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AGACNP 106 FINAL EXAM| ACTUAL 150+QUESTIONS&ANSWERS|A+ GRADE. NEWEST UPDATE 2025 SPRING., Exams of Gerontology

AGACNP 106 FINAL EXAM| ACTUAL 150+QUESTIONS&ANSWERS|A+ GRADE. NEWEST UPDATE 2025 SPRING. RATED A+

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2024/2025

Available from 06/05/2025

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AGACNP 106 FINAL EXAM| ACTUAL 150+QUESTIONS&ANSWERS|A+
GRADE. NEWEST UPDATE 2025 SPRING. RATED A+
What disease conditions do you see Telangiectasia in?
Differential?
Physical Exam? - ANS:->>>--("spider veins") dilated or broken blood vessels located near
the surface of the skin or mucous membranes.
-Rosasea
-Liver dx
-Scleroderma
-Lupus
-Corticosteriod use
-Raynauds
-Basal cell Skin CA
-Differential: PVD
-PE: Hemosiderans deposition (staining)
Type 1 Error - ANS:->>>--False positive
-Incorrectly rejecting the true null hypothesis (occurs if the null hypothesis is rejected when
it is true)
-Rejection of the null hypothesis when it is actually true.
Type 2 Error - ANS:->>>--False negative
-Failing to reject a null hypothesis which is false (occurs if the null hypothesis is not
rejected when it is false)
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Download AGACNP 106 FINAL EXAM| ACTUAL 150+QUESTIONS&ANSWERS|A+ GRADE. NEWEST UPDATE 2025 SPRING. and more Exams Gerontology in PDF only on Docsity!

AGACNP 106 FINAL EXAM| ACTUAL 150+QUESTIONS&ANSWERS|A+

GRADE. NEWEST UPDATE 2025 SPRING. RATED A+

What disease conditions do you see Telangiectasia in? Differential? Physical Exam? - ANS:->>>--("spider veins") dilated or broken blood vesselslocated near the surface of the skin or mucous membranes.

  • Rosasea
  • Liver dx
  • Scleroderma
  • Lupus
  • Corticosteriod use
  • Raynauds
  • Basal cell Skin CA
  • Differential: PVD
  • PE: Hemosiderans deposition (staining) Type 1 Error - ANS:->>>--False positive
  • Incorrectly rejecting the true null hypothesis (occurs if the null hypothesis is rejectedwhen it is true)
  • Rejection of the null hypothesis when it is actually true. Type 2 Error - ANS:->>>--False negative
  • Failing to reject a null hypothesis which is false (occurs if the null hypothesis is not rejected when it is false)

National mandate to prevent VAP? - ANS:->>>-Elevate the HOB Credentials - ANS:->>>-1. Encompass required education, licensure andcertification

  1. Establish minimal levels of acceptable performance
  2. Necessary to: ensure the safe healthcare is provided by qualified individuals and comply with federal and state laws relating to advanced practice nursing
  3. Scope of practice
  4. Mandates accountability
  5. Enforces professional standards of practice What is credentialing or priviliging? - ANS:->>>--Process by which a NP is grantedpermission to practice in an inpatient setting
  • Credentialing with hospital privileges is granted by a Hospital Credentialing Committee comprised of MDs who hold privileges at the given hospital where the NP has made request
  • Privileges may be granted in part or full; stipulations regarding the allowance of future privileges may be made by the Credentialing Committee Licensure - ANS:->>>--Establishes that a person is qualified to perform in aparticular profession.
  • Granted as defined by rules and regulations set forth by a governmental regulatory body Who gives licensure? - ANS:->>>-State board of nursing What is sensitivity? - ANS:->>>--True positives
  • The degree to which those who have a disease screen/test positive What is specificity? - ANS:->>>--True negatives

cefepime/ceftazidine or imipenem/meropenem or aztreonam

  • Gram neg with antipseudomonal coverage: non-beta lactam-based agents = levofloxacin/cipro or amikacin/gentamicin/tobramycin or colistin/polymyxin B Right flank pain radiating to the back could indicate? - ANS:->>>-Pancreatitis What is treatment for cardiac tamponade? - ANS:->>>-Pericardiocentesis toremove the blood and fluid from around the heart Scope of Practice NP - ANS:->>>--Based on legal allowances in each state
  • According to and delineated by individual State Nurse Practice Acts
  • Provides guidelines for nursing practice; varies from state to state Vaccines after splenectomy most important? Others? - ANS:->>>--Meningococcal: conjugate (MenACWY) and serogroup B(MenB) and pneumococcal conjugate (PCV13) and polysaccharide (PPSV23)
  • Hib
  • Influenza each year
  • Tdap
  • Zoster
  • HPV
  • MMR
  • Varicella Addisons Disease Addisons lab findings?

Test to rule out Cushing's? - ANS:->>>--Adrenocorticotropic hormone (ACTH) hypersecretion- too much steroid

  • Hyperglycemia, hypernatremia, hypokalemia, glycosuria, leukocytosis (WBC > 10), elevated plasma cortisol in the AM, serum ACTH elevated, elevated urine free cortisol(normal is
  • Dexamethasone suppression test What ethnicity like to have DM and not seek treatment? - ANS:->>>-Hispanics Steps in the Research Process - ANS:->>>-1. Formulating the research problem2. Reviewing related literature
  1. Formulating the hypotheses 4. Selecting the research design
  2. Identifying the population to be studied6. Specifying methods of data collection 7. Designing the study
  3. Conducting the study9. Analyzing the data
  4. Interpreting the results
  5. Communicating the findings Arcus Senilis - ANS:->>>--A cloudy appearance of the cornea with a gray/whitearc or circle around the limbus
  • Due to deposition of lipid material
  • No effect on vision
  • Permanent color change of the eye
  • Underlying issue = HLD Ventilatory settings for ARDS - ANS:->>>--Peep = 10 (manage pulmonaryshunting by adding PEEP)
  • Tidal volume 6-8 mL/kg ideal body weight (low tidal volume to prevent acute lung injury) Medicare Part A covers? - ANS:->>>--Inpatient/hospitalization
  • Skilled nursing facility services
  • Home health services
  • Hospice (inpatient) Medicare Part B covers? - ANS:->>>--Physician services
  • Outpatient hospital services
  • Labs and diagnostic procedures
  • Medical equipment
  • Some home health services
  • Hypomagnesemia
  • Hypocalcemia
  • Thiamine Def What labs do you check for with TPN? - ANS:->>>--Albumin
  • Glucose? Pt says don't tell my daughter about my diagnosis, what ethical principle is this honoring? - ANS:->>>-Fidelity
  • The duty to be faithful ICU pt, 2 days post extubation fails swallow study. Keep in ICU or transfer to floor? - ANS:->>>-Transfer to step down Veracity - ANS:->>>-The duty to be truthful DNR with advanced directives, family asking for everything to be done? - ANS:->>>- We don't go against advanced directives

Pt comes in with CHF and dementia, first thing NP should do? - ANS:->>>-Assesscognition Side effect Levothyroxine (Synthroid)? - ANS:->>>-Alopecia What pt most likely to have angioedema with ACE? - ANS:->>>-African American Labs for salicylate (ASA) overdose? - ANS:->>>--Hyperkalemia

  • Elevated liver enzymes
  • Metabolic acidosis What should you watch for with CA pts with bone mets? - ANS:->>>-Hypercalcemia Treatment for ethylene glycol (antifreeze) ingestion? - ANS:->>>-Fomepizole(antizole) GCS Level/severity for TBIs - ANS:->>>-- 13 - 15 = mild
  • 9 - 12 = moderate
  • 3 - 8 = severe Initial treatment for respiratory distress with wheezing and stridor secondary to anaphylaxis? - ANS:->>>-Sub Q epinephrine (0.3-0.5mg of 1 mg/ml) Causes pre-renal failure - ANS:->>>-Outside kidney
  • Impaired renal perfusion (shock, dehydration, cardiac failure, burns, diarrhea, sepsis/vasodilation) Can pre-renal failure be reversed? - ANS:->>>-Can only be reversed when theunderlying cause of hypoperfusion is corrected

Thalassemia minor is what? - ANS:->>>--Microcytic, hypochromic anemia

  • Decreased alpha/beta Hgb chains
  • Abnormal Hgb production
  • TIBC/ferritin are normal
  • Minor = heterozygous Iron Deficiency Anemia, what type of anemia? Labs/Diagnostics? - ANS:->>>-- Microcytic, hypochromic anemia
  • Low Hgb
  • Low Hct
  • Low MVC
  • Low MCHC
  • Low RBC
  • Low serum iron
  • Low serum ferritin
  • High TIBC
  • High RDW Pernicious anemia, what type of anemia? S/S? - ANS:->>>--Macrocytic, normochromic anemia (megaloblastic)
  • Positive neuro findings: paresthesia, loss of vibratory sense, loss of fine motor control,

positive Romberg, positive Babinski S/S of meth overdose? - ANS:->>>--Mydriasis - dilated pupils

  • Hallucinations
  • Hyperthermia Mainstay treatment of COPD? - ANS:->>>-Ipratropium bromide orsympathomimetics Emergent tx bleeding duodenal ulcer w/stable labs? - ANS:->>>--IV PPIcontinuous
  • GI consult for endoscopy When do you give thrombolytic for an MI? - Revascularization What would make it contraindicated? - ANS:->>>--Unrelieved chest pain (>30 minutes and < hours) WITH ST segment elevation > 0.1 V in two or more contiguousleads

4: medium dose ICS +LABA Step 5: high dose ICS+LABA Step 6: high dose ICS+LABA + Oral corticosteroid Ulcerative Colitis Treatment - ANS:->>>-1. Mesalamine (Canasa) suppositories orenemas for 3 to 12 weeks

  1. Hydrocortisone suppositories and enema Diverticulitis Treatment - ANS:->>>-1. NPO2. IVF to maintain hydration
  2. Significant GI bleeding is present, treat like PUD
  3. 20 - 30% of patients will require surgical management: Surgical consult UpToDate: ATB cipro/flagyl or levo/flagyl surgical consult on admit SIADH Labs/Diagnostics - ANS:->>>--Hyponatremia (yet euvolemic)
  • Decreased serum osmolality (<280)
  • Increased serum urine osmolality (>100)
  • Urine sodium >
  • Renal, cardiac, thyroid function normal DI Labs/Diagnostics - ANS:->>>--Hypernatremia
  • Elevated BUN/Creatinine
  • Serum osmolality >
  • Urine osmolality <
  • Urine specific gravity low <1. What side effect to watch for Metoclopramide (Reglan)? - ANS:->>>--EPS - tardivedyskinesia
  • Black Box warning What is a contraindication for using Succinylcholine? - ANS:->>>-Hyperkalemia Collaborative Practice - ANS:->>>--Enhance quality of care
  • Improve patient outcome
  • Collaboration = true partnership in which all parties have desire and power, sharecommon goals, accept separate areas of responsibilities and activities Pericarditis Treatment? Test to identify? What is a complication to watch for? - ANS:->>>--Inflammation of the pericardium

AAA Screening - ANS:->>>-- 65 - 75 who have/currently smoke

  • Selective screening for those that have never smoked Colorectal Screening - ANS:->>>-- 45 - 75 yrs
  • Stool based test every 3 years
  • Flexible sigmoid every 5yrs
  • Colonoscopy every 10 yrs PSA/DRE Screening - ANS:->>>--Start at 40 yrs for men with family history or AA
  • Annually for everyone else > Mammogram Screening - ANS:->>>--Annually for aged 45- 54
  • Every 2 years after age 50 - 74
  • For aged 75 years and older, no specific recommendations to D/C PAP Smear Screening - ANS:->>>--Begin at age 21
  • Pap + cytology: age 21 - 65 every 3 years
  • Cytology + HPV co-test: age 30- 65 every 5 years HPV Vaccine - ANS:->>>--Age 9 - 14 yrs, series of two 6 months apart
  • Age 15-45, series of three at 0, 2, 6 months What electrolyte abnormality do you see with metabolic alkalosis? - ANS:->>>- Hypokalemia Levels of Evidence Hierarchy (highest to lowest) - ANS:->>>-1. Meta analysis2. Systematic Review
  1. RCTs (quantitative designs)
  2. Quasi-experimental (lack randomization or a control group)5. Qualitative cohort Studies
  3. Case controlled studies7. Editorial/expert opinion Quality Assurance (QA) - ANS:->>>--Process for evaluating the care of patientsusing established standards of care to ensure quality
  • Management process of monitoring, evaluating, continuous review, and improving thequality in providing health care Continuous Quality Improvement (CQI) - ANS:->>>--Systemic process of identifying and analyzing problems and then testing, implementing, learning from andrevision solutions
  • Quality can be improved by continually monitoring structure, process and outcome standards
  1. Structures: inputs into care such as resources, equipment, or numbers and qualifications of staff