Exam (elaborations)
ACNP BOARD REVIEW- QUESTIONS & ANSWERS
- Course
- Institution
ACNP BOARD REVIEW- QUESTIONS & ANSWERS
[Show more]
Content preview
ACNP BOARD REVIEW- QUESTIONS &ANSWERS
An acute care nurse practitioner is evaluating a 78-year-old patient for an aortic valve
replacement. Laboratory results indicate a low serum albumin level. The nurse practitioner
prescribes a high-protein diet and evaluates the patient's response by:
assessing the total serum protein level.
calculating the body fat percentage.
obtaining a complete blood count.
obtaining a serum prealbumin level. Correct Ans-obtaining a serum prealbumin level.
Albumin is relatively insensitive to change of nutritional status. Our body has a large pool of
albumin and it could take up to 14 days for albumin to come back to normal once the pool is
depleted. Albumin level could also be affected by one's renal function and hydration state.
Prealbumin is one of the earliest indicator for nutritional status now.
Normal level 16-35 mg/dL
A 42-year-old patient with metastatic lung cancer is admitted with severe intractable pain related
to a pathologic fracture of the left femur. The plan is to stabilize the fracture surgically, and begin
local radiation therapy to the site. For this patient, the most appropriate analgesic regimen is:
-fentanyl (Duragesic) transdermal system applied every 72 hours.
-meperidine (Demerol) 50 mg intramuscularly every three hours around the clock.
-morphine sulfate (Avinza) IV via a patient-controlled analgesia pump with a basal rate.
, -oxycodone/acetaminophen (Percocet) orally every six hours around the clock. Correct Ans-
morphine sulfate (Avinza) IV via a patient-controlled analgesia pump with a basal rate.
A female patient is receiving adjuvant chemotherapy for breast cancer and has been given
information about her treatment regimen, expected side effects, and symptom management.
Which symptom, if occurring two weeks after treatment, warrants a prompt call to the acute care
nurse practitioner?
Alopecia
Fatigue
Fever
Nausea Correct Ans-fever - infection
A patient with hydrocephalus secondary to a subarachnoid hemorrhage has developed an
intracranial pressure of 25 mm Hg. The acute care nurse practitioner's intervention is to:
-hyperventilate to reach a PCO2 of 30 mm Hg.
-order dexamethasone (Decadron) 4 mg IV.
-perform a ventriculostomy and drainage of cerebrospinal fluid.
-prescribe mannitol (Osmitrol) 100 g IV. Correct Ans-perform a ventriculostomy and
drainage of cerebrospinal fluid.
Usual treatment are:
mannitol and sedatives, surgery
due to acute elevation of ICP, surgery is preferred.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller ExamRoom. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $11.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
67866 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now