ANCCl AGACNPl Examl (Latestl 2026/l
2027l Update)l 100%l Verifiedl Questionsl &l
Answersl |l Gradel A
Q:l Closel tol halfl ofl thosel adultsl olderl thanl 65l yearsl ofl agel experiencel poorl sleepl
qualityl andl thosel withl psychiatricl problemsl havel al morel thanl twofoldl increasel ofl
insomnia.l Whichl ofl thel followl ingl isl recommendedl asl anl interventionl forl goodl sleepl
hygiene?l
c.
Answer:
Maximizel exposurel tol lightl duringl thel dayl andl minimizel lightl atl night.
Q:l Al 28yol ml inl al high-speedl MVAl crashl arrivedl inl thel EDl unresponsive,l wasl
intubated,l andl isl requiringl moderatel ventilatorl settings.l Injuriesl includel gradel Il splenicl
lacerationl andl bowell contusion.l Hel wasl initiallyl normotensive.l Overl thel nextl 12l hours,l
hisl urinel outputl diminishesl tol nearl anuria,l despitel 8l Ll ofl volumel resuscitation.l Thel
AG-ACNP
l notesl hisl abdomenl isl becomingl distendedl andl firm.l Hisl bloodl pressurel dropsl tol 90/65l
andl he
l becomesl slightlyl agitated.l PIPl climbsl tol 30l mmHg.l Basedl uponl thesel findings,l thel
AG-ACNP
l anticipatesl whichl priorityl intervention:
Answer:
Bladderl pressurel monitoringl withl anticipationl ofl surgicall consult
Q:l Al 33yol fl withl al 21-yearl historyl ofl insulin-dependentl DMl presentsl forl routinel
follow-up.l Herl bloodl pressurel hasl beenl inl thel 130l tol 155/84l tol 95l mmHgl rangel
duringl thel pastl fewl months.l Al recentl bloodl pressurel takenl byl al nursel friendl inl thel
morningl wasl 154/94l mmHg.l Shel hasl mildl proliferativel retinopathyl andl mildl sensoryl
neuropathy.l PEl unremarkable.l Al urinalysisl revealsl 2+l proteinuria.l Whatl isl thel mostl
appropriatel first-linel treatmentl ofl herl hypertension?
,Answer:
Lisinoprill (Prinivil)
Q:l Al 56yol whitel ml withl al pastl medicall historyl ofl advancedl Huntington'sl diseasel
presentsl withl severall weeksl ofl coughing,l dyspnea,l fever,l chills,l weightl loss,l andl
purulentl sputum.l Hisl chestl x-rayl revealsl infiltratesl withl cavitationl andl air-fluidl levelsl inl
thel bilaterall lowerl lobes.l AFBl isl negative,l sputuml culturel isl obtained,l andl al CTl ofl thel
chestl isl pending.l Thel firstl differentiall diagnosisl whenl consideringl treatmentl plansl is
Answer:
Lungl Abscess
Q:l Al 39-year-oldl patientl withl nol personall historyl ofl diabetesl butl al familyl historyl ofl
noninsulinl dependentl DMIIl inl multiplel closel relativesl hasl al seriesl ofl fastingl glucosel
levelsl greaterl thanl 145l mg/dLl whilel inl thel hospitall forl acutel pyelonephritis.l Al HbgA1cl
wasl notedl tol bel 8.1%.l Whatl isl thel nextl bestl actionl thel AG-ACNPl shouldl initiatel forl
thel patient'sl planl ofl care?
Answer:
a.l Discussl andl answerl questionsl aboutl thel testl results,l diagnosis,l neededl lifestylel
changes,l andl medicall treatmentsl withl thel patientl and/orl family.
Q:l Al patientl admittedl withl IVHl developsl acutel hydrocephalusl andl anl EVDl isl
placed.l Initiallyl 20l mLl bloodyl fluidl isl drainedl andl thel patient'sl neurologicl examl
improves.l Overl thel nextl 3l hours,l thel patientl becomesl morel lethargic,l confused,l hasl
nausea,l andl vomits.l Thel AG-ACNPl suspects:
Answer:
b.l Thel EVDl isl clottedl off.
Q:l Thel treatmentl ofl choicel forl pericarditisl chestl painl occurringl withinl 1l weekl post-
myocardiall infarctionl is:
,Answer:
a.l Aspirin
Q:l A79-year-oldl malel withl advancedl demential isl admittedl tol thel medicall unitl withl
recurrentl sepsisl duel tol al UTI.l Thel staffl indicatesl thatl theyl arel concernedl thel patientl
mightl bel aspiratingl andl arel reluctantl tol feedl thel patient.l Thel patient'sl wifel indicatesl
thatl shel isl worriedl thatl herl husbandl isl notl eatingl andl wouldl likel tol havel morel
informationl aboutl al feedingl tube.l Thel AG-ACNPl answerl tol thisl patient'sl wifel isl basedl
uponl whichl thel followingl correctl information:
Answer:
d.l Percutaneousl tubel feedingsl dol notl prolongl lifel andl canl leadl tol increasedl usel ofl
restraints.
Q:l Al 17-yol ml presentsl immediatelyl afterl playingl al footballl game,l withl al complaintl
ofl suddenl onsetl ofl rightl scrotall painl associatedl withl nauseal andl vomiting.l Itl isl
suspectedl thatl hel isl experiencingl testicularl torsion.l Thel nextl mostl appropriatel actionl is
Answer:
a.l Immediatelyl consultl anl urologist.
Q:l Al 27l yol policel officerl isl GSWl shotl inl thel abdomenl atl closel rangel withl al .45l
caliberl revolver.l Thel entrancel woundl isl tol thel leftl flank,l andl thel bulletl isl seenl onl x-
raysl tol bel embeddedl inl thel spleen,l alongl withl suspicionl ofl al diaphragmaticl injury.l Shel
isl hemodynamicallyl unstablel withl al heartl ratel ofl 145,l respirationl ratel 22,l bloodl
pressurel 80/45,l andl thel abdomenl isl moderatelyl tenderl tol palpation.l Thel AG-ACNPl
understandsl penetratingl intra-abdominall injuriesl need:
Answer:
d.l Exploratoryl laparotomyl byl al surgeon
Q:l Thel mechanisml ofl actionl ofl epinephrinel givenl forl anaphylacticl reactionl inl al
patientl withl penicillinl allergyl is:l
Combinedl alphal andl betal adrenergicl effects
, Answer:
a.l Combinedl alphal andl betal adrenergicl effects
Q:l Whichl terml orl conceptl isl definedl asl thel internall conflictl experiencedl whenl thel
AG-ACNPl knowsl whatl thel mostl ethicall actionl shouldl bel butl encountersl barriersl
discouragingl him/herl froml carryingl outl thel action?
Answer:
b.l Morall distress
Q:l A50-year-oldpatientl presentsl withl anl anteriorl myocardiall infarction.l Hel receivedl
thrombolyticl therapyl andl isl doingl well.l Onl dayl 3l hel suddenlyl becomesl acutelyl
tachycardic,l dropsl hisl bloodl pressurel tol 75/30,l hasl distendedl neckl veinsl withl pulsusl
paradoxus.l Rapidl administrationl ofl 2l Ll normall salinel increasesl thel bloodl pressurel tol
95/50.l Thel mostl likelyl diagnosisl is:
l a.l Cardiacl tamponadel duel tol myocardiall walll rupture
Answer:
a.l Cardiacl tamponadel duel tol myocardiall walll rupture
Q:l A53yol ml directlyl admittedl tol thel hospitall froml thel clinicl withl symptomsl ofl
fatigue,l shortnessl ofl breath,l andl dizziness.l Perl thel patient,l thesel symptomsl havel gottenl
worsel overl thel pastl month.l Onl physicall exam,l thel findingsl arel completelyl normall
exceptl forl pallorl ofl thel mucusl membranes,l tachycardial withl al regularl rhythm,l andl mildl
dyspnea.l Thel nextl stepl ofl thel AG-ACNPshouldl takel is:
Answer:
b.l Checkl al CBC.
Q:l Anl olderl adultl manl presentedl froml homel withl al complaintl ofl worseningl
shortnessl ofl breathl andl whitel sputuml production.l Chestl x-rayl wasl clearl andl hel wasl
admittedl withl al COPDl exacl erbationl andl receivedl oxygenl therapy,l albuteroll nebulizers,l
andl IVl steroids.l Onl hospitall dayl 1,l thel AG-ACNPnotesl hel developedl al newl fever,l
2027l Update)l 100%l Verifiedl Questionsl &l
Answersl |l Gradel A
Q:l Closel tol halfl ofl thosel adultsl olderl thanl 65l yearsl ofl agel experiencel poorl sleepl
qualityl andl thosel withl psychiatricl problemsl havel al morel thanl twofoldl increasel ofl
insomnia.l Whichl ofl thel followl ingl isl recommendedl asl anl interventionl forl goodl sleepl
hygiene?l
c.
Answer:
Maximizel exposurel tol lightl duringl thel dayl andl minimizel lightl atl night.
Q:l Al 28yol ml inl al high-speedl MVAl crashl arrivedl inl thel EDl unresponsive,l wasl
intubated,l andl isl requiringl moderatel ventilatorl settings.l Injuriesl includel gradel Il splenicl
lacerationl andl bowell contusion.l Hel wasl initiallyl normotensive.l Overl thel nextl 12l hours,l
hisl urinel outputl diminishesl tol nearl anuria,l despitel 8l Ll ofl volumel resuscitation.l Thel
AG-ACNP
l notesl hisl abdomenl isl becomingl distendedl andl firm.l Hisl bloodl pressurel dropsl tol 90/65l
andl he
l becomesl slightlyl agitated.l PIPl climbsl tol 30l mmHg.l Basedl uponl thesel findings,l thel
AG-ACNP
l anticipatesl whichl priorityl intervention:
Answer:
Bladderl pressurel monitoringl withl anticipationl ofl surgicall consult
Q:l Al 33yol fl withl al 21-yearl historyl ofl insulin-dependentl DMl presentsl forl routinel
follow-up.l Herl bloodl pressurel hasl beenl inl thel 130l tol 155/84l tol 95l mmHgl rangel
duringl thel pastl fewl months.l Al recentl bloodl pressurel takenl byl al nursel friendl inl thel
morningl wasl 154/94l mmHg.l Shel hasl mildl proliferativel retinopathyl andl mildl sensoryl
neuropathy.l PEl unremarkable.l Al urinalysisl revealsl 2+l proteinuria.l Whatl isl thel mostl
appropriatel first-linel treatmentl ofl herl hypertension?
,Answer:
Lisinoprill (Prinivil)
Q:l Al 56yol whitel ml withl al pastl medicall historyl ofl advancedl Huntington'sl diseasel
presentsl withl severall weeksl ofl coughing,l dyspnea,l fever,l chills,l weightl loss,l andl
purulentl sputum.l Hisl chestl x-rayl revealsl infiltratesl withl cavitationl andl air-fluidl levelsl inl
thel bilaterall lowerl lobes.l AFBl isl negative,l sputuml culturel isl obtained,l andl al CTl ofl thel
chestl isl pending.l Thel firstl differentiall diagnosisl whenl consideringl treatmentl plansl is
Answer:
Lungl Abscess
Q:l Al 39-year-oldl patientl withl nol personall historyl ofl diabetesl butl al familyl historyl ofl
noninsulinl dependentl DMIIl inl multiplel closel relativesl hasl al seriesl ofl fastingl glucosel
levelsl greaterl thanl 145l mg/dLl whilel inl thel hospitall forl acutel pyelonephritis.l Al HbgA1cl
wasl notedl tol bel 8.1%.l Whatl isl thel nextl bestl actionl thel AG-ACNPl shouldl initiatel forl
thel patient'sl planl ofl care?
Answer:
a.l Discussl andl answerl questionsl aboutl thel testl results,l diagnosis,l neededl lifestylel
changes,l andl medicall treatmentsl withl thel patientl and/orl family.
Q:l Al patientl admittedl withl IVHl developsl acutel hydrocephalusl andl anl EVDl isl
placed.l Initiallyl 20l mLl bloodyl fluidl isl drainedl andl thel patient'sl neurologicl examl
improves.l Overl thel nextl 3l hours,l thel patientl becomesl morel lethargic,l confused,l hasl
nausea,l andl vomits.l Thel AG-ACNPl suspects:
Answer:
b.l Thel EVDl isl clottedl off.
Q:l Thel treatmentl ofl choicel forl pericarditisl chestl painl occurringl withinl 1l weekl post-
myocardiall infarctionl is:
,Answer:
a.l Aspirin
Q:l A79-year-oldl malel withl advancedl demential isl admittedl tol thel medicall unitl withl
recurrentl sepsisl duel tol al UTI.l Thel staffl indicatesl thatl theyl arel concernedl thel patientl
mightl bel aspiratingl andl arel reluctantl tol feedl thel patient.l Thel patient'sl wifel indicatesl
thatl shel isl worriedl thatl herl husbandl isl notl eatingl andl wouldl likel tol havel morel
informationl aboutl al feedingl tube.l Thel AG-ACNPl answerl tol thisl patient'sl wifel isl basedl
uponl whichl thel followingl correctl information:
Answer:
d.l Percutaneousl tubel feedingsl dol notl prolongl lifel andl canl leadl tol increasedl usel ofl
restraints.
Q:l Al 17-yol ml presentsl immediatelyl afterl playingl al footballl game,l withl al complaintl
ofl suddenl onsetl ofl rightl scrotall painl associatedl withl nauseal andl vomiting.l Itl isl
suspectedl thatl hel isl experiencingl testicularl torsion.l Thel nextl mostl appropriatel actionl is
Answer:
a.l Immediatelyl consultl anl urologist.
Q:l Al 27l yol policel officerl isl GSWl shotl inl thel abdomenl atl closel rangel withl al .45l
caliberl revolver.l Thel entrancel woundl isl tol thel leftl flank,l andl thel bulletl isl seenl onl x-
raysl tol bel embeddedl inl thel spleen,l alongl withl suspicionl ofl al diaphragmaticl injury.l Shel
isl hemodynamicallyl unstablel withl al heartl ratel ofl 145,l respirationl ratel 22,l bloodl
pressurel 80/45,l andl thel abdomenl isl moderatelyl tenderl tol palpation.l Thel AG-ACNPl
understandsl penetratingl intra-abdominall injuriesl need:
Answer:
d.l Exploratoryl laparotomyl byl al surgeon
Q:l Thel mechanisml ofl actionl ofl epinephrinel givenl forl anaphylacticl reactionl inl al
patientl withl penicillinl allergyl is:l
Combinedl alphal andl betal adrenergicl effects
, Answer:
a.l Combinedl alphal andl betal adrenergicl effects
Q:l Whichl terml orl conceptl isl definedl asl thel internall conflictl experiencedl whenl thel
AG-ACNPl knowsl whatl thel mostl ethicall actionl shouldl bel butl encountersl barriersl
discouragingl him/herl froml carryingl outl thel action?
Answer:
b.l Morall distress
Q:l A50-year-oldpatientl presentsl withl anl anteriorl myocardiall infarction.l Hel receivedl
thrombolyticl therapyl andl isl doingl well.l Onl dayl 3l hel suddenlyl becomesl acutelyl
tachycardic,l dropsl hisl bloodl pressurel tol 75/30,l hasl distendedl neckl veinsl withl pulsusl
paradoxus.l Rapidl administrationl ofl 2l Ll normall salinel increasesl thel bloodl pressurel tol
95/50.l Thel mostl likelyl diagnosisl is:
l a.l Cardiacl tamponadel duel tol myocardiall walll rupture
Answer:
a.l Cardiacl tamponadel duel tol myocardiall walll rupture
Q:l A53yol ml directlyl admittedl tol thel hospitall froml thel clinicl withl symptomsl ofl
fatigue,l shortnessl ofl breath,l andl dizziness.l Perl thel patient,l thesel symptomsl havel gottenl
worsel overl thel pastl month.l Onl physicall exam,l thel findingsl arel completelyl normall
exceptl forl pallorl ofl thel mucusl membranes,l tachycardial withl al regularl rhythm,l andl mildl
dyspnea.l Thel nextl stepl ofl thel AG-ACNPshouldl takel is:
Answer:
b.l Checkl al CBC.
Q:l Anl olderl adultl manl presentedl froml homel withl al complaintl ofl worseningl
shortnessl ofl breathl andl whitel sputuml production.l Chestl x-rayl wasl clearl andl hel wasl
admittedl withl al COPDl exacl erbationl andl receivedl oxygenl therapy,l albuteroll nebulizers,l
andl IVl steroids.l Onl hospitall dayl 1,l thel AG-ACNPnotesl hel developedl al newl fever,l
