ACNP BOARD REVIEW Exam Questions And Answers |Latest 2025 | Guaranteed Pass

ACNP BOARD REVIEW Exam Questions And Answers |Latest 2025 | Guaranteed Pass To improve the health of a population, an acute care nurse practitioner's intervention is to: -join a professional nursing organization and run for an organizational office. -maintain current certification as an acute care nurse practitioner. -participate in hospital grand rounds. -report any unusual pattern of infections to the local health department. - Answerreport any unusual pattern of infections to the local health department. A patient, who is allergic to penicillin, requires antibiotic treatment for community-acquired pneumonia. The patient has a limited income, lacks health insurance, and is about to be discharged from the hospital. An acute care nurse practitioner's intervention is to: -consult social services for assistance. -order an aerosol antibiotic. -transfer the patient to an extended care facility. -write a prescription for an antibiotic. - Answerconsult social services for assistance. A patient is scheduled for elective orthopedic surgery. During the preadmission physical examination, the acute care nurse practitioner detects an asymptomatic pulsatile mass in the middle upper abdomen. The nurse practitioner's most appropriate action is to: ©THESTAR 2025 ALL RIGHTS RESERVED 10:34 PM A+ 2 obtain a kidney-urethra-bladder x-ray. obtain a renal arteriogram. obtain an abdominal ultrasound. proceed with the patient's elective surgery. - Answerobtain an abdominal ultrasound. Abdominal Aortic aneurysm Which musculoskeletal disease primarily involves the distal joints, hips, knees, and spine, and is characterized by the development of Heberden and Bouchard nodes? Gout Osteoarthritis Osteoporosis Rheumatoid arthritis - AnswerOsteoarthritis Heberden: distal phalanges Bouchard: proximal phalanges Difference between OA and RA: Heberden and Bouchard nodes are often seen in digits, they are bony round growth near the joints, while rheumatoid nodules are more common with arms and elbows underneath the skin, people with RA later develop curving and bending of fingers. An acute care nurse practitioner is deciding whether to recommend a long-term medication regimen that will help a patient manage disease symptoms but may also introduce problematic side effects. This decision reflects which ethical principle? Autonomy Beneficence Fidelity Justice - Answerbeneficence ©THESTAR 2025 ALL RIGHTS RESERVED 10:34 PM A+ 3 A patient, who has been in the intensive care unit for 17 days, develops hypernatremic hyperosmolality. The patient weighs 132 lb (59.9 kg), is intubated, and is receiving mechanical ventilation. The serum osmolality is 320 mOsm/L kg H2O. Clinical signs include tachycardia and hypotension. An acute care nurse practitioner's initial treatment is to: reduce serum osmolality by infusing a 5% dextrose in 0.2% sodium chloride solution. reduce serum sodium concentration by infusing a 0.45% sodium chloride solution. replenish volume by infusing a 0.9% sodium chloride solution. replenish volume by infusing a 5% dextrose in water solution. - Answerreplenish volume by infusing a 0.9% sodium chloride solution. priority is to replenish the volume and the fix the osmolality A 78-year-old male patient with heart failure develops a bacterial urinary tract infection secondary to an indwelling Foley catheter. The patient has a known history of allergy to penicillin and sulfonamides. The appropriate choice for antimicrobial therapy is: cephalexin (Keflex). ciprofloxacin (Cipro). doxycycline (Vibramycin). tetracycline (Sumycin). - Answerciprofloxacin (Cipro) Cephalosporin (ceph) are "cousins" with penicillin (cross-allergy). Tetracyclines can cause severe side effects a