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QUESTION 38 1. The AGACNP is evaluating 29-year—old female who presents by ambulance and is
unresponsive. There is no witness and no history available; the patient is not wearing any
sort of medic alert bracelet. While assessing for toxicity or overdose. the patient is found to
have vital signs as follows: Temp of 96.2“ F, pulse of 4B b.p.m., respirations of 10 b.p.m.r and blood pressure of BMSD mm Hg. The patient’s pupils are constricted, but do react briskly to
light to 1 mm. The AGACNP suspects which type of substance? P A Cholinesterase inhibiting
drugs 1" B Stimulants such as
MDMA F C Anticholinergics f" D Ethanol or opiates

 
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‘- It’ll-In- QUESTION 12 . jennifer is an laryear-old homeless female who was found unresponsive. She was
admitted to the hospital for management of severe bleeding after a spontaneous abortion escalated to a uterine hemorrhage. An underlying infection and dehydration were corrected
and nutritional supplements were started. Her volume status is stable. morning labs were all within normal limits and she is to be discharged today. When the AGACNP enters the room to
prepare the patient for discharge. she finds her agitated, pale. and diaphoretic with vital signs to include a pulse of 105 bpm, respirations of 24 bpm, blood pressure of none. mm
Hg and a temperature is 91.9“ F. The most appropriate action would be to: f“ A Order a CBC to assess for recurrent
bleeding I“ 3 Request and abdominal CT to assess
for bleeding r’ C Evaluate the patient for anxietyipanic
a

 
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J. palnts
Q U ESTI ON 43
.T. is a 41ryear-old female patient who presents with a chief complaint of
"heartburn." She says that it doesn’t really seem to be related to meals or food—it occurs at
random times. She does note, when asked. that it seems to happen a lot at night and occasionally wakes her up. Her only other symptom complaint is an occasional cough. It
does not produce mucus. and she admits to assuming it was a "nervous" cough. The next appropriate action for the AGACNP would be to:
r" A Order an H. pylori test 1"“ 3 Request a GI consult for endoscopy f" C Order a proton pump inhibitor 30 minutes
before breakfast 1" D Request a 12~hour diet history

 
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1 points
QUESTION 20 A 13-yearrold male presents with a chief complaint of ear drainage. The patient and
his mother both indicate that the patient has not had any pain or any systemic complaints, but the pus—like discharge from the ear is very persistent. According to Mom they went to a
retail clinic two weeks ago and the patient was prescribed both oral antibiotics and ear
drops. but it didn’t help. Physical exam of the ear reveals a painless pinna; otoscope exam
reveals only a large amount of mucopurulent drainage—the tympanic membrane could not
be visualized. The AGACNP knows the diagnosis is most likely: r" A Acute otitis media
1"“ 3 Acute otitis externa
f" C Cholesteatoma r" D Otitis media with
efiufion

 
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