ANP 650 FINAL EXAM LATEST 2024-2025
ACTUAL EXAM ALL 50+ QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS)
QUESTIONS AND ANSWERS
Qualifying factors for acute rehab. ANSWER - ability to tolerate 3 hours of therapy per
day
-do not need to be able to shower themselves
Which patient population do best in acute rehab?. ANSWER - stroke
- total joint
- hip fractures
- head injuries
Tertiary prevention:. ANSWER treating the complications of a disease
HMO:. ANSWER A group plan offering prepaid medical care to its members. Negotiated
fees, paid by diagnosis
LTAC Medicare reimbursement criteria:. ANSWER Patients who have been in the ICU at
least 3 days and will be on the vent at the LTAC for 96 hours
Hospice medicare reimbursement. ANSWER Most people only qualify for home hospice,
but medicare will only cover intermittent care, comfort related medications
Respite care. ANSWER a type of care provided for caregivers of homebound ill, disabled,
or elderly patients. 1 week per benefit period.
Red flag for spinal injury. ANSWER - Incontinence
- Altered sensation to extremities
, compartment syndrome. ANSWER 4 P's
- pain
- pallor
- pulselessness
- paresthesia
Example of pathological fracture. ANSWER CA - tumor causing bone to break
Frailty fracture. ANSWER osteoporosis
What chronic comorbidity is very common and often associated with bone demineralization
and frailty fractures?. ANSWER CKD
- hyperparathyroidism causes bone demineralization and frailty fracture
- Hypercalcemia = calcification of vascular system (coronaries, valves)
Should geriatric patients with fractured hip wait to see ortho?. ANSWER NO, hip
fractures are urgent. Early stabilizations improves outcomes
Fibromyalgia. ANSWER diffuse pain
Fibromyalgia comorbidities. ANSWER psych / depression
Fibromyalgia treatment. ANSWER antidepressants, NSAIDs, physical therapy, trigger
point injections (Opiates contraindicated)
How does spinal stenosis present?. ANSWER Neurogenic claudication (legs hurt on
ambulation/ worsening pain when standing = compression)
Symptom management for osteoarthritis medication:. ANSWER - Acetaminophen: safest
in elderly adults with HTN, GI bleed, or CKD
ACTUAL EXAM ALL 50+ QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS)
QUESTIONS AND ANSWERS
Qualifying factors for acute rehab. ANSWER - ability to tolerate 3 hours of therapy per
day
-do not need to be able to shower themselves
Which patient population do best in acute rehab?. ANSWER - stroke
- total joint
- hip fractures
- head injuries
Tertiary prevention:. ANSWER treating the complications of a disease
HMO:. ANSWER A group plan offering prepaid medical care to its members. Negotiated
fees, paid by diagnosis
LTAC Medicare reimbursement criteria:. ANSWER Patients who have been in the ICU at
least 3 days and will be on the vent at the LTAC for 96 hours
Hospice medicare reimbursement. ANSWER Most people only qualify for home hospice,
but medicare will only cover intermittent care, comfort related medications
Respite care. ANSWER a type of care provided for caregivers of homebound ill, disabled,
or elderly patients. 1 week per benefit period.
Red flag for spinal injury. ANSWER - Incontinence
- Altered sensation to extremities
, compartment syndrome. ANSWER 4 P's
- pain
- pallor
- pulselessness
- paresthesia
Example of pathological fracture. ANSWER CA - tumor causing bone to break
Frailty fracture. ANSWER osteoporosis
What chronic comorbidity is very common and often associated with bone demineralization
and frailty fractures?. ANSWER CKD
- hyperparathyroidism causes bone demineralization and frailty fracture
- Hypercalcemia = calcification of vascular system (coronaries, valves)
Should geriatric patients with fractured hip wait to see ortho?. ANSWER NO, hip
fractures are urgent. Early stabilizations improves outcomes
Fibromyalgia. ANSWER diffuse pain
Fibromyalgia comorbidities. ANSWER psych / depression
Fibromyalgia treatment. ANSWER antidepressants, NSAIDs, physical therapy, trigger
point injections (Opiates contraindicated)
How does spinal stenosis present?. ANSWER Neurogenic claudication (legs hurt on
ambulation/ worsening pain when standing = compression)
Symptom management for osteoarthritis medication:. ANSWER - Acetaminophen: safest
in elderly adults with HTN, GI bleed, or CKD
