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1 paints
QUESTION 18 . Megan K. is a 21-year-old female who presents complaining of irritated eyes. She
says this happens a couple of times a year and this time it is really a problem. Both eyes are
itchy and red and she has a lot of stringy discharge, especially at the end of the day. Her
visual acuity is 20:25 05, 0D, and 0U with her glasses on. Physical exam reveals injected
coniunctiva bilaterally but there is no photophobia. Pupils are equal. round. briskly reactive. and accommodate. The AGACNP knows that immediate treatment should include ophthalmic
application of: I" A Steroids 1"“ B Antihistam
ine
r" C Antibiotic r“ DCycloplegi
. c I. _.._.!_..L_.

 
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QUESTION 7 Sean is a 29-year—old male who presents to the emergency department for evaluation
and treatment of foreign body in the eye. Ophthalmic anesthesia is achieved and removal is attempted unsuccessfully with a moist cotton tipped swab. A wet fluorescein stain is applied
to the lower eyelid, and a corneal abrasion ruled out but the AGACNP notes a positive Seidel sign. This indicates: r“ A Penetration of the cornea with resultant
aqueous leak f’“ B A rust ring remnant due to metal foreign
body f" C An elevated intraocular pressure 1"“ D Paradoxical pupil dilation in response to
light

 
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I. PUIIII-a QUESTION 16 A patient with sharp, stabbing chest pain directly over the precordium has a 12-Iead
ECG that demonstrates concave STuT wave elevations in leads II, III, avR, avL. avF. and all six
precordial leads. The AGACNP expects which physical finding? in A A grade IVNI systolic murmur with radiation
to the axilla f” B A split 52 that increases with inspiration r" C Apericardial friction rub I" D An 54 heart sound

 
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QUESTION 21 A il-yearwold male patient with lung cancer is admitted for treatment of sepsis
related to his chemotherapy~induced immunosuppression. He seems to be improving from an infectious perspective, but during today’s assessment the AGACNP appreciates coarse
rales in the lung fields, a blood pressure of 146400 mm Hg, a bounding pulse, and trace pretibial edema. The urine output via Foley catheter has only been 100 mL in the last 3
hours. Suspicious for syndrome of inappropriate antidiuretic hormone (SIADH), the AGACNP orders a basic metabolic panel anticipating which of the following abnormalities? 1"“ A Hypokalemi
a f" BHypocalcem
ia r" C Hyponatrem
ia 1"" D Hypochlore
mia

 
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