ANP 650 Adult Gerontology I Final Exam Questions
And Correct Answers
ST segment elevation with deep, wide Q waves in lead II, III, and aVF are a sign of which
of the following - ANSWER Acute inferior MI
What is the treatment for a patient with a septic pressure ulcer - ANSWER Surgical
consult for debridement and antibiotics
Primary adrenal insufficiency most often occurs from - ANSWER autoimmine adrenalitis
Which of the following is a statement/documentation/declaration of a patient's intent
regarding medical treatment - ANSWER Advanced directive
What does a positive Homan's sign indicate - ANSWER diagnosis of DVT
What is the most commonly used steroid to treat spinal cord compression - ANSWER
Solu-Cortef -- Hydrocortisone
What DVT prophylaxis should be used on a geriatric patient following abdominal surgery
- ANSWER Early ambulation
A 60 year old Caucasian female presents to the ER with heavy vaginal bleeding and
passage of several large clots earlier in the day. The ACNP performs a physical exam,
which reveals an enlarged, softened uterus and nodularity on the adnexa. The ACNP
suspects: - ANSWER Endometrial cancer
What is a common cause of insomnia in palliative care patients - ANSWER Anxiety
, What is the goal of the palliative care? -ANWER Symptom management for Pain and
distress
-: Maintain quality of life
-: Application of various dimensions of alternative therapies in the care of patients.
What is the type of pain associated with metastasis of the bone? - ANSWER visceral
A 39 year old male with no significant PMH presents to the ER with purulent sputum, low
grade fever without chills, mild dyspnea on exertion, and rare hemoptysis for the past 4
days. What diagnostic finding would support your diagnosis of acute bronchitis? -
ANSWER Sputum gram stain and CNS: usually show gram negative diplococci
Which of the following does not describe the involvement of the AGACNP in research
and patient outcomes- ANSWER Peer review
ARE EXAMPLES: patient satisfaction, length of stay, mortality statistics
Which of the following does not describe criteria for acute rehab admission- ANSWER
Requiring two or more therapies
ARE REQUIREMENTS: able to follow commands, able to feed self, physical stamina for 3
hours therapy
Which of the following patients would benefit most from being admitted to an acute
rehab hospital? - ANSWER 42 year old female after biocartilage implantation
Which of the following medications id the current drug choice for an acute migraine
headache? - ANSWER Cafergot (ergotamine tartrate + caffeine)
You are taking admissions from the ER when you are consulted on a name that sounds
familiar. Upon chart review, you notice that she has been to the ER several times for
headaches, muscle aches, and fatigue over the past couple of months. Her history,
physical exam, imaging, and labs do not indicate cause. What should you do next? -
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