AACN ACNPC-AG (Adult-Gero) Certification Exam Due 10th November
Complete Actual Exam Questions 1- 175 Screenshots ACNPC-AG Adult-
Gerontology Acute Care Nurse Practitioner Certification AACN ACNPC-AG
(Adult-Gero) PSI's Secure Browser Online Proctore
,
,
, Section 1: CARDIOVASCULAR (15% - Highest Weighted Category)
Question 1: A 72-year-old male with a history of hypertension presents to the ED
with substernal chest pressure radiating to his left arm, diaphoresis, and nausea.
Symptoms began 45 minutes ago. ECG shows 2mm ST elevation in leads V1-V4.
What is the priority intervention?
A. Obtain a chest X-ray
B. Administer sublingual nitroglycerin
C. Activate the STEMI protocol for emergent PCI
D. Draw troponin levels and wait for results
Correct ,,answer,,,,: C. Activate the STEMI protocol for emergent PCI
Rationale: This patient presents with acute anterior STEMI based on ST elevation
in V1-V4. The priority is reperfusion therapy. Guidelines recommend door-to-
balloon time ≤90 minutes for PCI-capable hospitals. Aspirin should also be given
immediately. Waiting for troponin or obtaining a chest X-ray delays critical care.
Anterior STEMI carries higher mortality and risk of heart failure due to larger
myocardial territory involvement.
Question 2: A 65-year-old female with HFrEF (EF 30%) is admitted with acute
decompensated heart failure. Current medications include lisinopril 20 mg daily,
carvedilol 25 mg BID, and furosemide 40 mg BID. She has crackles in bilateral
lung bases, JVD, and 2+ pitting edema. BP is 110/70, HR 88. What is the most
appropriate next step?
A. Increase carvedilol to 50 mg BID
B. Add spironolactone 25 mg daily
C. Increase furosemide to 80 mg IV
D. Start digoxin 0.125 mg daily
Correct ,,answer,,,,: C. Increase furosemide to 40 mg IV
Complete Actual Exam Questions 1- 175 Screenshots ACNPC-AG Adult-
Gerontology Acute Care Nurse Practitioner Certification AACN ACNPC-AG
(Adult-Gero) PSI's Secure Browser Online Proctore
,
,
, Section 1: CARDIOVASCULAR (15% - Highest Weighted Category)
Question 1: A 72-year-old male with a history of hypertension presents to the ED
with substernal chest pressure radiating to his left arm, diaphoresis, and nausea.
Symptoms began 45 minutes ago. ECG shows 2mm ST elevation in leads V1-V4.
What is the priority intervention?
A. Obtain a chest X-ray
B. Administer sublingual nitroglycerin
C. Activate the STEMI protocol for emergent PCI
D. Draw troponin levels and wait for results
Correct ,,answer,,,,: C. Activate the STEMI protocol for emergent PCI
Rationale: This patient presents with acute anterior STEMI based on ST elevation
in V1-V4. The priority is reperfusion therapy. Guidelines recommend door-to-
balloon time ≤90 minutes for PCI-capable hospitals. Aspirin should also be given
immediately. Waiting for troponin or obtaining a chest X-ray delays critical care.
Anterior STEMI carries higher mortality and risk of heart failure due to larger
myocardial territory involvement.
Question 2: A 65-year-old female with HFrEF (EF 30%) is admitted with acute
decompensated heart failure. Current medications include lisinopril 20 mg daily,
carvedilol 25 mg BID, and furosemide 40 mg BID. She has crackles in bilateral
lung bases, JVD, and 2+ pitting edema. BP is 110/70, HR 88. What is the most
appropriate next step?
A. Increase carvedilol to 50 mg BID
B. Add spironolactone 25 mg daily
C. Increase furosemide to 80 mg IV
D. Start digoxin 0.125 mg daily
Correct ,,answer,,,,: C. Increase furosemide to 40 mg IV
