Patient is s/p AMI and EKG in ED reveals ST segment elevation in leads II, III
and aVF. As the ACNP, what is the most important question when
considering to administer tPA to a patient s/p AMI? - ANS ✓How long ago
was the AMI?
Initial action in a patient with new onset seizures - ANS ✓CT scan
Lymphoma present in R axilla and R neck. What stage? - ANS ✓Stage II -
same side of the diaphragm
How often should a woman between the ages of 20-39 yo. receive a PAP
smear and HPV testing? - ANS ✓q5 years
How often should a F between the ages 20-39 yo. receive PAP smear and
cytology? - ANS ✓q3 yrs
What is the pathology of Parkinson's Disease? - ANS ✓An imbalance between
ACH and dopamine in the corpus striatum.
A bedside parasternal ultrasound reveals fluid in the pericardial sac. What
is the initial action in managing this patient? - ANS ✓Emergent
pericardiocentesis
When treating a patient diagnosed with syphilis, what drug allergy is most
important to consider before initiating treatment? - ANS ✓PCN allergy
AG-ACNP
, 2
AG
Syphilis is treated with PCN G
A patient is receiving chemotherapy for treatment of TB. What serum test is
most important in determining if chemotherapy is appropriate in this
patient? - ANS ✓alanine transaminase
ABG reads high HCO3 and pCO2 55 mmHg. What electrolyte abnormality is
most likely associated with these values? - ANS ✓Hypokalaemia related to
metabolic alkalosis with concurrent respiratory acidosis
What is the leading cause of death in AA M ages 40-59 years old? - ANS
✓Coronary artery disease
What is the leading cause of intrinsic acute renal failure? - ANS
✓Nephrotoxic drugs
True or False: Restraining an unwilling patient is grounds for malpractice. -
ANS ✓False
A patient presents to the ED with complaints of chest pain and SOB. The
ACNP misinterprets the EKG and admits the patient to the floor for further
monitoring without consulting cardiology. Later in the shift, the patient
decompensates and goes into cardiac arrest. The patient was successfully
resuscitated but sustained permanent brain damage. What grounds of
malpractice is the ACNP accountable for? - ANS ✓Lack of skill
Which of the following medications is not indicated in the management of
bacterial meningitis:
a. third generation cephalosporin
b. vancomycin
c. Phenytoin (Dilantin)
d. Fluroquinolone - ANS ✓Phenytoin (Dilantin)
AG-ACNP
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