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ANCC Acute Care Nurse Practitioner Certification
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Question: 1
Which of the following diagnostic tests is most appropriate for evaluating suspected deep vein thrombosis (DVT)?
1. Chest X-ray
2. Electrocardiogram (ECG)
agnetic resonance imaging (MRI) wer: C
anation: The most appropriate diagnostic test for evaluating suspected hrombosis (DVT) is the D-dimer blood test. D-dimer is a fibrin adation product that is elevated in the presence of thrombosis. A posit mer result can support the diagnosis of DVT, but further imaging tests ally required to confirm the diagnosis. Chest X-ray (A) and rocardiogram (ECG) (B) are not specific for DVT and are more usefu uating other conditions such as pulmonary embolism or cardiac rmalities. Magnetic resonance imaging (MRI) (D) can be used to visu
vessels and diagnose DVT, but it is not typically the initial diagnosti f choice.
stion: 2
ch of the following is an example of a quality improvement process in
D-dimer blood test
3. M
Ans
Expl deep
vein t
degr ive
D-di are
typic
elect l in
eval
abno alize
blood c
test o
Que
Whi healthcare?
1. Conducting a research study
2. Implementing evidence-based practice guidelines
3. Monitoring patient satisfaction surveys
4. Providing continuing education for healthcare professionals
Answer: C
ation for healthcare professionals (D) is important for maintaining petency but is not solely focused on quality improvement.
stion: 3
ch of the following medications is a direct thrombin inhibitor? arfarin
ivaroxaban abigatran lopidogrel
wer: C
anation: Dabigatran is a direct thrombin inhibitor. It acts by binding t mbin and preventing its conversion of fibrinogen to fibrin, thereby iting the formation of blood clots. Warfarin (A) is a vitamin K antago
rivaroxaban (B) is a factor Xa inhibitor. Clopidogrel (D) is an antipl
Explanation: Monitoring patient satisfaction surveys is an example of a quality improvement process in healthcare. It involves collecting feedback from patients to assess their experiences, identify areas for improvement, and make changes to enhance the quality of care. Conducting a research study (A) and implementing evidence-based practice guidelines (B) can contribute to quality improvement but are not specific to the process itself. Providing continuing educ
com Que Whi
1. W
2. R
3. D
4. C
Ans
Expl o
thro
inhib nist,
while atelet
agent that inhibits platelet aggregation by blocking the P2Y12 ADP receptor.
Question: 4
Which of the following factors should be considered when conducting a risk stratification in vulnerable populations?
1. Socioeconomic status
2. Genetic predisposition
3. Environmental exposures
4. All of the above Answer: D
rtant to consider multiple factors, including socioeconomic status, ge sposition, and environmental exposures. Vulnerable populations may ue risk profiles and disparities that require comprehensive assessment vention. Considering all of these factors (A, B, and C) helps in develo istic understanding of the risks and tailoring appropriate interventions
stion: 5
ch of the following best describes the purpose of a standardized assess n clinical practice?
ensure cost-effective care assess psychosocial factors
measure health promotion and disease prevention provide consistent and objective data collection
wer: D
Explanation: When conducting risk stratification in vulnerable populations, it is impo netic
predi have
uniq and
inter ping
a hol .
Que
Whi ment
tool i
1. To
2. To
3. To
4. To
Ans
Explanation: The purpose of a standardized assessment tool in clinical practice is to provide consistent and objective data collection. These tools help healthcare providers gather information in a systematic manner, ensuring that the same parameters are assessed for all patients. This promotes consistency in data collection and allows for reliable comparisons and evaluations. Standardized assessment tools do not specifically address cost-effective care (A), psychosocial factors (B), or health promotion and disease prevention (C).
Which of the following pathophysiological mechanisms is primarily responsible for the development of pulmonary edema in acute heart failure?
1. Increased capillary permeability
ecreased cardiac output
mpaired sodium reabsorption in the renal tubules wer: A
anation: Pulmonary edema in acute heart failure is primarily caused b ased capillary permeability. In this condition, fluid leaks from the onary capillaries into the alveoli, leading to impaired gas exchange a ratory distress. Increased systemic vascular resistance (B) can contrib ased afterload and exacerbate heart failure, but it is not the primary hanism for pulmonary edema. Decreased cardiac output (C) can lead t retention and contribute to heart failure, but it is not the direct cause onary edema. Impaired sodium reabsorption in the renal tubules (D) c
in fluid overload, but it is not the primary mechanism for the lopment of pulmonary edema in acute heart failure.
stion: 7
Increased systemic vascular resistance
2. D
3. I
Ans
Expl y
incre
pulm nd
respi ute to
incre
mec o
fluid of
pulm an
result deve
Que
Which of the following interventions is considered a non-pharmacologic treatment for chronic pain?
1. Nonsteroidal anti-inflammatory drugs (NSAIDs)
2. Opioid analgesics
3. Physical therapy
4. Corticosteroids
anagement.
stion: 8
ch of the following is the first indication of diabetic nephropathy in pa iabetes mellitus?
ncreased creatinine
creased blood urea nitrogen (BUN) icroalbuminuria
acroalbuminuria wer: C
anation: Microalbuminuria refers to the presence of small amounts of min in the urine and is considered the earliest sign of diabetic nephrop tients with diabetes mellitus. It is typically detected before there is ficant impairment in renal function. Increased creatinine (A) and incre
Explanation: Physical therapy is considered a non-pharmacologic treatment for chronic pain. It involves the use of various physical modalities, exercises, and techniques to manage pain, Excellerate function, and promote rehabilitation. Nonsteroidal anti-inflammatory drugs (NSAIDs) (A), opioid analgesics (B), and corticosteroids (D) are pharmacologic interventions commonly used for pain m
Que
Whi tients
with d
1. I
2. In
3. M
4. M
Ans Expl
albu athy
in pa
signi ased
blood urea nitrogen (BUN) (B) are indicators of impaired renal function, but they occur at a later stage of diabetic nephropathy. Macroalbuminuria (D) is characterized by the presence of large amounts of albumin in the urine, indicating more advanced kidney damage.
Question: 9
1. The ability to understand and interpret medical jargon
2. The ability to access healthcare services
3. The ability to understand and use health information to make informed decisions
h wer: C
anation: Health literacy refers to the ability to understand and use heal mation to make informed decisions about one's health. It involves the city to obtain, process, and understand basic health information and ces needed to make appropriate health decisions. While understandin preting medical jargon (A) and accessing healthcare services (B) are rtant aspects of health literacy, the core concept is the ability to prehend and use health information effectively. Navigating the healthc m and advocating for one's own health (D) is related to health literac
its sole definition.
The ability to navigate the healthcare system and advocate for one's own healt
Ans
Expl th
infor capa
servi g and
inter impo
com are
syste y but
is not

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