Question 1

A patient with suspected Cushing’s syndrome is being evaluated to establish the diagnosis and

cause. Patients with an adrenal tumor typically will demonstrate:

A. Low ACTH and low cortisol

B. Low ACTH and high cortisol

C. High ACTH and low cortisol

D. High ACTH and high cortisol

Question 2

Pneumatosis, or gas cysts, may form in the wall anywhere along the gastrointestinal tract; in

some cases, they will produce symptoms such as abdominal discomfort, diarrhea with mucus,

and excess flatulence. Treatment of pneumatosis most often involves:

A. Several days of oxygen by face mask

B. Hyperbaric oxygen

C. Surgical resection

D. Treatment of underlying disease

Question 3

Jennifer is an RN applicant for a staff nurse position in the surgical ICU. She has had a screening

PPD and comes back in 48 hours to have it read. There is a 12-mm induration at the site of

injection. A chest radiograph is negative. The AGACNP knows that the next step in Jennifer’s

evaluation and management should include:

A. No further care, because the chest radiograph is negative

B. Quantiferon serum assay for exposure

C. Consideration of prophylactic therapy

D. Beginning therapy for pulmonary TB pending sputum cultures