AG-ACNP DRT #3 EXAM QUESTIONS &
VALID CORRECT ANSWERS ALL
PASSED 100%
Patient c/o wrist and hand pain, swollen, redness and pain that is worse in the morning
and resolves as the day goes on. What findings would support your suspected
diagnosis of RA?
a. narrowing of joint space
b. osteophytes
c. elevated ESR
d. juxta-articular - CORRECT ANSWER elevated ESR
Patient presents nausea, vomiting, dehydrated and anxious. Friends reported finding
empty bottle of ASA by patient's bed. What is the primary intervention? - CORRECT
ANSWER AC via OGT
You are examining a patient with PMH of seizures. Patients sustains a seizure lasting
around 12 minutes during exam. What is the most appropriate intervention? -
CORRECT ANSWER diazepam (Valium) 5-10 mg IV
urine Na 28, serum osmolality 250, urine osmolality 115. Suspected cause? -
CORRECT ANSWER SIADH
True or False: Barium enema is indicated in the conservative management of
diverticulitis. - CORRECT ANSWER false
Patient has low diastolic rumble murmur in the left lateral position with no radiation.
What murmur do you suspect? - CORRECT ANSWER mitral stenosis
Which of the following labs would you not expect to see in a patient that presents with
Cushing's:
a. hypokalemia
b. glucosuria
c. hypernatremia
d. hypoglycemia - CORRECT ANSWER hypoglycemia
At what age do males start colonoscopy every 10 years? - CORRECT ANSWER 50
Which of the following drugs cause lupus-like symptoms:
a. beta blocker
b. ASA
, c. procanamide
d. sertaline - CORRECT ANSWER procandmide
35 yo. F presents to ED with c/o b/l wrist pain. You suspect spousal abuse. You notice a
handgun in the patients purse. What would be your next action?
a. contact social services about spousal abuse
b. take the handgun away from the patient
c. call security to ensure safety
d. call the police and report a dangerous weapon - CORRECT ANSWER security to
ensure safety
You patient is worried about insurance coverage and asks you for advice on Medicaid.
You instruct the patient that Medicaid pays:
a. patient pays 80% of bill
b. for individuals that cannot afford health care
c. after other insurance companies or third-party payers have paid - CORRECT
ANSWER after insurance and third-party payers have paid
Stephen, 47 years old, comes to your office complaining of intense pain in the right eye
which has worsened since he woke up this morning. During the eye exam, you find
copious tearing and redness in his right eye. Which of the following would confirm the
most likely diagnosis?
a. Tonometry
b. AV nicking
c. Synovial aspirate
d. Sodium fluorescein stain - CORRECT ANSWER sodium fluorescein stain for corneal
abrasion
Adult child of your patient reports that her father has expressed desire to commit suicide
and has a history of depression and ETOH abuse. The best response to the adult child
by the ACNP would be:
a. 5% of depressed patients commit suicide
b. ETOH abuse individuals rarely commit suicide
c. hospitalize the father and start psychotherapy - CORRECT ANSWER hospitalize the
patient and start psychotherapy
Tom, 36 years old, has Chron's disease and arrives to ED w/ complaints of abdominal
pain, frequent vomiting and watery bowel movements. You notice high-pitched, tinkling
bowel sounds and transabdominal US reveals partial SBO. Which is NOT necessary at
this time?
• NPO and IV fluids
• NG Tube to LWS
• Immediate referral for surgery
• Monitor pt. for spontaneous resolution - CORRECT ANSWER immediate referral for
surgery
VALID CORRECT ANSWERS ALL
PASSED 100%
Patient c/o wrist and hand pain, swollen, redness and pain that is worse in the morning
and resolves as the day goes on. What findings would support your suspected
diagnosis of RA?
a. narrowing of joint space
b. osteophytes
c. elevated ESR
d. juxta-articular - CORRECT ANSWER elevated ESR
Patient presents nausea, vomiting, dehydrated and anxious. Friends reported finding
empty bottle of ASA by patient's bed. What is the primary intervention? - CORRECT
ANSWER AC via OGT
You are examining a patient with PMH of seizures. Patients sustains a seizure lasting
around 12 minutes during exam. What is the most appropriate intervention? -
CORRECT ANSWER diazepam (Valium) 5-10 mg IV
urine Na 28, serum osmolality 250, urine osmolality 115. Suspected cause? -
CORRECT ANSWER SIADH
True or False: Barium enema is indicated in the conservative management of
diverticulitis. - CORRECT ANSWER false
Patient has low diastolic rumble murmur in the left lateral position with no radiation.
What murmur do you suspect? - CORRECT ANSWER mitral stenosis
Which of the following labs would you not expect to see in a patient that presents with
Cushing's:
a. hypokalemia
b. glucosuria
c. hypernatremia
d. hypoglycemia - CORRECT ANSWER hypoglycemia
At what age do males start colonoscopy every 10 years? - CORRECT ANSWER 50
Which of the following drugs cause lupus-like symptoms:
a. beta blocker
b. ASA
, c. procanamide
d. sertaline - CORRECT ANSWER procandmide
35 yo. F presents to ED with c/o b/l wrist pain. You suspect spousal abuse. You notice a
handgun in the patients purse. What would be your next action?
a. contact social services about spousal abuse
b. take the handgun away from the patient
c. call security to ensure safety
d. call the police and report a dangerous weapon - CORRECT ANSWER security to
ensure safety
You patient is worried about insurance coverage and asks you for advice on Medicaid.
You instruct the patient that Medicaid pays:
a. patient pays 80% of bill
b. for individuals that cannot afford health care
c. after other insurance companies or third-party payers have paid - CORRECT
ANSWER after insurance and third-party payers have paid
Stephen, 47 years old, comes to your office complaining of intense pain in the right eye
which has worsened since he woke up this morning. During the eye exam, you find
copious tearing and redness in his right eye. Which of the following would confirm the
most likely diagnosis?
a. Tonometry
b. AV nicking
c. Synovial aspirate
d. Sodium fluorescein stain - CORRECT ANSWER sodium fluorescein stain for corneal
abrasion
Adult child of your patient reports that her father has expressed desire to commit suicide
and has a history of depression and ETOH abuse. The best response to the adult child
by the ACNP would be:
a. 5% of depressed patients commit suicide
b. ETOH abuse individuals rarely commit suicide
c. hospitalize the father and start psychotherapy - CORRECT ANSWER hospitalize the
patient and start psychotherapy
Tom, 36 years old, has Chron's disease and arrives to ED w/ complaints of abdominal
pain, frequent vomiting and watery bowel movements. You notice high-pitched, tinkling
bowel sounds and transabdominal US reveals partial SBO. Which is NOT necessary at
this time?
• NPO and IV fluids
• NG Tube to LWS
• Immediate referral for surgery
• Monitor pt. for spontaneous resolution - CORRECT ANSWER immediate referral for
surgery
