. The AGACNP is caring for a patient who is quite ill and has developed, among other things, a
large right sided pleural effusion. Thoracentesis is sent
... [Show More] for pleural fluid analysis. While evaluating
the fluid analysis, the AGACNP knows that a fluid identified as a(n) __________ is the least
worrisome type.
Answer: A, a trasdutate is essential as it shows
2. Mrs. Miller is transported to the emergency department by paramedics. She is having profound,
unremitting chest pain, is diaphoretic and pale. She has jugular venous distention and a widened
pulse pressure. Suspecting ascending aortic aneurysm, the AGACNP order which test to confirm
the diagnosis?
Ans: D is the answer- CT( not radiography or MRI or us)
3. Certain subgroups of the elderly population are at an increased risk for rapid deterioration and
long-term care placement. Which of the following is not ….a high risk factor for long term care
placement?
ANS: A- men ( others are > 80, live alone, bowel and bladder incontinence, hx of fall, dysfunctional coping
and intellectual impairment).
4. A patient with anterior epistaxis has been ….with 20 minutes of direct pressure to the
cartilaginous portion of the nose. Following pressure the patient is ….to gently blow the nose.
Expected findings in the patient who has been successfully ….include all of the following except
a:
Ans: C, bld and clot formation occurs if bleeding stop within 20 min of directed pressure and can be
removed by gentle suction and gentle blowing of nose.
5. Kevin is a 14-year-old male who presents for evaluation of a fever of 102.5° F and significant right
ear pain. He appears quite ill and says he feels nauseous. Otoscopic evaluation reveals pain to
palpation, a very erythematous and bulging tympanic membrane with bullous myringitis. The
AGACNP knows that antibiotic therapy must be selected to cover:
Ans: D, streptococcus pneumonaie commonly bacteria present in head and neck infection of
immunocompetent patients, and primarily treatment target for otitis media, bacterial sinusitis, and
bacterial pharyngitis.
6. P.M. is a 71-year-old gay male patient who presents as an outpatient for evaluation of increasing
shortness of breath. The diagnostic evaluation ultimately supports a diagnosis of community
acquired pneumonia. The AGACNP appreciates right middle lobe consolidation on chest
radiography. Pending sputum cultures, empiric antibiotic therapy must be initiated to cover which
organism?
Ans: D- streptococcus pneumonaie from out patient population and targeted treatment empirically.
7. Which of the following is the greatest risk factor for vascular dementia?
Ans- B, vascular disease in target organ damage in DM, hyperlipidemia and HTN
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8. J.R. is a 55-year-old male who presents for a commercial driver’s license physical examination
with a blood pressure of 170/102 mm Hg. He has no medical history and is without complaint.
Which of the following findings constitutes hypertensive urgency?
9. Because of the commonly recognized adverse effects of atypical antipsychotics, annual
laboratory assessment for patients taking these medications should include a:
10. K.R. presents for an evaluation of eye discomfort. He works in a fabricating shop for a custom
automobile restoration company and while working he felt like something flew into his eye. He
was wearing eye protection at the time but still has the sensation that something is there.
Physical examination is significant for some tearing and he reports a persistent sense of
something in his eye. Which of the following is not …..in the diagnostic evaluation?
11. D.E. is a 41-year-old female who had lumbar surgery two days ago to repair a ….nucleus
pulposus. She has been doing well postoperatively but today is complaining of resting fatigue and
some shortness of breath at rest. In ruling out a pulmonary embolus the AGACNP first orders a:
12. Mr. Nixon is being ….with unfractionated heparin infusion for acute pulmonary embolus. In order
to avoid a potentially fatal complication of heparin infusion, the AGACNP monitors:
13. Differentiating vertigo from near-syncope and ataxia is one of the goals of history-taking when a
patient presents as “dizzy.” The AGACP knows that vertigo is the problem when the patient
reports the primary symptom as:
14. Mr. Banks has been ….for surgical resection of a metastatic tumor, during surgery it is discovered
that he has widespread, diffuse metastasis throughout the abdomen. Surgery is no longer an
option, and his oncologist says that chemotherapy is unlikely to produce any meaningful benefit.
Mr. Banks is concerned that his sons will not support a transfer to comfort care. The AGACNP
advises that he:
15. Mr. Wilkerson is a 77-year-old male who is being ….and treated for his cardiogenic pain. His vital
signs are as follows: Temperature of 99.1° F, pulse of 100 bpm, respirations of 22 bpm, and blood
pressure of 168/100 mm Hg. A 12-lead ECG reveals deep ST segment depression in leads V3-
V6. The AGACNP recognizes which of the following as a contraindication to rTPA therapy? [Show Less]