Acute Care Nurse Practitioner Exam Prep - Question List

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1. A patient present with sudden onset shortness of breath and difficult breathing. Her tongue is swollen and she states she is feeling very dizzy. What would the medication most likely given to her?
  1. Diphenhydramine
  2. Dopamine
  3. Aminophylline
  4. Epinephrine
2. A patient recovering from a myocardial infarction is preparing to transfer to a telemetry floor. The acute care NP has begun teaching on the Angiotensin converting enzyme inhibitors he will be taking throughout the hospital stay and after discharge. What statement reflects the patient understanding of the medication?
  1. “if I forget to take a dose, I will take the missed dose as soon as I remember.”
  2. “If I forget to take a dose of medication I will make up for it by taking a double dose the next time it is due.”
  3. “It’s normal to feel light headed with this medication and I will move around as I normally do.”
  4. “I should increase the amount of potassium I eat in my diet.”
3. The NP is taking care of a patient with Ketoacidosis. She is concerned that the patient is developing further acidosis. The latest ABG’s reflect a pH of 7.0. What treatment of acidosis is most likely to correct this imbalance?
  1. Fluids and insulin.
  2. Oxygenation and insulin.
  3. Fluids and potassium replacement.
  4. Fluids and arterial blood gases every 6 hours.
4. The NP has called the doctor about a patient suspected to be experiencing a hypertensive crisis. What medications would the NP anticipate the doctor ordering?
  1. Intravenous Nitroprusside
  2. Intravenous Metroprolol
  3. Sublingual Nitroglycerin
  4. Intravenous Furosemide
5. The patient with a hemoglobin level of 4.4 is ordered to receive 5 units packed red blood cells. To avoid circulatory overload, the NP would take all of the following actions except:
  1. Administer Furosemide 20 mg intravenously in between each unit.
  2. Monitor the patient for signs and symptoms of hypoxia, edema and fever.
  3. Transfuse the blood quickly to avoid fatigue.
  4. Administer supplemental oxygen to aid the patient’s breathing.

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