ANCC AGACNP CERTIFICATION TEST
2026 FULL QUESTIONS AND
ANSWERS GRADED A+
◉ ICS. Answer: budesonide (pulmicort)
fluticasone (flovent HFA)
triamcinolone (Azmacort)
what step?
◉ LRTA. Answer: montelukast (singuilair)
nedocromil (alocril)
what step?
◉ xanthine. Answer: theophylline
what step?
what to check?
◉ mast cell stabilizer. Answer: cromolyn
what step?
◉ laba. Answer: salmeterol (servent)
,formeterol (perforomist)
what step?
◉ leukotriene synthesis inhibitor. Answer: zileuton (zyflo)
what step?
what to know extra?
◉ omalizumab (xolair). Answer: asthma w/ allergies
what step?
◉ ipratropium (atrovent HFA). Answer: inhaled anticholinergic
for what?
◉ burn formula. Answer: 4 ml/kg x TBSA (% burned) in 24 hours
1/2 fluid in 8 hrs
remaining in 16 hours (1/4 next 8 hr, 1/4 remaining 8 hr)
-use crystalloid
-watch for hyperkalemia first 2 days, then hypokalemia s/p fluid
resusc 3 days
-watch metabolic acidosis early resusc phase
◉ DMARDS. Answer: for ra (disease modifying antirheumatic drugs)
corticosteroids
,methotrexate
antimalarians (hydrochloroquine)
gold salt injections
◉ IOP #. Answer: norm: 10-20 mm Hg
◉ serum fasting blood gluose. Answer: at least 8 hours, > 126 mg/dL
more than x1
◉ cutaneous. Answer: local to skin or surface of body
◉ visceral. Answer: internal organs ex. cholelithiasis
◉ somatic. Answer: muscles, bones, nerves, soft tissue ex. bone fx,
breast removed
◉ neuropathic. Answer: tumor, nerve pathway injury or compression
ex. sciatica
◉ Amitriptyline (Elavil). Answer: +- adjuvent for pain, helps w/
headache
◉ pain step 2 additions. Answer: codeine, hydrocodone, oxycodone,
tramadol, dihidrocodeine
, ◉ pain step 3 additions. Answer: MORphine, hydroMORPhone,
methadone, fentanyl
◉ epibole. Answer: rolled edges in pressure injury 3&4
◉ celcius. Answer: 37 c= 98.6, normal
38 c= 100.4
>38.3 c = 101.5
◉ trimethoprim-sulfamethoxazole. Answer: bactrim
-can cause fever
-for PCP prophylaxis, aids
◉ drugs that cause fever reactions. Answer: ampho B
bactrim
beta-lactam abx
procainamide (antiarrhyrhmic)
isoniazid
alpha-methyldopa
quinidine (aniarrhythmic)
-fever lingers, does not spike, tylenol ineffective
2026 FULL QUESTIONS AND
ANSWERS GRADED A+
◉ ICS. Answer: budesonide (pulmicort)
fluticasone (flovent HFA)
triamcinolone (Azmacort)
what step?
◉ LRTA. Answer: montelukast (singuilair)
nedocromil (alocril)
what step?
◉ xanthine. Answer: theophylline
what step?
what to check?
◉ mast cell stabilizer. Answer: cromolyn
what step?
◉ laba. Answer: salmeterol (servent)
,formeterol (perforomist)
what step?
◉ leukotriene synthesis inhibitor. Answer: zileuton (zyflo)
what step?
what to know extra?
◉ omalizumab (xolair). Answer: asthma w/ allergies
what step?
◉ ipratropium (atrovent HFA). Answer: inhaled anticholinergic
for what?
◉ burn formula. Answer: 4 ml/kg x TBSA (% burned) in 24 hours
1/2 fluid in 8 hrs
remaining in 16 hours (1/4 next 8 hr, 1/4 remaining 8 hr)
-use crystalloid
-watch for hyperkalemia first 2 days, then hypokalemia s/p fluid
resusc 3 days
-watch metabolic acidosis early resusc phase
◉ DMARDS. Answer: for ra (disease modifying antirheumatic drugs)
corticosteroids
,methotrexate
antimalarians (hydrochloroquine)
gold salt injections
◉ IOP #. Answer: norm: 10-20 mm Hg
◉ serum fasting blood gluose. Answer: at least 8 hours, > 126 mg/dL
more than x1
◉ cutaneous. Answer: local to skin or surface of body
◉ visceral. Answer: internal organs ex. cholelithiasis
◉ somatic. Answer: muscles, bones, nerves, soft tissue ex. bone fx,
breast removed
◉ neuropathic. Answer: tumor, nerve pathway injury or compression
ex. sciatica
◉ Amitriptyline (Elavil). Answer: +- adjuvent for pain, helps w/
headache
◉ pain step 2 additions. Answer: codeine, hydrocodone, oxycodone,
tramadol, dihidrocodeine
, ◉ pain step 3 additions. Answer: MORphine, hydroMORPhone,
methadone, fentanyl
◉ epibole. Answer: rolled edges in pressure injury 3&4
◉ celcius. Answer: 37 c= 98.6, normal
38 c= 100.4
>38.3 c = 101.5
◉ trimethoprim-sulfamethoxazole. Answer: bactrim
-can cause fever
-for PCP prophylaxis, aids
◉ drugs that cause fever reactions. Answer: ampho B
bactrim
beta-lactam abx
procainamide (antiarrhyrhmic)
isoniazid
alpha-methyldopa
quinidine (aniarrhythmic)
-fever lingers, does not spike, tylenol ineffective
