The AGACNP knows that when managing a patient with acute cardiogenic shock after myocardial infarction, all of the following pharmacologic agents may be used except

Correct Answer: A

Rationale: Anticholinergics are not typically used in the management of acute cardiogenic shock after myocardial infarction. Anticholinergic medications may worsen tachycardia and exacerbate myocardial ischemia by increasing heart rate and myocardial oxygen demand. Therefore, the AGACNP should avoid using anticholinergics in this patient population.

Correct Answer: C

Rationale: Splitting after day 12 can lead to conjoined twins (Siamese twins).

Correct Answer: B

Rationale: Monozygotic twins typically have a single chorion, not two.

Correct Answer: C

Rationale: A hot, dry vagina and lack of descent suggest abnormal labor patterns.

Correct Answer: B

Rationale: Escherichia coli is the most common causative agent for pyelonephritis.