Spring 2020 AGACNP Questions and answers updated to pass

Spring 2020 AGACNP Questions Which of the following sedative agents can act as a negative inotrope? Select all that apply. a. Propofol b. Fentanyl c. Dexmedetomidine d. Midazolam - correct answer Propofol & Dexmedetomidine Which of the following CSF findings is most likely in a patient with bacterial meningitis? a. Lymphocyte predominance b. Decreased opening pressures on lumbar puncture c. increased glucose d. increase protein - correct answer Increased protein A NP's license can be jeopardized by improper actions. What's an example of an action that would put an NP's license in jeopardy? a. You appropriately delegate medication administration to a trusted RN employee who administers a fatal dose b. You delegate client assessment tasks to an LPN who has been floated to your unit fort he day c. You provide nursing care services consistent with established standards of practice in your jurisdiction d. The medical assistant in your supervision physician's office exceeds the scope of her authority, but you take prompt action to correct the problem - correct answer B A 19-year-old male college student presents with fever, headache and petechia rash. A LP is performed. Grain stain of his CSF shows gram negative diplococci. Which of the following organisms is the cause of his symptoms? a. Streptococcus pneumonia b. Cryptococcal meningitis c. Neisseria meningitis d. Listeria monocytogenes - correct answer Neisseria Meningitis What differentiates delirium from dementia? a. personality changes b. global confusion c. age of onset d. reversibility c. short-term memory impairment - correct answer Reversibility Pupil Abnormalities usually point to problems in the midbrain or CNIII. - correct answer True A pt with uncontrolled HTN presents to ED w/ loss of consciousness at home. There is no history of trauma or ingestion and his wife states that he complained of a headache and vomiting earlier, and appeared to be drowsy. She checked on him after he had returned to the bedroom to rest, but she was unable to arouse him. Exam is significant for pinpoint pupils that are bilaterally reactive and total paralysis. Which is consistent with the history & presentation? a. Subarachnoid hemorrhage b. Pontine hemorrhage c. MCA ischemic stroke d. Vertebrobasilar artery stroke - correct answer Pontine hemorrhage Contraindication for tPA - correct answer Prior intracranial hemorrhage at any time Headache described as: severe, unilateral throbbing pain that is aggravated by movement, associated with nausea and sensitivity to light. Physical exam is completely normal - what is the likely diagnosis? a. Migraine headache b. Tension headache c. Cluster headache d. nummular headache - correct answer Migraine 50 y/o male with weakness in legs that has progressed over 2 days. PMH: DM, HTN & recent resp. infection. He reports numbness and tingling in his feet and his exam is significant for decreased ankle jerk reflexes. The NP suspect Guillian-Barre Syndrome. Which of the following is true? a. It is caused by autoantibodies to acetylcholine receptors b. Creatinine phosphokinase may be elevated c. ESR will be decreased d. CSF protein is reduced - correct answer Creatinine phosphokinase may be elevated Which of the following characterizes a patient who is experiences a simple partial seizure? - correct answer Abnormal motor behavior in an awake state that lasts 2 minutes Which of the following would you expect in the evaluation of a patient with Parkinson's disease? a. Ataxia and occulomotor dysfunction b. Sensory loss and muscle weakness c. Shuffling gait and rigidity d. Aphasia and dementia - correct answer Shuffling gait and rigidity Nonmaleficence - correct answer Avoidance of harm 37 y/o female presents with c/o fatigue, increasing extremity weakness, ptosis, diplopia that began 12 hours ago. The ACNP knows these are signs of? a. GBS b. MS c. Myasthenia gravis d. CVA - correct answer Myasthenia gravis Which are risk factors for developing critical illness myopathy? - correct answer 1. Patients who receive high dose corticosteroids 2. Patients who receive prolong neuromuscular blockage 3. Patients who have a prolonged ICU stay