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AACN AGACNP REVIEW QUESTIONS AND ANSWERS, GRADED A+/ VERIFIED/ Cushing's Syndrome/Disease - -cortisol excess typically caused by pituitary adenoma 60-70% of cases. Central obesity w/ extremity wasting. dorsocervical fat pad. rounded facies. spontaneous bruising. purple striae hyperpigmentation poor wound healing/ skin infections. Dexamethasone suppression test. 1mg dexamethasone at 2300 hours and measure serum cortisol at 0800. Remove sources of excess and manage consequences ( ...

ACUTE CARE AGACNP TEST 1: EXAM REVIEW QUESTIONS AND ANSWERS, GRADED A+ Gastroenteritis Any age, Crampy. Diffuse, Nausea, vomiting, Diarrhea Fever, Food, Occasional relief with vomiting or diarrhea, Hyperactive peristalsis Gastritis Nature of patient Especially alcoholic patients Gastritis location of pain Epigastrium Appendicitis S/S Vomiting (after pain has started) Constipation Fever appendicitis Early:epigastrium, periumbilicus Later: RLQ Cholecystitis, cholelithiasis LOCATION...

AG-ACNP – GI EXAM REVIEW QUESTIONS AND ANSWERS, GRADED A+ VERIFIED/ What bacteria is associated with >90% duodenal ulcers and >75% gastric ulcers? - -H. pylori Which medications cause peptic ulcer disease? - -NSAIDS ASA Glucocorticoids At what age do duodenal ulcers typically present? - -30-55 yo. At what age do gastric ulcers typically present? - -55-65 years old What are the signs and symptoms associated with a duodenal ulcer? - -Gnawing, epigastric pain Relief of pain WITH ea...

AG-ACNP DRT #3 EXAM REVIEW QUESTIONS AND ANSWERS, GRADED A+ VERIFIED/ Patient c/o wrist and hand pain, swollen, redness and pain that is worse in the morning and resolves as the day goes on. What findings would support your suspected diagnosis of RA? a. narrowing of joint space b. osteophyes c. elevated ESR d. juxta-articular - -elevated ESR Patient presents nausea, vomiting, dehydrated and anxious. Friends reported finding empty bottle of ASA by patient's bed. What is the primary i...

AG-ACNP – CARDIOVASCULAR EXAM REVIEW QUESTIONS AND ANSWERS, RATED A+ S1 is associated with which heart valves? - -S1 - Mitral and Tricuspid (AV) CLOSE S2 is associated with which heart valves? - -S2 - Aortic and Pulmonic (SL) CLOSE Define systole. - -The period between S1 (MT close) and S2 (AP close) Define diastole. - -Period between S2 and S1 Which heart sound is best associated with CHF? - -S3 - atrial gallop. FVE states. Which heart sound is best associated with LVH? - -S4 - ventri...

AG-ACNP BOARDS EXAM REVIEW QUESTIONS AND ANSWERS, RATED A+ 58 yo. M presents to ED with complaints of dry cough. CXR revealed generalized, inflamed film throughout. What is the most likely diagnosis? - -Pneumonitis What drug has been known to prevent nosocomial PNA? - -Sulcarafate (Carafate) - Mucosal Protective Agent What is an initial finding associated with a pulmonary embolism? - -Respiratory Alkalosis - secondary to increased RR and blowing off CO2 What is diagnostic of pulmonary...

AGACNP 106 DOCUMENT EXAM REVIEW QUESTIONS AND ANSWERS. RATED A+ What disease conditions do you see Telangiectasia in? Differential? Physical Exam? - --("spider veins") dilated or broken blood vessels located near the surface of the skin or mucous membranes. -Rosasea -Liver dx -Scleroderma -Lupus -Corticosteriod use -Raynauds -Basal cell Skin CA -Differential: PVD -PE: Hemosiderans deposition (staining) Type 1 Error - --False positive -Incorrectly rejecting the true null h...

AGACNP 106 DOCUMENT EXAM REVIEW QUESTIONS & ANSWERS, RATED A+ What disease conditions do you see Telangiectasia in? Differential? Physical Exam? - --("spider veins") dilated or broken blood vessels located near the surface of the skin or mucous membranes. -Rosasea -Liver dx -Scleroderma -Lupus -Corticosteriod use -Raynauds -Basal cell Skin CA -Differential: PVD -PE: Hemosiderans deposition (staining) Type 1 Error - --False positive -Incorrectly rejecting the true null hypo...

AGACNP ANCC BOARD REVIEW- COMMON PROBLEMS/ EXAM REVIEW QUESTIONS AND ANSWERS, RATED A+ Cutaneous Pain - --localized on the skin or body surface -eg bad sunburn or blister Visceral Pain - --poorly localized such as with internal organs eg. gallbladder pain, PUD pain Somatic Pain - --non localized -originates in muscle, bone, nerves, blood vessels eg. soft tissue injury Neuropathic pain - -involves nerve pathway injury or compression WHO Pain Ladder - -Step 1: ASA, NSAIDs, tylenol +/- ad...

AGACNP BOARD PREP QUESTIONS AND ANSWERS, RATED A+ 4 types of burns - -thermal chemical electrical radiation 5 Ps of pheochromacytoma - -pressure (persistent/ resistent HTN) pain (Headache) palpitations ( tachycardia and tremors) Perspiration ( profuse with flushing) Pallor ( secondary to vasccontriction) 6 Ps of compartment syndrome - -Pain Parathesia Paresis Pallor Poiklothermia pulselessness Absolute contraindications for fibrinolysis - -HX of Cerebrovascular event Non-hemo...

AGACNP CERTIFICATION EXAM REVIEW QUESTIONS AND ANSWERS. GRADED A+ At what grade level would health literature be written at - -6th-8th grade Accreditation guidelines are laid out by - -the joint commission QI is the management process of - -Monitoring Evaluating Continuously reviewing Improving the quality of healthcare delivery and safety of the system If patient has a 0 on the RASS, then the patient is - -alert and calm If the patient has a +4 on the RASS, then the patient is - -c...

AGACNP EXAM 3 QUESTIONS/INFO EXAM REVIEW QUESTIONS AND ANSWERS, GRADED A+ pectus excavatum - -You examine a 24-year-old woman with mitral valve prolapse (MVP). Her physical examination findings may also include: A. pectus excavatum B. obesity C. petite stature D. hyper-extensible joints a mid- to late-systolic murmur - -In performing a cardiac examination in a person with mitral valve prolapse, you expect to find: A. an early- to mid-systolic, crescendo-descrendo murmur. B. a pansy...

AGACNP EXAM REVIEW QUESTIONS AND ANSWERS, GRADED A+ VERIFIED/ Tx of infectious Post-op fever - -#1 Supportive fluid therapy and APAP #2 Treat underlying source #3 Gram stain and C & S all invasive lines or catheters as indicated. What is the best intervention for fever of unknown origin? - -Nothing until the diagnosis is confirmed. Major syndromes causing fever - S/S of each and TX - -Serotonin syndrome - SSRI use, clonus, hyperreflexia, ataxia, mental status changes, restlessness, con...

AGACNP EXAM REVIEW QUESTIONS AND ANSWERS, GRADED A+ VERIFIED/ Scope of Practice - -Based on legal allowances in each state, individual state nurse practice acts providing guidelines for nursing practice Key elements of the NP role include - -integration of care across the acute illness continuum with collaboration and coordination of care; research based clinical practices, clinical leadership, family assessment, and discharge planning Standards of Advanced Practice are delineated by.....

AGACNP EXAM- RISK ASSESSMENT, HERBAL AGENTS/ EXAM REVIEW QUESTIONS AND ANSWERS, RATED A+ When should a self breast exam start? Clinical breast exam? - -Age 21 Mammography- 40 years old When should adolescents have visits? - -11-14, 15-17, 18- 21 What is done during an adolescent check up? - -Height, weight check, eating disorders, skin exam, abuse, depression, oral cavity, hearing, neglect. Which vaccines are indicated for female adolescents for HPV and associated ages? - -Gardasil 11-2...

AGACNP FINAL EXAM REVIEW QUESTIONS AND ANSWERS, GRADED A+ Who should be screened for HIV? What test do you use? Do you need consent Anyone age 15-65 at least once High risk individuals annually (consider 3-6 months) Always include in prenatal testing and high risk individuals in 3rd trimester Written consent and prevention counseling is not required This is OPT out Testing Test using 4th generation HIV test The 4th generation HIV test differs from the ELISA/Western Blot how? What about...

AGACNP FRANCES GUIDE EXAM REVIEW QUESTIONS AND ANSWERS, RATED A+ You want to get more funding for your hospital's Rapid Response Team. How should you present this issue to the committee? -Stress importance of the team -Describe how to improve and expand the team. Stress importance of the team (answer is worded as looking up evidence about how the team affects outcomes, like a meta-analysis) -highest level of research: meta-analysis (multiple studies) What is the best way for the AGAC...

AGACNP NEURO EXAM REVIEW QUESTIONS AND ANSWERS, GRADED A+/ VERIFIED/ What is the strongest indicator of functional impairment at discharge? - -Cognitive impairment Cranial nerve III - -EOMs Cranial nerves associated with eye movement - -CN III, IV, VI Cranial nerve associated with shoulder shrug - -CN XI Most important aspect in assessing mental status - -orientation TIA - -acute cerebral insufficiency less 24 hrs without residual defects sign of impending CVA TIA causes - -Atheroscl...

AGACNP QUIZ 1 MODULE 1 EXAM REVIEW QUESTIONS AND ANSWERS, RATED A+ African American women have a - -higher chance of HTN Risk factors for HTN - -- diabetes - pre-hypertension HTN screening - -1. salt intake 2. alcohol use 3. sleep 4. NSAID use People that present with HTN and these three are showing the triad for pheocromocytoma - -1. Diaphoretic 2. HA 3. Palpitations NPs only get reimbursed how much for medicare? - -80% of actual charge - or 85 % of the fee schedule amount pr...

AGACNP REVIEW | EVIDENCE-BASED PRACTICE AND RESEARCH METHODS/ REVIEW QUESTIONS AND ANSWERS, RATED A+ Major Steps in the Research Process - -1. formulating research problem 2. reviewing related literature 3. formulating hypotheses 4. selecting research design 5. identifying population to be studied 6. specifying methods of data collection 7. designing study 8. conducting study 9. analyzing data 10. interpreting results 11. communicating findings Non-Experimental Research - --no ex...