AGACNP Practice Exam Latest Version 2024/2025 Expert-Verified Q&As

70 yr old male w/6 wk hx of indigestion after meals relieved with Maalox. Denies wt loss, change in appetite. Current med includes ASA 325 mg, enalapril 10 mg, and multivitamin. Exam reveals HR 80, BP 130/70 with normal cardiac, abdominal, & lung exam. Rectal exam reveals brown stool, + for blood. What is the next step in the evaluation of this patient? A. Tell patient to report back if further blood in stool B. Instruct patient to stop taking aspirin C. Have patient return in 1 week for repeat rectal D. Refer to gastroenterologist for further evaluation - D) The next step would be to refer the patient to GI for further evaluation. It would also be appropriate for the pt to stop aspirin but the cause of the blood in the stool needs to be determined. A firm liver on physical exam is usually associated with: A. Ascites B. Passive congestion C. Cirrhosis D. Hepatic carcinoma - B- Passive congestion A healthcare worker suffers a needlestick injury from a patient known to have hepatitis B virus. What would be the plan of care for this healthcare worker? A. Give the hepatitis B vaccine immediately. B. Obtain baseline LFTs C. Give the hepatitis B vaccine within 1 week D. Give hepatitis B immune globulin and hepatitis B vaccine immediately - D) Give HBIG and Hepatitis B vaccine immediately. The HBIG provides immediate, high-level passively acquired antihepatitis B immunity, whereas the hepatitis vaccine offers lasting immunity. A hepatic bruit suggests: A. ascites