Free Adult-Gerontology Acute Care Nurse Practitioner Questions and Answers

Question 1

The following factors put patients who use urinary catheters for an extended period of time at risk for acquiring resistant infections:

Accepted Answer

Development of biofilms in the bladder

Answer

Long-term urinary catheter use significantly increases the risk of resistant infections due to the formation of biofilms. Biofilms are communities of microorganisms encased in an extracellular matrix that adhere to the catheter surface. This protective layer shields bacteria from antibiotics and the host's immune system, making infections difficult to treat and promoting antibiotic resistance.

Question 2

A patient has septic (acute nongonococcal bacterial) knee arthritis. Antibiotics are a part of immediate care together with:

Accepted Answer

Drainage of the joint

Answer

For septic arthritis, immediate joint drainage (arthrocentesis or surgical lavage) is crucial alongside antibiotic therapy. This procedure removes infected synovial fluid, reduces intra-articular pressure, and decreases the bacterial load and inflammatory mediators within the joint. Prompt drainage helps prevent cartilage destruction and preserves joint function, which are critical outcomes in this acute condition.

Question 3

The NP is concerned that a stroke victim with chronic dysphagia and a coughing fit might aspirate. Which of the following recommendations is ideal?

Accepted Answer

Speech pathologist

Answer

A speech pathologist (also known as a speech-language pathologist or SLP) specializes in evaluating and treating swallowing disorders, or dysphagia. For a stroke victim with chronic dysphagia and coughing fits, an SLP can assess the severity of the swallowing impairment, recommend appropriate dietary modifications, and teach compensatory strategies and exercises to improve swallowing safety and prevent aspiration.

Question 4

The NP aims to deploy a new technique in the provision of patient care, cognizant that the main obstacles to change are typically:

Accepted Answer

Staff resistance

Answer

When implementing new techniques or changes in patient care, staff resistance is often the primary obstacle. This resistance can stem from fear of the unknown, lack of understanding, perceived increased workload, comfort with existing routines, or a feeling of not being involved in the decision-making process. Addressing staff concerns, providing adequate training, and fostering a supportive environment are crucial for successful change adoption.

Question 5

Which of the following medical services can a teenager under the age of 18 receive or reject without their parents' knowledge or permission in the majority of states?

Accepted Answer

Emergency contraception

Answer

In the majority of states, minors can consent to certain sensitive medical services without parental knowledge or permission, often under "mature minor" doctrines or specific state laws. Emergency contraception falls into this category, as laws frequently grant minors the right to consent to reproductive health services, including contraception, to protect their privacy and health. Other options like chemotherapy, transfusions, and abortion typically require parental consent or a court order for minors.

NP - Nurse Practitioner Practice Test

NP - Nurse Practitioner Practice Test

Free Adult-Gerontology Acute Care Nurse Practitioner Questions and Answers