2026 ITDumpsKR 최신 ACNS PDF 버전 시험 문제집과 ACNS 시험 문제 및 답변 무료 공유: https://drive.google.com/open?id=18ZjBvF7VpkihvVkIxslpdX-M5WSLQGvR
Nursing인증 ACNS시험을 등록하였는데 시험준비를 어떻게 해애 될지 몰라 고민중이시라면 이 글을 보고ITDumpsKR를 찾아주세요. ITDumpsKR의Nursing인증 ACNS덤프샘플을 체험해보시면 시험에 대한 두려움이 사라질것입니다. ITDumpsKR의Nursing인증 ACNS덤프는Nursing인증 ACNS실제시험문제를 마스터한 기초에서 제작한 최신시험에 대비한 공부자료로서 시험패스율이 100%입니다. 하루 빨리 덤프를 마련하여 시험을 준비하시면 자격증 취득이 빨라집니다.
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Clinical Practice | 46% | - Health Assessment and Diagnosis - Care Planning and Implementation - Health Promotion and Disease Prevention - Pharmacologic and Nonpharmacologic Management - Evaluation of Outcomes |
| Topic 2: Health Care Systems and Policy | 5% | - Regulatory and Policy Frameworks - Healthcare Delivery Models - Resource Management |
| Topic 3: APRN Core Competencies | 16% | - Advanced Pharmacology - Advanced Pathophysiology - Advanced Health Assessment |
| Topic 4: Role and Professional Responsibility | 33% | - Quality Improvement and Safety - Clinical Leadership and Consultation - Ethics and Legal Aspects - Education and Mentorship - Evidence-Based Practice and Research |
만약ITDumpsKR선택여부에 대하여 망설이게 된다면 여러분은 우선 우리ITDumpsKR 사이트에서 제공하는Nursing ACNS관련자료의 일부분 문제와 답 등 샘플을 무료로 다운받아 체험해볼 수 있습니다. 체험 후 우리의ITDumpsKR에 신뢰감을 느끼게 됩니다. 우리ITDumpsKR는 여러분이 안전하게Nursing ACNS시험을 패스할 수 있는 최고의 선택입니다. ITDumpsKR을 선택함으로써 여러분은 성공도 선택한것이라고 볼수 있습니다.
질문 # 79
When counseling a patient on side effects of her medication, a question comes up. What is the best way to manage and alleviate a common side effect of trazodone?
정답：A
설명：
Trazodone is a medication primarily used to treat depression, but it is also commonly prescribed off-label to manage insomnia due to its sedative effects. One of the most common side effects of trazodone is drowsiness or sedation. To effectively manage this side effect, it is recommended that trazodone be taken at bedtime.
By taking trazodone at bedtime, patients can utilize the drowsiness it induces to help them fall asleep, which can be particularly beneficial for those with sleeping difficulties. This timing aligns the peak period of the medication's sedative effects with the patient's sleep schedule, thereby not only maximizing the therapeutic benefit for sleep disturbances but also minimizing the impact of drowsiness on daytime activities and overall quality of life.
Other common side effects of trazodone, such as dizziness or lightheadedness, are also better managed when the medication is taken at night, allowing the patient to sleep through these potentially uncomfortable experiences. Furthermore, taking trazodone with food can help reduce gastrointestinal side effects like nausea or stomach upset, though this is separate from the timing related to its sedative effects.
It is important for healthcare providers to counsel patients on the correct timing of trazodone administration and to tailor this advice based on individual patient needs and lifestyle. For instance, patients who work night shifts or have irregular sleeping patterns might require specific guidance on how to best use trazodone to align with their unique schedules.
In summary, the optimal management of trazodone's side effect of drowsiness is to take the medication at bedtime. This approach not only helps to mitigate the impact of sedation during waking hours but also aids in improving the quality of sleep, thereby enhancing overall treatment outcomes for conditions like insomnia and depression.
질문 # 80
Of the following, which is an example of an impaired absorption reason contributing to iron deficiency?
정답：B
설명：
Of the various conditions listed, gastrectomy is uniquely associated with impaired absorption of iron, contributing to iron deficiency. Gastrectomy, the surgical removal of all or part of the stomach, can significantly affect the body's ability to absorb nutrients, including iron. This is because the stomach plays a crucial role in the initial stages of iron absorption. During digestion, stomach acids help convert dietary iron into a form that is more easily absorbed in the intestines. With reduced stomach capacity or altered stomach function following gastrectomy, there is a decreased secretion of gastric acid, which is essential for iron absorption.
In contrast, the other conditions mentioned-Goodpasture syndrome, multiple gestation, and epistaxis-do not primarily involve impaired nutrient absorption. Goodpasture syndrome is an autoimmune disorder affecting the lungs and kidneys, leading to bleeding in the lungs and kidney dysfunction, but it does not directly impair gastrointestinal nutrient absorption. Multiple gestation increases the demand for iron due to the needs of more than one fetus, potentially leading to deficiency if the increased demand is not met through diet or supplements. However, it does not inherently affect the absorption processes in the digestive tract. Epistaxis, commonly known as nosebleeding, can cause iron deficiency through chronic blood loss, but again, it does not impact the absorption of iron in the gastrointestinal system.
Therefore, among the options provided, gastrectomy is the correct answer as it directly relates to an impaired absorption mechanism contributing to iron deficiency. This understanding highlights the importance of monitoring and potentially supplementing iron in patients who have undergone this surgical procedure to prevent or address iron deficiency anemia.
질문 # 81
What can hyperprolactinemia be a sign of?
정답：D
설명：
Hyperprolactinemia refers to the condition where there is an abnormally high level of prolactin in the blood. Prolactin is a hormone produced by the pituitary gland, which is located at the base of the brain. This hormone primarily functions to promote lactation (milk production) in women after childbirth, but it is also present in non-pregnant women and men in lower amounts.
One common cause of hyperprolactinemia is a pituitary adenoma, specifically a prolactinoma, which is a benign tumor of the pituitary gland that produces excessive amounts of prolactin. This overproduction can lead to various symptoms, depending on the gender of the individual. In women, high prolactin levels can cause galactorrhea (production and spontaneous flow of breast milk), amenorrhea (absence of menstrual periods), and infertility. In men, symptoms might include decreased libido, erectile dysfunction, and infertility.
Besides prolactinomas, hyperprolactinemia can be indicative of other health issues. These include hypothyroidism, where the thyroid gland does not produce enough hormones, affecting the pituitary gland's regulation of prolactin. Certain medications, such as antipsychotics and antiemetics, can also elevate prolactin levels by interfering with dopamine, a neurotransmitter that normally inhibits prolactin secretion.
In some cases, the symptoms of a pituitary adenoma extend beyond hormonal disturbances. If the adenoma grows large enough, it can exert pressure on surrounding brain structures. This might lead to headaches, as well as visual disturbances if the optic nerves are compressed. These symptoms necessitate prompt medical evaluation to manage the tumor and alleviate the risk of permanent damage.
Therefore, while hyperprolactinemia can be a sign of a pituitary adenoma, it is crucial to consider and rule out other potential causes. A comprehensive evaluation, typically involving blood tests, imaging studies like MRI of the brain, and a thorough assessment of symptoms, is essential to determine the underlying cause and appropriate treatment.
질문 # 82
When caring for a patient nearing the end of life, it can sometimes be helpful to ask the patient about significant events and people in his or her life. This allows the patient to see the good he or she has done in life, to recall important memories, and to put his or her life in context. This exercise is known as which of the following?
정답：B
설명：
The practice you are referring to is commonly known as a "Life Review." This therapeutic approach is especially meaningful in end-of-life care, where it serves multiple purposes both for the patient and their caregivers.
A life review is an organized reflection of a patient's life experiences, significant personal accomplishments, and poignant moments. It offers the patient an opportunity to evaluate their life's events, to reconcile any unresolved issues, and to recognize their life's impact and value. By recalling fond memories and significant life events, patients often find a sense of peace, accomplishment, and closure.
The process of conducting a life review can vary; it might be informal, such as conversations with caregivers or family, or more structured, involving specific prompts or guided storytelling. The key is to encourage the patient to tell their story in their own way, focusing on significant events, people, and memories.
The benefits of life review are manifold. Psychologically, it helps patients deal with issues such as regret or guilt, providing a more settled emotional state. Spiritually, it can alleviate distress by helping patients find meaning and purpose in their life events, thus fostering a sense of peace as they approach the end of life. Socially, it allows family members and caregivers to connect more deeply with the patient, enhancing their understanding and empathy for the patient's life journey.
In addition to these benefits, life review can be a tool for spiritual assessment. Caregivers can gain insights into the spiritual needs of the patient, which can guide further support and care interventions. This can be particularly important in palliative care settings, where addressing spiritual distress is a key component of holistic care.
Overall, life review is a valuable practice in end-of-life care. It not only supports the patient in summarizing and celebrating their life but also assists caregivers and family members in understanding the patient's life story, thereby enhancing the care and support they provide during this critical time.
질문 # 83
Which of the following may be administered to a patient who is presenting an arrhythmia after an MI?
정답：D
설명：
Disopyramide is a medication used to treat certain types of serious (life-threatening) irregular heartbeat such as persistent ventricular tachycardia. It works by slowing the electrical conduction in the heart, stabilizing the heart rhythm, and maintaining a regular, steady heartbeat. Following a myocardial infarction (MI), or heart attack, patients may develop arrhythmias, which are abnormalities in the rhythm of the heart. Disopyramide can be administered to these patients to help manage these arrhythmias, particularly if they are symptomatic or pose a risk to the patient's health.
Nitroglycerin, on the other hand, is primarily used to manage angina (chest pain) and other conditions where the heart muscle is not getting enough blood. It works by dilating blood vessels to improve blood flow. While nitroglycerin does help alleviate chest pain associated with a heart attack, it does not directly address arrhythmias and hence is not typically used solely for arrhythmia management post-MI.
Heparin is an anticoagulant, or a blood thinner, used to prevent the formation of blood clots. After a heart attack, the risk of blood clots increases, which can lead to further heart damage or complications like stroke. Although heparin is critical in the acute management of myocardial infarction to prevent further clotting, it does not directly treat arrhythmias. Its use is vital in the overall management of heart attack patients but not specifically for correcting abnormal heart rhythms.
Pindolol is a type of beta-blocker used to treat high blood pressure and chest pain, but it is also effective in some cases for controlling heart rate in patients with arrhythmia. Beta-blockers can be helpful post-MI for reducing the workload on the heart and improving survival rates. However, their primary role is not to restore normal heart rhythm but rather to manage the underlying conditions contributing to heart disease and to prevent further cardiac events.
In summary, among the options provided, disopyramide is specifically suited for treating arrhythmias that may occur after a myocardial infarction. It directly targets the electrical impulses of the heart to stabilize the heart's rhythm, making it an appropriate choice for arrhythmia management in this context.
질문 # 84
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