1.Q : The AGACNP is reviewing a chart of a head-injured patient. Which of the following would alert the AGACNP for the possibility that the patient is over hydrated, thereby increasing the risk forincreased intracranial pressure? A. BUN = 10 B. Shift output = 800 ml, shift input =825 ml Unchanged weight C. Serum osmolality = 260 2. Q : A patient who has been in the intensive care unit for 17 days develops hyponatremic hyperosmolality. The patient weighs 132 lb (59.9 kg), is intubated, and is receiving mechanicalventilation. The serum osmolality is 320 mOsm/L kg H2O. Clinical signs include tachycardia andhypotension. The adultgerontology acute care nurse practitioner's initial treatment is to: A. reduce serum osmolality by infusing a 5?xtrose in 0.2%sodium chloride solution B. reduce serum sodium concentration by infusing a 0.45% sodiumchloride solution C. replenish volume by infusing a 0.9% sodium chloride solution D. replenish volume by infusing a 5?xtrose in water solution. 3. Q : A 16-year-old male presents with fever and right lower quadrant discomfort. He complains of nausea and has had one episode of vomiting, but he denies any diarrhea. His vital signs are asfollows: temperature 101.9°F, pulse 100 bpm, respirations 16 breaths per minute, and blood pressure 110/70 mm Hg. A complete blood count reveals a WBC count of 19,100 cells/µL. The AGACNP expects that physical examination will reveal: A. + Murphy’s sign B. + Chvostek’s sign C. + McBurney’s sign D. + Kernig’s sign 4. Q : Myasthenia gravis is best described as: A. An imbalance of dopamine and acetylcholine in the basal ganglia Demyelination of peripheral ascending nerves B. Demyelination in the central nervous system C. An autoimmune disorder characterized by decreased neuromuscular activation 5. Q : Mrs. Coates is a 65-year-old female who is on postoperative day 1 following a duodenal resection for a bleeding ulcer. She had an uneventful immediate postoperative course, but throughout the course of day 1 she has complained of a mild abdominal discomfort that has progressed throughoutthe day. This evening the AGACNP is called to the bedside to evaluate the patient for persistent and progressive discomfort. Likely causes of her symptoms include allof the following except: A. Colic due to returnof peristalsis B. Leakage from theduodenal stump C. Gastric retention D. Hemorrhage 6. Q : Mrs. Coates is a 65-year-old female who is on postoperative day 1 following a duodenal resection for a bleeding ulcer. She had an uneventful immediate postoperative course, but throughout the course of day 1 she has complained of a mild abdominal discomfort that hasprogressed throughout the day. This evening the AGACNP is called to the bedside to evaluate the patient for persistent and progressive discomfort. Likely causes of her symptomsinclude all of the following except: A. Colic due to returnof peristalsis B. Leakage from theduodenal stump C. Gastric retention D. Hemorrhage 7. Q : When a patient is hospitalized with a possible stroke, the AGACNP recognizes that the stroke mostlikely resulted from a subarachnoid hemorrhage when the patient’s family reports thatthe patient: A. Has a history of atrial fibrillation B. Was unable to be aroused in the morning C. Had been complaining of a headache before losing consciousness D. Has had several brief episodes of mental confusion and right arm and leg weakness 8. Q : You are asked to see a 29 year old female complaining of abdominal pain. She states she is experiencing constant RUQ pain that radiates to her back. The pain is not relieved by bowel movements, over the counter antacids or food. Review of initial labs shows elevated amylaseandlipase and you diagnose her with acute pancreatitis. Which test will you order next to determine the underlying cause of her pancreatitis? serum cholesterol level blood toxicology right upper quadrant ultrasound endoscopy