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A 48-year-old client is in the surgical intensive care unit after having had three-vessel coronary artery bypass surgery yesterday. She is extubated, awake, alert and talking. She is receiving digitalis for atrial arrhythmias.
This morning serum electrolytes were drawn. Which abnormality would require immediate intervention by the nurse after contacting the physician?
A. Blood urea nitrogen is subnormal. The nurse should increase the protein in the client's diet as soon as possible.
B. Serum osmolality is elevated indicating hemoconcentration.The nurse should increase IV fluid rate.
C. Serum sodium is low. The nurse should change IV fluids to normal saline.
D. Serum potassium is low. The nurse should administer KCl as ordered.
Answer: D
(A) An elevated serum osmolality poses no immediate danger and is not corrected rapidly. (B) A low serum sodium alone does not warrant changing IV fluids to normal saline. Other assessment parameters, such as hydration status, must be considered. (C) A low serum blood urea nitrogen is not necessarily indicative of protein deprivation. It may also be the result of overhydration. (D)A low serum potassium potentiates the effects of digitalis, predisposing the client to dangerous arrhythmias. It must be corrected immediately.

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Amazon-ACP® Exam

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  • 4 Exams
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Amazon-ACP Exam Simulator Features

With your subscription of The Amazon-ACP Exam Simulator you not only get all the premium features (i.e. use the simulator on your phone/tablet/PC, Live Feedback™, detailed explanations, access the simulator anytime from anywhere, etc.). But you will also get the following Amazon-ACP Simulator specific features:

480 Amazon-ACP Exam Sample Questions

Your subscription gives you access to a pool with 480 high-quality sample questions. All developed to the latest Amazon-ACP requirements.

The questions not only cover every exam domain that you are being tested on (Agile Principles and Mindset, Value-driven Delivery, Stakeholder Engagement, Team Performance, Adaptive Planning, Problem Detection and Resolution, and Continuous Improvement), but the questions also cover the Tools & Techniques and Knowledge & Skills that you need to know in order to pass.

Four Complete Exams

On the real Amazon-ACP Exam you are given 3 hours to answer all 120 questions. Any simulator that you use must test you under the same conditions.

So we packaged the 480 questions into 4 full exams for you. We made sure to group them in such a way that the 120 questions in each exam closely match the domain percentages on the real exam. For example: 16% of the questions in each of the four exams will be coming from "Domain I: Agile Principles and Mindsets", 20% come from "Domain II: Value-driven Delivery", and so on.

Questions Developed by Agile Team

The 120 questions that you will see on your actual Amazon-ACP exam are developed by a very large number of certified volunteers from around the world. These volunteers create the newest questions meeting official exam requirements and standards -- but each creator adds their personal "touch". So you'll have to expect variation.

That's what makes these exams difficult and ever changing.

The good news is that the questions you will see in your simulator are similarly developed. We brought on a worldwide team of Amazon-ACP credential holders and asked them to develop our question pool. We wanted to ensure a lot of variety in the questions for you.

Updated to current Amazon-ACP Exam Content Outline

The Amazon-ACP Exam is constantly evolving because Agile doesn't stand still and new questions and concepts are added. Your Exam Simulator follows along.

Because the exam is constantly updated this means that you can be certain that the questions match the current policies, as we review and update all questions to the latest Amazon-ACP Examination Content Outline -- that's the document that defines all the Domains you will be tested on.

Also, we regularly scan lessons learned our students post in the forum to identify new trends and use this information to develop new questions for the simulator and remove old ones.

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Bonus Items

The Amazon-ACP Exam Simulator™ also includes a number of free bonus items to help you tackle the exam even better. Here they are:


Advanced Amazon® Exam Strategies (Email Course)

In this 5-part email course we introduce you in detail to the all-important multiple choice test taking strategies for Amazon® Exams. We review the types of questions that you must expect and be ready to answer on the real exam, tell you how to develop your own strategy for approaching this multi-hour long exam, and give you the steps necessary as you are getting ready to leave home to take the exam on exam day.


Sample Exam Score Worksheet

The Exam Score Worksheet allows you to keep track of how many questions you answer correctly in your practice exams. Just note the results of all your first attempts of taking practice exam in here to see how you are doing.

This spreadsheet gives you an efficient way of seeing your progress as you are taking your sample exams, and allows you to monitor how you improve over time.


Contact Hour Worksheet

Before you can submit your Amazon-ACP Exam application to Amazon® you must complete training in agile project management. The institute calls these "Contact Hours" and 21 Contact Hours are needed for Amazon-ACP.

Do you have enough?

This worksheet not only helps you to tally the hours and ensure that you meet the requirements, it also includes a substantial FAQ section that explains everything you need to know about Contact Hours in easy to understand language.


Access to our Online Discussion Forums

Wouldn't it be great if you had an Agile question that you could go and ask a trusted source? Maybe someone who knows Agile and has already taken the exam themselves? Or maybe another person who is currently studying?

That is what our exam forums are for. All students have access to these forums to discuss and learn from each other.

But even more importantly, we have 12 certified project managers who act as moderators in these forums. So go ahead... ask your question. You can be sure that your fellow students or a certified moderator will help you quickly.

The forums also include a "Amazon-ACP Lessons Learned" forum, where those who have passed the exam before you discuss their experience and give recommendations.

Important Information and Specifications

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