You are an AGACNP working on a General Surgery Service and you are rounding on a 36-year-old female who was admitted under observation status for right upper quadrant pain with negative ultrasound. This morning her right upper quadrant pain is persistent and she continues to have nausea and vomiting. What is the most likely plan of care for this patient?

You are the AGACNP working for a Trauma Service in a Tier I Trauma Center responding to a Trauma Team Activation. A patient arrives post-high speed MVC as the belted driver in the single- vehicle accident. Intoxication is not suspected. Initial GCS: E 1, V 2, M 3. What is the most appropriate intervention at this time?

You are an AGACNP working on an Orthopedic Trauma Service and you are called to evaluate a patient status post open reduction and internal fixation (ORIF) of a femur fracture. The nurse paged you as the patient is endorsing 10/10 poorly controlled pain and numbness and tingling. What is your primary concern for this patient?

An 18-year-old college student is brought into the ED by his dorm-mates for an altered level of consciousness and he has been admitted to the hospital medicine service. This morning, he is now febrile, irritable, and, endorsing a headache. You suspect he has bacterial meningitis. What do you expect an LP will show?

Interpret the following ABG: pH 7.20, pCO2 65 HCO3 24

A 64-year-old female patient with PMH including stage III colon cancer is currently hospitalized on your service status post colon resection is being re-evaluated for complaint of chest pain. She tells you she is having difficulty taking a full, deep breath. Her vital signs are: Temperature 100.4, pulse 120, respiratory rate 28, BP 98/56, SpO2 88% on room air. On auscultation you note S3 and S4, otherwise her lungs are clear. Given the information presented, what is your next best step?

When choosing a diagnostic work-up plan of action, what is a good rule of thumb?

You are an AGACNP who has diagnosed a patient with hypertension. Which of the following is an appropriate treatment plan for a white patient without other comorbidities?

An ICU patient on your service has developed a pressure ulcer. Based on the following information, which stage is the pressure ulcer? Full-thickness tissue loss with necrosis of subcutaneous tissue, subcutaneous fat is visible but no other structures are exposed.

You are an AGACNP on a hospital medicine service and you are evaluating a 55-year-old female who was admitted under observation for weakness and fatigue. The nurse called you this morning as the patient is feeling worse. On exam you note ptosis and the patient endorses dysphagia and shortness of breath. You order a chest Xray which is notable for significant lymphadenopathy including prominent thymus concerning for a Thymoma. Based on this diagnostic information, which pathology do you suspect?