ACNPC-AG FINAL EXAM 2026 ACCURATE EXAM (REAL EXAM
WITH SOLUTIONS) TOP RATED COMPLETE GUARANTEED PASS
Acute Care Exam 1
Week 1 – EENT
A primary care provider notes painless, hard lesions on a patient’s external ears that expel a white
crystalline substance when pressed. What diagnostic test is indicated?
Rheumatoid factor
Endocrine studies
Biopsy of the lesions
Uric acid chemical profile
A patient has painful oral lesions and the provider notes several white, verrucous lesions in clusters
throughout the mouth. What is the recommended treatment for this patient?
Oral hygiene measures
Nystatin oral suspension
Surgical excision
Oral acyclovir
A patient has sore throat, a temperature of 38.5° C, tonsillar exudates, and cervical lymphadenopathy.
What will the provider do next to manage this patient’s symptoms?
Prescribe empiric penicillin
Perform a rapid antigen detection test
Refer to an otolaryngologist
Order an antistreptolysin O titer
A 61 year old male presents with a 12 hour history of extremely painful left red eye. The patient
complains of blurred vision, haloes around lights, and vomiting. It began yesterday evening. On exam,
the eye is red, tender and inflamed. The cornea is hazy and pupil reacts poorly to light. The most likely
diagnosis in this patient is:
Macular degeneration
Acute angle glaucoma
Increased intracranial pressure
Detached cornea
A patient has recurrent epistaxis without localized signs of irritation. Which laboratory tests may be
performed to evaluate this condition? (Select all that apply.)
CBC with platelets
,BUN and creatinine
PT and PTT
Liver function tests
PT/INR
A patient reports a feeling of fullness and pain in both ears and the practitioner elicits exquisite pain
when manipulating the external ear structures. What is the likely diagnosis?
Chronic otitis externa
Acute otitis externa
Otitis media with effusion
Acute otitis media
Patient has been diagnosed with acute rhinosinusitis. Symptoms began 3 days ago. Based on the most
likely etiology, how should this patient be managed?
Azithromycin and decongestant
Decongestant and analgesic
Levofloxacin
Amoxicillin with clavulanate
The vast majority of rhinosinusitis is of viral etiology, antibiotics would not be helpful and
would only lead to continued antibacterial resistance. If symptoms persist for longer than 10
days, reevaluation is necessary with possible antibiotics at that time
A 20-year-old male of Hispanic descent who reports a history of a cold that resolved 2 weeks ago except
for a dry cough and pain over his right cheek that worsens when he bends down. The patient denies
fever. The patient tells you that he is very allergic to Keflex and erythromycin. Vital signs are stable
except temperature is 99.2°F. Which showed the following conditions is most likely?
Fever secondary to previous viral URI
Acute sinusitis
Acute bronchitis
Hay fever
Patient's symptoms match most closely to acute sinusitis which includes cough, facial pain, low-
grade fever
An adult patient has epiglottitis secondary to a chemical burn. Which medication will be given initially to
prevent complications?
Chloramphenicol biopsyrecu
Dexamethasone
, Metronidazole
Clindamycin
What are factors associated with acute suppurative parotitis? (Select all that apply.)
Anticholinergic medications
Diabetes mellitus
Radiotherapy
Hypervolemia
Allergies
A 39 year old has a sudden onset of painful right red eye. He reports sensitivity to light and the
sensation of a foreign body, though his history for a foreign body is negative. He does not wear contact
lenses. How should the NP manage this?
Observe for 24 hours if visual acuity is normal
Treat for bacterial conjunctivitis
Treat for viral conjunctivitis
Refer to ophthalmology
Novclearvdiagnosisvcanvbevmadevfromvsigns/symptoms,vbutvtherevarevseveralvredvflags.vcoll
ectivelyvthevredvflagsvnecessitatevavreferral.v Therevisvnovmentionvofveyevdischargevnecessary
vforvconjunctivitis.vRedvflagsvpresentvpointvmorevtowardsvactivevcornealvprocessvalthoughvgl
aucomavshouldvalsovbevavdifferential.
Av17-year-
oldvhasvavcomplaintvofvearvpain.v Ifvhevhasvotitisvexterna,vwhichvcomplaintvisvmostvlikely/mostvcommo
n?
ConcurrentvURIvFe
ver
DifficultyvhearingvTV
v Tragalvpain
Avpatientvhasvanvinitialvepisodevotitisvexternalvassociatedvwithvswimming.vThevpatient’svearvcanalvisvm
ildlyvinflamedvandvthevtympanicvmembranevisvnotvinvolved.vWhichvmedicationvwillvbevordered?
CiprovHCvN
eomycinvFl
uconazole
Vinegarvandvalcohol
, Avpatientvhasvgingivalvinflammationvwithvseveralvareasvofvseparatevulcerationvandvavsmallvamountvofv
purulentvdischarge.vWhatvisvrequiredvtovdiagnosevthisvcondition?
Culturevandvsensitivit
yvTzankvsmear
vPhysicalvexamination
Microscopicvexamvofvoralvscrapings
Avpatientvreportsvtoothvpainvinvavlowervmolarvandvthevprovidervnotesvavmobilevtoothvwithverythemav
andvedemavofvthevsurroundingvtissuesvwithoutvdischarge.vWhichvisvthevinitialvcoursevofvactionvbyvthe
vprovider?
Recommendvoralvantisepticvrinsesvandvfollowvupvinvonevweekv
Performvanvincisionvandvdrainagevofvthevedematousvtissue
v Prescribevamoxicillinvandvrefervtovavdentistvinv2vtov3vdaysvR
efervtovanvoralvsurgeonvforvemergencyvsurgery
Avpatientvpresentsvtovyourvclinicvwithvavpainlessvredveye.vHervvisionvisvnormal,vbutvhervscleravhasvavb
loodvredvarea.v Whatvisvthisvtermed?
Conjunctivitis
vGlaucomavA
cuteviritis
Subconjunctivalv hemorrhage
Whichvphysicalvexaminationvfindingvsuggestsvviralvrathervthanvbacterialvparotitis?vUnilat
eralvedemavofvparotidvglands
EnlargementvandvpainvofvaffectedvglandsvGra
dualvreductionvinvsalivavproduction
v ClearvdischargevfromvStensen’svduct
Avchildvisvhitvwithvavbaseballvbatvduringvavgamevandvsustainsvanvinjuryvtovthevnose,valongvwithvavtrans
ientvlossvofvconsciousness.vAvhealthvcarevprovidervatvthevgamevnotesvbleedingvfromvthevchild’svnosev
andvdisplacementvofvthevseptum.vWhatvisvthevmostvimportantvinterventionvatvthisvtime?
v Immobilizevthevchild’svheadvandvneckvandvcallv911
Turnvthevchild’svheadvtovthevsidevtovpreventvaspirationvofvblo
odvPlacevnasalvpackingvinvbothvnaresvtovstopvthevbleeding
Applyvicevtovthevinjuredvsitevtovpreventvairwayvocclusion
WITH SOLUTIONS) TOP RATED COMPLETE GUARANTEED PASS
Acute Care Exam 1
Week 1 – EENT
A primary care provider notes painless, hard lesions on a patient’s external ears that expel a white
crystalline substance when pressed. What diagnostic test is indicated?
Rheumatoid factor
Endocrine studies
Biopsy of the lesions
Uric acid chemical profile
A patient has painful oral lesions and the provider notes several white, verrucous lesions in clusters
throughout the mouth. What is the recommended treatment for this patient?
Oral hygiene measures
Nystatin oral suspension
Surgical excision
Oral acyclovir
A patient has sore throat, a temperature of 38.5° C, tonsillar exudates, and cervical lymphadenopathy.
What will the provider do next to manage this patient’s symptoms?
Prescribe empiric penicillin
Perform a rapid antigen detection test
Refer to an otolaryngologist
Order an antistreptolysin O titer
A 61 year old male presents with a 12 hour history of extremely painful left red eye. The patient
complains of blurred vision, haloes around lights, and vomiting. It began yesterday evening. On exam,
the eye is red, tender and inflamed. The cornea is hazy and pupil reacts poorly to light. The most likely
diagnosis in this patient is:
Macular degeneration
Acute angle glaucoma
Increased intracranial pressure
Detached cornea
A patient has recurrent epistaxis without localized signs of irritation. Which laboratory tests may be
performed to evaluate this condition? (Select all that apply.)
CBC with platelets
,BUN and creatinine
PT and PTT
Liver function tests
PT/INR
A patient reports a feeling of fullness and pain in both ears and the practitioner elicits exquisite pain
when manipulating the external ear structures. What is the likely diagnosis?
Chronic otitis externa
Acute otitis externa
Otitis media with effusion
Acute otitis media
Patient has been diagnosed with acute rhinosinusitis. Symptoms began 3 days ago. Based on the most
likely etiology, how should this patient be managed?
Azithromycin and decongestant
Decongestant and analgesic
Levofloxacin
Amoxicillin with clavulanate
The vast majority of rhinosinusitis is of viral etiology, antibiotics would not be helpful and
would only lead to continued antibacterial resistance. If symptoms persist for longer than 10
days, reevaluation is necessary with possible antibiotics at that time
A 20-year-old male of Hispanic descent who reports a history of a cold that resolved 2 weeks ago except
for a dry cough and pain over his right cheek that worsens when he bends down. The patient denies
fever. The patient tells you that he is very allergic to Keflex and erythromycin. Vital signs are stable
except temperature is 99.2°F. Which showed the following conditions is most likely?
Fever secondary to previous viral URI
Acute sinusitis
Acute bronchitis
Hay fever
Patient's symptoms match most closely to acute sinusitis which includes cough, facial pain, low-
grade fever
An adult patient has epiglottitis secondary to a chemical burn. Which medication will be given initially to
prevent complications?
Chloramphenicol biopsyrecu
Dexamethasone
, Metronidazole
Clindamycin
What are factors associated with acute suppurative parotitis? (Select all that apply.)
Anticholinergic medications
Diabetes mellitus
Radiotherapy
Hypervolemia
Allergies
A 39 year old has a sudden onset of painful right red eye. He reports sensitivity to light and the
sensation of a foreign body, though his history for a foreign body is negative. He does not wear contact
lenses. How should the NP manage this?
Observe for 24 hours if visual acuity is normal
Treat for bacterial conjunctivitis
Treat for viral conjunctivitis
Refer to ophthalmology
Novclearvdiagnosisvcanvbevmadevfromvsigns/symptoms,vbutvtherevarevseveralvredvflags.vcoll
ectivelyvthevredvflagsvnecessitatevavreferral.v Therevisvnovmentionvofveyevdischargevnecessary
vforvconjunctivitis.vRedvflagsvpresentvpointvmorevtowardsvactivevcornealvprocessvalthoughvgl
aucomavshouldvalsovbevavdifferential.
Av17-year-
oldvhasvavcomplaintvofvearvpain.v Ifvhevhasvotitisvexterna,vwhichvcomplaintvisvmostvlikely/mostvcommo
n?
ConcurrentvURIvFe
ver
DifficultyvhearingvTV
v Tragalvpain
Avpatientvhasvanvinitialvepisodevotitisvexternalvassociatedvwithvswimming.vThevpatient’svearvcanalvisvm
ildlyvinflamedvandvthevtympanicvmembranevisvnotvinvolved.vWhichvmedicationvwillvbevordered?
CiprovHCvN
eomycinvFl
uconazole
Vinegarvandvalcohol
, Avpatientvhasvgingivalvinflammationvwithvseveralvareasvofvseparatevulcerationvandvavsmallvamountvofv
purulentvdischarge.vWhatvisvrequiredvtovdiagnosevthisvcondition?
Culturevandvsensitivit
yvTzankvsmear
vPhysicalvexamination
Microscopicvexamvofvoralvscrapings
Avpatientvreportsvtoothvpainvinvavlowervmolarvandvthevprovidervnotesvavmobilevtoothvwithverythemav
andvedemavofvthevsurroundingvtissuesvwithoutvdischarge.vWhichvisvthevinitialvcoursevofvactionvbyvthe
vprovider?
Recommendvoralvantisepticvrinsesvandvfollowvupvinvonevweekv
Performvanvincisionvandvdrainagevofvthevedematousvtissue
v Prescribevamoxicillinvandvrefervtovavdentistvinv2vtov3vdaysvR
efervtovanvoralvsurgeonvforvemergencyvsurgery
Avpatientvpresentsvtovyourvclinicvwithvavpainlessvredveye.vHervvisionvisvnormal,vbutvhervscleravhasvavb
loodvredvarea.v Whatvisvthisvtermed?
Conjunctivitis
vGlaucomavA
cuteviritis
Subconjunctivalv hemorrhage
Whichvphysicalvexaminationvfindingvsuggestsvviralvrathervthanvbacterialvparotitis?vUnilat
eralvedemavofvparotidvglands
EnlargementvandvpainvofvaffectedvglandsvGra
dualvreductionvinvsalivavproduction
v ClearvdischargevfromvStensen’svduct
Avchildvisvhitvwithvavbaseballvbatvduringvavgamevandvsustainsvanvinjuryvtovthevnose,valongvwithvavtrans
ientvlossvofvconsciousness.vAvhealthvcarevprovidervatvthevgamevnotesvbleedingvfromvthevchild’svnosev
andvdisplacementvofvthevseptum.vWhatvisvthevmostvimportantvinterventionvatvthisvtime?
v Immobilizevthevchild’svheadvandvneckvandvcallv911
Turnvthevchild’svheadvtovthevsidevtovpreventvaspirationvofvblo
odvPlacevnasalvpackingvinvbothvnaresvtovstopvthevbleeding
Applyvicevtovthevinjuredvsitevtovpreventvairwayvocclusion
