K.W. is a 47 year old female patient who has had a complicated course

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1)     K.W. is a 47 year old female patient who has had a complicated course following a gastrointestinal

bypass procedure. She has bedridden and without adequate nutritional support for several days. Her blood pressure has been elevated and difficult to control. She has had 2 units of packed red blood cells and is getting monitored closely for anemia. During a head to toe physical examination a 5 cm are at the base of the patient’s sacrum is appreciated. Is erythematous and non-bleachable. The AGACNP correctly identifies a

a)     Tinea versicolor

b)     Stage-1 pressure ulcer

c)      Candidiasis albicans

d)     Grey-Turner sign

 
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Optimal pain management requires an accurate understanding of the physiology of pain

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1)     Optimal pain management requires an accurate understanding of the physiology of pain. The AGACNP knows

that a significant contributor to inflammatory pain is

a)     Inductive prostaglandin release

b)     Neuropathy of nociceptors

c)      Mechanical stimuli

d)     Thermal stimuli

 
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1)     Karen N. presents with a series of red lesions on her right arm. The one she indicate

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1)     Karen N. presents with a series of red lesions on her right arm. The one she indicate as

first lesion- appeared several days ago and is now red and painful and fluctuant to palpation. Three smaller ones have erupted and although they don’t hurt. She is afraid they will get bigger. The AGACNP knows that which antibiotic is most appropriate after incision and drainage?

a)     Ceftriaxone

b)     Cephalexin

c)      Trimethoprim/sulfamethoxazole

d)     Mupirocin

 
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C.T. is a 39 year old female who presents for evaluation of what she thinks is her 'rosacea

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1)     C.T. is a 39 year old female who presents for evaluation of what she thinks is her ‘rosacea acting

up’. She has a history of acne rosacea and has medicated on and off for years with tetracycline and topical metronidazole. Today however she presents with a pronounced red/purple are on her left cheek extending to the nasal border. It is very warm to touch. The borders of the affected area are very well defined and raised. C.T. also has a temperature of 100.7oF and generalized headache. The AGACNP appreciates tender submandibular and cervical lymphadenopathy. The likely diagnosis is

a)     Complex rosacea
b)     Cellulits
c)      Erysipelas
d)     Allergic reaction

 
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