Acute Care Nurse Practitioner Exam Prep - Question List

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6. When preparing to remove an endotracheal tube, the NP should NOT do which of the following:
  1. Get the help of another NP to hold the tube while you untape the tube.
  2. Deflate the cuff before moving the endotracheal tube.
  3. Extubate the endotracheal tube if no air leak is detected around the deflated cuff.
  4. Suction during extubation of the endotracheal tube to remove secretions retained at the end of the tube.
7. An experienced intensive care unit NP is teaching a class of new nurses about the neurological system. What is the best way to describe the purpose of Cerebral Spinal Fluid (CSF) to the class?
  1. Cerebral spinal fluid cushions the brain and the spinal cord.
  2. Cerebral spinal fluid maintains cerebral perfusion pressures.
  3. Cerebral spinal fluid transports fluid to the ventricles.
  4. Cerebral spinal fluid develops neurotransmitters.
8. What is the leading cause of acute Tubular Necrosis?
  1. Sepsis
  2. Shock
  3. Myocardial infarction
  4. Gastro intestinal bleeding
9. What is the most significant complication of intermittent Hemodialysis that the NP needs to asses for?
  1. Arrhythmias
  2. Hypertension
  3. Hypotension
  4. Cerebral edema
10. A 77 year old patient with diabetes mellitus has been diagnoses with acute Tubular Necrosis. What would most likely indicate the patient is in the initial phase of acute Tubular Necrosis?
  1. Creatinine level of 1.1
  2. Urine production of 1200 mL/ day
  3. Complaints of nausea and abdominal pain
  4. Urine production of less than 400 mL / day

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