AGACNP Exam Review Questions with
Verified Solutions
Most important step in EBP - ANS-Formulate a research question
AANC Synergy model - ANS-A conceptual framework that aligns patient needs with
nurse competencies
How does Synergy influence ANCC competencies (3 ways - ANS-1. develop nurse
competencies
2. Develop certification test plans
3. Support certification renewal
Neisseria Gonorrhea arthritis +ua and BC treatment - ANS-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 - ANS-staph coverage with 2
antipseudomonal agents
-zosyn, meropenum and vancomycin
Refeeding syndrome and who are at risk - ANS-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 - ANS-a lucid interval between trauma and decline in
consciousnesses
Appropriate treatment of acute heart failure in the setting of hypoperfusion - ANS-no
vasodilators, need to give dopamine for a + inotrope response
What is the end point of resuscitation for sepsis - ANS-Lactic acid clearance, CVP 8-12,
UPO >0.5ml/hr, mix venous oxygen 70-80%
STD/Chlamydia treatment - ANS-Azithromycin 1gm as a single dose
What is QSEN and 6 competencies - ANS-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 - ANS-self determination (right to make own
decision)
Self determination - ANS-right to make own decision
Justice - ANS-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 - ANS-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.
What phase are the first controlled clinical studies done - ANS-phase II
What is the first step if Temporal pain and giant cell arteritis is suspected - ANS-Methyl
prednisone 1 gm (bx can be delayed up to two weeks)
Definition of HTN emergency - ANS-increase BP with end organ damage
Beneficence (Definition) - ANS-act in best interest of others
(do good)
Non-maleficence - ANS-(to do no harm)
Autonomy - ANS-(giving the patient the freedom to choose freely, where they are able)
Justice - ANS-ensuring fairness
Paternalism - ANS-making the decision for others
what to you do first for patient with a neutropenic fever - ANS-abx
What has been found to help patients with ongoing risky behaviors? - ANS-motivational
interviewing
First choice for patient with ICH and hypertension - ANS-labatelol
What is the Patient Self-Determination Act? - ANS-Requires all facilities to recognize
the living will and power of attorney. It requires them to give the patient information on
their rights to create these documents and also advance directives along with state
laws.
-Must ask if an advance directive is present
-Right to accept or refuse medical/surgical treatment
Verified Solutions
Most important step in EBP - ANS-Formulate a research question
AANC Synergy model - ANS-A conceptual framework that aligns patient needs with
nurse competencies
How does Synergy influence ANCC competencies (3 ways - ANS-1. develop nurse
competencies
2. Develop certification test plans
3. Support certification renewal
Neisseria Gonorrhea arthritis +ua and BC treatment - ANS-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 - ANS-staph coverage with 2
antipseudomonal agents
-zosyn, meropenum and vancomycin
Refeeding syndrome and who are at risk - ANS-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 - ANS-a lucid interval between trauma and decline in
consciousnesses
Appropriate treatment of acute heart failure in the setting of hypoperfusion - ANS-no
vasodilators, need to give dopamine for a + inotrope response
What is the end point of resuscitation for sepsis - ANS-Lactic acid clearance, CVP 8-12,
UPO >0.5ml/hr, mix venous oxygen 70-80%
STD/Chlamydia treatment - ANS-Azithromycin 1gm as a single dose
What is QSEN and 6 competencies - ANS-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 - ANS-self determination (right to make own
decision)
Self determination - ANS-right to make own decision
Justice - ANS-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 - ANS-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.
What phase are the first controlled clinical studies done - ANS-phase II
What is the first step if Temporal pain and giant cell arteritis is suspected - ANS-Methyl
prednisone 1 gm (bx can be delayed up to two weeks)
Definition of HTN emergency - ANS-increase BP with end organ damage
Beneficence (Definition) - ANS-act in best interest of others
(do good)
Non-maleficence - ANS-(to do no harm)
Autonomy - ANS-(giving the patient the freedom to choose freely, where they are able)
Justice - ANS-ensuring fairness
Paternalism - ANS-making the decision for others
what to you do first for patient with a neutropenic fever - ANS-abx
What has been found to help patients with ongoing risky behaviors? - ANS-motivational
interviewing
First choice for patient with ICH and hypertension - ANS-labatelol
What is the Patient Self-Determination Act? - ANS-Requires all facilities to recognize
the living will and power of attorney. It requires them to give the patient information on
their rights to create these documents and also advance directives along with state
laws.
-Must ask if an advance directive is present
-Right to accept or refuse medical/surgical treatment
