AGACNP 106 EXAM (ADULT
GERONTOLOGY ACUTE
CARE NURSE PRACTITIONER)
ACTUAL EXAM QUESTIONS AND
CORRECT
DETAILED ANSWERS
What can amiodarone do to the lungs? - ✔✔✔ Correct Answer > N+V
Fatigue
Constipation
Tremor
Insomnia
Lack of coordinatiohn
HA
Ventricular dysrhythmias and AFIB
Pulmonary Toxicity
,Treatment for cushings? - ✔✔✔ Correct Answer > stop drugs inducing s/s
Transphenoidal resection pituitary adenoma
Surgical removal adrenal tumor
Resection ACTH secreting tumor Manage electrolyte issues.
What meds can reduce cortisol? - ✔✔✔ Correct Answer > ketaconazole
Mitotane (Lysodren)
Metyrapone (metopirone)
What drugs can you give for bushings pt with type 2DM/GLUCOSE into? -
✔✔✔ Correct Answer > Mifepristone (korlym)
Mifeprex
After cosyntropin test if cortisol reaches 18 @ 60 mins what is ruled out?
If you get a subnormal response does not rise to set numbers, is obtained with
an elevated baseline ACTH what is wrong? - ✔✔✔ Correct Answer > primary
adrenal insufficiency
Patient has primary adrenal in sufficient or a form ACTH unresponsiveness
What is the treatment for adrenal insufficiency?
,What is ineffective tx?
They need what replacement ? - ✔✔✔ Correct Answer >
Hydrocortisone 100-300mcg IV, D5NS @500 ML/HRX4HRS then taper
Vasopressors
Mineralocorticoid
DKA what BS do you see?
PH will be?
Commonly see what electrolyte abnormality?
Osmo? - ✔✔✔ Correct Answer > 250-300 Ketone/metabolic acidosis, PH <7.3
Hyperkalemia
Hyperosmolality
HHNK bs?
, A1C?
PH?
ANION GAP?
Osmo - ✔✔✔ Correct Answer > >600
Elevated
Normal
Normal
High >310
DKA/HHNK
What fluid and how much in the 1st hr?
What should fluid run at after the 1st hr?
If BS is >500 then what? Why
If BS <250 then what? Why - ✔✔✔ Correct Answer > 1L NS
500ML/HR
1/2 NS- water def is exceeding NA loss
Start D5 1/2 NS so that they do not get hypoglycemia
What is the starting insulin bolus DKA/HHNK?
What is the continuous rate?
How much should BS drop in 1st hr?
GERONTOLOGY ACUTE
CARE NURSE PRACTITIONER)
ACTUAL EXAM QUESTIONS AND
CORRECT
DETAILED ANSWERS
What can amiodarone do to the lungs? - ✔✔✔ Correct Answer > N+V
Fatigue
Constipation
Tremor
Insomnia
Lack of coordinatiohn
HA
Ventricular dysrhythmias and AFIB
Pulmonary Toxicity
,Treatment for cushings? - ✔✔✔ Correct Answer > stop drugs inducing s/s
Transphenoidal resection pituitary adenoma
Surgical removal adrenal tumor
Resection ACTH secreting tumor Manage electrolyte issues.
What meds can reduce cortisol? - ✔✔✔ Correct Answer > ketaconazole
Mitotane (Lysodren)
Metyrapone (metopirone)
What drugs can you give for bushings pt with type 2DM/GLUCOSE into? -
✔✔✔ Correct Answer > Mifepristone (korlym)
Mifeprex
After cosyntropin test if cortisol reaches 18 @ 60 mins what is ruled out?
If you get a subnormal response does not rise to set numbers, is obtained with
an elevated baseline ACTH what is wrong? - ✔✔✔ Correct Answer > primary
adrenal insufficiency
Patient has primary adrenal in sufficient or a form ACTH unresponsiveness
What is the treatment for adrenal insufficiency?
,What is ineffective tx?
They need what replacement ? - ✔✔✔ Correct Answer >
Hydrocortisone 100-300mcg IV, D5NS @500 ML/HRX4HRS then taper
Vasopressors
Mineralocorticoid
DKA what BS do you see?
PH will be?
Commonly see what electrolyte abnormality?
Osmo? - ✔✔✔ Correct Answer > 250-300 Ketone/metabolic acidosis, PH <7.3
Hyperkalemia
Hyperosmolality
HHNK bs?
, A1C?
PH?
ANION GAP?
Osmo - ✔✔✔ Correct Answer > >600
Elevated
Normal
Normal
High >310
DKA/HHNK
What fluid and how much in the 1st hr?
What should fluid run at after the 1st hr?
If BS is >500 then what? Why
If BS <250 then what? Why - ✔✔✔ Correct Answer > 1L NS
500ML/HR
1/2 NS- water def is exceeding NA loss
Start D5 1/2 NS so that they do not get hypoglycemia
What is the starting insulin bolus DKA/HHNK?
What is the continuous rate?
How much should BS drop in 1st hr?
