Acute Care Nurse Practitioner Exam Prep - Question List

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11. Which of the following medications would be most effective in decreasing vagal stimulation, pancreatic secretion and ampullary spasm in a patient with acute Pancreatitis?
  1. Opioid analgesics
  2. Antiemetics
  3. Anticholinergics
  4. Antispasmodic
12. A 57 year old man is admitted to the intensive care unit for hepatic failure. All of these previous conditions predispose him to hepatic failure except for:
  1. Viral hepatitis
  2. Acetaminophen overdose
  3. Biliary atresia
  4. Pancreatitis
13. In end stage renal disease, what lab value should be monitored in relation to bleeding?
  1. Hemoglobin
  2. Hematocrit
  3. Platelet
  4. Prothrombin time
14. A patient in end stage renal disease is due for dialysis today suddenly needs additional help to get out of bed to use the bedside commode. He is short of breath and complains of feeling “extra tired” today. A glance at the telemetry monitor shows a new onset irregular heartbeat. What electrolyte imbalance is the most likely cause of the patient’s new symptoms?
  1. Hyponatremia
  2. Hypercalcemia
  3. Hypophosphatemia
  4. Hyperkalemia
15. The NP assess that the cause of the patient’s acute Tubular Necrosis is a nephrotoxic agent, probably the contrast that was used for the computerized tomography scan of the abdomen. What would be a nursing goal to prevent further damage to the kidneys for this patient?
  1. Prevent further exposure to the causative agent
  2. Monitor the creatinine and blood, urea, nitrogen levels (BUN)
  3. Hold the daily furosemide and diabetic medications
  4. Ensure that daily labs are ordered to monitor kidney function

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