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Last Updated: Aug 04, 2026
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| Section | Objectives |
|---|---|
| Topic 1: Management of Critically Ill or High-Acuity Patients | - Pathophysiology across body systems - Monitoring and complication prevention - Acute and critical care interventions |
| Topic 2: Clinical Judgment and Decision Making | - Advanced assessment and diagnostic reasoning - Evidence-based clinical decision making |
| Topic 3: Professional Caring and Ethical Practice | - Patient advocacy and cultural competence - Ethical decision making in advanced practice nursing |
| Topic 4: Systems-Based Practice and Collaboration | - Quality improvement and patient safety - Healthcare systems management - Interprofessional collaboration |
1. The physician discusses the case of a patient inside the patient's room. The doctor asks the patient if she
ever had an illness that would predispose her to having a heart murmur. The nurse is aware that one of
these predisposing illnesses is:
A) Infectious hepatitis
B) Rheumatic fever
C) Mononucleosis
D) Mumps
2. A nurse who has been named in a lawsuit can use which of these factors for the best protection in a court
of law?
A) Documentation of the specific patient's record with a focus on the nursing process
B) Verification of provider's orders for the plan of care with identification of outcomes
C) Yearly evaluations and proficiency reports prepared by nurse's manager
D) Clinical specialty certification in the associated area of practice
3. Victor, a 4 year old child, is at the clinic for a routine clinic visit. In assessing Victor's growth and
development, the nurse is guided by principles of growth and development. Which is not included:
A) All individual follow standard growth rate
B) All individuals follow cephalo-caudal and proximo-distal
C) Rate and pattern of growth can be modified
D) Different parts of the body grows at different rate
4. A pregnant patient diagnosed with HIV-associated pneumocystis jiroveci pneumoniais is to receive
pentamidine isethionate IV once daily. To ensure patient safety, the nurse should:
A) Administer the drug over a period of twenty to thirty minutes
B) Monitor the blood pressure for hypertension during and after therapy
C) Assess blood glucose levels daily during therapy and several times after therapy
D) Mix the drug with sterile saline without a preservative
5. A lumbar puncture is performed on an infant suspected of having bacterial meningitis and cerebrospinal
fluid (CSF) is obtained for analysis. A nurse reviews the results of the CSF analysis and determines that
which of the following results would verify the diagnosis?
A) Clear CSF, elevated protein, and deceased glucose level
B) Clear CSF, decreased pressure, and elevated protein level
C) Cloudy CSF, decreased protein, and decreased glucose level
D) Cloudy CSF, elevated protein, and decrease glucose level
Solutions:
| Question # 1 Answer: B | Question # 2 Answer: A | Question # 3 Answer: C | Question # 4 Answer: C | Question # 5 Answer: D |
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