NU 667
Adult Gerontology
Acute Care Nurse
Practitioner I Review
Exam
Q&A
2024
,1. A 68-year-old male patient presents with a sudden onset of severe chest
pain radiating to his left arm. What is the most likely diagnosis?
A. Acute myocardial infarction
B. Stable angina
C. Musculoskeletal pain
D. Pericarditis
Answer: A. Acute myocardial infarction
Rationale: The presentation is classic for an acute myocardial infarction
(AMI), which requires immediate assessment and intervention.
2. A patient with chronic obstructive pulmonary disease (COPD) is
experiencing an acute exacerbation. Which of the following interventions
should be prioritized?
A. Prescribe antibiotics
B. Initiate oxygen therapy
C. Schedule a chest X-ray
D. Increase oral fluid intake
Answer: B. Initiate oxygen therapy
Rationale: Oxygen therapy is crucial for patients experiencing an acute
exacerbation of COPD to improve hypoxemia.
3. An adult patient presents with symptoms of confusion, headache, and a
fever of 39°C. Which condition should be urgently ruled out?
A. Migraine
B. Meningitis
C. Hypoglycemia
D. Heat stroke
Answer: B. Meningitis
Rationale: These symptoms are concerning for meningitis, a medical
emergency that requires prompt diagnosis and treatment.
4. In assessing a patient with acute renal failure, which laboratory finding
is most indicative of this condition?
A. Decreased serum creatinine
B. Elevated blood urea nitrogen (BUN)
C. Low urine specific gravity
D. Decreased white blood cell count
, Answer: B. Elevated blood urea nitrogen (BUN)
Rationale: An elevated BUN level is indicative of renal impairment and
is a key diagnostic criterion for acute renal failure.
5. A patient in the acute care setting reports severe abdominal pain with
rebound tenderness. What is the initial best course of action?
A. Administer analgesics immediately
B. Perform an abdominal ultrasound
C. Prepare the patient for surgery
D. Obtain a complete blood count (CBC)
Answer: D. Obtain a complete blood count (CBC)
Rationale: A CBC can help identify signs of infection or inflammation
that may be causing the abdominal pain.
6. When evaluating a patient with suspected deep vein thrombosis (DVT),
which assessment finding would be most concerning?
A. Swelling in one leg
B. Localized leg warmth and redness
C. Homan's sign positivity
D. Sudden onset of chest pain
Answer: D. Sudden onset of chest pain
Rationale: Chest pain could indicate a pulmonary embolism, which can
occur if a clot from a DVT travels to the lungs.
7. In managing a patient with acute decompensated heart failure, which
medication would likely be administered first?
A. ACE inhibitors
B. Beta-blockers
C. Diuretics
D. Calcium channel blockers
Answer: C. Diuretics
Rationale: Diuretics are often used first to reduce fluid overload in
patients with acute decompensated heart failure.
Adult Gerontology
Acute Care Nurse
Practitioner I Review
Exam
Q&A
2024
,1. A 68-year-old male patient presents with a sudden onset of severe chest
pain radiating to his left arm. What is the most likely diagnosis?
A. Acute myocardial infarction
B. Stable angina
C. Musculoskeletal pain
D. Pericarditis
Answer: A. Acute myocardial infarction
Rationale: The presentation is classic for an acute myocardial infarction
(AMI), which requires immediate assessment and intervention.
2. A patient with chronic obstructive pulmonary disease (COPD) is
experiencing an acute exacerbation. Which of the following interventions
should be prioritized?
A. Prescribe antibiotics
B. Initiate oxygen therapy
C. Schedule a chest X-ray
D. Increase oral fluid intake
Answer: B. Initiate oxygen therapy
Rationale: Oxygen therapy is crucial for patients experiencing an acute
exacerbation of COPD to improve hypoxemia.
3. An adult patient presents with symptoms of confusion, headache, and a
fever of 39°C. Which condition should be urgently ruled out?
A. Migraine
B. Meningitis
C. Hypoglycemia
D. Heat stroke
Answer: B. Meningitis
Rationale: These symptoms are concerning for meningitis, a medical
emergency that requires prompt diagnosis and treatment.
4. In assessing a patient with acute renal failure, which laboratory finding
is most indicative of this condition?
A. Decreased serum creatinine
B. Elevated blood urea nitrogen (BUN)
C. Low urine specific gravity
D. Decreased white blood cell count
, Answer: B. Elevated blood urea nitrogen (BUN)
Rationale: An elevated BUN level is indicative of renal impairment and
is a key diagnostic criterion for acute renal failure.
5. A patient in the acute care setting reports severe abdominal pain with
rebound tenderness. What is the initial best course of action?
A. Administer analgesics immediately
B. Perform an abdominal ultrasound
C. Prepare the patient for surgery
D. Obtain a complete blood count (CBC)
Answer: D. Obtain a complete blood count (CBC)
Rationale: A CBC can help identify signs of infection or inflammation
that may be causing the abdominal pain.
6. When evaluating a patient with suspected deep vein thrombosis (DVT),
which assessment finding would be most concerning?
A. Swelling in one leg
B. Localized leg warmth and redness
C. Homan's sign positivity
D. Sudden onset of chest pain
Answer: D. Sudden onset of chest pain
Rationale: Chest pain could indicate a pulmonary embolism, which can
occur if a clot from a DVT travels to the lungs.
7. In managing a patient with acute decompensated heart failure, which
medication would likely be administered first?
A. ACE inhibitors
B. Beta-blockers
C. Diuretics
D. Calcium channel blockers
Answer: C. Diuretics
Rationale: Diuretics are often used first to reduce fluid overload in
patients with acute decompensated heart failure.
