Barkley Acute Care Nurse Practitioner CertificationExam 172 Q & A Review Question Bank

Barkley Acute Care Nurse Practitioner CertificationExam 172 Q & A Review  Question Bank

§  You are treating a patient who is receiving hospice care following inpatient treatment for cancer. Which of the following types of Medicare does not include home coverage?

Ans: c

a)      Medicare A

b)     Medicare B

c)      Medicare D

d)     Medicare C

§  You are treating a Guatemalan patient who speaks only Spanish. According to the standards of Culturally and Linguistically Appropriate Services, it is necessary to provide all of the following for the patient except:

Ans:c

a)      Interpreters

b)     Verbal and written notices in the patient’s preferred language

c)      Family members and friends who are present to assist with interpretation

d)     Bilingual staff

§  You are treating a schizophrenic patient whom you suspect is a danger of hurting himself and/or others as a result of his condition. Under which of the following procedures are you required to administer proper treatment to the patient?

Ans:  a

a)      Involuntary commitment

b)     Report the patient to the health department

c)      Crisis intervention

d)     Use of restraints

§  You are treating a patient who requires surgery and are ensuring that measures are taken to prevent harm being done to the patient. Which of the following keyethical principles is associated with this duty?

Ans:  a

a)      Beneficience

b)     Utilitarianism

c)      Nonmaleficence

d)     Justice

§  You are treating a patient who dies unexpectedly following a surgical following a surgical procedure. As a nurse practitioner, in which of the following components of the investigation are you most likely to take part to assess the incidence?

C

a)      Risk management

b)     Experimental research

c)      Root cause analysis

d)     Quality assurance

§  A 59-year-old is having a follow-up evaluation two years after the successful conclusion of radiation therapy for leukemia. He tells you that he has been feeling run-down and reports unexplained weight loss and night sweats. Upon examination, you determine that he also has a fever and pain below his ribs and the left side. You know that he is at risk for chronic lymphotic leukemia. Which of the following results is considered the hallmark of this disease?

b.

a)      Philadelphia chromosome in leukemic cells

b)      Lymphocytosis

c)      Non-circulating blast cells in bone marrow

d)      Pancytopenia with circulating blasts.

§  A 28-year-old single mother arrives at your office inquiring about alternative options for contraception. The woman mentions that she has been having an oral contraception for the last 10 years but is curious about the hormonal intrauterine device (IUD) option she read about in an article. Which of the following is one of the advantages of using a hormonal IUD?

b.

a)      Prevention of depression

b)      Prevention of Asherman’s syndrome

c)      Increased menstrual loss

d)      Spotting

§  You are monitoring a toddler who has serous otitis media. The patients want to understand the treatment their child will receive. Which of the following would be the appropriate way to manage this condition?

d.

a)      Oral antibiotics

b)      Antihistamines

c)      Decongestants

d)      Monitor and re-evaluate in 3 months

§  Which of the following seizure patients would most likely benefit from lumbar puncture?

d.

a)      Any child with a tonic-clonic seizure

b)      An 11 year old with a fever of 101.5 F

c)      A four-month-old without fever

d)      A two-year-old with a known seizure disorder

§  You take a serological test on a patient with hepatitis. Checking over the results, you discover the patient’s serology is positive for the following: surface antigen of the Hepatitis-B (HbsAg), antibody to the antigen of the hepatitis B virus (Anti-Hbe), immunoglobulin M (IgM0, immunoglobulin G (IgG0. What is the proper diagnosis?

a.

a)      Chronic hepatitis B

b)      Recovered hepatitis B

c)      Acute hepatitis A

d)      Acute hepatitis B

§  Robert, a good friend of your, has called you to advice on obtaining a medical certification. He wants to know his various options. Which statement is true regarding the difference between licensure and certification?

b.

a)      Certification signifies that a person is qualified to perform a particular role and is granted by a government agency.

b)     Licensure signifies mastery of specialized knowledge and is granted by a government agency.

c)      Certification signifies mastery of specialized knowledge and is granted by a non-governmental agency.

d)      Licensure signifies that a person is qualified to perform a particular role and is granted by a non-

governmental agency.

§  Sixty-nine-year-old Monica presents with aching and night cramps in her legs. However, Monica states that her pain goes away when she raises her legs. Upon physical examination, you note the presence of edema stasis leg ulcers in Monica’s legs and that her leg is cool to the touch. Which of the following is the most likely diagnosis?

ANS : d

a)      Peripheral vascular disease

b)     Superficial thrombosis

c)      Deep thrombosis

d)     Chronic venous insufficiency

§  Your patient’s history indicates that his heart has deficient cardiac output after a myocardial infarction. The patient complains of a wheezing, frothy cough, and appears generally healthy now after the infarction. The patient, however, also has difficulty breathing while at rest. Upon auscultation, you hear a S3 gallop. The patient also tells you that he is unable to carry out any physical activity without incurring symptoms. How should you classify the patient’s condition?

Ans:  c

a)      Chronic heart failure

b)     Class I heart failure

c)      Class IV heart failure

d)     Class II heart failure