ACNP BOARDS REVIEW: FITZGERALD
CORRECT AND WELL DETAILED
When coding a hospital-based patient encounter, the AGACNP knows that the
evaluation and management (E&M) codes: - ANSWER Determine the amount of
reimbursement.
A 65-year-old female presents with right-sided temporal headache. She also reports
ipsilateral jaw claudication. The AGACNP expects laboratory evaluation to reveal: -
ANSWER An erythrocyte sedimentation rate >100 mm/h.
The management of critical care patients on neuromuscular blockade must include
prophylaxis for: - ANSWER Deep vein thrombosis and corneal abrasion.
The Synergy Model provides a comprehensive approach to patient assessment.
Consistent with this model, patient characteristics include all of the following: -
ANSWER Resiliency.
Vulnerability.
Stability.
In accordance with JNC 8 recommendations for the management of hypertension in
the adult => the age of 60 years, the nurse practitioner instructs the patient that her
blood pressure goal on medication is: - ANSWER <150/90 mm Hg.
Which of the following is an example of evidenced-based practice in the management
of a patient having an asthma exacerbation? - ANSWER Preparing for intubation
in a patient with a peak expiratory flow rate (PEFR) of 33% after one hour of
emergency care.
1
, Which of the following best describes Six Sigma? - ANSWER A quality
improvement plan characterized by limiting variability and removing defects in a
process.
Mrs. Das is a 47-year-old patient of Hindi faith. She tells the nurse practitioner that
she is very uncomfortable because she feels unclean - she says she has not been
properly washed since her bowel resection 5 days ago. She is able to move around
in bed but she is not yet able to ambulate to the bathroom. The appropriate
response would be to: - ANSWER Arrange for her to have a bedside pan of
water with a pitcher so that she can clean herself with running water.
Hospitals are required under the U.S. Department of Labor Occupational Safety and
Health Administration (OSHA) to have a Hospital Emergency Response Plan that
protects health care workers dealing with hazardous waste and emergency operations.
Joint Commission--accredited hospitals are further required to: -
ANSWER Implement the plan twice a year either as an actual response or a
drill.
Medicare will not reimburse hospitals for the cost of care associated with hospital-
acquired infection. This is part of a quality improvement effort made possible by: -
ANSWER The Deficit Reduction Act.
Ms. Brady is a 45-year-old female with stage 3 chronic kidney disease who is treated
for anemia with erythropoietin 4000 units weekly. Within two months of beginning
erythropoietin treatment her hemoglobin has risen to 11.5 g/dL. The appropriate
action is to: - ANSWER Consider decreasing erythropoietin to 3000 units weekly.
While preparing to suture a traumatic laceration to the pinna, the AGACNP knows
that the ring block technique will produce local anesthesia for the external auditory
meatus and the: - ANSWER Concha.
The AGACNP has just intubated a 55-year-old female in the emergency department
who presented in respiratory arrest. She is now producing persistent high pressure
2
CORRECT AND WELL DETAILED
When coding a hospital-based patient encounter, the AGACNP knows that the
evaluation and management (E&M) codes: - ANSWER Determine the amount of
reimbursement.
A 65-year-old female presents with right-sided temporal headache. She also reports
ipsilateral jaw claudication. The AGACNP expects laboratory evaluation to reveal: -
ANSWER An erythrocyte sedimentation rate >100 mm/h.
The management of critical care patients on neuromuscular blockade must include
prophylaxis for: - ANSWER Deep vein thrombosis and corneal abrasion.
The Synergy Model provides a comprehensive approach to patient assessment.
Consistent with this model, patient characteristics include all of the following: -
ANSWER Resiliency.
Vulnerability.
Stability.
In accordance with JNC 8 recommendations for the management of hypertension in
the adult => the age of 60 years, the nurse practitioner instructs the patient that her
blood pressure goal on medication is: - ANSWER <150/90 mm Hg.
Which of the following is an example of evidenced-based practice in the management
of a patient having an asthma exacerbation? - ANSWER Preparing for intubation
in a patient with a peak expiratory flow rate (PEFR) of 33% after one hour of
emergency care.
1
, Which of the following best describes Six Sigma? - ANSWER A quality
improvement plan characterized by limiting variability and removing defects in a
process.
Mrs. Das is a 47-year-old patient of Hindi faith. She tells the nurse practitioner that
she is very uncomfortable because she feels unclean - she says she has not been
properly washed since her bowel resection 5 days ago. She is able to move around
in bed but she is not yet able to ambulate to the bathroom. The appropriate
response would be to: - ANSWER Arrange for her to have a bedside pan of
water with a pitcher so that she can clean herself with running water.
Hospitals are required under the U.S. Department of Labor Occupational Safety and
Health Administration (OSHA) to have a Hospital Emergency Response Plan that
protects health care workers dealing with hazardous waste and emergency operations.
Joint Commission--accredited hospitals are further required to: -
ANSWER Implement the plan twice a year either as an actual response or a
drill.
Medicare will not reimburse hospitals for the cost of care associated with hospital-
acquired infection. This is part of a quality improvement effort made possible by: -
ANSWER The Deficit Reduction Act.
Ms. Brady is a 45-year-old female with stage 3 chronic kidney disease who is treated
for anemia with erythropoietin 4000 units weekly. Within two months of beginning
erythropoietin treatment her hemoglobin has risen to 11.5 g/dL. The appropriate
action is to: - ANSWER Consider decreasing erythropoietin to 3000 units weekly.
While preparing to suture a traumatic laceration to the pinna, the AGACNP knows
that the ring block technique will produce local anesthesia for the external auditory
meatus and the: - ANSWER Concha.
The AGACNP has just intubated a 55-year-old female in the emergency department
who presented in respiratory arrest. She is now producing persistent high pressure
2
