ACNPC-AG Dumps ACNPC-AG Braindumps ACNPC-AG Real Questions ACNPC-AG Practice Test
ACNPC-AG Actual Questions
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AACN Acute Care Nurse Practitioner (Adult-Gerontology)
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A 55-year-old patient presents with right upper quadrant abdominal pain, fever, and jaundice. Laboratory tests reveal elevated liver enzymes and a total bilirubin level of 3.5 mg/dL. Imaging shows gallstones within the gallbladder. Which of the following conditions is the most likely diagnosis?
holedocholithiasis holecystitis
iver abscess
wer: C
anation: The clinical presentation, laboratory findings, and imaging ngs are consistent with acute cholecystitis. This condition is commonl ed by gallstones obstructing the cystic duct, leading to inflammation a tion of the gallbladder. Treatment options include pain management, iotics, and surgical removal of the gallbladder (cholecystectomy).
-year-old patient presents with sudden onset of bright red blood per
m. Hemodynamic stability is maintained. Which of the following is t appropriate initial management for this patient?
Acute pancreatitis
C
C
L
Ans Expl
findi y
caus nd
infec antib
A 60
rectu he
most
Upper endoscopy
Colonoscopy
Angiography
Exploratory laparotomy
Answer: B
-year-old patient presents with severe abdominal pain, nausea, and ting. Physical examination reveals abdominal distention and absent b ds. Imaging shows dilated loops of small bowel with air-fluid levels. ch of the following conditions is the most likely diagnosis?
owel infarction owel perforation owel obstruction ancreatitis
wer: C
anation: The clinical presentation, physical examination findings, and ing findings are consistent with bowel obstruction. This can occur du
Explanation: The presentation of bright red blood per rectum suggests a lower gastrointestinal (GI) bleed. The most appropriate initial management is colonoscopy, which can help identify the source of bleeding and potentially provide interventions such as hemostasis or sclerotherapy. Upper endoscopy is indicated for an upper GI bleed, while angiography and exploratory laparotomy are reserved for cases of severe bleeding or hemodynamic instability.
A 72
vomi owel
soun Whi
B
B
B
P
Ans Expl
imag e to
various causes such as adhesions, hernias, tumors, or volvulus. Treatment options include bowel decompression, fluid resuscitation, and surgical intervention if necessary.
recurrent episodes of abdominal pain, bloating, and early satiety. Medical management with prokinetic agentssuch as metoclopramide and dietary modifications have been ineffective. Which of the following surgical procedures is the most appropriate treatment option for this patient?
Gastric pacemaker placement
Gastric sleeve surgery
astrectomy
wer: A
anation: In patients with refractory gastroparesis, gastric pacemaker ement (also known as gastric electrical stimulation) can be considered. edure involves the placement of a device that delivers electrical stimul
stomach, promoting gastric motility. Surgical options such as gastric ss or gastrectomy are typically reserved for patients with severe plications or those who have failed other treatments.
-year-old patient presents to the emergency department with severe minal pain, distention, and tenderness. Imaging reveals free air under hragm. Which of the following conditions is the most likely cause?
Gastric bypass surgery
G
Ans Expl
plac This
proc ation
to the bypa com
A 65
abdo the
diap
Abdominal aortic aneurysm
Acute appendicitis
Bowel perforation
Pancreatic pseudocyst
Explanation: The presence of free air under the diaphragm on imaging is highly suggestive of bowel perforation. This can occur due to various causes such as trauma, inflammatory bowel disease, or perforated diverticulitis. Prompt surgical intervention is necessary to repair the perforation and prevent further complications.
-year-old patient with a history of chronic hepatitis C infection presen aundice, ascites, and hepatic encephalopathy. Laboratory tests reveal rely elevated liver enzymes and prolonged prothrombin time. Imaging ws evidence of cirrhosis. Which of the following conditions is the most
diagnosis?
cute liver failure lcoholic hepatitis epatocellular carcinoma ecompensated cirrhosis
wer: D
anation: The clinical presentation, laboratory findings, and imaging ngs are consistent with decompensated cirrhosis. Decompensated cirr
to the advanced stage of liver disease characterized by the developm gnificant complications such as ascites, hepatic encephalopathy, and
A 40 ts
with j seve sho likely
A
A
H
D
Ans Expl
findi hosis
refers ent
of si
jaundice. Treatment options include lifestyle modifications, medical management, and, in some cases, liver transplantation.
A 60-year-old patient with decompensated cirrhosis develops progressive renal impairment, characterized by elevated serum creatinine, decreased urine output,
and sodium retention. Which of the following conditions is the most likely diagnosis?
Renal calculi
Acute kidney injury
Urinary tract infection
wer: D
anation: The clinical presentation and laboratory findings are consiste epatorenal syndrome. This condition is a functional renal impairmen rs as a complication of advanced liver disease, particularly cirrhosis. I acterized by renal vasoconstriction and decreased renal blood flow. Pr gnition and treatment are important to prevent further renal deteriorati
-year-old patient with a history of chronic constipation presents with minal distention, pain, and absence of bowel movements for the past t Physical examination reveals a tympanic abdomen and high-pitched
el sounds. Imaging shows dilated loops of small bowel without eviden uction. Which of the following conditions is the most likely diagnosis
echanical bowel obstruction aralytic ileus
Hepatorenal syndrome Ans
Expl nt
with h t that
occu t is
char ompt
reco on.
A 75
abdo hree
days.
bow ce of
obstr ?
M
P
Diverticulitis
Intestinal pseudo-obstruction Answer: D
Explanation: The clinical presentation, physical examination findings, and imaging findings are consistent with intestinal pseudo-obstruction (also known
as Ogilvie's syndrome). This condition is characterized by non-mechanical dilation of the large bowel without evidence of mechanical obstruction. It is typically associated with underlying medical conditions, such as neurologic disorders or medication use. Treatment options include bowel decompression, correction of underlying causes, and supportive care.
-year-old patient presents with watery diarrhea, abdominal cramping, grade fever. Stool studies reveal the presence of Clostridium difficile
s. Which of the following medications is the most appropriate treatm his patient?
iprofloxacin ancomycin zithromycin etronidazole
wer: B
anation: Clostridium difficile infection is a common cause of infectio hea, especially in healthcare settings. The most appropriate treatment nfection is oral vancomycin or fidaxomicin. Metronidazole can be us ternative, but it is less effective in severe cases. Ciprofloxacin and romycin are not effective against Clostridium difficile.
A 30 and
low-
toxin ent
for t
C
V
A
M
Ans
Expl us
diarr for
this i ed as
an al azith