Test Questions IQ ACTUAL EXAM/ MOSTLY TESTED QUESTIONS
AND CORRECT DETAILED ANSWERS| 100% CORRECT
SOLUTIONS/GRADE A+
Mrs. P is a 64 year old woman who presents to the ed with a 3 month history of episodes of
diplopia, dysphagia, dizziness and tingling in her right arm. These episodes have occurred five
times over the past 3 months and they last 5 to 15 minutes. Mrs. P has a past medical history
significant for smoking and hypertension. Her physical exam is unremarkable. She is 62 inches
tall and weighs 200 pounds. Her BP is 156/80. Given this clinical picture, the most likely cause
for Mrs. P's episodes is:
a. Transient ishemic attack
b. Multiple Sclerosis
c. Simple partial seizure
d. Cerebral neoplasm
Ans: Transient ishemic attack
Your patient with COPD has been intubated for hypercapnic respiratory failure. His first blood
gas after intubation reads 7.17/72/70/20/98%. His current ventilator settings are PRVC rate
15/TV350/PEEP 5/FiO2 40%. Patient is sedated and breathing at 15 times/minute. What
changes would you like to make for this patient?
a. Lessen his sedation and recheck his ABG in 45 minutes.
b. Increase his FiO2 to 50% and follow his O2 sats on pulse ox
,c. Increase his respiratory rate (RR) to 18 and recheck an ABG in 45 min
d. Increase his PEEP to 12 and recheck an ABG in 45 minutes.
Ans: Increase his respiratory rate (RR) to 18 and recheck an ABG in 45 min
An 80 year old African American woman presents to the ED with complaints of chest pain and
shortness of breath. The workup reveals a microcytic anemia and a low reticulocyte count. The
most likely diagnosis is
a. Sickle cell disease
b. Sideroblasic anemia
c. Vitamin B12 deficiency
d. Folic Acid deficiency
Ans: Sideroblasic anemia
You are the AGACNP working in the cancer center. Mrs. T. is planned admission for treatment
of her multiple myeloma. During your admission history and physical, you note Mrs. T. has
changes from her baseline exam from 1 previous admission. She is confused and her heart arte
is 52bpm; normal is 80-85bpm. You suspect hypercalcemia. Which of the following critical
manifestations may be present with oncology patients who have hypercalcemia?
a. Bone pain
b. Weight gain
c. Diarrhea
d. Hyperreflexia
Ans: Bone pain
A 57 year old male presents with a history of fatigue of uknown duration. He has no significant
past medical history, and his physical examination is unremarkable. Laboratory assessment
reveals a hemoglobin of 10 and a hemocrit of 29%. The mean corpuscular value is 75, and the
,mean corpuscular hemoglobin concentration is 30%. The AGACNP knows that further
evaluation of this patient must include:
a. A serum B12 level
b. Endoscopic evaluation of the upper and lower GI tract
c. A coombs test
d. A folate level
Ans: Endoscopic evaluation of the upper and lower GI tract
Which of the following laboratory assessments is specific for diagnosing sickle cell anemia?
a. RBC indices
b. CBC differential
c. Erythropoietin level
d. Hemoglobin electrophoresis
Ans: Hemoglobin electrophoresis
A 65 year old male presents to the ED complaining of epigastric pain that occurs approximately
3 hours after eating a meal. He describes the pain as burning, aching, and pressure-like. It often
awakens him from sleep. It is relieved with TUMS (calcium carbonate) or by having small meals.
The patient admits to a 10 pack/year history of smoking. You suspect he has a peptic ulcer.
Based on his history, which type of ulcer do you suspect?
a. NSAID induced ulcer
b. Gastric ulcer
c. Duodenal ulcer
d. Curling's ulcer
Ans: Duodenal ulcer
, Mr. G. is a 54 year old male who was brought into the ED status post an MVA. He has suffered a
fracture of his femur and ankle. He has no significant past medical history. He denies substance
abuse. You are performing your assessment, and you would expect him to have symptoms of
nociceptive pain, which include the following:
a. Aching, burning, tingling and localized
b. Aching, throbbing, and localized
c. Burning, tingling, and pinching
d. Extreme pain with pinching or squeezing at site of injury
Ans: Aching, throbbing, and localized
Which of the following is the most important immediate assessment for a C1-2 injury?
a. Respiratory
b. Motor ability
c. Heart Rate
d. Temperature
Ans: Respiratory
Which organism is associated with peptic ulcer disease?
a. Haemophilic influenza
b. Helicobacter pylori
c. Histoplasmosis capsulatum
d. Haemophilic aphrophilus
Ans: Helicobacter pylori
Iron deficiency anemia is described as:
AND CORRECT DETAILED ANSWERS| 100% CORRECT
SOLUTIONS/GRADE A+
Mrs. P is a 64 year old woman who presents to the ed with a 3 month history of episodes of
diplopia, dysphagia, dizziness and tingling in her right arm. These episodes have occurred five
times over the past 3 months and they last 5 to 15 minutes. Mrs. P has a past medical history
significant for smoking and hypertension. Her physical exam is unremarkable. She is 62 inches
tall and weighs 200 pounds. Her BP is 156/80. Given this clinical picture, the most likely cause
for Mrs. P's episodes is:
a. Transient ishemic attack
b. Multiple Sclerosis
c. Simple partial seizure
d. Cerebral neoplasm
Ans: Transient ishemic attack
Your patient with COPD has been intubated for hypercapnic respiratory failure. His first blood
gas after intubation reads 7.17/72/70/20/98%. His current ventilator settings are PRVC rate
15/TV350/PEEP 5/FiO2 40%. Patient is sedated and breathing at 15 times/minute. What
changes would you like to make for this patient?
a. Lessen his sedation and recheck his ABG in 45 minutes.
b. Increase his FiO2 to 50% and follow his O2 sats on pulse ox
,c. Increase his respiratory rate (RR) to 18 and recheck an ABG in 45 min
d. Increase his PEEP to 12 and recheck an ABG in 45 minutes.
Ans: Increase his respiratory rate (RR) to 18 and recheck an ABG in 45 min
An 80 year old African American woman presents to the ED with complaints of chest pain and
shortness of breath. The workup reveals a microcytic anemia and a low reticulocyte count. The
most likely diagnosis is
a. Sickle cell disease
b. Sideroblasic anemia
c. Vitamin B12 deficiency
d. Folic Acid deficiency
Ans: Sideroblasic anemia
You are the AGACNP working in the cancer center. Mrs. T. is planned admission for treatment
of her multiple myeloma. During your admission history and physical, you note Mrs. T. has
changes from her baseline exam from 1 previous admission. She is confused and her heart arte
is 52bpm; normal is 80-85bpm. You suspect hypercalcemia. Which of the following critical
manifestations may be present with oncology patients who have hypercalcemia?
a. Bone pain
b. Weight gain
c. Diarrhea
d. Hyperreflexia
Ans: Bone pain
A 57 year old male presents with a history of fatigue of uknown duration. He has no significant
past medical history, and his physical examination is unremarkable. Laboratory assessment
reveals a hemoglobin of 10 and a hemocrit of 29%. The mean corpuscular value is 75, and the
,mean corpuscular hemoglobin concentration is 30%. The AGACNP knows that further
evaluation of this patient must include:
a. A serum B12 level
b. Endoscopic evaluation of the upper and lower GI tract
c. A coombs test
d. A folate level
Ans: Endoscopic evaluation of the upper and lower GI tract
Which of the following laboratory assessments is specific for diagnosing sickle cell anemia?
a. RBC indices
b. CBC differential
c. Erythropoietin level
d. Hemoglobin electrophoresis
Ans: Hemoglobin electrophoresis
A 65 year old male presents to the ED complaining of epigastric pain that occurs approximately
3 hours after eating a meal. He describes the pain as burning, aching, and pressure-like. It often
awakens him from sleep. It is relieved with TUMS (calcium carbonate) or by having small meals.
The patient admits to a 10 pack/year history of smoking. You suspect he has a peptic ulcer.
Based on his history, which type of ulcer do you suspect?
a. NSAID induced ulcer
b. Gastric ulcer
c. Duodenal ulcer
d. Curling's ulcer
Ans: Duodenal ulcer
, Mr. G. is a 54 year old male who was brought into the ED status post an MVA. He has suffered a
fracture of his femur and ankle. He has no significant past medical history. He denies substance
abuse. You are performing your assessment, and you would expect him to have symptoms of
nociceptive pain, which include the following:
a. Aching, burning, tingling and localized
b. Aching, throbbing, and localized
c. Burning, tingling, and pinching
d. Extreme pain with pinching or squeezing at site of injury
Ans: Aching, throbbing, and localized
Which of the following is the most important immediate assessment for a C1-2 injury?
a. Respiratory
b. Motor ability
c. Heart Rate
d. Temperature
Ans: Respiratory
Which organism is associated with peptic ulcer disease?
a. Haemophilic influenza
b. Helicobacter pylori
c. Histoplasmosis capsulatum
d. Haemophilic aphrophilus
Ans: Helicobacter pylori
Iron deficiency anemia is described as:
