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ANP-650 MIDTERM QUESTIONS
AND ANSWERS
Question :(a) ST segment elevation with deep, wide Q
waves in lead II, III, and aVF are a sign of which of the following
Correct answer:Acute inferior MI
Question :(b) Which of the following is a
statement/documentation/declaration of a patient's intent regarding medical treatment
Correct answer:Advanced directive
Question :(c) A 60 year old Caucasian female presents to
the ER with heavy vaginal bleeding and passage of several large clots earlier in the day. The ACNP performs a physical exam, which reveals an enlarged, softened
uterus and nodularity on the adnexa. The ACNP suspects:
Correct answer:Endometrial cancer
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Question :(d) A 39 year old male with no significant
PMH presents to the ER with purulent sputum, low grade fever without chills, mild dyspnea on exertion, and rare hemoptysis for the past 4 days. What diagnostic finding would support your diagnosis of acute bronchitis?Correct answer:Sputum gram stain and CNS: usually show gram negative diplococci
Question :(e) Which of the following is NOT an example
of the AGACNP's involvement in research and patient outcomes Correct answer:Peer review ARE EXAMPLES: patient satisfaction, length of stay, mortality statistics
Question :(f) Which of the following criteria is NOT a
requirement for acute rehab admission
Correct answer:Requiring two or more therapies ARE
REQUIREMENTS: able to follow commands, able to
feed self, physical stamina for 3 hours therapy
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Question :(g) Which of the following patients would
benefit most from being admitted to an acute rehab hospital?
Correct answer:42 year old female after biocartilage
implantation
Question :(h) Which of the following medications id the
current drug choice for an acute migraine headache?
Correct answer:Cafergot (ergotamine tartrate + caffeine)
Question :(i) a 52 year-old male is admitting to the
hospital with hemoglobin og 6 gm/dL and high reticulocyte count, as well as complaints of fatigue and dyspnea on exertion. What disease/condition is NOT a differential diagnosis?
Correct answer:Aplastic anemia
Question :(j) Unstable angina is characterized by all of the
following EXCEPT
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Correct answer:ST elevationunstable angina--> chest pain
at rest, increasing frequency of chest pain, increasing severity of symptoms
Question :(k) Mr. Vail is a 69-year-old male brought to
the hospital by his wife, who stated that he fell 20 min ago and has been unable to speak or move his right side since the fall. He has no significant medical history. On exam he is conscious, very anxious, his speech is garbled and unintelligible. He has a left facial droop and he is
completely hemiplegic. The most likely etiology is:
Correct answer:CVA
Question :(l) Which of the following may be a systemic
involvement of Chron's disease
Correct answer:Ankylosing spondylitis
Question :(m) Select the true statement:
Correct answer:Proper nutrition can help prevent pressure
ulcers