnosis of ischemic stroke and to rule out hemorrhagic stroke before
initiating specific treatments.
6. When considering the complex management of acute renal failure in an
elderly patient, which assessment parameter is most critical?
A. Urine output
B. Serum creatinine levels
C. Blood urea nitrogen (BUN) levels
D. Glomerular filtration rate (GFR)
**Answer: A. Urine output**
Rationale: Monitoring urine output is essential in assessing renal
function and the effectiveness of interventions in acute renal failure.
7. For a patient with septic shock in an acute care setting, which
intervention aligns with evidence-based guidelines for initial
management?
A. Immediate antibiotic therapy
B. Aggressive fluid challenge
C. Vasopressor administration
D. Blood culture collection
**Answer: A. Immediate antibiotic therapy**
Rationale: Early administration of antibiotics is critical in the
management of septic shock to address the underlying infection.
Adult Gerontology
Acute Care Nurse
Practitioner II Review
Exam
Q&A
2024
,1. In assessing a patient with acute heart failure, which clinical finding
would be most indicative of decreased cardiac output?
A. Hypertension
B. Bradycardia
C. Tachypnea
D. Jugular venous distention
**Answer: C. Tachypnea**
Rationale: Tachypnea, or rapid breathing, is a common sign of
decreased cardiac output as the body attempts to compensate for
inadequate perfusion.
2. A nurse is evaluating a patient's risk of developing pressure ulcers in an
acute care setting. Which factor is most significant?
A. Age of the patient
B. Mobility status
C. Nutritional intake
D. Skin moisture level
**Answer: B. Mobility status**
Rationale: Immobility or limited mobility greatly increases the risk of
pressure ulcer development due to prolonged pressure on the skin.
3. When creating evidence-based guidelines for pain management in
adults with chronic arthritis, which source of evidence should be
prioritized?
A. Expert opinion
B. Randomized controlled trials
C. Case studies
D. Qualitative research
**Answer: B. Randomized controlled trials**
Rationale: Randomized controlled trials provide high-level evidence due
to their design, which minimizes bias and provides reliable data for
guideline development.
4. In managing a patient with acute respiratory distress syndrome (ARDS),
which intervention should be initiated first?
A. High-flow oxygen therapy
B. Intravenous corticosteroids
C. Prone positioning
, D. Fluid resuscitation
**Answer: A. High-flow oxygen therapy**
Rationale: The initial management of ARDS involves supporting
oxygenation, and high-flow oxygen therapy can help meet the increased
oxygen demands.
5. A 65-year-old patient presents with symptoms of an acute ischemic
stroke. What is the priority nursing action?
A. Administering aspirin
B. Starting IV thrombolytics
C. Performing a CT scan
D. Monitoring vital signs
**Answer: C. Performing a CT scan**
Rationale: Immediate imaging, typically a CT scan, is crucial to confirm
the diagnosis of ischemic stroke and to rule out hemorrhagic stroke before
initiating specific treatments.
6. When considering the complex management of acute renal failure in an
elderly patient, which assessment parameter is most critical?
A. Urine output
B. Serum creatinine levels
C. Blood urea nitrogen (BUN) levels
D. Glomerular filtration rate (GFR)
**Answer: A. Urine output**
Rationale: Monitoring urine output is essential in assessing renal
function and the effectiveness of interventions in acute renal failure.
7. For a patient with septic shock in an acute care setting, which
intervention aligns with evidence-based guidelines for initial
management?
A. Immediate antibiotic therapy
B. Aggressive fluid challenge
C. Vasopressor administration
D. Blood culture collection
**Answer: A. Immediate antibiotic therapy**
Rationale: Early administration of antibiotics is critical in the
management of septic shock to address the underlying infection.
