ACUTE CARE NURSE PRACTITIONER II
QUESTIONS AND ANSWERS UPDATED
2026-2027
# Term Definition
1
renal tubular acidosis - pancreatitis -diarrhea chronic
What is the most common cause of
hyperalimentation - Addisons disease large amounts of
narrow gap acidosis? AND other causes
NS - ureterosigmoidostomy
2 myopathy
What does symmetrical weakness of
the proximal leg muscles suggest?
3 polyneuropathy
What does symmetrical weakness of
the distal muscles suggest?
4 slow growing - deafness -facial parasthesia -ataxia -
Acoustic tumors are slow OR fast tinnitus
growing? S/S associated with them?
5
How long should G-CSF therapy be 7- 10 days or until neutrophil count has exceed
given? 1500/mm3
6 polycythema vera S/S complication
include: headache malaise Complications: 1) most common -->
thrombosis 2) hemorrhage 3) leukemia transformation
7
What is Cyclohpasphamide It is an alkylating agent used in combination with
(Cytoxan) role in tx of CLL? SE steroids. SE: hemorrhagic cystitis
8 Acute Myelogenous Leukemia (AML)
- leukocytosis with blast cells in the peripheral smear -
lab findings
anemia - thrombocytopenia -
neutropenia - elevated LDH - positive DIC profile
hyperuricemia secondary to rapid lysis of blasts --> renal
insufficiency
, 9 What is seen on xray in Paget's
disease? lab abnormalities? 1) cortical thickening 2) microfractures - normal serum
Ca - normal serum protein - increased alk phos
10 Xray
How do you diagnose a perforated
ulcer?
11
Ranson criteria pneumonic for the 1st GA LAW Glucose > 200 Age > 50 LDH > 350 AST > 250
24 hrs? WBC> 16,000
# Term Definition
12 Tx of chlamydia 1 dose of amoxacillin or 1 week of doxycycline
13 S/S of Reiter's Syndrome
( an immune response that develops when there is
another infx somewhere else in the body) -
Asymmetricla non-infectious
polyarthritis - conjunctivitis - achilles tendonitis self-
limited diarrhea
14 Tx of neutropenic fever
either 3rd or 4th generation cephalosporin 3rd:
Ceftriaxone Cefotaxime Ceftazidime Ceftizoxime Cefdinir
Cefpodoxime Cefibuten Cefixime 4th genereation:
Cefepime
15 Clindamycin
Which antimicrobial is most likely to
cause C.diff?
16 What is serum sickness? S/S
A reaction to a serum derived from animal antibodies.
S/S: - leukocytosis -
lymphadenopathy - circulating plasma cells fever -
uticaria - arthralgias - albuminuria
17 What does IL-2 do?
It increases T cell proliferation AND activates B cells
QUESTIONS AND ANSWERS UPDATED
2026-2027
# Term Definition
1
renal tubular acidosis - pancreatitis -diarrhea chronic
What is the most common cause of
hyperalimentation - Addisons disease large amounts of
narrow gap acidosis? AND other causes
NS - ureterosigmoidostomy
2 myopathy
What does symmetrical weakness of
the proximal leg muscles suggest?
3 polyneuropathy
What does symmetrical weakness of
the distal muscles suggest?
4 slow growing - deafness -facial parasthesia -ataxia -
Acoustic tumors are slow OR fast tinnitus
growing? S/S associated with them?
5
How long should G-CSF therapy be 7- 10 days or until neutrophil count has exceed
given? 1500/mm3
6 polycythema vera S/S complication
include: headache malaise Complications: 1) most common -->
thrombosis 2) hemorrhage 3) leukemia transformation
7
What is Cyclohpasphamide It is an alkylating agent used in combination with
(Cytoxan) role in tx of CLL? SE steroids. SE: hemorrhagic cystitis
8 Acute Myelogenous Leukemia (AML)
- leukocytosis with blast cells in the peripheral smear -
lab findings
anemia - thrombocytopenia -
neutropenia - elevated LDH - positive DIC profile
hyperuricemia secondary to rapid lysis of blasts --> renal
insufficiency
, 9 What is seen on xray in Paget's
disease? lab abnormalities? 1) cortical thickening 2) microfractures - normal serum
Ca - normal serum protein - increased alk phos
10 Xray
How do you diagnose a perforated
ulcer?
11
Ranson criteria pneumonic for the 1st GA LAW Glucose > 200 Age > 50 LDH > 350 AST > 250
24 hrs? WBC> 16,000
# Term Definition
12 Tx of chlamydia 1 dose of amoxacillin or 1 week of doxycycline
13 S/S of Reiter's Syndrome
( an immune response that develops when there is
another infx somewhere else in the body) -
Asymmetricla non-infectious
polyarthritis - conjunctivitis - achilles tendonitis self-
limited diarrhea
14 Tx of neutropenic fever
either 3rd or 4th generation cephalosporin 3rd:
Ceftriaxone Cefotaxime Ceftazidime Ceftizoxime Cefdinir
Cefpodoxime Cefibuten Cefixime 4th genereation:
Cefepime
15 Clindamycin
Which antimicrobial is most likely to
cause C.diff?
16 What is serum sickness? S/S
A reaction to a serum derived from animal antibodies.
S/S: - leukocytosis -
lymphadenopathy - circulating plasma cells fever -
uticaria - arthralgias - albuminuria
17 What does IL-2 do?
It increases T cell proliferation AND activates B cells
