Practice Quiz

Acute Care Nurse Practitioner Exam Prep - Question List

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41. What precautions should be followed when administering Phenytoin?
  1. Phenytoin should always be mixed with a dextrose solution when given in an intravenous form.
  2. Phenytoin should be given as a pill only.
  3. Most people don’t react well to Phenytoin so Fosphenytoin is given as an alternate.
  4. Phenytoin should not be mixed with a dextrose solution.
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42. A patient has been admitted to the intensive care unit with a diagnosis of “rule out” Guillain-Barre syndrome. The NP is completing the admission data base and asking about the patient’s history. What diagnosis might precipitate a diagnosis of Guillian-Barre syndrome?
  1. Myocardial infarction within the last 6 months
  2. Headache, nausea and nuchal rigidity
  3. Mild fevers, upper respiratory infection or a minor virus
  4. Slurred speech and weakness in one or both sides of the body
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43. The NP is preparing to wean a patient from mechanical ventilation. What option is NOT a method of weaning the patient from mechanical ventilation?
  1. Pressure support ventilation
  2. Controlled mandatory ventilation
  3. Using a T-piece, perform spontaneous breathing trials
  4. Intermittent mandatory ventilation
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44. A 20-year-old male client with a BMI of 33 has been admitted for recurrent chest pains and difficulty breathing. During the assessment, it is found that his father and mother have both suffered from myocardial infarction before the age of 50. Which of the following nursing actions is the first step to prevent the client from developing myocardial infarction?
  1. Encourage the client in initiating and maintaining a regular exercise program.
  2. Instruct the client to avoid fatty and high-calorie meals.
  3. Assess the client’s level of interest in weight reduction programs.
  4. Educate the client about the risks of obesity and myocardial infarction.
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45. The NP is taking care of a 51 year old with Acute Lymphocytic Leukemia (ALL) with a White Blood Cell count of 6.0. What would the NP NOT do when preventing infection from occurring in the patient?
  1. Take vital signs every 2 hours.
  2. Insert a Foley Catheter.
  3. Check the patient’s mouth frequently and give saline solution rinses.
  4. Give antibiotic therapy immediately when white counts fall.
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