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As an AGACNP you know the following about D-dimer assay is true in relation to thrombosis:

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?

A 66-year-old female with PMH including HTN, HLD, T2D, and cataracts in the hospital for right total knee arthroplasty. An RRT is called for evaluation of sudden onset of right eye pain and nausea and vomiting. On exam you note the right eye is fixed, dilated, and cloudy and the patient is otherwise neurologically intact. What is your best plan of care?

A 21-year-old male was admitted to the GI Service with a history of abdominal pain, malaise, and weight loss. EGD and colonoscopy revealed nonfriable mucosa with cobblestoning, aphthous ulcer, and deep fissures. What is his diagnosis?

You are an AGACNP admitting a 53-year-old male with CKD secondary to HTN and T2D to the hospital medicine service. The labs include: GFR 25, potassium 5.5, and the patient endorses significant edema and 20-pound weight gain in the last 6 weeks. With this data, what stage of CKD is this patient?

A 38-year-old male presents to your outpatient complex pulmonary clinic for consultation with a preliminary diagnosis of COPD from his PCP. In review of his medical record, you note he has a strong family history of COPD and he is a white male. Given this information, which testing should you recommend for this patient given his risk factors?

Regional ST-segment elevation with reciprocal ST-segment changes on an EKG for a patient with chest pain is a sign of:

A patient in the SICU has been intubated for 36 hours and admitted to the hospital 4 days ago. The patient has suspected pneumonia. Which type of pneumonia does this patient have?

You are an AGACNP working on a rapid response team evaluating a patient with a suspected acute heart failure exacerbation. Which chest X Ray finding is diagnostic for an acute heart failure exacerbation?

You are an AGACNP working in an adult Emergency Department and you are evaluating a 32-year-old male who presents for eye bleeding. On exam you note a previously not documented regurgitant murmur and non-tender hemorrhagic plaques on the palms of the patient’s feet. Based on this exam, what EKG finding do you expect?