AGACNP FINAL EXAM REVIEW (ADULT
GERONTOLOGY ACUTE CARE NURSE
PRACTITIONER) NEWEST EXAM
QUESTIONS AND CORRECT DETAILED
ANSWERS
What GCS score is an indication for ICP monitoring in the patient with an
epidural hematoma?
A) 7 or less
B) 9
C) 11
D) 12 or greater - ✔✔✔ Correct Answer > A) 7 or less
What is Passive immunity? - ✔✔✔ Correct Answer > Can be artificial, such as
immunity conferred by the introduction of antibody proteins such as gamma
globulin injections (Hep B immuno globulin, CMV, tetanus toxoid, diptheria
toxoid), or natural, such as maternal immunity transferred to the fetus (Can be
mom to baby).
Page 1 of 121
,Your patient has diarrhea, abdominal distention, weakness, and flaccid
paralysis. What do you suspect? - ✔✔✔ Correct Answer > Hyperkalemia.
May also present with tall, peaked T waves
Regarding calcium and renal failure, what can you expect to see in your patient?
- ✔✔✔ Correct Answer > Either hypocalcemia or hypercalcemia
What is the only electrolyte abnormality that can cause a prolonged QT
interval? - ✔✔✔ Correct Answer > Hypocalcemia
What pathogen is the usual cause in uncomplicated cellulitis? -
✔✔✔ Correct Answer > Strep. pyogenes (Gp A Strep)
What is the most important step in GI decontamination management?
A) Physical exam
B) History
C) Serum, gastric, and urinary toxicology screens
D) Administering activated charcoal - ✔✔✔ Correct Answer > B)
History
Page 2 of 121
,History is the first and most important step of assessment.
Your patient presents to the ED with a BP of 92/76, respirations of 7/ minute,
miosis, a temperature of 36.5, and he is falling asleep mid-sentence. You are
unable to get an adequate history from him. After his IV and toxicology labs are
drawn he becomes difficult to arouse from sleep. What is your next step?
A) Oxygen support, admit to stepdown and await results of his toxicology
labs
B) Prophylactic intubation
C) Administer an emetic
D) Administer Butorphanol - ✔✔✔ Correct Answer > D) Administer
Butorphanol
The patient is presenting with s/s of a narcotic overdose (drowsiness,
hypothermia, respiratory depression, shallow respirations, miosis, and
eventually coma). Naloxone (Narcan) and Butorphanol (Stadol) are reversal
agents. Emetics are contraindicated.
In both malignant hyperthermia and serotonin syndrome what do you not expect
to see?
A) Hypothermia
Page 3 of 121
, B) Hyperthermia
C) Rigor
D) Recent administration of Succinylcholine - ✔✔✔ Correct Answer >
A) Hypothermia
SS and MH both have hyperthermia for which cooling blankets may be ordered.
Rigor may be present and is treated with Klonopin. The primary treatment for
both is Dantrolene sodium (Dantrium).
What direction do you expect the hemoglobin-oxygen dissociation curve to go
in a patient that has severe salicylate intoxication?
A) Up
B) Down
C) Right
D) Left - ✔✔✔ Correct Answer > C) Right
Salicylate (aspirin) intoxication s/s include hyperthermia and metabolic acidosis
(among others) which results in a
DECREASED affinity of hgb to oxygen and a shift to the RIGHT
T/F Bicitra is considered conservative medical management in metabolic
alkalosis? - ✔✔✔ Correct Answer > False.
Page 4 of 121
GERONTOLOGY ACUTE CARE NURSE
PRACTITIONER) NEWEST EXAM
QUESTIONS AND CORRECT DETAILED
ANSWERS
What GCS score is an indication for ICP monitoring in the patient with an
epidural hematoma?
A) 7 or less
B) 9
C) 11
D) 12 or greater - ✔✔✔ Correct Answer > A) 7 or less
What is Passive immunity? - ✔✔✔ Correct Answer > Can be artificial, such as
immunity conferred by the introduction of antibody proteins such as gamma
globulin injections (Hep B immuno globulin, CMV, tetanus toxoid, diptheria
toxoid), or natural, such as maternal immunity transferred to the fetus (Can be
mom to baby).
Page 1 of 121
,Your patient has diarrhea, abdominal distention, weakness, and flaccid
paralysis. What do you suspect? - ✔✔✔ Correct Answer > Hyperkalemia.
May also present with tall, peaked T waves
Regarding calcium and renal failure, what can you expect to see in your patient?
- ✔✔✔ Correct Answer > Either hypocalcemia or hypercalcemia
What is the only electrolyte abnormality that can cause a prolonged QT
interval? - ✔✔✔ Correct Answer > Hypocalcemia
What pathogen is the usual cause in uncomplicated cellulitis? -
✔✔✔ Correct Answer > Strep. pyogenes (Gp A Strep)
What is the most important step in GI decontamination management?
A) Physical exam
B) History
C) Serum, gastric, and urinary toxicology screens
D) Administering activated charcoal - ✔✔✔ Correct Answer > B)
History
Page 2 of 121
,History is the first and most important step of assessment.
Your patient presents to the ED with a BP of 92/76, respirations of 7/ minute,
miosis, a temperature of 36.5, and he is falling asleep mid-sentence. You are
unable to get an adequate history from him. After his IV and toxicology labs are
drawn he becomes difficult to arouse from sleep. What is your next step?
A) Oxygen support, admit to stepdown and await results of his toxicology
labs
B) Prophylactic intubation
C) Administer an emetic
D) Administer Butorphanol - ✔✔✔ Correct Answer > D) Administer
Butorphanol
The patient is presenting with s/s of a narcotic overdose (drowsiness,
hypothermia, respiratory depression, shallow respirations, miosis, and
eventually coma). Naloxone (Narcan) and Butorphanol (Stadol) are reversal
agents. Emetics are contraindicated.
In both malignant hyperthermia and serotonin syndrome what do you not expect
to see?
A) Hypothermia
Page 3 of 121
, B) Hyperthermia
C) Rigor
D) Recent administration of Succinylcholine - ✔✔✔ Correct Answer >
A) Hypothermia
SS and MH both have hyperthermia for which cooling blankets may be ordered.
Rigor may be present and is treated with Klonopin. The primary treatment for
both is Dantrolene sodium (Dantrium).
What direction do you expect the hemoglobin-oxygen dissociation curve to go
in a patient that has severe salicylate intoxication?
A) Up
B) Down
C) Right
D) Left - ✔✔✔ Correct Answer > C) Right
Salicylate (aspirin) intoxication s/s include hyperthermia and metabolic acidosis
(among others) which results in a
DECREASED affinity of hgb to oxygen and a shift to the RIGHT
T/F Bicitra is considered conservative medical management in metabolic
alkalosis? - ✔✔✔ Correct Answer > False.
Page 4 of 121
