











































Study with the several resources on Docsity
Earn points by helping other students or get them with a premium plan
Prepare for your exams
Study with the several resources on Docsity
Earn points to download
Earn points by helping other students or get them with a premium plan
Community
Ask the community for help and clear up your study doubts
Discover the best universities in your country according to Docsity users
Free resources
Download our free guides on studying techniques, anxiety management strategies, and thesis advice from Docsity tutors
A comprehensive review of key concepts and questions for the aacn certification acnpc-ag exam. It covers various topics related to adult-gerontology acute care nursing, including diabetes management, hypertonic hyponatremia, dawn phenomenon, and screening guidelines for adolescents and adults. Multiple-choice questions with answers, offering valuable insights into the exam's content and format.
Typology: Exams
1 / 51
This page cannot be seen from the preview
Don't miss anything!
Time: - ____ Hours: ___ Minutes
📱Hit Me UP__ Inbox Open 24/7 – 365 …...!!!! 📱 Chat with us here : 📱 Hybridgrades101@gmail.com ACNP Boards Exam Review ACNP Acute Care Nurse Practitioner Questions and Answers | 100% Pass Guaranteed | Graded A+ | 2025- AACN Certification Corporation's ACNPC-AG Exam Adult-Gerontology Acute Care Nurse Practitioners ACNP-AG - AACN American Association of Critical-Care Nurses Read All Instructions Carefully and Answer All the Questions Correctly Good Luck: - Hypertonic Hyponatremia - =Answer>> (serum osmolality > 290 mosm/kg) Hypertonic Hyponatremia causes - =Answer>> Hyperglycemia: Usually from HHNK Osmolality is high and the Na is low Somogyi Effect: - =Answer>> Nocturnal hypoglycemia develops stimulating a surge of counter regulatory hormones which raise blood sugar. 0300 glucose decreases 0700 glucose increases Need Writing 📱Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📱 Click Here To <
📱Hit Me UP__ Inbox Open 24/7 – 365 …...!!!! 📱 Chat with us here : 📱 Hybridgrades101@gmail.com Diabetes Mellitus (Lype 2 DM) - =Answer>> Associated with obesity & Syndrome X: obesity, hypertension, abnormal lipid profiles (low HDLs and high triglycerides) What is Metabolic syndrome: - =Answer>> Waist circumference: > 40 inches (101.6 cm) in men and >35 inches (88.9 cm) in women BP > 130/ Triglycerides > FBG> 100 HDL: <40 in men and< 50 in womer Diabetes Mellitus (Type 1 DM) S/S: - =Answer>> Polyuria Polydipsia Polyphagia Nocturnal enuresis Weight loss Weakness/fatigue Diabetes Mellitus (Type 1) Labs / Diagnostics - =Answer>> - Random plasma glucose 200 mg / dL Serum fasting blood sugar 2126 mg/dL Ketonemia, ketonuria, both BUN/creatinine elevated (dehydration) Inpaired glucose tomerance: FBG >100 and < 125 Component of physical for adolescents? - =Answer>> Htwgt, skin exam, oral exam, hearing. abuse/neglect/depression, BP (120/80) Time of Visit for Adolescents? - =Answer>> 3 Visits (11-14, 15-17, & 18-21 yoa) When to start HPV vac with Females? - =Answer>> Gardasil age 1- 26; Gardasil 9 age 9-26; Cervarix- age e 10-25. 3 series on zero, 2 & 6 months schedule Need Writing 📱Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📱
📱Hit Me UP__ Inbox Open 24/7 – 365 …...!!!! 📱 Chat with us here : 📱 Hybridgrades101@gmail.com When to screen for syphilis (all ages)? - =Answer>> When sexually active; PRN or w/ Pap smear When to start testicular/breast exam for males? - =Answer>> Start at adolescent (11 yoa); monthly When to screen for HIV (all ages)? - =Answer>> Sexual activity or IV drug user; ALWAYS assess knowledge of prevention, contraception, a nd protection, etc When to screen for meningococcal (menomune, Menactra, Menveo) and Vaccinate? - =Answer>> Everyone 11-18 yoa; Revaccinate once for high risk (college freshman in dorms) after 5 years from last. When to give the Influenza vaccine to adolescents and older? - =Answer>> Annually When to give Td vaccine? - =Answer>> Age 7 and up; Q10 years; Substitute 1 dose w/ Tdap (Adacel): Not indicated after 65 yoa When to give the pneumococcal vaccine? - =Answer>> PPSV23: Age 19-64 who is smoker, asthma, COPD, DM, or alcoholic. When to do PPD screening? - =Answer>> Once during adolescents and Q2 years if at risk or exposure to TB How often to do physical exam for ages 20-59? - =Answer>> Q5- years How offen to do physical exam for 60 & older? - =Answer>> Q 2 years When to start pap smear with GC & Chlamydia screen and Cytology? How often? - =Answer>> Age 21; Q3 years; Discontinue> 65 w/ consecutive normal cytology or no a bnormal test in past 10 years Need Writing 📱Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📱
📱Hit Me UP__ Inbox Open 24/7 – 365 …...!!!! 📱 Chat with us here : 📱 Hybridgrades101@gmail.com When should a Glaucoma screening (Tonometry) start? How often? - =Answer>> Age 40; Annually When should Herpes Zoster (Zostavax) be given? How often? - =Answer>> Age 60; Once Sensitivity - =Answer>> True positive , the degree to which those who have a disease screen/test positive. Specificity - =Answer>> True negative; the degree to which those who DO NOT have a disease screen/test negative Incidence - =Answer>> The frequency/rate a disease/disorder/new case appears in a certain population or area at a given time. Prevalence - =Answer>> The proportion of a population affected by a disease/disorder at a particular time. Major causes of death per age group: Adolescents (12-19), Young Adults (20-39), Middle Aged adults (40-59) & Elderly ( ≥60)? - =Answer>> Adolescents: MVCs, Suicide, Homicide, malignancy, CVD and congenital dz. Young Adults: MVCs, Homicide, Suicide, Injuries, Heart dz, and AIDS. Middle Age: HD, Accidents, CVA COPD, Lung/Breast/Colorectal cancer. Elderly: HD, CVA, COPD Pnuemo/Influenza, Lung/Colorectal Cancer. Leading cause of death in African Americans < 35 yoa? - =Answer>> Homicide Leading cause of death in African Americans < 40 yoa? - =Answer>> AIDS Need Writing 📱Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📱
📱Hit Me UP__ Inbox Open 24/7 – 365 …...!!!! 📱 Chat with us here : 📱 Hybridgrades101@gmail.com Leading cause of death in African Americans? - =Answer>> Heart Disease Top 4 killers of adults in the US? - =Answer>> Heart Dz (CAD), Colorectal Cancer, Lower Resp dz (COPD, asthma, pneumonia, influenza, etc), & CVA (Note listed in order of top 4) Cancer responsible for the highest mortality rate? - =Answer>> Lung cancer Leading GYN cancer killer in women? - =Answer>> Ovarian Highest incidence of cancer other than skin cancer in women? - =Answer>> Breast 2nd most common cancer in men other than skin cancer? - =Answer>> Prostate Leading cancer killer in men and women? Second leading? - =Answer>> Lung: Colorectal Primary prevention and examples: - =Answer>> Promote health prior to onset: healthy diet, exercise, avoiding tobacco, seat belts, immunizations, safety initiatives, etc. Secondary prevention and examples - =Answer>> Early identification & treatment existing problems: Pap smear, Prostate cancer, and cholesterol screenings, etc. Tertiary prevention and examples: - =Answer>> Rehabilitation and/or restoration to health: Cardiac rehab after MI, PT after MVC, etc Need Writing 📱Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📱
📱Hit Me UP__ Inbox Open 24/7 – 365 …...!!!! 📱 Chat with us here : 📱 Hybridgrades101@gmail.com Which herbs increase risk of clotting? - =Answer>> St. John's Wort Which herb should not be taken with ASA Warfarin? - =Answer>> St. John 's Wort Which herb interacts with SSRIs (May increase serotonin syndrome)?
📱Hit Me UP__ Inbox Open 24/7 – 365 …...!!!! 📱 Chat with us here : 📱 Hybridgrades101@gmail.com What are reportable diseases? - =Answer>> Gonorrhea, Chlamydia, Syphilis (Glascow Comma Scale), HIV & TB NP are required to report specific health-related information commonly involving? - =Answer>> Criminal acts/Injury with weapon, Certain diseases, Animal bites, Suspected/actual child/elderly abuse but not DV. Social services provide what services? - =Answer>> DV/Abuse, and help with resources Who would be called for to protect pt safety and safety of others? - =Answer>> Security officer Who sets the standards for reimbursement and cutting cost? - =Answer>> Medicare Pt comes in c / o SOB but otherwise they feel good. What type of assessment would you perform & document? - =Answer>> Comprehensive (Could be lung, cardiac, renal, etc) What type of assessment would an NP perform for a new pt with a complaint? - =Answer>> Comprehensive Which of Medicare requires premium? - =Answer>> Part B & D Medicare Part A covers? - =Answer>> Inpt/hospitalizations; SNF, HHS, and or Hospice with inpatient event (65 yoa & up) Medicare Part B covers? - =Answer>> Physician services, Outpt services, Labs & diagnostics, medical equip and some HHS. Medicare Part C covers? - =Answer>> Medicare advantage; Can receive A & B benefits through one provider organization under part C Need Writing 📱Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📱
📱Hit Me UP__ Inbox Open 24/7 – 365 …...!!!! 📱 Chat with us here : 📱 Hybridgrades101@gmail.com Who provides guidelines for nursing practice (Scope of practice) per state? - =Answer>> State Nurse Practice Act Authoritative statement to measure quality of practice, service, or education - =Answer>> ANA Standards of Advanced Practice What authorizes use of title and scope of practice including prescriptive authority and disciplinary grounds. - =Answer>> State Practice Act Licensure is granted as defined by rules and regulations set forth by which governmental regulatory body? - =Answer>> BON (Board of Nursing) What encompasses required education, licensure, and certifications to practice as NP? - =Answer>> Credentials What establishes that a person is qualified to perform in a particular professional role? - =Answer>> Licensure What establishes that a person has met certairn standards in a particular profession which signify mastery of specialized knowledge/skills? - =Answer>> Certification; granted by nongovernmental agencies such as AANP, ANCC, PNCB, or NCC. Who granted NPs admitting privileges to hospital? - =Answer>> Joint Commission Non-maleficence - =Answer>> Duty to do no harm Utilitarianism - =Answer>> The greatest good for the greatest number Need Writing 📱Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📱
📱Hit Me UP__ Inbox Open 24/7 – 365 …...!!!! 📱 Chat with us here : 📱 Hybridgrades101@gmail.com Beneficence - =Answer>> Duty to prevent harm and promote good Justice - =Answer>> Duty to be fair Fidelity - =Answer>> Duty to be faithful Veracity - =Answer>> Duty to be truthful Autonomy - =Answer>> Duty to respect an individual's thoughts/actions. During 911, who would you have helped first? A. People running down street B. People above burning building C. People below burning building - =Answer>> People running down street 1st People below burning building 2nd People above burning building last. Which two ethical principles could be a conflict of interest? - =Answer>> Beneficence& Autonomy or Fidelity & Veracity Can an NP withdraw care from a patient? - =Answer>> Yes, with proper notice (15-30 days post termination. Send certified letter What is the NP obligation for closing practice d/t relocation, retirement, or other changes? - =Answer>> Provide adequate time/notification for pt to find another provider Keep records for 5 years, follow state laws. A lawyer is hired to defend case, hires an expert witness. Lawyer tells witness to be specific about what happened but also to be clear that what the NP did was the only option available. We are paying Need Writing 📱Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📱
📱Hit Me UP__ Inbox Open 24/7 – 365 …...!!!! 📱 Chat with us here : 📱 Hybridgrades101@gmail.com Cross sectional design - =Answer>> Studies a population with similar attributes (ie asthma) but differ in one area (ie, age during a specific time. Usually surveys. Cohort design - =Answer>> Compares certain outcome (ie, lung cancer) in groups who are alike but differ by a certain characteristic (eg, females nurses who smoke to those who don't smoke). .Longitudinal design - =Answer>> Involves taking multiple measures of a group or population over an extended period of time to find relationships between variab es. Experimental - =Answer>> Must be random and have a control group to test effects of an intervention or experiment Quasi-experimental - =Answer>> Involves manipulation of variables but lacks a control group or randomization. Qualitative - =Answer>> Involves observation and interview techniques to explore phenomena through detailed description of people, events, situations, or observed behaviors. Advantages and disadvantages of a Qualitative design? - =Answer>> Bias is a potential problem, calls into question generalizability of findings, but produces rick data through no other means of research. What shows a statistically significant difference between groups. - =Answer>> P. value What does the perfect correlation measurements mean? - =Answer>> -1 perfect negative correlation; O absence of correlation, &+1 perfect positive correlation. Need Writing 📱Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📱
📱Hit Me UP__ Inbox Open 24/7 – 365 …...!!!! 📱 Chat with us here : 📱 Hybridgrades101@gmail.com Liability - =Answer>> Legal responsibility that the NPs actions failed to meet the standard of care resulting in actual or potential ham to the patient Negligence - =Answer>> Failure to do what a reasonable person would do resulting in injury to the patient. Malpractice - =Answer>> Failure of NP to render services with the degree of care, diligence and precaution another NP under similar circumstances would render to prevent injury to someone else. Assault - =Answer>> Threat to do bodily harm with the appetant, present ability to cause harm causing apprehension in another individual. Battery - =Answer>> Actually doing bodily harm by striking a person his clothing, or anything which he is in contact Defamation - =Answer>> A communication that causes someone to suffer a damage reputation by Libel or slander. Libel - =Answer>> Defaming, distributed written material Slander - =Answer>> Spoken defamation to another other than defamed party. Malpractice may involve: - =Answer>> Professional conduct, Unreasonable lack of skill, Illegal/immoral conduct, Other allegations resulting in harm to a patient. Does malpractice insurance cover the NP from charges of practicing medicine without a license when practicing outside the legal scope of practice for that State? - =Answer>> No Need Writing 📱Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📱
📱Hit Me UP__ Inbox Open 24/7 – 365 …...!!!! 📱 Chat with us here : 📱 Hybridgrades101@gmail.com What is used for break-through cancer pain? - =Answer>> Sustained release Fentanyl patches Fever - =Answer>> 1. Body temp above normal (> 37C = 98.6 F). 38.3 C = 101.5 F Causes of Fever - =Answer>> Infection, SLE, arteritis, cerebral hemorrhage, brain tumor, cancers, MI, PE, IBD, alcoholic hep, Hyperthyroid, pheochromocytoma, hematoma, neuroleptic malignant syndrome, Serotonin syndrome, and malignant hyperthermia. What causes neuroleptic malignant syndrome? Tx? - =Answer>> Antipsychotic medications; fluids to flush system. Treatment for fever - =Answer>> Antimicrobial if microbe present, antipyretics, and tx underlying cause. Causes of post-op fever? - =Answer>> Atelectasis, ↑BMR, Dehydration, Drug reaction. Infectious post-op fever is usually accompanied by: - =Answer>> Subjective findings and WBC elevated with left shift (i.e., bandemia - immature bands) Causes of Infectious post-op fever? - =Answer>> WBC elevated over 30,000 if 42,000 Leukemia. Surgical incision, IV sites, Catheter, UTI, Lungs, Sinusitis from NG tube, Abscess (intra- abdominal). Treatment post-op fever w/o signs of infection? - =Answer>> Hydration and measure to expand lungs (airway). Need Writing 📱Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📱
📱Hit Me UP__ Inbox Open 24/7 – 365 …...!!!! 📱 Chat with us here : 📱 Hybridgrades101@gmail.com Treatment for infectious post-op fever - =Answer>> Fluid therapy, Tylenol, tx underlying cause, and Gram stain and C&S all invasive lines/catheters. Elevated eosinophils would indicate? - =Answer>> Allergic reaction Post op pt has fever for 3 days, WBC 15,000, Eosinophils 996 , Blood cultures negative. Which of the following is the most likely dx? A. Drugs, B. Viral, C. Malignant hyperthermia, D. Bacterial. - =Answer>> A. Drug fever. Rationale: Elevated eosinophils represents allergic reaction. Pt is having an allergic fever to drugs. BC (-) r/o bacteria, Malignant hyperthermia (MH) would have an extremely high temp (104 F) which would happen immediately thus not MH All of the following are expected findings with cluster HA except? a. Nasal congestion, rhinorrhea, eye redness b. Daily periorbital pain c. Related to alcohol d. Vise like pain, apathy, inability to concentrate - =Answer>> D. Vise like pain, apathy, inability to concentrate are ssx of Tension HA not Cluster. Tension HA SSX - =Answer>> Most common. Vise-like or tight quality, generalized, most intense in neck or back of head, No focal neurological symptoms, last for several hours. Treatment for Tension HA - =Answer>> OTC analgesics (Tylenol, ASA) and relaxation. Migraine Headache - =Answer>> Two types Classic (w/ arua) or common (w/o arua). Dilation of excessive pulsation of branches external carotid artery; last 2-72 H following trigeminal nerve pathway Need Writing 📱Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📱