P.T. is a 61-year-old male who is seen in follow-up.

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P.T. is a 61-year-old male who is seen in follow-up. He was initially seen for

evaluation of dysphagia. An endoscopy was negative for malignancy and subsequent esophageal manometry supported a diagnosis of esophageal achalasia. While discussing implications and treatment options with P.T., the AGACNP tells him that the primary complication of achalasia is:

A. Progressive esophageal discomfort      B. Aspiration pneumonia      C. Squamous cell carcinoma D.Long-term malabsorption problems

 
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R. is a 51-year-old female who presents in shock following a penetrating injury

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R. is a 51-year-old female who presents in shock following a penetrating injury

to the spinal cord—her boyfriend reportedly stabbed her in the back with an unidentified kitchen utensil. The patient’s mental status is deteriorating, and her vital signs are as follows: temperature 97.2°F, heart rate 131 bpm, respirations 14 breaths per minute, and blood pressure 79/49 mm Hg. The AGACNP presumes neurogenic shock, with the injury likely:

A.Not fully transecting the spinal cord      B. At the level of T10       C. Precipitating sepsis                  D. Producing cardiovascular decompensation

to the spinal cord—her boyfriend reportedly stabbed her in the back with an unidentified kitchen utensil. The patient’s mental status is deteriorating, and her vital signs are as follows: temperature 97.2°F, heart rate 131 bpm, respirations 14 breaths per minute, and blood pressure 79/49 mm Hg. The AGACNP presumes neurogenic shock, with the injury likely:

A.Not fully transecting the spinal cord      B. At the level of T10       C. Precipitating sepsis                  D. Producing cardiovascular decompensation

 
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Janet is a 34-year-old female with no significant medical history who is being

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Janet is a 34-year-old female with no significant medical history who is being

evaluated for a planned uterine ablation. She has significant history of menorrhagia and has been unresponsive to a variety of medical therapies to try to stop the bleeding. Her history and physical examination are within normal limits. The AGACNP knows that Janet will require which one of the following preoperative diagnostic studies?

A. Urinalysis      B. Complete blood count      C. 12-lead electrocardiogram      D.Chest radiography

 
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Which of the following is a normal finding on postoperative day 8

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Which of the following is a normal finding on postoperative day 8 of a carotid

endarterectomy?

A.A temperature of 100.5°F

B. Serosanguinous drainage with some tenderness

C. A flesh-colored induration along the entire length of the incision

D.A fluctuant collection of milky fluid

 
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