QUESTION 26
1. A patient presents with acute onset of vesicular lesions on her vulva. They are surrounded by areas of redness and they hurt. The patient says that she has even more of them now then she did when she woke up this morning. There is also inguinal lymphadenopathy. The AGACNP is suspicious for:
A.
Human papilloma virus
B.
Primary syphilis
C.
Gonorrhea
D.
Herpes simplex virus
QUESTION 27
1. Classic radiographic features of osteoarthritis include:
A.
Soft tissue swelling
B.
Joint deformity
C.
Bone mineral loss
D.
Joint space narrowing
QUESTION 28
1. Mrs. Sandoval is a 72-year-old female who presents with a chief complaint of transient verbal confusion. She was speaking with her friend on the phone this morning when she suddenly couldn’t get words out. Her friend went over to her home and found Mrs. Sandoval awake, alert, and oriented, responding appropriately with non-verbal gestures, but she could not properly articulate her thoughts. By the time she arrived at the office this had passed, although during the examination she appeared to have infrequent difficulty finding a single word. The patient denies any contributory medical history, but a 12-lead ECG in the office reveals atrial fibrillation with a ventricular response of 91 b.p.m. The blood pressure is 140/94 mm Hg; remaining vital signs are normal. The AGACNP knows that management should include:
A.
Antiplatelet therapy
B.
Anticoagulation
C.
Blood pressure control
D.
Speech therapy
QUESTION 29
1. C.L. is a 48-year-old female who presents complaining of activity intolerance. She is usually very active and fit^. She jogs regularly and typically does 4-5 miles a day. About a week ago she became so tired she had to stop, and lately she has become aware of becoming easily fatigued while going up and down stairs. She admits that she thinks she is beginning menopause—she is having a lot of bleeding with her periods, and her periods seem to be more frequent. A complete blood count (CBC) reveals the following results:
Hgb 10.1 g/dL
Hct 30%
MCV 75 fL
RDW 21%
The AGACNP orders which of the following laboratory test to confirm the suspected diagnosis?
A.
Vitamin B12
B.
Folate
C.
Ferritin
D.
Hemoglobin electrophoresis
QUESTION 30
1. Kevin H. is a 61-year-old male who presents for treatment of profound anxiety. He has been treated on and off for years—most recently he was taking escitalopram 20 mg p.o. daily, and although he does admit to some improvement, he still cannot function appropriately thoughout the day. He has been counseled about poor work performance and is concerned about losing his job, but he is just so worried all of the time he cannot concentrate on work. The AGACNP knows that the most appropriate action is to:
A.
Increase the dose of escitalopram to 40 mg daily
B.
Refer Kevin for a psychiatric consultation
C.
Stop escitalopram and begin venlafaxine
D.
Discuss therapeutic expectations with Kevin
QUESTION 31
1. When examining a patient with a skin presentation suggestive of necrotizing fasciitis, the AGACNP knows that the most important and sensitive diagnostic test is:
A.
A complete blood count
B.
Plain film radiographs
C.
The finger test
D.
CT scan
QUESTION 32
1. While evaluating a patient with abdominal pain, the AGACP knows that when the pain is described as coming in waves or cycles, with periods of relief in between, the cause likely centers around:
A.
Peristalsis of bowel
B.
Disorders of pelvic organs
C.
Organ inflammation
D.
Hyperacidity
QUESTION 33
1. Which of the following findings is not typically associated with testicular torsion?
A.
Acute pain
B.
Edema
C.
High riding testis
D.
Dysuria
QUESTION 34
1. 152: When completing this exam, did you comply with Walden University’s Code of Conduct including the expectations for academic integrity?
Yes
No
QUESTION 35
1. While preparing to perform an incision and drainage on a 7 cm fluctuant abscess on a patients posterior thorax, the AGACNP knows that the most important part of the procedure is:
A.
Immediate coverage with antistaphylococcal antibiotics
B.
Maintaining sterility with topical betadine and drapes
C.
Breaking up loculations and aggressive irrigation
D.
Proper injection of local anesthetic
QUESTION 36
1. A patient is being evaluated with significant nausea, fatigue, and a general sense of feeling unwell; mild jaundice is noted on physical examination. Transaminases are markedly elevated and a hepatitis screening is done. Results are as follows:
+ HbsAb
+ anti-HAV IgM
– anti-HCV
The correct interpretation of these findings is:
A.
The patient has acute hepatitis A
B.
The patient has acute hepatitis B
C.
The patient has chronic hepatitis B
D.
The patient has acute hepatitis C
QUESTION 37
1. When treating a patient with an unknown overdose or toxicity, the AGACNP knows that all of the following should be administered except:
A.
Dextrose 50%
B.
Thiamine 100 mg
C.
Nalaxone 0.4 mg
D.
Ativan 4 mg
QUESTION 38
1. The AGACNP is evaluating 29-year-old female who presents by ambulance and is unresponsive. There is no witness and no history available; the patient is not wearing any sort of medic alert bracelet. While assessing for toxicity or overdose, the patient is found to have vital signs as follows: Temp of 96.2° F, pulse of 48 b.p.m., respirations of 10 b.p.m., and blood pressure of 84/50 mm Hg. The patient’s pupils are constricted, but do react briskly to light to 1 mm. The AGACNP suspects which type of substance?
A.
Cholinesterase inhibiting drugs
B.
Stimulants such as MDMA
C.
Anticholinergics
D.
Ethanol or opiates
QUESTION 39
1. The AGACNP knows that the one class of pain medication that is effective to some extent for all forms of pain is:
A.
NSAIDs
B.
Antidepressants
C.
Antiepileptics
D.
Opiates
QUESTION 40
1. K.P. is a 76-year-old male admitted for antibiotic management of urosepsis. His medical history is significant for a CVA with resultant right-sided hemiparesis. He is nonverbal, maintained on enteral nutritional support and has an indwelling Foley catheter. The AGACNP knows that which of the following bacteria is the primary treatment target for this patient’s urosepsis?
A.
Proteus mirabilis
B.
Pseudomonas aeruginosa
C.
Staphylococcus aureus
D.
Streptococcus pneumoniae
QUESTION 41
1. A patient is admitted for a COPD exacerbation and placed on mechanical ventilation. His settings are as follows: FiO2 of 40%, TV of 700mL, SIMV of 12. His morning ABG reveals a pH of 7.37, paCO2 of 51 mm Hg, paO2 of 84 mm Hg and HCO3 of 30 mm Hg. The AGACNP knows that the appropriate response is to:
A.
Leave the ventilator settings as is
B.
Increase the SIMV to 16 b.p.m.
C.
Increase the FiO2 to 50%
D.
Repeat the ABG in one hour
QUESTION 42
1. All of the following are required for a diagnosis of systemic inflammatory response syndrome (SIRS) except:
A.
White blood cell count < 4000 or > 12,000 cells/uL
B.
Heart rate > 90 b.p.m.
C.
Respiratory rate > 20 b.p.m. or paCO2 < 32 mm Hg
D.
Two sets of positive blood cultures
QUESTION 43
1. J.T. is a 41-year-old female patient who presents with a chief complaint of “heartburn.” She says that it doesn’t really seem to be related to meals or food—it occurs at random times. She does note, when asked, that it seems to happen a lot at night and occasionally wakes her up. Her only other symptom complaint is an occasional cough. It does not produce mucus, and she admits to assuming it was a “nervous” cough. The next appropriate action for the AGACNP would be to:
A.
Order an H. pylori test
B.
Request a GI consult for endoscopy
C.
Order a proton pump inhibitor 30 minutes before breakfast
D.
Request a 72-hour diet history
QUESTION 44
1. Your patient has diabetes insipidus (DI). Anticipated physical assessment findings include:
A.
Dry skin, tachycardia, hypertension
B.
Weak pulse, dry skin, decreased skin turgor
C.
Thin hair, thready pulse, dry mucous membranes
D.
Hypothermia, jugular venous distention, bradycardia
QUESTION 45
1. The AGACNP is beginning medical management of a patient newly diagnosed with T2DM. The patient has a BMI of 39 and has been unsuccessful in making significant diet and lifestyle changes over the last six months. Other than her weight, her physical examination is essentially within normal limits. Her HgbA1c is 9.5%. A basic metabolic panel is within normal limits. The medication of choice to begin therapy will be:
A.
A sulfonyurea
B.
A meglitinide
C.
A biguanide
D.
An incretin mimetic
QUESTION 46
1. Felty’s syndrome is a condition of immune neutropenia seen sometimes in patients with:
A.
Polymyalgia rheumatica
B.
Giant cell arteritis
C.
Systemic lupus erythematosus
D.
Rheumatoid arthritis
QUESTION 47
The post immune neutropenia appeared first on Homework Aider.
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