AG-ACNP DRT #3- Questions and
Answers
Which of the following is recommended for asthmatics or smokers between the ages of 19 and
64?
• Hepatitis A vaccine
• Pneumococcal vaccine
• Hepatitis B vaccine
• Meningococcal Vaccine Correct Ans-pneumococcal vaccine
F patient has normal PAP smear and reports that she has not had an abnormal PAP smear for the
past 10 years. At what age is it appropriate to discontinue pap smears in this case?
a. 60-65
b. 65-70
c. 55-60
d. 70-75 Correct Ans-65-70
Elderly woman who has a history of lung dysfunction comes to your office. She presents w/ a
number of respiratory symptoms, but one of her main complaints is a severe HA. Which of the
following is most likely to present w/ this accompanying symptoms?
• Asthma
• Acute bronchitis
• Pneumonia
,• Emphysema Correct Ans-acute bronchitis
63 yo. Caucasian M presents for annual physical exam. Initial BP 120/82. Patient has no
significant PMH. Second BP 125/80. What would you recommend in this patient's treatment?
a. CCB
b. lifestyle changes
c. exercise stress test
d. ACE Inhibitor Correct Ans-lifestyle changes
48 year old admitted w/ fever, abdominal pain and bloody diarrhea. History includes chronic
sinusitis, arthritis and recently resolved DVT. These S/S are the first to occur, especially the
bloody diarrhea. Which represents the most likely diagnosis and appropriate test to order?
• Diverticulitis: sigmoidoscopy
• Diverticulitis: stool culture
• Ulcer Colitis: sigmoidoscopy
• Ulcerative Colitis: stool culture Correct Ans-ulcerative colitis sigmoidoscopy
The first NP programs were initiated, primarily, because of what issues in health care at the time?
• Pediatric physician shortage
• Indigent patient needs
• Managed care
• Hospital restructuring Correct Ans-pediatric physician shortage
, Patient was burned in explosion. Burns feature moisture on the skin w/ blisters and redness. As a
NP, you conclude that the pt. has 2nd degree burns. Patient wants to know how much of his body
has been burned. You notice that only his arms, neck and face have been burned. Which of the
following is the most accurate?
• 9%
• 18%
• 28%
• 38% Correct Ans-28%
73 year old female presents w/ dizziness, palpitations and an anorexic appearance. Patient also
complains that she frequently feels weak and tired and loses her sense of motor control. Lab
testing shows MCV of 110, HGB of 10, HCT 30%. Most likely diagnosis?
• Iron deficiency anemia
• Pernicious anemia
• Anemia of chronic disease
• Folic acid deficiency Correct Ans-pernicious anemia
Patient is receiving enteral nutritional support when complications start to arise. As a NP, you
would most likely see all of the following as a complication of enteral nutritional support,
except:
• Aspiration and/or vomiting
• Diarrhea
• Catheter sepsis
• Dehydration Correct Ans-catheter sepsis
Answers
Which of the following is recommended for asthmatics or smokers between the ages of 19 and
64?
• Hepatitis A vaccine
• Pneumococcal vaccine
• Hepatitis B vaccine
• Meningococcal Vaccine Correct Ans-pneumococcal vaccine
F patient has normal PAP smear and reports that she has not had an abnormal PAP smear for the
past 10 years. At what age is it appropriate to discontinue pap smears in this case?
a. 60-65
b. 65-70
c. 55-60
d. 70-75 Correct Ans-65-70
Elderly woman who has a history of lung dysfunction comes to your office. She presents w/ a
number of respiratory symptoms, but one of her main complaints is a severe HA. Which of the
following is most likely to present w/ this accompanying symptoms?
• Asthma
• Acute bronchitis
• Pneumonia
,• Emphysema Correct Ans-acute bronchitis
63 yo. Caucasian M presents for annual physical exam. Initial BP 120/82. Patient has no
significant PMH. Second BP 125/80. What would you recommend in this patient's treatment?
a. CCB
b. lifestyle changes
c. exercise stress test
d. ACE Inhibitor Correct Ans-lifestyle changes
48 year old admitted w/ fever, abdominal pain and bloody diarrhea. History includes chronic
sinusitis, arthritis and recently resolved DVT. These S/S are the first to occur, especially the
bloody diarrhea. Which represents the most likely diagnosis and appropriate test to order?
• Diverticulitis: sigmoidoscopy
• Diverticulitis: stool culture
• Ulcer Colitis: sigmoidoscopy
• Ulcerative Colitis: stool culture Correct Ans-ulcerative colitis sigmoidoscopy
The first NP programs were initiated, primarily, because of what issues in health care at the time?
• Pediatric physician shortage
• Indigent patient needs
• Managed care
• Hospital restructuring Correct Ans-pediatric physician shortage
, Patient was burned in explosion. Burns feature moisture on the skin w/ blisters and redness. As a
NP, you conclude that the pt. has 2nd degree burns. Patient wants to know how much of his body
has been burned. You notice that only his arms, neck and face have been burned. Which of the
following is the most accurate?
• 9%
• 18%
• 28%
• 38% Correct Ans-28%
73 year old female presents w/ dizziness, palpitations and an anorexic appearance. Patient also
complains that she frequently feels weak and tired and loses her sense of motor control. Lab
testing shows MCV of 110, HGB of 10, HCT 30%. Most likely diagnosis?
• Iron deficiency anemia
• Pernicious anemia
• Anemia of chronic disease
• Folic acid deficiency Correct Ans-pernicious anemia
Patient is receiving enteral nutritional support when complications start to arise. As a NP, you
would most likely see all of the following as a complication of enteral nutritional support,
except:
• Aspiration and/or vomiting
• Diarrhea
• Catheter sepsis
• Dehydration Correct Ans-catheter sepsis
