ANCC ACUTE CARE NURSE PRACTITIONER
(ACNP) 2024 BOARD EXAM REVIEW
QUESTIONS AND CORRECT ANSWERS
To improve the health of a population, an acute care nurse practitioner's intervention is to:
-join a professional nursing organization and run for an organizational office.
-maintain current certification as an acute care nurse practitioner.
-participate in hospital grand rounds.
-report any unusual pattern of infections to the local health department. - ANS -report any unusual
pattern of infections to the local health department.
A patient, who is allergic to penicillin, requires antibiotic treatment for community-acquired pneumonia.
The patient has a limited income, lacks health insurance, and is about to be discharged from the
hospital. An acute care nurse practitioner's intervention is to:
-consult social services for assistance.
-order an aerosol antibiotic.
-transfer the patient to an extended care facility.
-write a prescription for an antibiotic. - ANS -consult social services for assistance.
A patient is scheduled for elective orthopedic surgery. During the preadmission physical examination,
the acute care nurse practitioner detects an asymptomatic pulsatile mass in the middle upper abdomen.
The nurse practitioner's most appropriate action is to:
obtain a kidney-urethra-bladder x-ray.
obtain a renal arteriogram.
obtain an abdominal ultrasound.
proceed with the patient's elective surgery. - ANS -obtain an abdominal ultrasound.
, Abdominal Aortic aneurysm
Which musculoskeletal disease primarily involves the distal joints, hips, knees, and spine, and is
characterized by the development of Heber den and Bouchard nodes?
Gout
Osteoarthritis
Osteoporosis
Rheumatoid arthritis - ANS -Osteoarthritis
Heber den: distal phalanges
Bouchard: proximal phalanges
Difference between OA and RA:
Heber den and Bouchard nodes are often seen in digits, they are bony round growth near the joints,
while rheumatoid nodules are more common with arms and elbows underneath the skin, people with
RA later develop curving and bending of fingers.
An acute care nurse practitioner is deciding whether to recommend a long-term medication regimen
that will help a patient manage disease symptoms but may also introduce problematic side effects. This
decision reflects which ethical principle?
Autonomy
Beneficence
Fidelity
Justice - ANS -beneficence
A patient, who has been in the intensive care unit for 17 days, develops hypernatremia hyper osmolality.
The patient weighs 132 lb. (59.9 kg), is intubated, and is receiving mechanical ventilation. The serum
osmolality is 320 mom/L kg H2O. Clinical signs include tachycardia and hypotension. An acute care nurse
practitioner's initial treatment is to:
reduce serum osmolality by infusing a 5% dextrose in 0.2% sodium chloride solution.
(ACNP) 2024 BOARD EXAM REVIEW
QUESTIONS AND CORRECT ANSWERS
To improve the health of a population, an acute care nurse practitioner's intervention is to:
-join a professional nursing organization and run for an organizational office.
-maintain current certification as an acute care nurse practitioner.
-participate in hospital grand rounds.
-report any unusual pattern of infections to the local health department. - ANS -report any unusual
pattern of infections to the local health department.
A patient, who is allergic to penicillin, requires antibiotic treatment for community-acquired pneumonia.
The patient has a limited income, lacks health insurance, and is about to be discharged from the
hospital. An acute care nurse practitioner's intervention is to:
-consult social services for assistance.
-order an aerosol antibiotic.
-transfer the patient to an extended care facility.
-write a prescription for an antibiotic. - ANS -consult social services for assistance.
A patient is scheduled for elective orthopedic surgery. During the preadmission physical examination,
the acute care nurse practitioner detects an asymptomatic pulsatile mass in the middle upper abdomen.
The nurse practitioner's most appropriate action is to:
obtain a kidney-urethra-bladder x-ray.
obtain a renal arteriogram.
obtain an abdominal ultrasound.
proceed with the patient's elective surgery. - ANS -obtain an abdominal ultrasound.
, Abdominal Aortic aneurysm
Which musculoskeletal disease primarily involves the distal joints, hips, knees, and spine, and is
characterized by the development of Heber den and Bouchard nodes?
Gout
Osteoarthritis
Osteoporosis
Rheumatoid arthritis - ANS -Osteoarthritis
Heber den: distal phalanges
Bouchard: proximal phalanges
Difference between OA and RA:
Heber den and Bouchard nodes are often seen in digits, they are bony round growth near the joints,
while rheumatoid nodules are more common with arms and elbows underneath the skin, people with
RA later develop curving and bending of fingers.
An acute care nurse practitioner is deciding whether to recommend a long-term medication regimen
that will help a patient manage disease symptoms but may also introduce problematic side effects. This
decision reflects which ethical principle?
Autonomy
Beneficence
Fidelity
Justice - ANS -beneficence
A patient, who has been in the intensive care unit for 17 days, develops hypernatremia hyper osmolality.
The patient weighs 132 lb. (59.9 kg), is intubated, and is receiving mechanical ventilation. The serum
osmolality is 320 mom/L kg H2O. Clinical signs include tachycardia and hypotension. An acute care nurse
practitioner's initial treatment is to:
reduce serum osmolality by infusing a 5% dextrose in 0.2% sodium chloride solution.
