AGACNP STUDY GUIDE 2026: QUESTIONS AND
100% VERIFIED ANSWERS | GRADED A+ |
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70 yr old male w/6 wk hx of indigestion after meals relieved with Maalox. Denies
wt loss, change in appetite. Current med includes ASA 325 mg, enalapril 10 mg,
and multivitamin. Exam reveals HR 80, BP 130/70 with normal cardiac,
abdominal, & lung exam. Rectal exam reveals brown stool, + for blood. What is
the next step in the evaluation of this patient?
A. Tell patient to report back if further blood in stool
B. Instruct patient to stop taking aspirin
C. Have patient return in 1 week for repeat rectal
D. Refer to gastroenterologist for further evaluation
- answer-D) The next step would be to refer the patient to GI for further evaluation.
It would also be appropriate for the pt to stop aspirin but the cause of the blood in
the stool needs to be determined.
A firm liver on physical exam is usually associated with:
A. Ascites
B. Passive congestion
C. Cirrhosis
D. Hepatic carcinoma
- answer-B- Passive congestion
A healthcare worker suffers a needlestick injury from a patient known to have
hepatitis B virus. What would be the plan of care for this healthcare worker?
A. Give the hepatitis B vaccine immediately.
B. Obtain baseline LFTs
C. Give the hepatitis B vaccine within 1 week
D. Give hepatitis B immune globulin and hepatitis B vaccine immediately
- answer-D) Give HBIG and Hepatitis B vaccine immediately. The HBIG provides
immediate, high-level passively acquired anti-hepatitis B immunity, whereas the
hepatitis vaccine offers lasting immunity.
A hepatic bruit suggests:
A. ascites
, B. carcinoma of the liver
C. peritonitis
D. mesenteric ischemia
- answer-B) hepatic bruit suggests liver carcinoma
Alkaline phosphatase (ALP) enzyme
- answer-Elevations-->cholestatic (biliary obtruction, space-occupying/infiltrative
lesions of liver). ALP present in multiple tissues. An elevated GGT (enzyme)
establishes hepatic origin of ALP
Normal value: 50 - 136
All of the following are s/s of acute appendicitis, except:
A. abdominal rigidity
B. a positive Murphy's sign
C. abdominal guarding
D. a positive psoas sign
- answer-B) A positive Murphy's sign is not associated with acute appendicitis;
rather it is associated w/acute cholecystitis
alpha-Fetoprotein (AFP)
- answer-Normal adult level: <10
Insensitive marker for hepatocellular carcinoma. Mild-moderate elevations in acute
& chronic liver inflammation.
An enlarged, irregular liver suggests:
A. hepatitis A
B. CHF
C. hepatitis C
D. hepatic malignancy
- answer-D) Enlarged, irregular liver suggests hepatic malignancy.
AST and ALT enzymes
- answer-Elevations-->hepatocellular injury, necrosis. Marked elevations (>1000)
typically occur with acute hepatocellular injury (viral, drugs, ischemia). AST>2x
ALT = alcohol. AST<1 ALT = viral hepatitis
Bilirubin
- answer-Degradation product of hemoglobin. Total bili = conjugated +
unconjugated fractions. Normally bilirubin is processed by the liver and conjugated
100% VERIFIED ANSWERS | GRADED A+ |
GUARANTEED PASS!!
70 yr old male w/6 wk hx of indigestion after meals relieved with Maalox. Denies
wt loss, change in appetite. Current med includes ASA 325 mg, enalapril 10 mg,
and multivitamin. Exam reveals HR 80, BP 130/70 with normal cardiac,
abdominal, & lung exam. Rectal exam reveals brown stool, + for blood. What is
the next step in the evaluation of this patient?
A. Tell patient to report back if further blood in stool
B. Instruct patient to stop taking aspirin
C. Have patient return in 1 week for repeat rectal
D. Refer to gastroenterologist for further evaluation
- answer-D) The next step would be to refer the patient to GI for further evaluation.
It would also be appropriate for the pt to stop aspirin but the cause of the blood in
the stool needs to be determined.
A firm liver on physical exam is usually associated with:
A. Ascites
B. Passive congestion
C. Cirrhosis
D. Hepatic carcinoma
- answer-B- Passive congestion
A healthcare worker suffers a needlestick injury from a patient known to have
hepatitis B virus. What would be the plan of care for this healthcare worker?
A. Give the hepatitis B vaccine immediately.
B. Obtain baseline LFTs
C. Give the hepatitis B vaccine within 1 week
D. Give hepatitis B immune globulin and hepatitis B vaccine immediately
- answer-D) Give HBIG and Hepatitis B vaccine immediately. The HBIG provides
immediate, high-level passively acquired anti-hepatitis B immunity, whereas the
hepatitis vaccine offers lasting immunity.
A hepatic bruit suggests:
A. ascites
, B. carcinoma of the liver
C. peritonitis
D. mesenteric ischemia
- answer-B) hepatic bruit suggests liver carcinoma
Alkaline phosphatase (ALP) enzyme
- answer-Elevations-->cholestatic (biliary obtruction, space-occupying/infiltrative
lesions of liver). ALP present in multiple tissues. An elevated GGT (enzyme)
establishes hepatic origin of ALP
Normal value: 50 - 136
All of the following are s/s of acute appendicitis, except:
A. abdominal rigidity
B. a positive Murphy's sign
C. abdominal guarding
D. a positive psoas sign
- answer-B) A positive Murphy's sign is not associated with acute appendicitis;
rather it is associated w/acute cholecystitis
alpha-Fetoprotein (AFP)
- answer-Normal adult level: <10
Insensitive marker for hepatocellular carcinoma. Mild-moderate elevations in acute
& chronic liver inflammation.
An enlarged, irregular liver suggests:
A. hepatitis A
B. CHF
C. hepatitis C
D. hepatic malignancy
- answer-D) Enlarged, irregular liver suggests hepatic malignancy.
AST and ALT enzymes
- answer-Elevations-->hepatocellular injury, necrosis. Marked elevations (>1000)
typically occur with acute hepatocellular injury (viral, drugs, ischemia). AST>2x
ALT = alcohol. AST<1 ALT = viral hepatitis
Bilirubin
- answer-Degradation product of hemoglobin. Total bili = conjugated +
unconjugated fractions. Normally bilirubin is processed by the liver and conjugated
