2025|MOST TESTED QUESTIONS
AND ANSWERS 100%|ASSURED
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A patient presents with chest tightness and inferior wall ischemia on ECG with
improvement of symptoms from sublingual nitroglycerin administration.
According to ACS protocol, the patient's assessment is consistent with: -
CORRECT-ANSWER-Unstable Angina
A 49-year-old male is being managed for an acute myocardial infarction. He
develops significant shortness of breath at rest and coarse rales 2/3 up bilaterally.
The AGACNP suspects acute pulmonary edema due to papillary muscle rupture
and acute mitral valve regurgitation. Which physical finding would support this
finding? - CORRECT-ANSWER-A systolic murmur auscultated at the 5th ICS,
midclavicular line.
,A patient with minor head trauma presents for evaluation. Which of the following
findings should be followed up with a CT scan to rule out orbital fracture? -
CORRECT-ANSWER-the presence of periorbital ecchymosis (aka black eye)
A 69-year-old female is being discharged from the hospital after complications
following a cosmetic surgical procedure. She is basically in good health. She has a
history of hypothyroidism for which she takes levothyroxine daily, and mild
osteoarthritis which is controlled with only prn nonsteroidal use. Her blood
pressure is 148/90 mm Hg. The AGACNP knows that in accordance with the most
current guidelines published in JNC 8 the appropriate action is to - CORRECT-
ANSWER-Proceed with normal health promotion.
The patient is >60yo and does not have CKD or DM, therefore her goal BP is
150/90. She is at goal; no medications indicated.
When assessing for driving safety in the older adult the NP should consider what
factors? - CORRECT-ANSWER-Mental Status
Visual Acuity
Hearing Loss
decreased neck mobility
ability to respond quickly to complex stimuli.
, What is a contraindication for medication therapy in the setting of hospital
induced delerium? - CORRECT-ANSWER-A patient who is delerious but calm, in no
distress or danger.
Determining the underlying cause of delerium is the priority of care, not
medicating it.
Phases of Cardiac Rehab - CORRECT-ANSWER-Phase 1: begins in the hospital
immediately following acute treatment.
Phase 2: Medically supervised heart reconditioning
Phase 3: rest of patient's life, 30 mins moderately strenuous activity at least 5
days per week.
In phase 2, goal heart rate is calculated by 10 BPM below ischemic change.
An African American patient presents with decreased peripheral vision and no
other symptoms. What is the most likely diagnosis? - CORRECT-ANSWER-Open
angle glaucoma
What is the symptom presentation of stasis dermatitis and how is it treated? -
CORRECT-ANSWER-Hx of lower extremity edema with chronic venous
insufficiency. Itching of bilateral lower legs with 2-3+ pitting edema and trophic
hyperpigmentation.
Treatment is to promote venous return from the lower extremities.