Acute Care Nurse Practitioner Exam Prep - Question List

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56. The NP is assessing a newly admitted patient to the intensive care unit. The patient is a 48 year old woman who has been experiencing severe vomiting and diarrhea for 4 days. What signs and symptoms would the present to reflect that her condition has progressed to the complication of shock related to Hypovolemia?
  1. Blood pressure of 148/78, heart rate of 116, afebrile
  2. Changes in mental status, normal vital signs, acute abdominal pain
  3. Blood pressure 98/48, heart rate 120, cold feet and hands
  4. Changes in mental status, blood pressure of 130/76, temperature 99.0
57. A 54 year old woman has been admitted with a diagnosis of sepsis. What would be the first signs and symptoms that the patient may have a gastrointestinal bleed?
  1. Blood in feces
  2. Weakness and fatigue
  3. Abdominal pain and discomfort
  4. Weight loss and anorexia
58. A NP is taking care of a patient with a gastrointestinal bleed who is receiving intravenous fluids, packed red blood cell transfusion and proton pump inhibitor medication. The NP would assess for all the following complications of a gastrointestinal bleed except for:
  1. Hemorrhagic shock
  2. Perforation
  3. Myocardial infarction
  4. Small bowel obstruction
59. The NP is evaluating the 12 lead electrocardiograph of a patient who had a myocardial infarction approximately 2 hours ago. The doctor stated the MI was still “evolving.” What abnormalities would the NP expect to see to reflect the ischemic event?
  1. ST segment elevation
  2. A widening of the QRS interval
  3. ST segment depression
  4. The emergence of Q waves
60. What signs would be most indicative that Thrombolytic Therapy has been successful in the patient who has had a myocardial infarction and is four hours into Thrombolytic Therapy?
  1. A respiratory rate of 22/ minute and an oxygen saturation of 94% on 1 liter of oxygen
  2. A heart rate of 102 and a blood pressure of 138/82
  3. A return of an elevated ST interval to normal on the electrocardiogram
  4. A PR interval less than 0.24 on the electrocardiogram

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