ANCC Acute Care Nurse Practitioner
(ACNP) 2024 BOARD EXAM REVIEW
A 21-year-antique affected person is admitted to the in depth care unit with a intense closed
head harm. The patient's circle of relatives is becoming louder and greater insistent about
seeing the patient. To set up a healing relationship with the own family, an acute care nurse
practitioner's preliminary motion is to:
-acknowledge the own family's tension.
-set up for a meeting with a social worker.
-escort the own family to a conference room.
-gently direct the own family to maintain composure. - ANS-well known the own family's
anxiety.
A 24-year-antique male affected person with a closed head harm has been intubated for 12
days. The patient's parents have again and again refused consent for a tracheostomy and
lengthy-time period care placement. On more than one activities, the doctor has mentioned
the dangers and blessings of the surgery with them. Addressing the parents, the intense
care nurse practitioner states:
"I understand you've got reservations approximately the location of a tracheostomy."
"Please know that not many patients die while present process a tracheosto - ANS-"I
recognize you have reservations about the location of a tracheostomy."
A 42-year-vintage patient with metastatic lung most cancers is admitted with intense
intractable pain associated with a pathologic fracture of the left femur. The plan is to stabilize
the fracture surgically, and start local radiation therapy to the site. For this patient, the most
suitable analgesic regimen is:
-fentanyl (Duragesic) transdermal machine carried out each 72 hours.
-meperidine (Demerol) 50 mg intramuscularly each 3 hours around the clock.
-morphine sulfate (Avinza) IV through a patient-contro - ANS-morphine sulfate (Avinza) IV
via a patient-managed analgesia pump with a basal charge.
A forty five-yr-antique affected person, who is on mechanical ventilatory help inside the
intensive care unit, is receiving a neuromuscular blockade for respiration manipulate related
to acute respiratory failure. To prevent keratoconjunctivitis sicca, the extreme care nurse
practitioner prescribes:
artificial tears preparations.
IV antibiotic management.
Neighborhood sulfonamide remedy.
Topical steroid administration. - ANS-synthetic tears preparations
, A fifty seven-yr-vintage male patient arrives at the emergency branch with substernal chest
ache. An electrocardiogram famous ST section depression in leads V3 and V4. Before
administering nitrates, an acute care nurse practitioner assesses the affected person's use
of:
angiotensin-converting enzyme inhibitors.
Aspirin.
Beta-blockers.
Phosphodiesterase inhibitors. - ANS-phosphodiesterase inhibitors
PDE 5 is for ED, and it is able to interact with nitrates to in addition vasodilate inflicting
severe hypotension and dying.
A seventy eight-12 months-vintage male affected person with heart failure develops a
bacterial urinary tract contamination secondary to an indwelling Foley catheter. The affected
person has a recognised records of allergy to penicillin and sulfonamides. The appropriate
preference for antimicrobial remedy is:
cephalexin (Keflex).
Ciprofloxacin (Cipro).
Doxycycline (Vibramycin).
Tetracycline (Sumycin). - ANS-ciprofloxacin (Cipro)
Cephalosporin (ceph) are "cousins" with penicillin (cross-allergy).
Tetracyclines can motive excessive aspect outcomes and are not encouraged for elderly.
A girl affected person is receiving adjuvant chemotherapy for breast most cancers and has
been given information approximately her treatment regimen, expected facet results, and
symptom control. Which symptom, if going on two weeks after remedy, warrants a activate
name to the extreme care nurse practitioner?
Alopecia
Fatigue
Fever
Nausea - ANS-fever - contamination
A patient is scheduled for non-obligatory orthopedic surgical operation. During the
preadmission bodily exam, the extreme care nurse practitioner detects an asymptomatic
pulsatile mass inside the middle higher stomach. The nurse practitioner's most appropriate
action is to:
achieve a kidney-urethra-bladder x-ray.
Achieve a renal arteriogram.
Obtain an abdominal ultrasound.
Continue with the affected person's optional surgical treatment. - ANS-acquire an stomach
ultrasound.
Abdominal Aortic aneurysm
(ACNP) 2024 BOARD EXAM REVIEW
A 21-year-antique affected person is admitted to the in depth care unit with a intense closed
head harm. The patient's circle of relatives is becoming louder and greater insistent about
seeing the patient. To set up a healing relationship with the own family, an acute care nurse
practitioner's preliminary motion is to:
-acknowledge the own family's tension.
-set up for a meeting with a social worker.
-escort the own family to a conference room.
-gently direct the own family to maintain composure. - ANS-well known the own family's
anxiety.
A 24-year-antique male affected person with a closed head harm has been intubated for 12
days. The patient's parents have again and again refused consent for a tracheostomy and
lengthy-time period care placement. On more than one activities, the doctor has mentioned
the dangers and blessings of the surgery with them. Addressing the parents, the intense
care nurse practitioner states:
"I understand you've got reservations approximately the location of a tracheostomy."
"Please know that not many patients die while present process a tracheosto - ANS-"I
recognize you have reservations about the location of a tracheostomy."
A 42-year-vintage patient with metastatic lung most cancers is admitted with intense
intractable pain associated with a pathologic fracture of the left femur. The plan is to stabilize
the fracture surgically, and start local radiation therapy to the site. For this patient, the most
suitable analgesic regimen is:
-fentanyl (Duragesic) transdermal machine carried out each 72 hours.
-meperidine (Demerol) 50 mg intramuscularly each 3 hours around the clock.
-morphine sulfate (Avinza) IV through a patient-contro - ANS-morphine sulfate (Avinza) IV
via a patient-managed analgesia pump with a basal charge.
A forty five-yr-antique affected person, who is on mechanical ventilatory help inside the
intensive care unit, is receiving a neuromuscular blockade for respiration manipulate related
to acute respiratory failure. To prevent keratoconjunctivitis sicca, the extreme care nurse
practitioner prescribes:
artificial tears preparations.
IV antibiotic management.
Neighborhood sulfonamide remedy.
Topical steroid administration. - ANS-synthetic tears preparations
, A fifty seven-yr-vintage male patient arrives at the emergency branch with substernal chest
ache. An electrocardiogram famous ST section depression in leads V3 and V4. Before
administering nitrates, an acute care nurse practitioner assesses the affected person's use
of:
angiotensin-converting enzyme inhibitors.
Aspirin.
Beta-blockers.
Phosphodiesterase inhibitors. - ANS-phosphodiesterase inhibitors
PDE 5 is for ED, and it is able to interact with nitrates to in addition vasodilate inflicting
severe hypotension and dying.
A seventy eight-12 months-vintage male affected person with heart failure develops a
bacterial urinary tract contamination secondary to an indwelling Foley catheter. The affected
person has a recognised records of allergy to penicillin and sulfonamides. The appropriate
preference for antimicrobial remedy is:
cephalexin (Keflex).
Ciprofloxacin (Cipro).
Doxycycline (Vibramycin).
Tetracycline (Sumycin). - ANS-ciprofloxacin (Cipro)
Cephalosporin (ceph) are "cousins" with penicillin (cross-allergy).
Tetracyclines can motive excessive aspect outcomes and are not encouraged for elderly.
A girl affected person is receiving adjuvant chemotherapy for breast most cancers and has
been given information approximately her treatment regimen, expected facet results, and
symptom control. Which symptom, if going on two weeks after remedy, warrants a activate
name to the extreme care nurse practitioner?
Alopecia
Fatigue
Fever
Nausea - ANS-fever - contamination
A patient is scheduled for non-obligatory orthopedic surgical operation. During the
preadmission bodily exam, the extreme care nurse practitioner detects an asymptomatic
pulsatile mass inside the middle higher stomach. The nurse practitioner's most appropriate
action is to:
achieve a kidney-urethra-bladder x-ray.
Achieve a renal arteriogram.
Obtain an abdominal ultrasound.
Continue with the affected person's optional surgical treatment. - ANS-acquire an stomach
ultrasound.
Abdominal Aortic aneurysm
