ACNP BOARD REVIEW Exam Questions
with complete solutions 2025
To .improve .the .health .of .a .population, .an .acute .care .nurse .practitioner's
..intervention .is .to:
.-join .a .professional .nursing .organization .and .run .for .an .organizational .office.
.-maintain .current .certification .as .an .acute .care .nurse .practitioner.
.-participate .in .hospital .grand .rounds.
.-report .any .unusual .pattern .of .infections .to .the .local .health .department. .- .ANS
✓✓-report .any .unusual .pattern .of .infections .to .the .local .health .department.
A .patient, .who .is .allergic .to .penicillin, .requires .antibiotic .treatment .for
.community-acquired .pneumonia. .The .patient .has .a .limited .income, .lacks .health
.insurance, .and .is .about .to .be .discharged .from .the .hospital. .An .acute .care
.nurse .practitioner's .intervention .is .to:
-consult .social .services .for .assistance.
.-order .an .aerosol .antibiotic.
.-transfer .the .patient .to .an .extended .care .facility.
.-write .a .prescription .for .an .antibiotic. .- .ANS✓✓-consult .social .services .for
.assistance.
A .patient .is .scheduled .for .elective .orthopedic .surgery. .During .the .preadmission
.physical .examination, .the .acute .care .nurse .practitioner .detects .an
.asymptomatic .pulsatile .mass .in .the .middle .upper .abdomen. .The .nurse
.practitioner's .most .appropriate .action .is .to:
.obtain .a .kidney-urethra-bladder .x-ray.
.obtain .a .renal .arteriogram.
.obtain .an .abdominal .ultrasound.
.proceed .with .the .patient's .elective .surgery. .- .ANS✓✓-obtain .an .abdominal
.ultrasound.
Abdominal .Aortic .aneurysm
Which .musculoskeletal .disease .primarily .involves .the .distal .joints, .hips, .knees,
.and .spine, .and .is .characterized .by .the .development .of .Heberden .and .Bouchard
.nodes?
.Gout
.Osteoarthritis
, .Osteoporosis
.Rheumatoid .arthritis .- .ANS✓✓-Osteoarthritis
Heberden: .distal .phalanges
Bouchard: .proximal .phalanges
Difference .between .OA .and .RA:
Heberden .and .Bouchard .nodes .are .often .seen .in .digits, .they .are .bony .round
.growth .near .the .joints, .while .rheumatoid .nodules .are .more .common .with .arms
.and .elbows .underneath .the .skin, .people .with .RA .later .develop .curving .and
.bending .of .fingers.
An .acute .care .nurse .practitioner .is .deciding .whether .to .recommend .a .long-term
.medication .regimen .that .will .help .a .patient .manage .disease .symptoms .but .may
.also .introduce .problematic .side .effects. .This .decision .reflects .which .ethical
.principle?
.Autonomy
.Beneficence
.Fidelity
.Justice .- .ANS✓✓-beneficence
A .patient, .who .has .been .in .the .intensive .care .unit .for .17 .days, .develops
.hypernatremic .hyperosmolality. .The .patient .weighs .132 .lb .(59.9 .kg), .is
.intubated, .and .is .receiving .mechanical .ventilation. .The .serum .osmolality .is .320
.mOsm/L .kg .H2O. .Clinical .signs .include .tachycardia .and .hypotension. .An .acute
.care .nurse .practitioner's .initial .treatment .is .to:
.reduce .serum .osmolality .by .infusing .a .5% .dextrose .in .0.2% .sodium .chloride
.solution.
.reduce .serum .sodium .concentration .by .infusing .a .0.45% .sodium .chloride
.solution.
.replenish .volume .by .infusing .a .0.9% .sodium .chloride .solution.
.replenish .volume .by .infusing .a .5% .dextrose .in .water .solution. .- .ANS✓✓-
replenish .volume .by .infusing .a .0.9% .sodium .chloride .solution.
priority .is .to .replenish .the .volume .and .the .fix .the .osmolality
A .78-year-old .male .patient .with .heart .failure .develops .a .bacterial .urinary .tract
.infection .secondary .to .an .indwelling .Foley .catheter. .The .patient .has .a .known
.history .of .allergy .to .penicillin .and .sulfonamides. .The .appropriate .choice .for
.antimicrobial .therapy .is:
.cephalexin .(Keflex).
.ciprofloxacin .(Cipro).
.doxycycline .(Vibramycin).
.tetracycline .(Sumycin). .- .ANS✓✓-ciprofloxacin .(Cipro)
Cephalosporin .(ceph) .are ."cousins" .with .penicillin .(cross-allergy).
Tetracyclines .can .cause .severe .side .effects .and .are .not .recommended .for
.elderly.
with complete solutions 2025
To .improve .the .health .of .a .population, .an .acute .care .nurse .practitioner's
..intervention .is .to:
.-join .a .professional .nursing .organization .and .run .for .an .organizational .office.
.-maintain .current .certification .as .an .acute .care .nurse .practitioner.
.-participate .in .hospital .grand .rounds.
.-report .any .unusual .pattern .of .infections .to .the .local .health .department. .- .ANS
✓✓-report .any .unusual .pattern .of .infections .to .the .local .health .department.
A .patient, .who .is .allergic .to .penicillin, .requires .antibiotic .treatment .for
.community-acquired .pneumonia. .The .patient .has .a .limited .income, .lacks .health
.insurance, .and .is .about .to .be .discharged .from .the .hospital. .An .acute .care
.nurse .practitioner's .intervention .is .to:
-consult .social .services .for .assistance.
.-order .an .aerosol .antibiotic.
.-transfer .the .patient .to .an .extended .care .facility.
.-write .a .prescription .for .an .antibiotic. .- .ANS✓✓-consult .social .services .for
.assistance.
A .patient .is .scheduled .for .elective .orthopedic .surgery. .During .the .preadmission
.physical .examination, .the .acute .care .nurse .practitioner .detects .an
.asymptomatic .pulsatile .mass .in .the .middle .upper .abdomen. .The .nurse
.practitioner's .most .appropriate .action .is .to:
.obtain .a .kidney-urethra-bladder .x-ray.
.obtain .a .renal .arteriogram.
.obtain .an .abdominal .ultrasound.
.proceed .with .the .patient's .elective .surgery. .- .ANS✓✓-obtain .an .abdominal
.ultrasound.
Abdominal .Aortic .aneurysm
Which .musculoskeletal .disease .primarily .involves .the .distal .joints, .hips, .knees,
.and .spine, .and .is .characterized .by .the .development .of .Heberden .and .Bouchard
.nodes?
.Gout
.Osteoarthritis
, .Osteoporosis
.Rheumatoid .arthritis .- .ANS✓✓-Osteoarthritis
Heberden: .distal .phalanges
Bouchard: .proximal .phalanges
Difference .between .OA .and .RA:
Heberden .and .Bouchard .nodes .are .often .seen .in .digits, .they .are .bony .round
.growth .near .the .joints, .while .rheumatoid .nodules .are .more .common .with .arms
.and .elbows .underneath .the .skin, .people .with .RA .later .develop .curving .and
.bending .of .fingers.
An .acute .care .nurse .practitioner .is .deciding .whether .to .recommend .a .long-term
.medication .regimen .that .will .help .a .patient .manage .disease .symptoms .but .may
.also .introduce .problematic .side .effects. .This .decision .reflects .which .ethical
.principle?
.Autonomy
.Beneficence
.Fidelity
.Justice .- .ANS✓✓-beneficence
A .patient, .who .has .been .in .the .intensive .care .unit .for .17 .days, .develops
.hypernatremic .hyperosmolality. .The .patient .weighs .132 .lb .(59.9 .kg), .is
.intubated, .and .is .receiving .mechanical .ventilation. .The .serum .osmolality .is .320
.mOsm/L .kg .H2O. .Clinical .signs .include .tachycardia .and .hypotension. .An .acute
.care .nurse .practitioner's .initial .treatment .is .to:
.reduce .serum .osmolality .by .infusing .a .5% .dextrose .in .0.2% .sodium .chloride
.solution.
.reduce .serum .sodium .concentration .by .infusing .a .0.45% .sodium .chloride
.solution.
.replenish .volume .by .infusing .a .0.9% .sodium .chloride .solution.
.replenish .volume .by .infusing .a .5% .dextrose .in .water .solution. .- .ANS✓✓-
replenish .volume .by .infusing .a .0.9% .sodium .chloride .solution.
priority .is .to .replenish .the .volume .and .the .fix .the .osmolality
A .78-year-old .male .patient .with .heart .failure .develops .a .bacterial .urinary .tract
.infection .secondary .to .an .indwelling .Foley .catheter. .The .patient .has .a .known
.history .of .allergy .to .penicillin .and .sulfonamides. .The .appropriate .choice .for
.antimicrobial .therapy .is:
.cephalexin .(Keflex).
.ciprofloxacin .(Cipro).
.doxycycline .(Vibramycin).
.tetracycline .(Sumycin). .- .ANS✓✓-ciprofloxacin .(Cipro)
Cephalosporin .(ceph) .are ."cousins" .with .penicillin .(cross-allergy).
Tetracyclines .can .cause .severe .side .effects .and .are .not .recommended .for
.elderly.
