AGACNP REVIEW UPDATED EXAM QUESTIONS
WITH CORRECT ANSWERS 2026
Most important step in EBP - CORRECT ANSWER -Formulate a research question
AANC Synergy model - CORRECT ANSWER -A conceptual framework that aligns patient needs
with nurse competencies
How does Synergy influence ANCC competencies (3 ways - CORRECT ANSWER -1. develop nurse
competencies
2. Develop certification test plans
3. Support certification renewal
Neisseria Gonorrhea arthritis +ua and BC treatment - CORRECT ANSWER -Azithromycin oral with
ceftriaxone 1gm q12
(use azithromycin to cover chlamydia if it is +)
What is the coverage for HAP who is at high risk for VAP - CORRECT ANSWER -staph coverage
with 2 antipseudomonal agents
-zosyn, meropenum and vancomycin
Refeeding syndrome and who are at risk - CORRECT ANSWER -potential lethal compilation of
the metabolic and normal changes cause by the rapid refeeding.
at risk: chronic malnutrition, cancer elder and preexisting hypophosphatemia and hypokalemia
Classic sign of epidural hematoma - CORRECT ANSWER -a lucid interval between trauma and
decline in consciousnesses
,Appropriate treatment of acute heart failure in the setting of hypoperfusion - CORRECT
ANSWER -no vasodilators, need to give dopamine for a + inotrope response
What is the end point of resuscitation for sepsis - CORRECT ANSWER -Lactic acid clearance, CVP
8-12, UPO >0.5ml/hr, mix venous oxygen 70-80%
STD/Chlamydia treatment - CORRECT ANSWER -Azithromycin 1gm as a single dose
What is QSEN and 6 competencies - CORRECT ANSWER -quality and safety education for nurses:
1. patient centered care 2. teamwork 3. collaboration 4. EBP 5. QI 6. safety and informatics
Patient refusing rehab is an example of - CORRECT ANSWER -self determination (right to make
own decision)
Self determination - CORRECT ANSWER -right to make own decision
Justice - CORRECT ANSWER -Justice is fairness and impartiality. Nurses must make impartial, fair
decisions regarding patient care without regard to a patient's race, age, sexual orientation, or
economic status
Beneficence - CORRECT ANSWER -Beneficence is the act of doing what is good and right for the
patient. This ethical principle encompasses charity and kindness, which require actions by the
nurse to benefit others.
Nonmaleficence - CORRECT ANSWER -Nonmaleficence means doing no harm (intentional or
unintentional). Nurses must provide care that reflects standards to avoid or minimize risk to the
patient, healthcare team, or organization.
Examples of high intensity stating - CORRECT ANSWER -atorvastatin 40-80mg
, Rosuvastatin 20-40 mg
What medication to avoid during a thyroid storm - CORRECT ANSWER -NSAIDS/ASA as these
may bind to thyroid-binding globulin, causing increased levels of free thyroid hormone levels.
Cause of hearing loss when aging - CORRECT ANSWER -thickening of the TM causing conductive
hearing loss (low sounds)
HF is associated with dec elasticity and efficiency of ossicular articulation
How fast can a Dilantin infusion go - CORRECT ANSWER -not over 50mg/min d/t SE of cardiac
depression
Kerh's sign - CORRECT ANSWER -(irritated diaphragm) pain radiating to the shoulder classic sing
for rupture spleen
What is the normal ocular pressure - CORRECT ANSWER -10-20 mg/hg
What is a patient undergoing aggressive resuscitation with emergent surgery at risk for ? what
would airway pressure, TV and uo look like - CORRECT ANSWER -3 spacing, intestinal edema.
Can progress to intestinal compartment syndrome. peak airway pressure, decreased TV,
hypoxia, decreased UO, hypotension
normal central venous pressure - CORRECT ANSWER -0-6 mm/hg
What mean arterial pressure (MAP) do we need to perfuse coronary arteries, brain, and
kidneys? - CORRECT ANSWER ->65
Normal Pulmonary artery pressure - CORRECT ANSWER -15-25/5-15
WITH CORRECT ANSWERS 2026
Most important step in EBP - CORRECT ANSWER -Formulate a research question
AANC Synergy model - CORRECT ANSWER -A conceptual framework that aligns patient needs
with nurse competencies
How does Synergy influence ANCC competencies (3 ways - CORRECT ANSWER -1. develop nurse
competencies
2. Develop certification test plans
3. Support certification renewal
Neisseria Gonorrhea arthritis +ua and BC treatment - CORRECT ANSWER -Azithromycin oral with
ceftriaxone 1gm q12
(use azithromycin to cover chlamydia if it is +)
What is the coverage for HAP who is at high risk for VAP - CORRECT ANSWER -staph coverage
with 2 antipseudomonal agents
-zosyn, meropenum and vancomycin
Refeeding syndrome and who are at risk - CORRECT ANSWER -potential lethal compilation of
the metabolic and normal changes cause by the rapid refeeding.
at risk: chronic malnutrition, cancer elder and preexisting hypophosphatemia and hypokalemia
Classic sign of epidural hematoma - CORRECT ANSWER -a lucid interval between trauma and
decline in consciousnesses
,Appropriate treatment of acute heart failure in the setting of hypoperfusion - CORRECT
ANSWER -no vasodilators, need to give dopamine for a + inotrope response
What is the end point of resuscitation for sepsis - CORRECT ANSWER -Lactic acid clearance, CVP
8-12, UPO >0.5ml/hr, mix venous oxygen 70-80%
STD/Chlamydia treatment - CORRECT ANSWER -Azithromycin 1gm as a single dose
What is QSEN and 6 competencies - CORRECT ANSWER -quality and safety education for nurses:
1. patient centered care 2. teamwork 3. collaboration 4. EBP 5. QI 6. safety and informatics
Patient refusing rehab is an example of - CORRECT ANSWER -self determination (right to make
own decision)
Self determination - CORRECT ANSWER -right to make own decision
Justice - CORRECT ANSWER -Justice is fairness and impartiality. Nurses must make impartial, fair
decisions regarding patient care without regard to a patient's race, age, sexual orientation, or
economic status
Beneficence - CORRECT ANSWER -Beneficence is the act of doing what is good and right for the
patient. This ethical principle encompasses charity and kindness, which require actions by the
nurse to benefit others.
Nonmaleficence - CORRECT ANSWER -Nonmaleficence means doing no harm (intentional or
unintentional). Nurses must provide care that reflects standards to avoid or minimize risk to the
patient, healthcare team, or organization.
Examples of high intensity stating - CORRECT ANSWER -atorvastatin 40-80mg
, Rosuvastatin 20-40 mg
What medication to avoid during a thyroid storm - CORRECT ANSWER -NSAIDS/ASA as these
may bind to thyroid-binding globulin, causing increased levels of free thyroid hormone levels.
Cause of hearing loss when aging - CORRECT ANSWER -thickening of the TM causing conductive
hearing loss (low sounds)
HF is associated with dec elasticity and efficiency of ossicular articulation
How fast can a Dilantin infusion go - CORRECT ANSWER -not over 50mg/min d/t SE of cardiac
depression
Kerh's sign - CORRECT ANSWER -(irritated diaphragm) pain radiating to the shoulder classic sing
for rupture spleen
What is the normal ocular pressure - CORRECT ANSWER -10-20 mg/hg
What is a patient undergoing aggressive resuscitation with emergent surgery at risk for ? what
would airway pressure, TV and uo look like - CORRECT ANSWER -3 spacing, intestinal edema.
Can progress to intestinal compartment syndrome. peak airway pressure, decreased TV,
hypoxia, decreased UO, hypotension
normal central venous pressure - CORRECT ANSWER -0-6 mm/hg
What mean arterial pressure (MAP) do we need to perfuse coronary arteries, brain, and
kidneys? - CORRECT ANSWER ->65
Normal Pulmonary artery pressure - CORRECT ANSWER -15-25/5-15
