AGACNP EXAM 3 (ADULT GERONTOLOGY
ACUTE
CARE NURSE PRACTITIONER)
EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS GRADED A+
The condition of a sudden shortness of breath that usually occurs after 2-3 hours
of sleep and leads to sudden awakening followed by a feeling of severe anxiety
and breathlessness is known as:
A. dyspnea
B. orthopnea
C. resting dyspnea
D. paroxysmal nocturnal dyspnea - ✔✔✔ Correct Answer > paroxysmal
nocturnal dyspnea
You examine an 82-year-old woman who has a history of heart failure (HF).
She is in the office because of increasing shortness of breath. When auscultating
her heart, you note a tachycardia with a rate of 104 beats per minute and a
single extra heart sound early in diastole. This sound most likely represents:
Page 1 of 45
,A. summation gallop
B. S3
C. opening snap
D. S4 - ✔✔✔ Correct Answer > S3
You examine a 65-year-old man with dilated cardiomyopathy and HF. On
examination, you expect to find all of the following except:
A. jugular venous distention
B. tenderness on right upper abdominal quadrant palpation
C. point of maximal impulse at the fifth intercostal space, midclavicular line
D. peripheral edema - ✔✔✔ Correct Answer > point of maximal impulse at
the fifth intercostal space, mid-clavicular line
s
In patients with heart failure, the point of maximum impulse usually:
A. remains unchanged near the fourth intercostal space
B. remains unchanged near the fifth intercostal space
C. shifts lower on the mid-clavicular line
Page 2 of 45
,D. shifts laterally by one or more intercostal spaces - ✔✔✔ Correct
Answer > shifts laterally by one or more intercostal spaces
The rationale for using beta blocker therapy in treating a patient with HF is to:
A. increase myocardial contractility
B. reduce the effects of circulating catecholamines
C. relieve concomitant angina D. stabilize cardiac rhythm - ✔✔✔ Correct
Answer > reduce the effects of circulating catecholamines
An ECG finding in a patient who is taking digoxin in a therapeutic dose
typically includes:
A. shortened PR interval
B. slightly depressed, cupped ST segments
C. widened QRS complex
D. tall T waves - ✔✔✔ Correct Answer > slightly depressed, cupped ST
segments
A potential adverse effect of ACEI when used with spironolactone therapy is:
A. hypertension
Page 3 of 45
, B. hyperkalemia
C. renal insufficiency
D. proteinuria - ✔✔✔ Correct Answer > hyperkalemia
ECG findings in a patient with digoxin toxicity would most likely include:
A. atrioventricular heart block
B. T wave inversion
C. sinus tachycardia
D. pointed P waves - ✔✔✔ Correct Answer > atrioventricular heart block
Patients reporting symptoms of digoxin toxicity are most likely to include:
A. anorexia
B. disturbance in color perception
C. blurred vision
D. diarrhea - ✔✔✔ Correct Answer > anorexia
Which of the following is among the most common causes of HF?
A. dietary indiscretion
Page 4 of 45
ACUTE
CARE NURSE PRACTITIONER)
EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS GRADED A+
The condition of a sudden shortness of breath that usually occurs after 2-3 hours
of sleep and leads to sudden awakening followed by a feeling of severe anxiety
and breathlessness is known as:
A. dyspnea
B. orthopnea
C. resting dyspnea
D. paroxysmal nocturnal dyspnea - ✔✔✔ Correct Answer > paroxysmal
nocturnal dyspnea
You examine an 82-year-old woman who has a history of heart failure (HF).
She is in the office because of increasing shortness of breath. When auscultating
her heart, you note a tachycardia with a rate of 104 beats per minute and a
single extra heart sound early in diastole. This sound most likely represents:
Page 1 of 45
,A. summation gallop
B. S3
C. opening snap
D. S4 - ✔✔✔ Correct Answer > S3
You examine a 65-year-old man with dilated cardiomyopathy and HF. On
examination, you expect to find all of the following except:
A. jugular venous distention
B. tenderness on right upper abdominal quadrant palpation
C. point of maximal impulse at the fifth intercostal space, midclavicular line
D. peripheral edema - ✔✔✔ Correct Answer > point of maximal impulse at
the fifth intercostal space, mid-clavicular line
s
In patients with heart failure, the point of maximum impulse usually:
A. remains unchanged near the fourth intercostal space
B. remains unchanged near the fifth intercostal space
C. shifts lower on the mid-clavicular line
Page 2 of 45
,D. shifts laterally by one or more intercostal spaces - ✔✔✔ Correct
Answer > shifts laterally by one or more intercostal spaces
The rationale for using beta blocker therapy in treating a patient with HF is to:
A. increase myocardial contractility
B. reduce the effects of circulating catecholamines
C. relieve concomitant angina D. stabilize cardiac rhythm - ✔✔✔ Correct
Answer > reduce the effects of circulating catecholamines
An ECG finding in a patient who is taking digoxin in a therapeutic dose
typically includes:
A. shortened PR interval
B. slightly depressed, cupped ST segments
C. widened QRS complex
D. tall T waves - ✔✔✔ Correct Answer > slightly depressed, cupped ST
segments
A potential adverse effect of ACEI when used with spironolactone therapy is:
A. hypertension
Page 3 of 45
, B. hyperkalemia
C. renal insufficiency
D. proteinuria - ✔✔✔ Correct Answer > hyperkalemia
ECG findings in a patient with digoxin toxicity would most likely include:
A. atrioventricular heart block
B. T wave inversion
C. sinus tachycardia
D. pointed P waves - ✔✔✔ Correct Answer > atrioventricular heart block
Patients reporting symptoms of digoxin toxicity are most likely to include:
A. anorexia
B. disturbance in color perception
C. blurred vision
D. diarrhea - ✔✔✔ Correct Answer > anorexia
Which of the following is among the most common causes of HF?
A. dietary indiscretion
Page 4 of 45
