Final Exam: NRNP 6566/ NRNP 6566 Advanced Care of Adults in Acute Settings I | Questions and Verified Answers | 2023/ 2024 New Upd ate- Wal den Question 1 Which antibiotics would NOT be appropriate to empirically treat an E. Coli infection? Penicillin VK (Pen VK) Cephalexin (Keflex) Nitrofurantoin (Macrobid) Trimethoprim-Sulfamethoxazole (Bactri m DS) Question 2 The NP is manag ing a 66 year old female admitted to the ICU with a serum potassium level of 8.9 mEg/L. Hemodialysis will be started as soon as the on-call staff can arrive. What interven tion shou ld the NP order now? Dextrose 50% , insulin and ,sodium bicarbo nate Sodium bicarbon ate and ipratropium bromide (Atroven t) Calcium glucona te and calcium acetate (Phos Lo) Sodium polystyrene (Kayex alate) PO and Kayexa late enema Question 3 The APRN is treating a patient with type 2 diabetes. The patient is on the maximum dose of metformin and glucotrol. Current weight 212 pounds. Labs from this morning indicate a fasting blood sugar of 312 and HbA1C of 9. The APRN wants to start the patient on Lantus 0.2 unit/kg. What dose and instructions should the APRN provide? Give 2 units of Lantus subcutaneously prior to lunch every day Give 19 units of Lantus subcutaneously prior to bedtime. Give 24 units of Lantus subcutaneously prior to dinner Give 42 units of Lantus subcutaneously prior to bedtime. Question 4 When prescribing sildenafil (Viagra) to a patient, the patient should be screened for which of the following? Select all that apply. Use of a statin medication Use of a nitrate medication History of coronary artery disease Use of opiods History of priapism Question 5 The NP is assessing a patient receiving benzodiazepines who is experiencing confusion, dizziness, slurred speech, and difficulty breathing. What medication should the NP order to counter the effects? Ropivacaine Naloxone Bromazepa m Flumazenil Question 6 The AGACNP orders a renal angiogram for a patient with suspected renal artery stenosis. Which of the following medications would be contraindicated for the patient? a Calcium channel . blockers b . Alpha blockers c . Beta blockers d . ACE inhibitors Question 7 The AGACNP is assessi ng a patient in the urgent care area. The patient is a 44 year old women in her third round of chemotherapy for breast cancer. She presents today with complains of generalize malaise and fever that has gradually increased over the past 12 hours, BP 110/62 P 96 T 102.6 RR 18 WBC 4.2 ANC 300 The best initial treatment by the AGACNP is:
Exam (elaborations)
Final Exam: NRNP 6566/ NRNP6566 Advanced Care of Adults in Acute Settings I| Questions and Verified Answers| 2023/ 2024 New Update- Walden
Final Exam: NRNP 6566/ NRNP6566 Advanced Care of Adults in Acute Settings I| Questions and Verified Answers| 2023/ 2024 New Update- Walden Question 1 Which antibiotics would NOT be appropriate to empirically treat an E. Coli infection? Penicillin VK (Pen VK) Cephalexin (Keflex) Nitrofurantoin (Macrobid) Trimethoprim-Sulfamethoxazole (Bactri m DS) Question 2 The NP is managing a 66 year old female admitted to the ICU with a serum potassium level of 8.9 mEg/L. Hemodialysis will be started as soon as the on-call staff can arrive. What intervention should the NP order now? Dextrose 50% , insulin and ,sodium bicarbonate Sodium bicarbonate and ipratropium bromide (Atrovent) Calcium gluconate and calcium acetate (PhosLo) Sodium polystyrene (Kayexalate) PO and Kayexalate enema Question 3 The APRN is treating a patient with type 2 diabetes. The patient is on the maximum dose of metformin and glucotrol. Current weight 212 pounds. Labs from this morning indicate a fasting blood sugar of 312 and HbA1C of 9. The APRN wants to start the patient on Lantus 0.2 unit/kg. What dose and instructions should the APRN provide? Give 2 units of Lantus subcutaneously prior to lunch every day Give 19 units of Lantus subcutaneously prior to bedtime. Give 24 units of Lantus subcutaneously prior to dinner Give 42 units of Lantus subcutaneously prior to bedtime. Question 4 When prescribing sildenafil (Viagra) to a patient, the patient should be screened for which of the following? Select all that apply. Use of a statin medication Use of a nitrate medication History of coronary artery disease Use of opiods History of priapism Question 5 The NP is assessing a patient receiving benzodiazepines who is experiencing confusion, dizziness, slurred speech, and difficulty breathing. What medication should the NP order to counter the effects? Ropivacaine Naloxone Bromazepa m Flumazenil Question 6 The AGACNP orders a renal angiogram for a patient with suspected renal artery stenosis. Which of the following medications would be contraindicated for the patient? a Calcium channel . blockers b . Alpha blockers c . Beta blockers d . ACE inhibitors Question 7 The AGACNP is assessing a patient in the urgent care area. The patient is a 44 year old women in her third round of chemotherapy for breast cancer. She presents today with complains of generalize malaise and fever that has gradually increased over the past 12 hours, BP 110/62 P 96 T 102.6 RR 18 WBC 4.2 ANC 300 The best initial treatment by the AGACNP is:
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