ANCC AGACNP-BC Nursing Certification Practice Test PDF Dumps Questions and Ans

1. C E R T S GR A DE High Grade and Valuable Preparation Stuff High Grade and Valuable Preparation Stuff Nursing ANCC AGACNP-BC Adult-Gerontology Acute Care Nurse Practitioner Certification Questions And Answers PDF Format: For More Information – Visit link below: https://www.certsgrade.com/ Version = Version = Product Visit us athttps://www.certsgrade.com/pdf/ancc-agacnp-bc/

2. Latest Version: 6.0 Question: 1 An 80-year-old male has had post-herpetic neuralgia for 11 months, but pain is increasingly intractable despite his taking 10 hydrocodone tablets daily. He has coronary stents in place and takes warfarin. The patient is weak, somnolent, and lethargic, and eats and sleeps poorly. Modifying his pain management should include: A.Weaning patient from hydrocodone and starting gabapentin in slowly increasing doses B.Discontinuing hydrocodone and starting morphine pump C.Weaning patient from hydrocodone and starting biofeedback D.Lowering the dose of hydrocodone and supplementing with NSAIDs Answer: A Explanation: Post-herpetic neuralgia is a chronic pain condition that responds poorly to opioids and is better treated with anticonvulsants, such as gabapentin. Tricyclic antidepressants are also used but may have severe side effects in the elderly. Because the patient has been on high doses of hydrocodone, he may experience withdrawal with abrupt discontinuation of the drug, so the dose should be decreased by one tablet every 2 to 3 days while gabapentin is started at a low dose and slowly increased to reduce incidence of side effects. Morphine pumps and NSAIDs are usually avoided with warfarin and are often ineffective. Question: 2 A 24-year-old female requires emergent treatment for benzodiazepine toxicity resulting from ingestion of large quantities of diazepam combined with alcohol and a combination of other unknown narcotic drugs. She exhibits pronounced lethargy, alterations in mental status, and hypotension. Treatment should include: A.Naloxone B.Flumazenil C.Forced diuresis D.Hemodialysis Answer: A Explanation: Benzodiazepine toxicity is treated with naloxone with co-ingestions. Flumazenil is usually contraindicated because of potential complications and is used only with pure benzodiazepine ingestion. Forced diuresis and hemodialysis have minimal effect on clearance of benzodiazepines IV fluids are used to treat hypotension. Gastric emptying is usually avoided as it is only useful if Visit us athttps://www.certsgrade.com/pdf/ancc-agacnp-bc/

3. done within one hour of ingestion. Primary care is supportive with monitoring of CNS and respiratory depression and treatment as indicated. Question: 3 When forced expiratory volume in one second (FEVI) is markedly more reduced than the reduction in forced vital capacity (FVC), the patient is probably experiencing: A.Restriction of maximal lung expansion B.Airway obstruction C.Depressed respiratory center D.Limitation in neurological impulses to the muscles of respiration Answer: B Explanation: Airway obstruction often results in FEVI that is more reduced than FVC because the air is trapped and cannot be readily expelled in one second. Normally, FEVI is about 80% of vital capacity with most of the remaining air expelled by 3 seconds (FEV3). Proportional reduction of both FEVI and FVC indicate reduced lung expansion. Depression of respiratory centers results from anesthesia or sedation. Limitation in neurological impulses results from damage to the brain or spinal cord. Question: 4 Which of the following neurological disorders is characterized by ascending paralysis? A.Myasthenia gravis B.Limb-girdle muscular dystrophy C.Guillain-Barré syndrome D.Huntington's disease Answer: C Explanation: Guillain-Barré syndrome (GBS) is an autoimmune disorder of the myelinated motor peripheral nervous system, often triggered by a viral gastroenteritis or Campylobacter jejuni infection. It is characterized by numbness and tingling with increasing weakness of lower extremities that often ascends to involve the arms and may become generalized, sometimes resulting in complete paralysis and inability to breathe without ventilatory support. Deep tendon reflexes are typically absent and some people experience facial weakness and ophthalmoplegia (paralysis of muscles controlling movement of eyes). Question: 5 A patient with a score of 10 on the Glasgow coma scale is classified as: Visit us athttps://www.certsgrade.com/pdf/ancc-agacnp-bc/

4. A.Comatose B.Severe head injury C.Moderate head injury D.Mild head injury Answer: C Explanation: A score of 10 on the Glasgow Coma Scale (GCS) indicates a moderate head injury. GCS measures the depth and duration of coma or impaired level of consciousness and is used for postoperative/brain injury assessment. The GCS measures three parameters—best eye response, best verbal response, and best motor response—with a total possible score that ranges from 3 to 15. Injuries/conditions are classified according to the total score: •3-8 coma •28 severe head injury •9-12 moderate head injury •13-15 mild head injury Question: 6 Which of the following immunizations is recommended for adults 260? A.Pneumococcal polysaccharides vaccine (PPV) B.Hepatitis B C.Hepatitis A D.Herpes zoster Answer: D Explanation: The herpes zoster vaccine is recommended for those 260 years old. A single dose of the vaccine is needed. Studies indicate that it prevents about 50% of herpes zoster cases and decreases the pain and severity of those who still develop the disease. Pneumococcal polysaccharides vaccine (PPV) is recommended for those 265. Hepatitis B vaccine is recommended for older adults with ESRD and hepatitis A vaccine for those at risk depending upon lifestyle (males who have sex with other males or illegal drug users) or medical condition (chronic liver disease, those receiving clotting factor concentrates). Question: 7 According to the ANA Nursing Code of Ethics, nurses must support a patient's autonomy and self-determination. If a 24-year old Asian female patient states a treatment preference but plans to leave the decision to family members, the nurse should: A. Try to convince the patient to assert herself Visit us athttps://www.certsgrade.com/pdf/ancc-agacnp-bc/

5. B. Recognize that cultural values regarding individualism vary and respect the patient's right to be guided by family C. Tell the family that the patient should be the one to make the decision D. Ask the ethics committee to intervene Answer: B Explanation: Under the ANA Nursing Code of Ethics, autonomy and self-determination are viewed within the broad context of diverse cultures. The idea of individualism is less important in some cultures, so the nurse must respect and appreciate the patient's right to be guided by her family. Trying to convince the patient to assert herself may just lead to emotional conflict. This is not an appropriate concern for the ethics committee, as the woman is not being forced to comply with family decisions but chooses to do so. Question: 8 An 80-year-old patient has no insurance but is brought to the emergency room of a private hospital after a motor vehicle accident. The patient is hypovolemic and unstable, but the physician wants to transfer the patient. Which of the following acts should the nurse practitioner cite as a reason to stop the transfer until the patient stabilizes? A.Health Insurance Portability and Accountability Act (HIPAA) B.Emergency Medical Treatment and Active Labor Act (EMTALA) C.Americans with Disabilities Act (ADA) D.Older Americans Act (OAA) Answer: B Explanation: EM TALA prohibits patient "dumping" from EDS. Stabilization of emergent conditions or active labor must be done prior to transfer, and the patient's condition should not deteriorate during transfer. HIPAA addresses the rights of the individual related to privacy of health information. ADA is civil rights legislation that provides people with disabilities, including those with mental impairment, access to employment and the community. OAA provides improved access to services for older adults and Native Americans, including community services (meals, transportation, home health care, adult day care, legal assistance, and home repair). Visit us athttps://www.certsgrade.com/pdf/ancc-agacnp-bc/

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