Acute Care Nurse Practitioner Exam Prep - Question List

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61. Which patient is at the greatest risk for septic shock?
  1. An 84 year old woman with a long term foley catheter, a stage four pressure ulcer on her coccyx and insulin dependent diabetes.
  2. A 55 year old woman with pneumonia.
  3. A 38 year old woman with asthma and status post day 2 appendectomy.
  4. A 63 year old man who had bypass surgery two weeks ago.
62. Which cranial nerve is tested to assess the gag reflex?
  1. Trochlear nerve
  2. Trigeminal Nerve
  3. Vagus Nerve
  4. Glossopharyngeal Nerve
63. Mrs. C has been admitted to the hospital for exacerbation of heart failure three times in the last 14 months. What nursing action might decrease the likelihood of being readmitted so quickly?
  1. Ask the patient to see their doctor more often
  2. Allow the patient to stay in the hospital an extra 36 hours as an inpatient.
  3. Increase the diuretic dose on discharge
  4. Provide adequate patient education information about the disease and management principles and follow up with the patient within one week
64. Which of the following scenarios reflects the greatest need for mechanical ventilation?
  1. A patient with a respiratory rate of 26 and an oxygen saturation of 89% on 1 Liter of oxygen.
  2. A patient who is visiting with visitors with an oxygen saturation level of 87%.
  3. An alert and oriented patient who is slightly diaphoretic and is having difficulty breathing.
  4. A patient who has a history of sleep apnea and continues to wake up because of missed breaths.
65. Which part of the heart usually shows the signs of deterioration in heart failure?
  1. Mitral valve
  2. Left ventricular function
  3. Right ventricular function
  4. Aortic valve

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