FREE ACHPN Education and Professionalism Questions and Answers

Question 1

When the advanced practice registered nurse stays with a patient and holds the patient's hand when the physician delivers bad news about the patient's prognosis, the APRN is acting on the ethical principle of:

Accepted Answer

beneficence.

Answer

nonmaleficence.

Answer

autonomy.

Answer

veracity.

Question 2

If the advanced practice registered nurse is using the Palliative Performance Scale (PPS) to assess a patient with severe heart disease and finds the patient is now completely bedridden, requires total care, oral intake of both food and fluids is reduced, and the patient is responsive but very drowsy, the PPS score would be:

Accepted Answer

30.

Answer

60.

Answer

50.

Answer

40.

Question 3

If a patient with metastatic breast cancer has informed healthcare providers that she wants a DNR order and no heroic measures to prolong life but the patient's son and daughter insist that all life-prolonging measures be carried out, the best response is to:

Accepted Answer

arrange a family meeting so that the patient and children can discuss this issue.

Answer

tell the son and daughter that the patient has a right to make this decision.

Answer

tell the son and daughter that they have no legal standing since the patient is alert.

Answer

urge the patient to tell her children not to interfere.

Question 4

If using the ask-tell-ask framework to educate a patient about self-care, the advanced practice registered nurse would begin by:

Accepted Answer

asking the patient what he/she knows and wants to know.

Answer

waiting for the patient to ask a question.

Answer

providing information and asking the patient to repeat it back.

Answer

asking the patient to write down a number of questions.

Question 5

A 69-year-old patient with severe cognitive impairment has fallen and fractured her elbow. Which of the following pain assessment methods is most appropriate?

Accepted Answer

PAINAD

Answer

FACES

Answer

1-10 scale

Answer

LANSS

Question 6

The advanced practice registered nurse is conducting the timed-up-and-go test as part of the gait assessment of a patient. The patient is able to stand from a chair with arrests, walk 3 meters, and turn and sit down. Which of the following times required to carry out these activities first indicates an increased risk for falls?

Accepted Answer

14 seconds

Answer

7 seconds

Answer

10 seconds

Answer

16 seconds

Question 7

A male patient is being admitted for advanced cirrhosis of the liver and is hostile and angry, lashing out verbally at caregivers and refusing to cooperate. The best approach when conducting the history and physical exam is to:

Accepted Answer

remain calm and patient, responding to the patient as appropriate.

Answer

ask the patient to lower the voice and cooperate.

Answer

tell the patient that he cannot receive care unless he cooperates.

Answer

ask security personnel to stand by during the examination.

Question 8

The advanced practice registered nurse has begun to overly identify with the pain and suffering of patients and frequently finds that concerns about patients are interfering with their personal lives. The APRN often skips lunch and breaks in order to spend more time with patients and is beginning to have nightmares and trouble concentrating. The APRN is likely experiencing:

Accepted Answer

compassion fatigue

Answer

depression

Answer

anxiety

Answer

empathy

Question 9

When collaborating with a patient and family in developing the plan of care, it's important for the patient and family to understand:

Accepted Answer

their rights and responsibilities.

Answer

their limitations.

Answer

the organization's philosophy.

Answer

the difference between goals and objectives.

Question 10

A Native American patient has stage IV multiple myeloma and is under hospice care in an extended care facility. A staff nurse tells the advanced care registered nurse that, despite the diagnosis, the patient seems to have little pain. The patient does not complain or request pain medication although the patient has been lying in a fetal position and refusing most food and drink. The advanced care registered nurse should advise the staff nurse that:

Accepted Answer

the patient may avoid outward expressions of pain.

Answer

the patient is probably comfortable without pain medication.

Answer

the staff nurse should be more aware of patient needs.

Answer

the patient probably prefers to suffer rather than take pain medication.