AGACNP EXAM REVIEW 2026: 503 HIGH-YIELD
QUESTIONS AND 100% VERIFIED ANSWERS |
GRADED A+ | GUARANTEED PASS!!
15-year-old patient with DM1 reports ^ BS in a.m. The ACNP determines
hyperglycemia is due to?
- answer-Dawn Phenomenon
17 year old with ulcerative colitis, what is the worst complication?
- answer-Toxic megacolon
23-year-old female presents with DKA. ABD pH 7.3, glucose 520, blood pressure
90/65, HR 120, and confused. Which of the following are not included in the initial
management of DKA? Isotonic fluids, insulin infusion, sodium bicarb, or
supportive care?
- answer-Sodium bicarb is only indicated for DKA if pH is <7.1
24-year-old male presents with DKA. Now confused and irritable. ABG pH
7.29/33/22. Received isotonic fluids x1 hour, BP 110/70, HR 90, Blood glucose
550. What is the best IV fluid indicated?
- answer-1/2 NS (d/t BG >500)
25 y/o female presents with green vaginal discharge, what is the diagnosis?
- answer-Gonorrhea (females s/s dysuria, urinary freq, abd pain, fever, N/V)
28 y/o female with fever, malaise, rash across the back and splinter hemorrhages.
HBG 10, positive ANA, UA proteinuria and elevated ESR. What is the suspected
diagnosis?
- answer-SLE
31 y/o male with a blowing murmur occurring during S1 and galloping addition
heart sound. Murmur is heard best at the base of the heart. What is the MM?
- answer-Mitral regurgitation
,32 y/o presents with c/o fever, night sweats, and unexplained weight loss. Upon
exam you note a swollen cervical lymph node. A subsequent CXR reveals
mediastinal adenopathy. Which of the following is the dx?
- answer-Hodgkin's Lymphoma
32 year old female is brought to the ED after spilling a pot of boiling water on her
arms and chest. On exam you see that burned skin is broken, swollen with edema,
and covered with blisters. She rates pain as "extremely painful. " You determine
that the patient has burns over 20% of her TBSA. Which of the following most
accurately describes the patient's burn?
A. 1st degree burn
B. Full thickness burn
C. Partial thickness burn
D. 3rd degree burn
- answer-C. Partial thickness burn
32-year-old male presented with a gunshot wound to the FAA. Injuries are
negligible and patient is stable. Patient reports the shot was an accident during
hunting. What should the NP do?
- answer-Port to the police. All GSW must be reported
35 year old Asian American is in good health. He is worried about life-prolonging
measures. What is the most likely cause of death for a man like him?
- answer-Unintentional injury. If he is African-American is homicide. <35 and
heart disease at 35
35 year old female presents with complaints of bilateral wrist pain. You suspect
spouse abuse. You notice a hand gun in her purse. What would be your next
action?
- answer-Call security to ensure safety
37 year old s/p endotracheal intubation 2 days ago has fever, chills and purulent
sputum. CXR= lung infiltrates. Which of the following is the best regiment for the
patients condition?
- answer-Cefepime and Cipro (pseudomonas for VAP)
38 y/o female immobilized for 4 months. Examining her before releasing you not
dyspnea and tachycardia. You suspect PE, but VQ scan does not confirm. What is
,the next diagnostic test?
- answer-Pulmonary angiography
42-year-old male with epigastric pain that is better after he eats?
- answer-Duodenal ulcer
45 y/o male s/p ABD Sx has now developed ARF: BUN 100/Cr 4.5, indications for
dialysis?
- answer-^ K, metabolic acidosis, & encephalopathy
45-year-old status post double mastectomy two months ago. Now he's complaining
of pain at the incision site. What kind of pain is this?
- answer-Neuropathic pain
47 y/o male comes in complaining of intense right eye pain which has worsened
since he woke up. Eye exam: copious tearing/redness. Which of the following do
you complete to confirm suspected dx?
- answer-Sodium fluorescein stain for corneal abrasion
48 year old with fever, abdominal pain, and bloody diarrhea with history of chronic
sinusitis, arthritis, and recent DVT. Which presents the most likely diagnosis and
test order?
- answer-Ulcerative colitis, Sigmoidoscopy
49-year-old male presents with complaints of abdominal swelling that progressed
over two days. Patient also reports mucus filled diarrhea and abdominal pain.
Exam is significant for profound abdominal distention. You suspect a SPO. What
type of bowel sounds are associated?
- answer-High pitched, tinkling bowel sounds
52 y/o female is concerned with hormonal replacement therapy. What are the
associated SE?
- answer-Gall stones, blood clots, and CVA
53 y/o male c/o dribbling and nocturne. You suspect BPH. PSA is 3.2. What
confirms the diagnosis?
- answer-Transrectal ultrasound
, 54 y/o male s/p acute MI on Levophed, EPI, Vasopression, and Nitro. BP 160/75,
now 81/50, which medication would you decrease?
- answer-Nitro
57 y/o male with PMH of cardiovascular disease presents with c/o of pain in both
knees that is progressively worse throughout the day. You suspect OA. What
medication is contraindicated?
- answer-Celebrex r/t ARF, MI, and CV disease
57 y/o male with PMH of cardiovascular disease presents with c/o pain in both
knees that is progressively worse throughout the day. You suspect OA. What
medication is contraindicated?
- answer-Celebrex r/t ARF, MI, and pts PMH + for cardiac disease
58 year old Japanese male with chest pain 4/10 for 3 hours, reluctant to answer
questions. Which of the following in the ED weren't admission?
A. Age
B. Gender
C. Pain level
D. Ethnicity
- answer-D. Ethnicity
60 year old male presents to the ER and his child reports he passed out in the car
while driving, regained consciousness and was drooling and out of it. Patient's HR
and BP are decreased. You give Nimodipine. What is the rationale for
administering Nimodipine to this patient?
- answer-Calcium channel blocker, counters vasospasm s/p CVA
62 year old male presents with angina after his daily walk. Lipid panel reveals
LDL 250, HDL 25, cholesterol 350, and triglycerides 250. You prescribe niacin.
How would you explain the mechanism of action to the patient?
- answer-Niacin lowers LDL and increased HDL
65 year old EtOH use +25 years of smoking. Signs and symptoms dysphasia and
epigastric pain. What is the diagnosis?
- answer-GERD
65-year-old male with complaints of nausea vomiting constipation for several days
and a 6 pound weight loss. Patient status post TKR several weeks ago and reports
QUESTIONS AND 100% VERIFIED ANSWERS |
GRADED A+ | GUARANTEED PASS!!
15-year-old patient with DM1 reports ^ BS in a.m. The ACNP determines
hyperglycemia is due to?
- answer-Dawn Phenomenon
17 year old with ulcerative colitis, what is the worst complication?
- answer-Toxic megacolon
23-year-old female presents with DKA. ABD pH 7.3, glucose 520, blood pressure
90/65, HR 120, and confused. Which of the following are not included in the initial
management of DKA? Isotonic fluids, insulin infusion, sodium bicarb, or
supportive care?
- answer-Sodium bicarb is only indicated for DKA if pH is <7.1
24-year-old male presents with DKA. Now confused and irritable. ABG pH
7.29/33/22. Received isotonic fluids x1 hour, BP 110/70, HR 90, Blood glucose
550. What is the best IV fluid indicated?
- answer-1/2 NS (d/t BG >500)
25 y/o female presents with green vaginal discharge, what is the diagnosis?
- answer-Gonorrhea (females s/s dysuria, urinary freq, abd pain, fever, N/V)
28 y/o female with fever, malaise, rash across the back and splinter hemorrhages.
HBG 10, positive ANA, UA proteinuria and elevated ESR. What is the suspected
diagnosis?
- answer-SLE
31 y/o male with a blowing murmur occurring during S1 and galloping addition
heart sound. Murmur is heard best at the base of the heart. What is the MM?
- answer-Mitral regurgitation
,32 y/o presents with c/o fever, night sweats, and unexplained weight loss. Upon
exam you note a swollen cervical lymph node. A subsequent CXR reveals
mediastinal adenopathy. Which of the following is the dx?
- answer-Hodgkin's Lymphoma
32 year old female is brought to the ED after spilling a pot of boiling water on her
arms and chest. On exam you see that burned skin is broken, swollen with edema,
and covered with blisters. She rates pain as "extremely painful. " You determine
that the patient has burns over 20% of her TBSA. Which of the following most
accurately describes the patient's burn?
A. 1st degree burn
B. Full thickness burn
C. Partial thickness burn
D. 3rd degree burn
- answer-C. Partial thickness burn
32-year-old male presented with a gunshot wound to the FAA. Injuries are
negligible and patient is stable. Patient reports the shot was an accident during
hunting. What should the NP do?
- answer-Port to the police. All GSW must be reported
35 year old Asian American is in good health. He is worried about life-prolonging
measures. What is the most likely cause of death for a man like him?
- answer-Unintentional injury. If he is African-American is homicide. <35 and
heart disease at 35
35 year old female presents with complaints of bilateral wrist pain. You suspect
spouse abuse. You notice a hand gun in her purse. What would be your next
action?
- answer-Call security to ensure safety
37 year old s/p endotracheal intubation 2 days ago has fever, chills and purulent
sputum. CXR= lung infiltrates. Which of the following is the best regiment for the
patients condition?
- answer-Cefepime and Cipro (pseudomonas for VAP)
38 y/o female immobilized for 4 months. Examining her before releasing you not
dyspnea and tachycardia. You suspect PE, but VQ scan does not confirm. What is
,the next diagnostic test?
- answer-Pulmonary angiography
42-year-old male with epigastric pain that is better after he eats?
- answer-Duodenal ulcer
45 y/o male s/p ABD Sx has now developed ARF: BUN 100/Cr 4.5, indications for
dialysis?
- answer-^ K, metabolic acidosis, & encephalopathy
45-year-old status post double mastectomy two months ago. Now he's complaining
of pain at the incision site. What kind of pain is this?
- answer-Neuropathic pain
47 y/o male comes in complaining of intense right eye pain which has worsened
since he woke up. Eye exam: copious tearing/redness. Which of the following do
you complete to confirm suspected dx?
- answer-Sodium fluorescein stain for corneal abrasion
48 year old with fever, abdominal pain, and bloody diarrhea with history of chronic
sinusitis, arthritis, and recent DVT. Which presents the most likely diagnosis and
test order?
- answer-Ulcerative colitis, Sigmoidoscopy
49-year-old male presents with complaints of abdominal swelling that progressed
over two days. Patient also reports mucus filled diarrhea and abdominal pain.
Exam is significant for profound abdominal distention. You suspect a SPO. What
type of bowel sounds are associated?
- answer-High pitched, tinkling bowel sounds
52 y/o female is concerned with hormonal replacement therapy. What are the
associated SE?
- answer-Gall stones, blood clots, and CVA
53 y/o male c/o dribbling and nocturne. You suspect BPH. PSA is 3.2. What
confirms the diagnosis?
- answer-Transrectal ultrasound
, 54 y/o male s/p acute MI on Levophed, EPI, Vasopression, and Nitro. BP 160/75,
now 81/50, which medication would you decrease?
- answer-Nitro
57 y/o male with PMH of cardiovascular disease presents with c/o of pain in both
knees that is progressively worse throughout the day. You suspect OA. What
medication is contraindicated?
- answer-Celebrex r/t ARF, MI, and CV disease
57 y/o male with PMH of cardiovascular disease presents with c/o pain in both
knees that is progressively worse throughout the day. You suspect OA. What
medication is contraindicated?
- answer-Celebrex r/t ARF, MI, and pts PMH + for cardiac disease
58 year old Japanese male with chest pain 4/10 for 3 hours, reluctant to answer
questions. Which of the following in the ED weren't admission?
A. Age
B. Gender
C. Pain level
D. Ethnicity
- answer-D. Ethnicity
60 year old male presents to the ER and his child reports he passed out in the car
while driving, regained consciousness and was drooling and out of it. Patient's HR
and BP are decreased. You give Nimodipine. What is the rationale for
administering Nimodipine to this patient?
- answer-Calcium channel blocker, counters vasospasm s/p CVA
62 year old male presents with angina after his daily walk. Lipid panel reveals
LDL 250, HDL 25, cholesterol 350, and triglycerides 250. You prescribe niacin.
How would you explain the mechanism of action to the patient?
- answer-Niacin lowers LDL and increased HDL
65 year old EtOH use +25 years of smoking. Signs and symptoms dysphasia and
epigastric pain. What is the diagnosis?
- answer-GERD
65-year-old male with complaints of nausea vomiting constipation for several days
and a 6 pound weight loss. Patient status post TKR several weeks ago and reports
