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ACNP-BC : ANCC Acute Care Nurse Practitioner Certification Exam

Nursing ACNP-BC Questions & Answers

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Nursing


ACNP-BC


ANCC Acute Care Nurse Practitioner Certification


https://killexams.com/pass4sure/exam-detail/ACNP-BC

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, improve 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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