AGACNP - BASED ON FRANCES GUIDE REVIEW
MATERIALS EXAM NEWEST 2026 ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) ALL ANSWERED {530 Q & A}
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Which of the following is not an indicator of prerenal failure?
a. BUN/Cr ratio >10:1
b. FeNa <1
c. specific gravity > 1.015
d. urine na >40 - ✔✔✔ Correct Answer > d. urine na >40
A code you are in does not go well, and staff members
afterwards are criticizing each other. How do you deal with the
situation?
a. schedule an in service to discuss common code mistakes
b. meet with each team member individually
c. set up exercises to increase collaboration during a code
d. meet with all who participated in the code and have a one-time
briefing - ✔✔✔ Correct Answer > d. meet with all who participated in
the code and have a one-time briefing
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A 34 year old female presents to the ED with severe flank pain,
nausea, and vomiting. The patient states she had trouble
urinating before the onset of her other s/s. A CT scan reveals a
2.5 mm stone in the L kidney just above the upper ureter. Which
course of action is most appropriate?
a. give IVF
b. strain the urine immediately
c. schedule lithotripsy - ✔✔✔ Correct Answer > b. strain the urine
immediately
She may past stone on her own
Your 33 yo female patient tells you she does not use protection
during sexual intercourse. Cervical motion tenderness in addition
to what other finding indicates PID?
a. adnexal tenderness
b. vaginal itching
c. UTI
d. no other symptoms - ✔✔✔ Correct Answer > a. adnexal tenderness
53 yo male c/o dribbling and nocturia. You suspect BPH, PSA 3.2.
What confirms the diagnosis? - ✔✔✔ Correct Answer > Transrectal
ultrasound
,Page 3 of 114
A male patietn you have placed on an alpha blocker for BPH
comes in complaining of increased urinary frequency. What do
you do? - ✔✔✔ Correct Answer > Leave it alone, the med is working
A 78yo male patient with CHF develops a bacterial UTI secondary
to indwelling foley catheter. Pt has known allergy to PCN and
sulfonamides. The appropriate choice for antimicrobial therapy
is? - ✔✔✔ Correct Answer > Ciprofoxacin
Patient with history of Afib has maintained NSR with sotalol, is
hospitalized for acute pyelonephritis. The appropriate antibiotic
regimen for this patient is? - ✔✔✔ Correct Answer > IV Ceftriaxone
A young female patient is in ED with vaginal discharge. After
pelvic exam, the NP documents which finding? - ✔✔✔ Correct Answer
> Cervical motion tenderness
Your female patient presents with mucopurulent cervical
drainage, fever 102F, adnexal tenderness, and distended/rigid
abdomen. What is the appropriate measure? - ✔✔✔ Correct Answer >
Call surgery and arrange for an ex lap and pelvic abscess
drainage
, Page 4 of 114
Lower UTI treatment - ✔✔✔ Correct Answer > Bactrim, cipro,
augmentin for 3d course
Male patient with UTI on 3 day regimen of abx comes in
requestion stronger abx, you order? - ✔✔✔ Correct Answer > Levaquin
(narrow the spectrum)
UTI patient is allergic to PCN, you order? - ✔✔✔ Correct Answer >
Bactrim
UTI during pregnancy, you order? - ✔✔✔ Correct Answer > Amoxicillin,
macrobid, keflex for 7 days
Most common UTI etiology in women/men? - ✔✔✔ Correct Answer >
Ecoli in women/ proteus in men
Difference between upper and lower UTI? - ✔✔✔ Correct Answer >
flank pain
First test to order with a male presenting with BPH? - ✔✔✔ Correct
Answer > UA
Treatment of BPH - ✔✔✔ Correct Answer > 5 alpha reuctase inhibitors:
finasteride (proscar) and dutaseride (avodart)