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To improve the health of a population, an
acute care nurse practitioner's interven-
tion is to:
-join a professional nursing organization
report any unusual pattern of infections
and run for an organizational office.
to the local health department.
-maintain current certification as an
acute care nurse practitioner.
-participate in hospital grand rounds.
-report any unusual pattern of infections
to the local health department.
A patient, who is allergic to penicillin, re-
quires antibiotic treatment for communi-
ty-acquired pneumonia. The patient has
a limited income, lacks health insurance,
and is about to be discharged from the
hospital. An acute care nurse practition-
er's intervention is to: consult social services for assistance.
-consult social services for assistance.
-order an aerosol antibiotic.
-transfer the patient to an extended care
facility.
-write a prescription for an antibiotic.
A patient is scheduled for elective ortho-
pedic surgery. During the preadmission
physical examination, the acute care
nurse practitioner detects an asympto-
matic pulsatile mass in the middle upper
abdomen. The nurse practitioner's most
obtain an abdominal ultrasound.
appropriate action is to:
Abdominal Aortic aneurysm
obtain a kidney-urethra-bladder x-ray.
obtain a renal arteriogram.
obtain an abdominal ultrasound.
proceed with the patient's elective
surgery.
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, ANCC Acute Care Nurse Practitioner (ACNP) 2024 BOARD EXAM REVIEW
Study online at https://quizlet.com/_f9d09u
Osteoarthritis
Which musculoskeletal disease primari-
Heberden: distal phalanges
ly involves the distal joints, hips, knees,
Bouchard: proximal phalanges
and spine, and is characterized by the
Difference between OA and RA:
development of Heberden and Bouchard
Heberden and Bouchard nodes are of-
nodes?
ten seen in digits, they are bony round
growth near the joints, while rheumatoid
Gout
nodules are more common with arms
Osteoarthritis
and elbows underneath the skin, people
Osteoporosis
with RA later develop curving and bend-
Rheumatoid arthritis
ing of fingers.
An acute care nurse practitioner is decid-
ing whether to recommend a long-term
medication regimen that will help a pa-
tient manage disease symptoms but may
also introduce problematic side effects.
This decision reflects which ethical prin-
beneficence
ciple?
Autonomy
Beneficence
Fidelity
Justice
A patient, who has been in the inten-
sive care unit for 17 days, develops hy-
pernatremic hyperosmolality. The patient
weighs 132 lb (59.9 kg), is intubated,
and is receiving mechanical ventilation.
The serum osmolality is 320 mOsm/L kg
replenish volume by infusing a 0.9%
H2O. Clinical signs include tachycardia
sodium chloride solution.
and hypotension. An acute care nurse
priority is to replenish the volume and the
practitioner's initial treatment is to:
fix the osmolality
reduce serum osmolality by infusing a
5% dextrose in 0.2% sodium chloride
solution.
reduce serum sodium concentration by
infusing a 0.45% sodium c
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