Practice Quiz

Acute Care Nurse Practitioner Exam Prep - Question List

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46. A patient comes to the Cardiovascular Care Unit with a blood pressure of 94/68, a heart rate of 124 and chest pain rated as 8/10. The patient has already taken one 0.04 mg tablet of Nitroglycerin five minutes ago. What should the NP do next?
  1. Take the patient’s blood pressure and put them on the monitor.
  2. Administer a dose of Morphine 2 mg IV and re-assess pain.
  3. Obtain a stat EKG.
  4. Administer another dose of 0.04 mg tablet of Nitroglycerin.
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47. A NP is ending his shift and comes in to re-assess his patient, a seventy six year old woman who was diagnosed with a brain lesion. He notes that the patient appears restless and does not know where she is. Upon further examination, he notes that her pupils are sluggish to react to light and are unequal in size. She is unable to sit up at the side of the bed and her blood pressure has risen to 190/88. What does the NP suspect is occurring?
  1. Increased Intracranial Pressure
  2. Cerebral aneurysm
  3. Stroke
  4. Myocardial infarction
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48. The NP is assisting the physician during an Abdominal Paracentesis. What is the maximum amount of fluid that should be aspirated?
  1. 1,000 to 1,500 mL
  2. 2,000 to 2,500 mL
  3. 1,500 to 2,000 mL
  4. 2,500 to 3,000 mL
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49. A patient has developed Acute Respiratory Acidosis, with a pH of 7.25 and a PaCO2 of 55. What is the underlying cause of Respiratory Acidosis?
  1. The lungs are not sufficiently ventilating.
  2. The lungs are working excessively resulting in “over breathing.”
  3. There is an underlying gastric disorder.
  4. There are elevated levels of aldosterone present.
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50. All of these signs and symptoms are early stages of Hypovolemic shock except for:
  1. Tachycardia
  2. Hypotension
  3. Tachypnea
  4. Decreased urinary output
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