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| Section | Objectives |
|---|---|
| Systems Leadership and Quality Improvement | - Healthcare systems improvement
|
| Clinical Judgment and Advanced Practice Nursing | - Comprehensive health assessment and differential diagnosis
|
| Patient and Family Outcomes Management | - Care coordination and chronic disease management
|
| Professional Role Development | - Advanced practice nursing roles and ethics
|
| Evidence-Based Practice and Research | - Translation of research into clinical practice
|
1. A 29-year-old female is in the clinic with abdominal pain and admits to recent unprotected sex. On examination, the CNS discovers cervical motion tenderness and vaginal discharge. Cultures are obtained and sent to the laboratory. The following would also be necessary:
A) acyclovir (Zovirax) 400 mg PO bid x 7 days
B) ceftriaxone (Rocephin) 125 mg IM and azithromycin (Zithromax) 400 mg PO bid x 7 days
C) metronidazole (Flagyl) 500 mg PO bid x 7 days
D) penicillin G 2.4 million units IM
2. Which statement is true regarding the Varicella vaccine?
A) The Varicella vaccine provides temporary passive immunity to infection.
B) Women who do not have immunity should receive the first dose upon completion or termination of pregnancy and before discharge from the health-care facility.
C) The vaccine provides minimal protection against invasive Varicella.
D) The Varicella vaccine is administered in children at 2, 4, 6, and 15 months.
3. A 72-year-old male patient with longstanding hypertension takes an ACE inhibitor and a thiazide diuretic daily. Today his blood pressure is 128/88 and his pulse is 98. He has developed dyspnea on exertion and peripheral edema over the past several days. The ACNS knows that these symptoms demonstrate:
A) development of CHF
B) the need for better blood pressure management
C) fluid or sodium excess
D) noncompliance with medication
4. A 34-year-old female with multiple sclerosis (MS) is in the office. She is now under your care after relocating from another state to live with relatives who can help her. The ACNS understands that which of the following is NOT part of her management plan:
A) Complex treatment regimen must be coordinated with a neurologist.
B) Physical and occupational therapy.
C) Acute exacerbations should be treated with prednisone 60-80 mg/day for 1 week, taper over 2-3 weeks.
D) Corticosteroids are often used for maintenance.
5. Where are most patients extubated after surgery?
A) at home
B) patient room
C) operating room
D) ICU
Solutions:
| Question # 1 Answer: B | Question # 2 Answer: B | Question # 3 Answer: A | Question # 4 Answer: D | Question # 5 Answer: C |
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