AG-ACNP - Common Problems in Acute Care/ ACNP BOARD REVIEW With complete solution A+ 2025/2026

AG-ACNP - Common Problems in Acute Care/ ACNP
BOARD REVIEW With complete solution A+ 2025/2026

Define pain. - Correct Answers Subjective descriptor of perceived distress.
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




Il` Acute pain - Correct Answers Pain lasting <6 months
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




Caused by tissue damage Il` Il` Il`




Il` Chronic pain - Correct Answers Pain lasting >6 months
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




Combination is usually necessary to effectively treat chronic pain Il` Il` Il` Il` Il` Il` Il` Il`




Il` Cutaneous pain - Correct Answers Localized on the skin or surface of body
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




Il` Visceral pain - Correct Answers Poorly localized
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




Internal organs Il`




Il` Somatic pain - Correct Answers Non-localized
Il` Il` Il` Il` Il` Il` Il` Il` Il`




Muscle, bones, nerves, blood vessels and supporting tissue
Il` Il` Il` Il` Il` Il` Il`




Il` Neuropathic pain - Correct Answers Nerve pathway injury or compression Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




Frequently neuropathic pain is caused by tumor Il` Il` Il` Il` Il` Il`




Il` What is the single most reliable indicator of existence and intensity of pain? - Correct Answers
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




Il` Subjective findings - patient report Il` Il` Il` Il`




WHOSE PAIN IS IT Il` Il` Il`

,Il` Normal body temperature - Correct Answers 37 C
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




Il` Fever temperature and what to do - Correct Answers 38.6 C = 101.5
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




Culture patient and start Tylenol Il` Il` Il` Il`




Il` When is it appropriate to start Tylenol in presence of 38.6 C fever? - Correct Answers Once the
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




Il` cultures are drawn, you can administer TylenolIl` Il` Il` Il` Il` Il`




Il` Neuroleptic Malignant Syndrome - Correct Answers SSRI toxicity Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




Family history is significant for neuroleptic malignant syndrome
Il` Il` Il` Il` Il` Il` Il`




Il` Malignant Hyperthermia is associated with what drug? - Correct Answers Succyncholine
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




Il` Succs is contraindicated in what situation? - Correct Answers Hyperkalemia - contraindicated for
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




Il` succs



Il` What is the most common cause of non-infectious fever? - Correct Answers Post-operative
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




Il` atelectasis



Il` Elevated esoinophils are present in what reactions? - Correct Answers Allergic reactions
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




Drug-induced fever Il`




Il` Drug Induced Fever - Correct Answers Slow onset (7-10 days)
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




PCN derivatives most common inducing fever
Il` Il` Il` Il` Il`




Il` In the absence of infection, what is the treatment for non-infectious fever? - Correct Answers
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




Il` Hydration

,Increasing lung expansion Il` Il`




Il` What is the treatment of drug-induced fever related to Thorazine? - Correct Answers Flush out
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




Il` Thorazine with IVF Il` Il`




Il` Infectious etiology of fever is manifested by: - Correct Answers Elevated WBC with L shift -
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




Il` bandemia



Il` WBC >30,000 is suggestive of: - Correct Answers Leukemia
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




Not r/t infection causing fever
Il` Il` Il` Il`




Il` Treatment of Infectious Fever - Correct Answers Culture Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




Tylenol

Supportive IVF Il`




Gram stain and culture all lines and invasive catheters
Il` Il` Il` Il` Il` Il` Il` Il`




Il` When patient presents with 101.5 F >3 weeks, what diagnosis is suspected and what is the plan of
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




Il` care? - Correct Answers FUO - endocarditis, malignancy
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




NOTHING. You do nothing until source of fever is identified Il` Il` Il` Il` Il` Il` Il` Il` Il`




Il` Most important part of history of headache - Correct Answers Chronology - onset, when it
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




Il` started



Il` Tension Headache - characteristics - Correct Answers Most common type of headache
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




Vice-like, squeezing, tight Il` Il`




Generalized Il`

, Intense around neck and back of headIl` Il` Il` Il` Il` Il`




NO focal neurological symptoms
Il` Il` Il`




Duration: several hours Il` Il`




Il` Vice-like, generalized, squeezing headache that radiates into neck and lasting several hours with
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




Il` no focal neurological symptoms - Correct Answers Tension Headache
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




Il` Tension Headache treatment - Correct Answers OTC analgesics
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




Relaxation



Il` Classic Migraine - Correct Answers Migraine headache with aura
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




Il` Common Migraine - Correct Answers Migraine headache without aura
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




Il` Pathology of Migraine Headache - Correct Answers Excessive dilation and pulsation of external
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




Il` carotid artery lasting 2-72 hours and following trigeminal nerve pathway (CN V)
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




Il` Migraine s/s - Correct Answers Unilateral, lateralized throbbing headache
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




Focal neurological deficits - hallucinations, visual changes, aphasia, numbness, tingling,
Il` Il` Il` Il` Il` Il` Il` Il` Il`




clumsiness
Il`




Nausea/vomiting

Photophobia



Il` 25 yo. F presents to ED with complaints of unilateral throbbing that started 12 hours ago. Her
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




Il` mother has reported history of migraines. Pt describes visual changes and numbness in her right
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




Il` hand following the pathway of the headache. What is primary diagnosis? - Correct Answers
Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il` Il`




Il` Migraine headache Il`