ACNP 807 - Questions With Well Detailed Solutions
When the APRN is assessing a patient with a suspected cerebellar
hemorrhage, what findings would be expected on the physical exam? Right
Ans - Ataxia
Facial weakness
Inability to walk/stand
Ipsilateral conjugate gaze
Paresis
Vertigo
The APRN knows that a tonic-clinic seizure will include which findings?
Right Ans - Full body involvement
Presence of an aura
Loss of consciousness
Respiratory arrest
Muscle rigidity/muscle jerking
Post-octal state after seizure
What would the APRN expect to see on a CT scan of a patient who just
suffered a hemorrhagic stroke? Right Ans - An abnormal white hyper
density
A patient presents to the ED with stroke like symptoms. A CT of the head was
ordered but the results were negative. What should the APRN tell the family
and do next? Right Ans - Explain to the family that a stroke cannot yet be
ruled out and an additional CT scan or MRI should be completed
A patient presents to the ED with stroke like symptoms that started 2 hours
ago and is hypertensive with a systolic blood pressure of 200 mmHg. The CT
scan is positive for an ischemic stroke and the patient is a candidate for a
thrombosis. What medications should the APRN order prior to completing a
thrombolysis? Right Ans - Labetolol, 10-20mg IV
What is the drug of choice for a patient that is having a seizure? Right Ans -
Ativan
A patient presents to the ED stating that they have the worst headache of their
life. What should the APRN do first? Right Ans - CT scan
, A patent in ICU states that they are having the worst headache of their life.
What condition is the APRN most concerned for? Right Ans - SAH
How would the APRN calculate a patients cerebral perfusion pressure?
Right Ans - CPP = MAP - ICP
What is the normal range for cerebral perfusion pressure? Right Ans - 50 -
70 mmHg
A patient presents to the ED after suffering a traumatic spinal injury. When
completing the physical exam, flaccid to partial paralysis is noted. Where
would the APRN suspect that the patient's spinal injury is located? Right
Ans - C5-C6
A patient presents to the ED with a spinal injury and is exhibiting paralysis of
the intercostal and abdominal muscles. Where would the APRN suspect that
the patient's spinal injury is located? Right Ans - C2 - C3
What are the 2 most common types of meningitis? Right Ans - Bacterial
Viral
When reviewing labs for a patient with suspected bacterial meningitis, what
would the APRN expect to find on the CSF analysis? Right Ans - Cloudy
appearance
Elevated opening pressure
Elevated protein
Elevated WBC, polymorphonuclear
Decrease glucose
Bacteria present on culture
When reviewing labs for a patient with suspected viral meningitis, what
would the APRN expect to find on the CSF analysis? Right Ans - Clear
appearance
Normal opening pressure
Normal to slightly elevated proteins
Normal glucose
Elevated WBC, mononuclear
Positive for PCR on fluid
When the APRN is assessing a patient with a suspected cerebellar
hemorrhage, what findings would be expected on the physical exam? Right
Ans - Ataxia
Facial weakness
Inability to walk/stand
Ipsilateral conjugate gaze
Paresis
Vertigo
The APRN knows that a tonic-clinic seizure will include which findings?
Right Ans - Full body involvement
Presence of an aura
Loss of consciousness
Respiratory arrest
Muscle rigidity/muscle jerking
Post-octal state after seizure
What would the APRN expect to see on a CT scan of a patient who just
suffered a hemorrhagic stroke? Right Ans - An abnormal white hyper
density
A patient presents to the ED with stroke like symptoms. A CT of the head was
ordered but the results were negative. What should the APRN tell the family
and do next? Right Ans - Explain to the family that a stroke cannot yet be
ruled out and an additional CT scan or MRI should be completed
A patient presents to the ED with stroke like symptoms that started 2 hours
ago and is hypertensive with a systolic blood pressure of 200 mmHg. The CT
scan is positive for an ischemic stroke and the patient is a candidate for a
thrombosis. What medications should the APRN order prior to completing a
thrombolysis? Right Ans - Labetolol, 10-20mg IV
What is the drug of choice for a patient that is having a seizure? Right Ans -
Ativan
A patient presents to the ED stating that they have the worst headache of their
life. What should the APRN do first? Right Ans - CT scan
, A patent in ICU states that they are having the worst headache of their life.
What condition is the APRN most concerned for? Right Ans - SAH
How would the APRN calculate a patients cerebral perfusion pressure?
Right Ans - CPP = MAP - ICP
What is the normal range for cerebral perfusion pressure? Right Ans - 50 -
70 mmHg
A patient presents to the ED after suffering a traumatic spinal injury. When
completing the physical exam, flaccid to partial paralysis is noted. Where
would the APRN suspect that the patient's spinal injury is located? Right
Ans - C5-C6
A patient presents to the ED with a spinal injury and is exhibiting paralysis of
the intercostal and abdominal muscles. Where would the APRN suspect that
the patient's spinal injury is located? Right Ans - C2 - C3
What are the 2 most common types of meningitis? Right Ans - Bacterial
Viral
When reviewing labs for a patient with suspected bacterial meningitis, what
would the APRN expect to find on the CSF analysis? Right Ans - Cloudy
appearance
Elevated opening pressure
Elevated protein
Elevated WBC, polymorphonuclear
Decrease glucose
Bacteria present on culture
When reviewing labs for a patient with suspected viral meningitis, what
would the APRN expect to find on the CSF analysis? Right Ans - Clear
appearance
Normal opening pressure
Normal to slightly elevated proteins
Normal glucose
Elevated WBC, mononuclear
Positive for PCR on fluid
