ANCC Acute Care Nurse Practitioner (ACNP)
2024 BOARD EXAM REVIEW-Qs & As
An 83-year-old patient arrives in the emergency department in severe respiratory distress. The
patient verbalizes a desire not to be intubated nor to have cardiopulmonary resuscitation
performed. The patient states that a neighbor has a copy of the patient's recently signed living
will. The acute care nurse practitioner leaves the bedside momentarily and returns to find the
physician preparing to intubate. The nurse practitioner's initial action is to:
-assist the physician with intubation.
-c Correct Ans-notify the physician of the conversation with the patient.
let them make the decision
A 24-year-old male patient with a closed head injury has been intubated for 12 days. The
patient's parents have repeatedly refused consent for a tracheostomy and long-term care
placement. On multiple occasions, the surgeon has discussed the risks and benefits of the surgery
with them. Addressing the parents, the acute care nurse practitioner states:
"I understand you have reservations about the placement of a tracheostomy."
"Please know that not many patients die while undergoing a tracheosto Correct Ans-"I
understand you have reservations about the placement of a tracheostomy."
Before initiating a new antihypertensive drug therapy, an acute care nurse practitioner uses which
evidence-based practice approach?
, Discussing the medication choices with a collaborating physician
Discussing the medication's side effects with a colleague
Reviewing the confidence intervals of related research
Reviewing the institutional formulary Correct Ans-Reviewing the confidence intervals of
related research
During a clinic appointment, an acute care nurse practitioner sees a 56-year-old male patient with
a history of hypertension, metabolic syndrome, and hyperlipidemia. A review of the patient's
symptoms reveals nocturia, occasional heartburn, and transient rhinitis. The patient asks about
the appropriate interval of certain screening tests for someone his age. The nurse practitioner
responds that a:
digital prostate examination should be performed monthly.
prostate-specific antigen should be pe Correct Ans-prostate-specific antigen should be
performed annually.
digital prostate exam: every 4 years
sigmoidoscopy: every 5 years
testicular exam: every month
Which is an accurate statement regarding the formal evaluation of quality of care?
-Continuous quality improvement (CQI) programs focus on individual incidents.
-Health care regulatory agencies have not identified an effective means to measure quality.
-Hospitals do not receive payment for services if quality of care evaluations are not performed.
2024 BOARD EXAM REVIEW-Qs & As
An 83-year-old patient arrives in the emergency department in severe respiratory distress. The
patient verbalizes a desire not to be intubated nor to have cardiopulmonary resuscitation
performed. The patient states that a neighbor has a copy of the patient's recently signed living
will. The acute care nurse practitioner leaves the bedside momentarily and returns to find the
physician preparing to intubate. The nurse practitioner's initial action is to:
-assist the physician with intubation.
-c Correct Ans-notify the physician of the conversation with the patient.
let them make the decision
A 24-year-old male patient with a closed head injury has been intubated for 12 days. The
patient's parents have repeatedly refused consent for a tracheostomy and long-term care
placement. On multiple occasions, the surgeon has discussed the risks and benefits of the surgery
with them. Addressing the parents, the acute care nurse practitioner states:
"I understand you have reservations about the placement of a tracheostomy."
"Please know that not many patients die while undergoing a tracheosto Correct Ans-"I
understand you have reservations about the placement of a tracheostomy."
Before initiating a new antihypertensive drug therapy, an acute care nurse practitioner uses which
evidence-based practice approach?
, Discussing the medication choices with a collaborating physician
Discussing the medication's side effects with a colleague
Reviewing the confidence intervals of related research
Reviewing the institutional formulary Correct Ans-Reviewing the confidence intervals of
related research
During a clinic appointment, an acute care nurse practitioner sees a 56-year-old male patient with
a history of hypertension, metabolic syndrome, and hyperlipidemia. A review of the patient's
symptoms reveals nocturia, occasional heartburn, and transient rhinitis. The patient asks about
the appropriate interval of certain screening tests for someone his age. The nurse practitioner
responds that a:
digital prostate examination should be performed monthly.
prostate-specific antigen should be pe Correct Ans-prostate-specific antigen should be
performed annually.
digital prostate exam: every 4 years
sigmoidoscopy: every 5 years
testicular exam: every month
Which is an accurate statement regarding the formal evaluation of quality of care?
-Continuous quality improvement (CQI) programs focus on individual incidents.
-Health care regulatory agencies have not identified an effective means to measure quality.
-Hospitals do not receive payment for services if quality of care evaluations are not performed.
