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| Section | Weight | Objectives |
|---|---|---|
| Clinical Expertise in Adult Health | 40-50% | - Pathophysiology and Clinical Management - Health Assessment and Promotion - Pharmacology for Adult Populations - Acute and Chronic Disease Management - Diagnostics and Laboratory Interpretation - Therapeutic Interventions and Treatments |
| Systems and Outcomes | 10-15% | - Healthcare Informatics and Technology - Risk Management and Quality Assurance - Regulatory Compliance and Standards - Healthcare Delivery Systems - Resource Management and Cost-Effectiveness |
| Education and Research | 10-15% | - Patient and Staff Education - Research Utilization and Evidence Appraisal - Data Analysis and Outcome Measurement - Clinical Scholarship and Publication |
| Leadership and Consultation | 15-20% | - Interprofessional Team Collaboration - Healthcare Leadership Principles - Consultation and Collaboration Skills - Change Management and Innovation - Quality Improvement and Patient Safety |
| Foundations of Advanced Practice | 8-12% | - Evidence-Based Practice Principles - Theoretical Foundations of Nursing - Professional Ethics and Legal Issues - Healthcare Policy and Advocacy - Advanced Practice Role Development |
Question 1
A 34-year-old female with multiple sclerosis (MS) is in the office. She is now under your care after relocating from another state to live with relatives who can help her. The ACNS understands that which of the following is NOT part of her management plan:
A. Acute exacerbations should be treated with prednisone 60-80 mg/day for 1 week, taper over 2-3 weeks.
B. Complex treatment regimen must be coordinated with a neurologist.
C. Corticosteroids are often used for maintenance.
D. Physical and occupational therapy.
Question 2
A hold order may be ordered for patients on insulin therapy if the glucose threshold is what?
A. <100 mg/dL.
B. <115 mg/dL.
C. <105 mg/dL.
D. <110 mg/dL.
Question 3
You are educating a patient about self-care when she returns home after CABG. She says she cannot wait to take a long tub bath. Which of the following is an appropriate response?
A. Tell the patient to take tub baths when she feels ready to do so.
B. Tell the patient that tub baths must be avoided until her incision heals.
C. Tell the patient that she must avoid tub bathing for the first week at home.
D. Show the patient how to keep her dressing dry.
Question 4
Hematocrit is also known as what?
A. MVC.(mean value of cells)
B. PCV. (packed cell volume)
C. MCV. (mean cell volume)
D. PVC. (premature ventricular contraction)
Question 5
When weaning a patient from mechanical ventilation, you should consider returning the patient to the ventilator if which of the following occurs?
A. all of the above
B. O2 desaturation by blood gas analysis or pulse oximetry
C. decreased VT
D. increasing PaCO2
Solutions:
| Question 1 Answer: C | Question 2 Answer: A | Question 3 Answer: C | Question 4 Answer: B | Question 5 Answer: A |
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