AAGACNP CERTIFICATION EXAM
(ADULT
GERONTOLOGY ACUTE CARE NURSE
PRACTITIONER) ACTUAL EXAM
QUESTIONS AND CORRECT
VERIFIED ANSWERS
These drugs may cause hypokalemia, hypomagnesemia, hyperglycemia,
hyponatremia, hypercalcemia. Screen for sulfa allergy before administering.
First line drug for HTN - ✔✔✔ Correct Answer > Thiazide diuretic
Do not initiate this HTN drug if potassium is greater than 5.5. Contraindicated
in pregnancy. May cause hyperkalemia, cough, renal impairment - ✔✔✔
Correct Answer > ACE
Reserved for patients intolerant of ACE, contraindicated in pregnancy, may
cause cough, hyperkalemia and renal impairment - ✔✔✔ Correct Answer >
ARB
Hypertensive agent that may be used for angina, arrhythmias and migraines.
May cause headache, flushing, and bradycardia - ✔✔✔ Correct Answer > CCB
Page 1 of 101
,Drug that may be used for BPH. Could cause first dose syncope, dry mouth,
orthostasis - ✔✔✔ Correct Answer > Peripheral alpha-1 antagonist
Ex: Terazosin, Doxazosin
Characterized by severe elevations in blood pressure of >180/110 without
progressive target organ dysfunction - ✔✔✔ Correct Answer > Hypertensive
urgencies
How do you treat hypertensive urgency? - ✔✔✔ Correct Answer >
Clonidine
Captopril
Nifedipine
What fundoscopic changes will you see in hypertensive urgency?
- ✔✔✔ Correct Answer > Papilledema, flame-shaped retinal hemorrhages and
soft exudates
What is papilledema - ✔✔✔ Correct Answer > Swelling of optic disk with
blurred margins
Page 2 of 101
,What is considered a hypertensive emergency - ✔✔✔ Correct Answer >
>180/120
How do you treat hypertensive emergency? - ✔✔✔ Correct Answer >
Nicardipine
Sodium nitroprusside
Decreased blood flow through the vessel that causes tissue ischemia - ✔✔✔
Correct Answer > Angina
Exertional angina - ✔✔✔ Correct Answer > Stable angina
Angina that occurs at various times and caused by coronary vasopasms due to
an influx in calcium - ✔✔✔ Correct Answer > Prinzmetal's (varient)
Levine sign is indicative of - ✔✔✔ Correct Answer > angina
During S1, what is happening - ✔✔✔ Correct Answer > AV nodes closed;
semi-lunar valves open
What are AV nodes? - ✔✔✔ Correct Answer > Mitral
Tricuspid
Page 3 of 101
, What are semilunar valves? - ✔✔✔ Correct Answer > Pulmonic
Aortic
What causes S3? - ✔✔✔ Correct Answer > Increased fluid states
What causes S4? - ✔✔✔ Correct Answer > Stiff ventricular wall
LVH
Murmur that is loud, associated with a thrill - ✔✔✔ Correct Answer > 4/6
Murmur that is very loud and heard with one corner of the stethoscope off the
chest wall - ✔✔✔ Correct Answer > 5/6
Loud S1 mumur, low pitched, mid-diastolic; apical "crescendo" rumble - ✔✔✔
Correct Answer > Mitral stenosis
S3 with systolic murmur at 5th ICS MCL; may radiate to base or left axilla;
muscular, blowing or high pitched - ✔✔✔ Correct Answer > Mitral
regurgitation
Page 4 of 101
(ADULT
GERONTOLOGY ACUTE CARE NURSE
PRACTITIONER) ACTUAL EXAM
QUESTIONS AND CORRECT
VERIFIED ANSWERS
These drugs may cause hypokalemia, hypomagnesemia, hyperglycemia,
hyponatremia, hypercalcemia. Screen for sulfa allergy before administering.
First line drug for HTN - ✔✔✔ Correct Answer > Thiazide diuretic
Do not initiate this HTN drug if potassium is greater than 5.5. Contraindicated
in pregnancy. May cause hyperkalemia, cough, renal impairment - ✔✔✔
Correct Answer > ACE
Reserved for patients intolerant of ACE, contraindicated in pregnancy, may
cause cough, hyperkalemia and renal impairment - ✔✔✔ Correct Answer >
ARB
Hypertensive agent that may be used for angina, arrhythmias and migraines.
May cause headache, flushing, and bradycardia - ✔✔✔ Correct Answer > CCB
Page 1 of 101
,Drug that may be used for BPH. Could cause first dose syncope, dry mouth,
orthostasis - ✔✔✔ Correct Answer > Peripheral alpha-1 antagonist
Ex: Terazosin, Doxazosin
Characterized by severe elevations in blood pressure of >180/110 without
progressive target organ dysfunction - ✔✔✔ Correct Answer > Hypertensive
urgencies
How do you treat hypertensive urgency? - ✔✔✔ Correct Answer >
Clonidine
Captopril
Nifedipine
What fundoscopic changes will you see in hypertensive urgency?
- ✔✔✔ Correct Answer > Papilledema, flame-shaped retinal hemorrhages and
soft exudates
What is papilledema - ✔✔✔ Correct Answer > Swelling of optic disk with
blurred margins
Page 2 of 101
,What is considered a hypertensive emergency - ✔✔✔ Correct Answer >
>180/120
How do you treat hypertensive emergency? - ✔✔✔ Correct Answer >
Nicardipine
Sodium nitroprusside
Decreased blood flow through the vessel that causes tissue ischemia - ✔✔✔
Correct Answer > Angina
Exertional angina - ✔✔✔ Correct Answer > Stable angina
Angina that occurs at various times and caused by coronary vasopasms due to
an influx in calcium - ✔✔✔ Correct Answer > Prinzmetal's (varient)
Levine sign is indicative of - ✔✔✔ Correct Answer > angina
During S1, what is happening - ✔✔✔ Correct Answer > AV nodes closed;
semi-lunar valves open
What are AV nodes? - ✔✔✔ Correct Answer > Mitral
Tricuspid
Page 3 of 101
, What are semilunar valves? - ✔✔✔ Correct Answer > Pulmonic
Aortic
What causes S3? - ✔✔✔ Correct Answer > Increased fluid states
What causes S4? - ✔✔✔ Correct Answer > Stiff ventricular wall
LVH
Murmur that is loud, associated with a thrill - ✔✔✔ Correct Answer > 4/6
Murmur that is very loud and heard with one corner of the stethoscope off the
chest wall - ✔✔✔ Correct Answer > 5/6
Loud S1 mumur, low pitched, mid-diastolic; apical "crescendo" rumble - ✔✔✔
Correct Answer > Mitral stenosis
S3 with systolic murmur at 5th ICS MCL; may radiate to base or left axilla;
muscular, blowing or high pitched - ✔✔✔ Correct Answer > Mitral
regurgitation
Page 4 of 101
