ATCN REVIEW CERTIFICATION SCRIPT
2026 QUESTIONS WITH SOLUTIONS
GRADED A+
◍ What is the leading cause of death in African american males ages 40-59?.
Answer: CAD
◍ Morphine Sulfate.
Answer: Drug of choice for moderate to severe cancer painIncrease
according to severity of painConvert to long acting when dose is stable
◍ Biaxin and digoxin.
Answer: Biaxin raises digoxin level
◍ You would expect which of the following laboratory findings in a patient
with hypothyroidism?
A. Increased TSH, decreased T4
B. Increased TSH, increased T4
C. Decreased TSH, increased T4
D. Decreased TSH, decreased T4.
Answer: A. Increased TSH, decreased T4
◍ chronic venous insufficiency.
Answer: Varicose veins results from venous incompetence secondary to
valvular dysfunction. Symptoms LE edema, skin discoloration, ulceration,
DVT/PE are complication. WARM TO TOUCH. Tx: light exercise,
stockings, wt loss, elevate legs
◍ Define fremitis.
Answer: When is it increased? 10. Fremitus is enhanced by
consolidation.11. Fremitus is decreased by pleural fluid.12. Fremitus is
decreased by pneumothorax.10. TRUE. Fremitus is enhanced by
, consolidation.11. TRUE. Fremitus is markedly decreased by pleural
fluid.12. TRUE. Fremitus is decreased by pneumothorax.
◍ Ambivalence.
Answer: Mixed feelings about pregnancy status.
◍ Hegar's Sign.
Answer: Softening of the cervicouterine junction
◍ Pericarditis s/s.
Answer: normal CXR, low grade temp, elevation of ST segment in ALL
leads
◍ Spinal Anesthesia.
Answer: Regional anesthesia for lower body pain relief.
◍ A child with suspected sleep apnea was given an apnea monitoring device to
use over the next month. The device was capable of recording and storing
data relative to heart and respiratory rate and pattern. The pediatric
pulmonologist reviewed the data and reported to the child's primary
pediatrician. What CPT® code(s) is/are reported for the monitor attachment,
download of data, provider review, interpretation and report?.
Answer: 94774
◍ Cushing's triad consists of.
Answer: Increased systolic BP, decreased heart rate, and abnormal
respirations.
◍ Risk factors for significant bone marrow suppression.
Answer: agepoor nutritional status (weight loss)an autoimmune
diseasediabetes
◍ At bedside parasternal US reveals fluid in the pericardial sac. What is the
initial action in managing this patient?.
Answer: Emergent pericardiocentesis
◍ Chronic Kidney Disease (CKD).
Answer: Progressive kidney dysfunction.
,◍ How long must a transplant recipient be monitored for a delayed immune
hemolysis response after receiving marrow from an ABO-mismatched
donor?.
Answer: 4 months after transplant
◍ Which cranial nerve is most responsible for papillary constriction?.
Answer: Oculomotor
◍ Pre-transplant evaluation.
Answer: 1. Determine HLA type: Serology2. Determine serum Ab status:
CDC, sequencing3. Crossmatch: MLC, CDC, ELISA, flow cytometery
◍ paracentesis.
Answer: Up to 5l at a time before albumin is needed
◍ EBLS.
Answer: Long bones 750Femur 1500Pelvis >1500
◍ Pt with s/s of abd distention, weakness and occasional diarrhea. Hx indicates
renal failure. You conclude that the patient has a fluid and electorlyte
problem. Which of the following is he most likely experiencing?.
Answer: Hyperkalemia
◍ control hemorrhage and restore blood flow.
Answer: The best way to restore cellular and organ perfusion in hemorrhagic
shock is to
◍ Battle Sign.
Answer: bruising around the mastoid process (behind ears) = serious head /
brain injury
◍ Normal ICP ranges from.
Answer: 0-10>20 is concerning
◍ Trauma primary survey for "B"?.
Answer: breathing and ventilation
◍ The nurse is providing pre-procedure education to a patient who is preparing
, to undergo a percutaneous coronary intervention (PCI) with a femoral
approach and a planned Perclose closure device. The nurse tells the patient
that one of the benefits of the Perclose device is that:
A. It allows the patient to be discharged home sooner
B. It allows the patient to resume their oral anticoagulant much sooner
C. It can decrease the time needed on bedrest after the procedure
D. It decreases the amount of monitoring needed after the procedure.
Answer: C. It can decrease the time needed on bedrest after the
procedureFeedbackThe nurse should recognize that one major benefit of
closure devices such as the Perclose is patient comfort, including decreased
bedrest time post-procedure.
◍ 47 yo male comes in complaining of intense right eye pain which has
worsened since he woke up. Eye exam: copious tearing/redness. What do
you do to confirm the suspected diagnosis?.
Answer: Sodium fluorescein stain for corneal abrasion
◍ Constipation.
Answer: CAM: psyllium, biofeedback
◍ neuropathic pain.
Answer: abnormal processing of pain message; burning, shooting in
natureOriginates at site of injury
◍ Bisacodyl.
Answer: Laxative used for constipation relief.
◍ To assess a patient's ability to think abstractly, a nurse practitioner could ask
the patient.
Answer: the meaning of a common proverb.
◍ A nurse practitioner orders pulmonary rehabilitation for a 75-year-old with
COP
D. Expected outcomes of this program include all of the following
EXCEPT.
Answer: increased lung capacity.
2026 QUESTIONS WITH SOLUTIONS
GRADED A+
◍ What is the leading cause of death in African american males ages 40-59?.
Answer: CAD
◍ Morphine Sulfate.
Answer: Drug of choice for moderate to severe cancer painIncrease
according to severity of painConvert to long acting when dose is stable
◍ Biaxin and digoxin.
Answer: Biaxin raises digoxin level
◍ You would expect which of the following laboratory findings in a patient
with hypothyroidism?
A. Increased TSH, decreased T4
B. Increased TSH, increased T4
C. Decreased TSH, increased T4
D. Decreased TSH, decreased T4.
Answer: A. Increased TSH, decreased T4
◍ chronic venous insufficiency.
Answer: Varicose veins results from venous incompetence secondary to
valvular dysfunction. Symptoms LE edema, skin discoloration, ulceration,
DVT/PE are complication. WARM TO TOUCH. Tx: light exercise,
stockings, wt loss, elevate legs
◍ Define fremitis.
Answer: When is it increased? 10. Fremitus is enhanced by
consolidation.11. Fremitus is decreased by pleural fluid.12. Fremitus is
decreased by pneumothorax.10. TRUE. Fremitus is enhanced by
, consolidation.11. TRUE. Fremitus is markedly decreased by pleural
fluid.12. TRUE. Fremitus is decreased by pneumothorax.
◍ Ambivalence.
Answer: Mixed feelings about pregnancy status.
◍ Hegar's Sign.
Answer: Softening of the cervicouterine junction
◍ Pericarditis s/s.
Answer: normal CXR, low grade temp, elevation of ST segment in ALL
leads
◍ Spinal Anesthesia.
Answer: Regional anesthesia for lower body pain relief.
◍ A child with suspected sleep apnea was given an apnea monitoring device to
use over the next month. The device was capable of recording and storing
data relative to heart and respiratory rate and pattern. The pediatric
pulmonologist reviewed the data and reported to the child's primary
pediatrician. What CPT® code(s) is/are reported for the monitor attachment,
download of data, provider review, interpretation and report?.
Answer: 94774
◍ Cushing's triad consists of.
Answer: Increased systolic BP, decreased heart rate, and abnormal
respirations.
◍ Risk factors for significant bone marrow suppression.
Answer: agepoor nutritional status (weight loss)an autoimmune
diseasediabetes
◍ At bedside parasternal US reveals fluid in the pericardial sac. What is the
initial action in managing this patient?.
Answer: Emergent pericardiocentesis
◍ Chronic Kidney Disease (CKD).
Answer: Progressive kidney dysfunction.
,◍ How long must a transplant recipient be monitored for a delayed immune
hemolysis response after receiving marrow from an ABO-mismatched
donor?.
Answer: 4 months after transplant
◍ Which cranial nerve is most responsible for papillary constriction?.
Answer: Oculomotor
◍ Pre-transplant evaluation.
Answer: 1. Determine HLA type: Serology2. Determine serum Ab status:
CDC, sequencing3. Crossmatch: MLC, CDC, ELISA, flow cytometery
◍ paracentesis.
Answer: Up to 5l at a time before albumin is needed
◍ EBLS.
Answer: Long bones 750Femur 1500Pelvis >1500
◍ Pt with s/s of abd distention, weakness and occasional diarrhea. Hx indicates
renal failure. You conclude that the patient has a fluid and electorlyte
problem. Which of the following is he most likely experiencing?.
Answer: Hyperkalemia
◍ control hemorrhage and restore blood flow.
Answer: The best way to restore cellular and organ perfusion in hemorrhagic
shock is to
◍ Battle Sign.
Answer: bruising around the mastoid process (behind ears) = serious head /
brain injury
◍ Normal ICP ranges from.
Answer: 0-10>20 is concerning
◍ Trauma primary survey for "B"?.
Answer: breathing and ventilation
◍ The nurse is providing pre-procedure education to a patient who is preparing
, to undergo a percutaneous coronary intervention (PCI) with a femoral
approach and a planned Perclose closure device. The nurse tells the patient
that one of the benefits of the Perclose device is that:
A. It allows the patient to be discharged home sooner
B. It allows the patient to resume their oral anticoagulant much sooner
C. It can decrease the time needed on bedrest after the procedure
D. It decreases the amount of monitoring needed after the procedure.
Answer: C. It can decrease the time needed on bedrest after the
procedureFeedbackThe nurse should recognize that one major benefit of
closure devices such as the Perclose is patient comfort, including decreased
bedrest time post-procedure.
◍ 47 yo male comes in complaining of intense right eye pain which has
worsened since he woke up. Eye exam: copious tearing/redness. What do
you do to confirm the suspected diagnosis?.
Answer: Sodium fluorescein stain for corneal abrasion
◍ Constipation.
Answer: CAM: psyllium, biofeedback
◍ neuropathic pain.
Answer: abnormal processing of pain message; burning, shooting in
natureOriginates at site of injury
◍ Bisacodyl.
Answer: Laxative used for constipation relief.
◍ To assess a patient's ability to think abstractly, a nurse practitioner could ask
the patient.
Answer: the meaning of a common proverb.
◍ A nurse practitioner orders pulmonary rehabilitation for a 75-year-old with
COP
D. Expected outcomes of this program include all of the following
EXCEPT.
Answer: increased lung capacity.
