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AGACNP 106 DOCUMENT EXAM NEWEST 2025
ACTUAL EXAM| COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+|| BRAND NEW!!
Medicare Part A covers? - ANSWER - -Inpatient/hospitalization -Skilled nursing facility services -Home health services -Hospice (inpatient)
Medicare Part B covers? - ANSWER - -Physician services -Outpatient hospital services -Labs and diagnostic procedures -Medical equipment -Some home health services
Medicare Part C covers? - ANSWER - -Medicare A + B -HMOs, PPOs
Medicare Part D covers? - ANSWER - -Limited prescription drug coverage
Therapeutic Communication - ANSWER - -Listen more than talk 1 / 4
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pg. 2 -"Tell me" -Never ask "why" -Focus on feelings (mad, sad, glad, afraid, ashamed) -Do not mince words; no euphemisms (I am concerned about alcoholism, I'm sorry but she died)
When do you transfer pts to tertiary facilities? - ANSWER - -Serious ill/injured pts if full range of services are not available -Assess all injuries, stabilize, assess the capabilities of your facility and the transfer as appropriate -Major maxillofacial injuries -Severe Le Fort fractures of the skull 1-floating pallete 2-floating maxilla 3-floating face
What lab to assess to see if enteral feeding is beneficial? - ANSWER - Pre-albumin (earliest indicator of protein malnutrition)
What is Refeeding Syndrome? - ANSWER - Complication enteral feeding -Hypokalemia -Hypophosphatemia ** -Hypomagnesemia -Hypocalcemia 2 / 4
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pg. 3 -Thiamine Def
What labs do you check for with TPN? - ANSWER - -Albumin -Glucose?
Pt says don't tell my daughter about my diagnosis, what ethical principle is this honoring? - ANSWER - Fidelity -The duty to be faithful
ICU pt, 2 days post extubation fails swallow study. Keep in ICU or transfer to floor? - ANSWER - Transfer to step down
Veracity - ANSWER - The duty to be truthful
DNR with advanced directives, family asking for everything to be done?
- ANSWER - We don't go against advanced directives
Pt comes in with CHF and dementia, first thing NP should do? - ANSWER - Assess cognition
Side effect Levothyroxine (Synthroid)? - ANSWER - Alopecia
What pt most likely to have angioedema with ACE? - ANSWER - African American
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pg. 4 Labs for salicylate (ASA) overdose? - ANSWER - -Hyperkalemia -Elevated liver enzymes -Metabolic acidosis
What should you watch for with CA pts with bone mets? - ANSWER - Hypercalcemia
Treatment for ethylene glycol (antifreeze) ingestion? - ANSWER - Fomepizole (antizole)
GCS Level/severity for TBIs - ANSWER - -13-15 = mild -9-12 = moderate -3-8 = severe
Initial treatment for respiratory distress with wheezing and stridor secondary to anaphylaxis? - ANSWER - Sub Q epinephrine (0.3-0.5mg of 1 mg/ml)
Causes pre-renal failure - ANSWER - Outside kidney -Impaired renal perfusion (shock, dehydration, cardiac failure, burns, diarrhea, sepsis/vasodilation)
Can pre-renal failure be reversed? - ANSWER - Can only be reversed when the underlying cause of hypoperfusion is corrected
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