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Exam (elaborations)

ANCC questions

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Exam of 5 pages for the course ANCC at ANCC (ANCC questions)

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ANCC questions
Study online at https://quizlet.com/_2ragqy

1. Which factor is associated with the highest risk of falls A. A history of previous falls
in older persons living in the community?
A. A history of previous falls
B. Living Alone
C. Osteoporosis
D. Use of an assistive device

2. An older adult patient complains of recent lapses in B. A serum folate level
memory and deceased alertness. The patient's lab-
oratory test results indicate a mild, macrocytic ane-
mia. Which additional test does the adult-gerontology
acute care nurse practitioner order to confirm a diag-
nosis?
A. A reticulocyte count
B. A serum folate level
C. An erythrocyte sedimentation rate
D. Iron studies

3. An 80 year old male patient with dementia requires LTC A. Medicaid
placement. To which funding agency does the patient
apply, after "spending down" to qualify?
A. Medicaid
B. Medicare
C. The American Association of Retired Persons
D. The United States Social Security Administration

4. A 70-year-old patient with acute systolic heart failure D. Lisinopril (Zestril)
denies any functional limitations, is able to walk five
blocks before tiring, and is euvolemic. which medica-
tion is first-line therapy for this patient?
A. Amlodipine (Norvasc)
B. Digoxin (lanoxin)
1/5

, ANCC questions
Study online at https://quizlet.com/_2ragqy

C. Furosemide (Lasix)
D. Lisinopril (Zestril)

5. A patient has hyperactive reflexes of the lower extrem- B. Sharply dosiflexing and
ities. The adult-gerontology acute care nurse practi- maintaining the foot in this
tioner assesses for ankle clonus by position, while supporting
A. applying a low-pitched tuning fork firmly to the lat- the knee.
eral malleolus
B. Sharply dosiflexing and maintaining the foot in this
position, while supporting the knee.
C. Striking the Achilles tendon with the percussion
hammer after flexing the leg at the knee and rotating
it externally.
D. Stroking the lateral aspect of the sole with the sharp
end of the percussion hammer from the heel to the ball
of the foot.

6. A 15-year-old patient with type 1 Diabetes reports ele- A. increases the insulin
vated blood glucose levels in the morning. An AGACNP dosage at bedtime
determines that the patient's hyperglycemia is due to
the dawn phenomenon and:
A. increases the insulin dosage at bed time
B. reduces the insulin dosage at bed time
C. Tests the blood glucose level at 3am every morning
D. Tests the blood glucose level in the evening

7. A patient with profound hypotension is transferred D. piperacillin-tazobactam
from the med-surg unit to the ICU. The patient is start- (Zosyn) is indicated for the
ed on fluids and norepinephrine (Levophed) IV. The line-related infection
blood cultures that were drawn 48h ago from the tun-
neled catheter, show preliminary results of gram-neg-
ative bacilli. The patients most recent ECHO report

2/5

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