ACTUAL EXAM American Association of
Critical-Care Nurses (AACN) AGACNP
(Adult-Gerontology Acute Care Nurse
Practitioner Certification) EXAM
PNA vaccine criteria - Answer--Age 19-64: smoker, asthma, COPD, DM, ETOH,
immunocompromised or in facility. Age 65+: PPSV23 AND PCV13
Physical exam frequency - Answer--Once from 11-21, every 5-6 years from 20-59, every
2 years from 60+
Lipid panel check - Answer--Start at age 20, every 5 years unless > 200 mg/dL
Mammography & prostate screening start - Answer--Mammography: 40-50, Prostate: 40
with family hx of AA, 50 for others
Baseline ECG timing - Answer--At age 40
Colorectal screening initiation - Answer--Start at age 50, FOBT annually with
colonoscopy q 10 years
Glaucoma testing start - Answer--At age 40 and yearly
Herpes zoster vaccination - Answer--Age 50-60
, Pap smear cessation criteria - Answer--Age > 65-70 with 3 normal tests, no abnormal
tests in 10 years
Top 4 US killers - Answer--Heart disease, colorectal cancer, Lower respiratory disease,
CVA stroke
Most fatal cancer in men & women - Answer--Lung cancer
Most common cancer in US women - Answer--Breast cancer
Most common cancer in US men - Answer--Prostate cancer
Hep A vaccine recipients - Answer--Military, travelers, MSM
Hep B vaccine recipients - Answer--Healthcare workers, high-risk patients
Ginger usage & risk - Answer--Nausea relief, INCREASED BLEEDING risk
Ginseng usage & risk - Answer--Well-being enhancement, INCREASED BLEEDING
risk, mania with MAOIs
St. John's wort usage & risk - Answer--Depression aid, INCREASED CLOTTING risk,
drug interactions
Echinacea usage & risk - Answer--Cold remedy, Anaphylaxis risk, hepatotoxicity
Gingko Biloba usage & risk - Answer--Memory aid, INCREASED BLEEDING risk,
increased BP
Black cohosh usage & risk - Answer--Menopause relief, INCREASED BLEEDING risk,
seizures with high doses
Evening primrose usage & risk - Answer--Menopause relief, blood glucose elevation,
seizure risk
Kava kava usage & risk - Answer--Relaxation aid, HTN risk with high doses, liver
damage
Garlic usage & risk - Answer--Indigestion relief, INCREASED BLEEDING risk