Question 1
A patient with suspected Cushing’s syndrome is being evaluated to establish the diagnosis and cause. Patients with an adrenal tumor typically will demonstrate:
⦁ Low ACTH and low cortisol
⦁ Low ACTH and high cortisol
⦁ High ACTH and low cortisol
⦁ High ACTH and high co...
A patient with suspected Cushing’s syndrome is being evaluated to establish the diagnosis and
cause. Patients with an adrenal tumor typically will demonstrate:
A. Low ACTH and low cortisol
B. Low ACTH and high cortisol
C. High ACTH and low cortisol
D. High ACTH and high cortisol
Question 2
Pneumatosis, or gas cysts, may form in the wall anywhere along the gastrointestinal tract; in
some cases, they will produce symptoms such as abdominal discomfort, diarrhea with mucus,
and excess flatulence. Treatment of pneumatosis most often involves:
A. Several days of oxygen by face mask
B. Hyperbaric oxygen
C. Surgical resection
D. Treatment of underlying disease
Question 3
Jennifer is an RN applicant for a staff nurse position in the surgical ICU. She has had a screening
PPD and comes back in 48 hours to have it read. There is a 12-mm induration at the site of
injection. A chest radiograph is negative. The AGACNP knows that the next step in Jennifer’s
evaluation and management should include:
A. No further care, because the chest radiograph is negative
B. Quantiferon serum assay for exposure
C. Consideration of prophylactic therapy
D. Beginning therapy for pulmonary TB pending sputum cultures
Page 1 of 31
,Question 4
P. E. is a 61-year-old female who presents for a postoperative visit following a gastric resection
after a perforation of peptic ulcer. She reports feeling better, although it is taking longer than she
expected. However, she says she is feeling better each day, her appetite is returning, and her
incision is healing well. She is being discharged from surgical care and advised to continue her
routine health promotion follow-up with her primary care provider. As part of her surgical
discharge teaching, the AGACNP counsels P. E. that as a result of her gastric resection she will
need lifelong follow-up of:
A. Blood group substances
B. Electrolytes
C. Vitamin B12
D. Gastric pH
Question 5
M. T. is a 71-year-old female who presents for evaluation of a ―lump on her chest.‖ She
denies any symptoms—there is no pain, erythema, edema, ecchymosis, or open areas—it is just
a lump. She has no idea how long it has been there and just noticed it a few weeks ago. Physical
examination reveals a round, smooth, flesh-colored tumor. It is firm but not hard; it has smooth
borders. It measures 6 cm in diameter and is non-tender to palpation. The AGACNP suspects
that this is a classic presentation of the most common chest wall tumor known as a:
A. Neurolemma
B. Lipoma
C. Hemangioma
D. Lymphangioma
Question 6
The AGACNP is receiving report from the recovery room on a patient who just had surgical
resection for pheochromocytoma. He knows that which class of drugs should be available
immediately to manage hypertensive crisis, a possible consequence of physical manipulation of
the adrenal medulla?
Page 2 of 31
, A. Alpha-adrenergic antagonists
B. Beta-adrenergic antagonists
C. Intravenous vasodilators
D. Arteriolar dilators
uestion 7
In myelodysplastic syndromes, the primary indications for splenectomy include:
A. Major hemolysis unresponsive to medical management
B. Severe symptoms of massive splenomegaly
C. Sustained leukocyte elevation above 30,000 cells/µL
D. Portal hypertension
Question 8
The AGACNP is evaluating a patient who reportedly fell down a flight of steps. Her history is
significant for several emergency room visits, but she denies any significant medical conditions.
Some documentation in her chart indicates that she may have been subjected to physical abuse.
Today she presents with a periorbital ecchymosis of the left eye and swelling in the left side of
the face. Her neurologic examination is within normal limits. Which head imaging study would
be most useful in assessing for findings consistent with a history of abuse?
A. Radiographs
B. CT scan without contrast
C. MRI
D. PET scan
Page 3 of 31
, Question 9
The AGACNP is treating a patient with ascites. After a regimen of 200 mg of spironolactone daily, the
patient demonstrates a weight loss of 0.75 kg/day. The best approach to this patient’s management is to:
A. Continue the current regimen
D/C the spironolactone and begin a loop diuretic
B. Add a loop diuretic to the spironolactone
C. Proceed to large-volume paracentesis
Which of the following is a true statement with respect to the use of corticosteroids in
posttransplant patients?
A. High-dose initial steroids are tapered to off over a period of 4 to 6 weeks posttransplant
B. There is a strong interest in developing corticosteroid-free posttransplant protocols
C. Better results are demonstrated in corticosteroid-free protocols for second-transplant
recipients
D. Evidence supports corticosteroid-free rejection protocols
Question 11
K. T. presents for a routine wellness examination, and the review of systems is significant only
for a markedly decreased capacity for intake and a vague sense of nausea after eating. K. T.
denies any other symptoms; the remainder of the GI review of systems is negative. His medical
history is significant for complicated peptic ulcer disease that finally required resection for a
perforated ulcer. The AGACNP advises the patient that:
A. He will need endoscopy to evaluate the problem
B. Chronic gastroparesis is a known complication of ulcer surgery
C. Medication is unlikely to help, and he may need another surgery
D. His symptoms occur in 5 to 10% of people after ulcer surgery
Page 4 of 31
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