Nur 721 Exam Questions With Verified Solutions Latest Update 2026

NUR 721 EXAM QUESTIONS WITH VERIFIED SOLUTIONS LATEST UPDATE 2026 You are assigned to a team working on reducing central line-associated infections and have been asked to search for primary sources of evidence. Which of the following represents a primary source of evidence? A qualitative analysis. A micro-analysis. An individual study. A systematic review. - Answers An individual study. Evidence comes from many sources. Which source of evidence would best support a practice change? An editorial report in a specialty journal. Published protocol in peer reviewed journal. Opinions from internationally renowned experts. Peer reviewed systematic reviews. - Answers Peer reviewed systematic reviews. Which statement is true regarding geriatric syndromes in the older adult? Geriatric syndromes predispose older adults to worse outcomes. Geriatric syndromes are typically caused by a single underlying disease process. Geriatric syndromes are part of "normal aging". Geriatric syndromes are not treatable and result in permanent disability for the geriatric patient. - Answers Geriatric syndromes predispose older adults to worse outcomes. Which test is recommended for screening a 67-year-old patient for osteoporosis? Dual-Energy X-ray Absorptiometry (DEXA) Complete Blood Count (CBC) Serum Vitamin D and Calcium levels Hip X-ray - Answers Dual-Energy X-ray Absorptiometry (DEXA) The AGACNP is seeing a 65-year-old male patient with a history of tobacco use for his yearly physical examination. Based on USPSTF guidelines which diagnostic test should the nurse practitioner recommend to this patient? CT Angiogram Chest Abdominal aortic ultrasound Chest X-ray Left Heart Catheterization - Answers Abdominal aortic ultrasound Which of the following is NOT a typical symptom of frailty in the older adult? Exhaustion Unintentional weight gain Poor grip strength Slow walking speed - Answers Unintentional weight gain The adult-gerontology acute care nurse practitioner is asked to join a team to obtain information about the benefit of seniors, 65 years and older, receiving the Influenza vaccine to prevent pneumonia during flu season. When writing a PICOT question for this scenario, where would receiving the Influenza vaccine be indicated in the acronym? P-patient I-intervention C-comparison O-outcome T-time Comparison Intervention Patient Outcome - Answers Intervention A patient presents to the clinic after having an unprotected sexual encounter with a male patient who just found out that he is HIV positive. As the AGACNP caring for this patient, you understand the patient must start the postexposure prophylaxis (PEP) antiretroviral medications within how many hours? 96 hours 24 hours 72 hours 12 hours - Answers 72 hours When evaluating illness symptoms in older patients, the disease often presents in a manner different or "atypical" from younger adults because of: increased compensatory mechanisms. normal age-related decline. polypharmacy. increased physiological response to illness. - Answers normal age-related decline. You are the AGACNP seeing a 72-year-old woman admitted with pneumonia. She is generally active and still plays golf despite a history of hypertension and heart failure. Besides treating her pneumonia, what other measures should be a priority for this patient? Order complete bed rest to reduce falls. Perform a fall assessment. Assess the client's ability to perform ADL's Assess the patient's ability to perform IADL's. - Answers Perform a fall assessment. A 40-year-old female recently treated for an upper respiratory infection presents with a two-day history of a worsening erythematous macular rash with purpuric centers and blisters to the torso and extremities. The rash involves40% of the body surface area. As an AGACNP caring for this patient, you are most concerned with: Steven Johnson's Syndrome Erythema Multiforme Necrotizing Fasciitis Toxic Epidermal Necrolysis - Answers Toxic Epidermal Necrolysis A patient presents to the clinic with complaints of pain along the right side of his back with a noted blistering rash in a band-like pattern. The rash is unilateral. Based on the most likely diagnosis, the AGACNP knows that all of the following are true EXCEPT: the lesions are typically bullae. it is usually more severe in immunocompromised individuals. it can be an infection of the trigeminal nerve if present on the face and can cause blindness and is a medical emergency if facial involvement present it is due to reactivation of latent varicella virus. - Answers the lesions are typically bullae. A 25-year-old female presents to the emergency department with complaints of four days of increasing dysphagia, dysuria, and a macular rash on the trunk and upper extremities. Her vital signs are stable except for a temp of 103.1F. On physical exam, she appears ill, with an erythematous rash noted on her chest, covering about 10% of her body surface area. There are small lesions, with some blistering and bullae. Upon further interview, the only medication she is taking is Erythromycin for acne. Based on this information, what is your top diagnosis? Erythema Multiforme Necrotizing fasciitis Stevens-Johnson syndrome Toxic Epidermal Necrolysis - Answers Stevens-Johnson syndrome A 87-year-old male with PMH of PVD, DM, and CAD presents to the wound clinic with a right great toe ulcer that started about two weeks ago and has continued to progress in severity with associated diminished pulses from baseline to the right foot, loss of leg hair to the right leg, cool extremities, and shiny lower extremities with minimal edema. As the AGACNP caring for this patient, you are concerned the patient has a: venous ulcer arterial ulcer diabetic ulcer gout flare - Answers arterial ulcer A 65-year-old patient presents to the clinic with a complaint of painful rash noted to be round lesions in various phases. Some lesions were noted to be crusted. The lesions were noted on the left forehead down to the tip of the nose. She also complains of profuse tearing and pain in the left eye. The most likely diagnosis would be: Varicella Zoster Virus (VZV) Viral conjunctivitis. Corneal ulceration. Bacterial conjunctivitis. - Answers Varicella Zoster Virus (VZV) The AGACNP is seeing patients in the urgent care clinic and has a patient who presents with severe pruritus that is worse at night. On examination, excoriated papules are noted on some of the interdigital webs of both hands and the axillae. These findings are consistent with: Scabies Impetigo Larva migrans Contact dermatitis - Answers Scabies A 67-year-old female was discharged from following treatment of pneumonia. While hospitalized, the patient received IV Ceftriaxone (Rocephin). Twenty-four hours later, she presents with a three-hour history of an erythematous rash with a hive appearance and severe pruritus. During the interview, she reports mild dysphagia and progressing dyspnea. Based on this presentation, the AGACNP top diagnosis is: cellulitis urticaria with angioedema erythema multiforme erysipelas - Answers urticaria with angioedema A patient presents with complaints of acute onset of itching on the back of her neck. She is noted to have a bright red maculopapular rash. She is wearing several pieces of new jewelry. The AGACNP top differential diagnosis is: Atopic dermatitis. Actinic Keratosis Contact dermatitis. Erythema migrans. - Answers Contact dermatitis. A 67-year-old man with male-pattern baldness comes to see the AGACNP in the clinic. He reports that the skin on his scalp is not smooth and describes it as feeling rough, like "sandpaper." During the interview, he reported spending more time outdoors since his retirement. Given this information, what is the most likely diagnosis? Basal cell carcinoma Lentigo maligna Actinic Keratosis Eczema - Answers Actinic Keratosis A 67-year-old male presents for evaluation of a mole. The patient admits that he has not had proper skin surveillance over time. He noticed this mole appeared about 3 months ago and that its appearance was different from other moles. As the AGACNP, which of the following characteristics would be least concerning for malignancy? Scalloped borders Fast growing Solid black color Asymmetric shape - Answers Solid black color All of the following are symptoms of possible ensuing infections in the elderly population who comes from long-term care facilities EXCEPT: incontinence decline hearing deteriorating mobility frequent falls - Answers decline hearing An 88-year-old male with a past medical history of HTN, type II DM, CVA, and prostate cancer s/p radiation and prostatectomy presents from an extended care facility (SNF) with a two-day history of acute encephalopathy, hypoxia with an oxygen saturation of 82% on room air, and low-grade fevers of 100.0F. Chest imaging reveals a right lower lobe infiltrate. As an AGACNP student, you recognize that he will need antimicrobial therapy targeted towards which of the MOST LIKELY bacteria before receiving culture results: Proteus and Methicillin-Sensitive Staphylococcus Aureus, (MSSA) Pseudomonas Aeruginosa and Methicillin Resistant Staphylococcus Aureus (MRSA) Escherichia coli and Klebsiella pneumoniae Candida albicans and Methicillin Resistant Staphylococcus Aureus, (MRSA) - Answers Pseudomonas Aeruginosa and Methicillin Resistant Staphylococcus Aureus (MRSA) As an AGACNP student studying antimicrobial therapy and infections, you recognize which antimicrobial treats gram-positive bacteria: sulfamethoxazole/trimethoprim (Bactrim) azithromycin (Zithromax) piperacillin/tazobactam (Zosyn) ciprofloxacin (Cipro) - Answers sulfamethoxazole/trimethoprim (Bactrim) You are the AGACNP student caring for a 77-year-old female with multiple medical problems who is admitted to the hospital with pneumonia. She develops a new fever despite being on board spectrum antibiotics. You review her medication list and see that all of the following medications can cause fevers EXCEPT: phenytoin (Dilantin) cefepime (Maxipime) azithromycin (Zithromax) allopurinol (Aloprim) - Answers azithromycin (Zithromax) As an AGACNP student studying antimicrobial therapy and various bacteria, you recognize which of the following bacteria is classified as a gram-negative bacteria? Klebsiella pneumoniae Staphylococcus aureus Streptococcus viridans Enterococcus faecalis - Answers Klebsiella pneumoniae What is the recommended timing for a healthy adult who had varicella as a child to receive the shingles vaccine (Shingrix)? 65-years-old: 50-years-old 45-years-old 19-years-old - Answers 50-years-old Which statement regarding the pneumococcal vaccine is correct? Pneumococcal vaccines are only recommended for patients up to 65 years old. The pneumococcal vaccine should only be provided if a patient has a history of lung disease. Only the Pneumovax 23 (PPSV) is recommended for patients who are 65-years-old and older. Pneumonia vaccines are recommended to all patients starting at 65-year-old and patients 19-64 years old who have certain underlying chronic conditions. - Answers Pneumonia vaccines are recommended to all patients starting at 65-year-old and patients 19-64 years old who have certain underlying chronic conditions. A nurse practitioner is educating a group of patients on the timing of recommended vaccines. Which statement would alert the nurse practitioner that the patient may need additional information. "I should get my flu shot every year starting around October to help protect myself from the seasonal flu." "The Hepatitis B vaccine is only recommended for people with high-risk behaviors." "In order to stay up-to-date, I should get a Tdap once as an adult and then a Td or Tdap every 10 years." "It's important to get the pneumonia vaccine when I am eligible to help protect me from pneumococcal disease." - Answers "The Hepatitis B vaccine is only recommended for people with high-risk behaviors." As an AGACNP student, you understand that the following statement about Macrolide antimicrobial therapy is the most accurate?