AANP AGNP certification EXAM A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERIFIED ANSWERS LATEST UPDATE!!!!

ATI EXAM
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Exam Solution
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ANCC Adult NP Board Exam prep 2026 A+ GRADE ASSU
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RED COMPLETE SOLUTIONS AND VERIFIED ANSWERS (
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99257)




QUESTION 1 zm




Term
ANSWER

Definition



QUESTION 2 zm




Potent Inhibitors: CYP450 System
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ANSWER

Macrolides (erythromycin, clarithromycin, telithromycin) Antifungals (ketoconazole, fluconazole, itrac
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onazole) Cimetidine (Tagamet) Citalopram (Celexa) Protease inhibitors (saquinavir, indinavir, nelfinav
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ir) Grapefruit juice
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QUESTION 3 zm




Narrow Therapeutic Index Drugs
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ANSWER

■Warfarin sodium (Coumadin): monitor INR. ■ Digoxin (Lanoxin): monitor digoxin level, EKG, electr
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olytes (potassium, magnesium, calcium). ■ Theophylline: monitor blood levels. ■ Carbamezapine (Te
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gretol) and phenytoin (Dilantin): monitor blood levels. ■ Levothyroxine: monitor TSH. ■ Lithium: m
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onitor blood levels, TSH (risk of HYPOthyroidism).
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QUESTION 4 zm




Beers Criteria zm




ANSWER

,Antipsychotics: Quetiapine, clozapine, and pimavanserin may be used with caution. Rivaroxaban and
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dabigatran: Higher bleeding risk than warfarin and other direct oral anticoagulants. Tramadol: Risk
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of hyponatremia from syndrome of inappropriate antidiuretic hormone secretion. Opioids: Do not co
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mbine with benzodiazepines or gabapentinoids, as they increase the risk of severe respiratory depre
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ssion.



QUESTION 5 zm




s/sx of digoxin toxicity
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ANSWER

Initial symptoms are GI (nausea/vomiting), hyperkalemia, and bradydysrhythmias (atrioventricular [
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AV] blocks) or tachydysrhythmias (ventricular tachycardia/fibrillation or atrial tachycardia with 2:1
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block). Others include confusion and visual changes (yellowish-green-tinged color vision).
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QUESTION 6 zm




Digoxin therapeutic range zm zm




ANSWER

0.5-2 mg zm




QUESTION 7 zm




Warfarin INR range issues zm zm zm




ANSWER

Consistently Stable INR Check every 2 to 4 weeks up to every 12 weeks. Single Out-of-
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Range INR If patient has stable INR and has a single out-of-
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range INR ≤0.5 below or above therapeutic INR (2-
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3), experts suggest continuing current warfarin dose; retest INR within 1 to 2 weeks. INR <5 With
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No Significant Bleeding Risk Omit one dose and/or reduce maintenance dose slightly; recheck INR.
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QUESTION 8 zm




DOACs: Antidotes zm




ANSWER

idarucizumab and andexanet alfa: reverse the anticoagulant effects of dabigatran and FXa inhibitors,
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respectively. Fresh frozen plasma and prothrombin complex concentrate can also be used for rapid r
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eversa



QUESTION 9 zm

, 2017 ACC/AHA stages of hypertension
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ANSWER

Normal BP: Systolic <120 mmHg and diastolic <80 mmHg Elevated BP: Systolic 120 to 129 mmHg a
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nd diastolic <80 mmHg Stage 1: Systolic 130 to 139 mmHg or diastolic 80 to 89 mmHg Stage 2: Sys
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tolic ≥140 mmHg or diastolic ≥90 mmHg
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QUESTION 10 zm




Thiazide diuretics contraindication
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ANSWER

Sulfa allergy (Caution with gout, diabetes) Also loop diuretics contraindicated with sulfa allergy
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QUESTION 11 zm




Patients with both ____, and ______ receive an extra benefit from thiazides.
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ANSWER

hypertension, osteoporosis zm




QUESTION 12 zm




Potassium sparing diuretics black box warning
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ANSWER

Hyperkalemia, which can be fatal; higher risk with renal impairment, diabetes, elderly, severely ill
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QUESTION 13 zm




With severe__________ disease, all ACEIs, ARBs, and aliskiren are contraindicated becaus
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e of high risk of hyperkalemia.
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ANSWER

renal /CKD zm




QUESTION 14 zm




Loop Diuretics Adverse Effects
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ANSWER