Practice Quiz

Acute Care Nurse Practitioner Exam Prep - Question List

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21. The NP is assessing her patient for pressure ulcers. On the patient’s right heel, she notices one inch by ½ inch red shallow crater with a small amount of white drainage, surrounded by bright pink skin. She documents this finding as a:
  1. Blanchable, stage one pressure ulcer.
  2. Stage 2 partial thickness wound.
  3. Stage 3 full thickness wound.
  4. Non stageable wound.
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22. What is the neurotransmitter that is found to be in low levels in patients with Alzheimer's disease?
  1. Dopamine
  2. Epinephrine
  3. Serotonin
  4. Acetylcholine
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23. A patient has suffered a myocardial infarction due to acute coronary syndrome. The emergency room physician has ordered bivalirudin in preparation for the patient undergoing percutaneous coronary intervention (PCI). What is the most important symptom to watch for when a patient is receiving bivalirudin?
  1. bleeding
  2. bradycardia
  3. hypotension
  4. all of the above
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24. A 47 year old man is admitted to the ICU for severe injuries as a result of a motor vehicle accident. He has lost a lot of blood and his blood pressure is 70/35. After a few hours he goes into cardiac arrest. The patient has ‘DNR’ orders in his medical records. But his brother who is present wants doctors to do everything they can to save him. What is the appropriate action at this time of emergency?
  1. Do not resuscitate
  2. Contact health care proxy
  3. Follow brothers wishes
  4. Contact hospital ethics committee
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25. As a nurse, you must be aware of the visiting policy of the health care center. What would you do if the family of a critically ill patient wishes to spend the night, which is contrary to visiting policy?
  1. adhere to the visiting policy.
  2. allow the family to stay in the room.
  3. obtain a motel room near the hospital where the family may spend the night.
  4. allow one or two family members to stay, then evaluate the patient's response.
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