AG-ACNP - Common Problems in Acute Care 2026-
2027 Actual Exam with Real 220 Questions and
Verified Correct Answers Already Graded A+
Guaranteed Success Brand New Version!!
25 yo. F presents to ED with complaints of unilateral throbbing that started 12 hours ago. Her
mother has reported history of migraines. Pt describes visual changes and numbness in her right
hand following the pathway of the headache. What is primary diagnosis? - CORRECT
ANSWER: Migraine headache
30 yo. F with PMH of migraines and new onset HTN should be treated with:
a. enalapril (Vasotec)
b. amitriptyline (Elavil)
c. ASA
d. metoprolol - CORRECT ANSWER: d. HTN and migraine should be treated with a beta
blocker
40 yo. F with asthma develops HTN. Which of the following should be avoided in this patient?
a. metoprolol (Lopressor)
b. enalapril (Vasotec)
c. diltiazem (Cardizem)
d. furosemide (Lasix) - CORRECT ANSWER: a. Beta blockers should not be used in patients
with asthma due to ARF bronchospasm
65 yo. M with ESRD is on hemodialysis. Which of the following diets should be recommended?
a. low sodium
b. high protein
c. low potassium
,d. restricted calories - CORRECT ANSWER: C. low potassium diet is recommended with renal
failure patients
70 M 2 weeks s/p CVA and sustained pharyngeal paralysis. He is unable to eat food without
aspiration. What is the most appropriate method to provide nutrition to this patient?
a. TPN
b. surgical gastrostomy
c. NGT
d. PPN - CORRECT ANSWER: B. surgical gastrostomy PEG tube
80 yo. F is hospitalized for PNA and treated with IV abx. On day 2, the patient develops diarrhea
and tests positive for C. diff. What is the best treatment?
a. gentamicin
b. clindamycin
c. doxycycline
d. vancomycin - CORRECT ANSWER: d. PO vancomycin is best for C. diff. Metrondiazole
(Flayl) is also used.
Acetaminophen toxicity management - CORRECT ANSWER: GI lavage
Activated charcoal 1 gm/kg q4 hrs
N-Acetylcysteine (Mucomyst) PO PRN
Acetaminophen toxicity s/s - CORRECT ANSWER: 24-48 hrs - nausea, vomiting
RUQ pain
Hepatoxicity - jaundice, elevated LFTs
Acidemia and calcium - CORRECT ANSWER: Acidemia INCREASES calcium
,Actinic Keratoses - CORRECT ANSWER: Premalignant - progress to squamous cell carcinoma
Rough, flesh-colored patches on sun-exposed skin
Actinic Keratoses treatment - CORRECT ANSWER: Liquid nitrogen
Activated charcoal dose and indication - CORRECT ANSWER: GI decontamination; PO
ingestions >30 minutes
Activated Charcoal 1 gm/kg (max 50 grams) q4 hrs PRN in combination with Sorbitol - cathartic
Acute Attack - Migraine Headache treatment - CORRECT ANSWER: 1. Rest in dark, quiet
room
2. ASA stat to relieve pain
3. sumatriptan (imitrex) 6 mg SQ stat, repeat x1hr x 3 doses
4. sumatriptain (Imitrex) 25 mg PO at onset of migraine
Acute pain - CORRECT ANSWER: Pain lasting <6 months
Caused by tissue damage
Albumin <2.7 mg/dL - CORRECT ANSWER: Edema presentation
Albumin <3.5 mg/dL - CORRECT ANSWER: Malnutrition
Alkalemia and calcium - CORRECT ANSWER: Alkalemia DECREASES calcium
All of the following statements concerning basal cell carcinoma are true except:
a. it is the most common cutaneous malignancy
b. it is associated with chronic sun exposure
, c. it is most commonly found on the abdomen and trunk
d. it may be difficult to differentiate from malignant melanoma - CORRECT ANSWER: c. Basal
cell carcinoma is commonly found on the HEAD and NECK not abdomen and trunk
aminoglycoside toxicity - CORRECT ANSWER: ototoxicity
nephrotoxicity
Anion Gap - CORRECT ANSWER: Anion Gap normal: +/- 5 12 (7-17)
AG = [(Na)+(K)]-[(HCO3) + (Cl)]
Higher anion gap = higher acuity
anti-emetic that blocks serotonin 5HTC and can cause EPSE used for delayed gastric emptying -
CORRECT ANSWER: metoclopramide (Reglan)
Antidepressant Toxicity agents - CORRECT ANSWER: Amytriptyline (Elavil)
Fluoxetine
Bupropion
Antidepressant Toxicity management - CORRECT ANSWER: GI lavage
Activated Charcoal
IV sodium bicarbonate - cardiac arrythmias
IV benzodiazepine - diazepam (Valium) seizure control
Antidepressant Toxicity s/s - CORRECT ANSWER: Hypothermia
Seizures
Hypotension
2027 Actual Exam with Real 220 Questions and
Verified Correct Answers Already Graded A+
Guaranteed Success Brand New Version!!
25 yo. F presents to ED with complaints of unilateral throbbing that started 12 hours ago. Her
mother has reported history of migraines. Pt describes visual changes and numbness in her right
hand following the pathway of the headache. What is primary diagnosis? - CORRECT
ANSWER: Migraine headache
30 yo. F with PMH of migraines and new onset HTN should be treated with:
a. enalapril (Vasotec)
b. amitriptyline (Elavil)
c. ASA
d. metoprolol - CORRECT ANSWER: d. HTN and migraine should be treated with a beta
blocker
40 yo. F with asthma develops HTN. Which of the following should be avoided in this patient?
a. metoprolol (Lopressor)
b. enalapril (Vasotec)
c. diltiazem (Cardizem)
d. furosemide (Lasix) - CORRECT ANSWER: a. Beta blockers should not be used in patients
with asthma due to ARF bronchospasm
65 yo. M with ESRD is on hemodialysis. Which of the following diets should be recommended?
a. low sodium
b. high protein
c. low potassium
,d. restricted calories - CORRECT ANSWER: C. low potassium diet is recommended with renal
failure patients
70 M 2 weeks s/p CVA and sustained pharyngeal paralysis. He is unable to eat food without
aspiration. What is the most appropriate method to provide nutrition to this patient?
a. TPN
b. surgical gastrostomy
c. NGT
d. PPN - CORRECT ANSWER: B. surgical gastrostomy PEG tube
80 yo. F is hospitalized for PNA and treated with IV abx. On day 2, the patient develops diarrhea
and tests positive for C. diff. What is the best treatment?
a. gentamicin
b. clindamycin
c. doxycycline
d. vancomycin - CORRECT ANSWER: d. PO vancomycin is best for C. diff. Metrondiazole
(Flayl) is also used.
Acetaminophen toxicity management - CORRECT ANSWER: GI lavage
Activated charcoal 1 gm/kg q4 hrs
N-Acetylcysteine (Mucomyst) PO PRN
Acetaminophen toxicity s/s - CORRECT ANSWER: 24-48 hrs - nausea, vomiting
RUQ pain
Hepatoxicity - jaundice, elevated LFTs
Acidemia and calcium - CORRECT ANSWER: Acidemia INCREASES calcium
,Actinic Keratoses - CORRECT ANSWER: Premalignant - progress to squamous cell carcinoma
Rough, flesh-colored patches on sun-exposed skin
Actinic Keratoses treatment - CORRECT ANSWER: Liquid nitrogen
Activated charcoal dose and indication - CORRECT ANSWER: GI decontamination; PO
ingestions >30 minutes
Activated Charcoal 1 gm/kg (max 50 grams) q4 hrs PRN in combination with Sorbitol - cathartic
Acute Attack - Migraine Headache treatment - CORRECT ANSWER: 1. Rest in dark, quiet
room
2. ASA stat to relieve pain
3. sumatriptan (imitrex) 6 mg SQ stat, repeat x1hr x 3 doses
4. sumatriptain (Imitrex) 25 mg PO at onset of migraine
Acute pain - CORRECT ANSWER: Pain lasting <6 months
Caused by tissue damage
Albumin <2.7 mg/dL - CORRECT ANSWER: Edema presentation
Albumin <3.5 mg/dL - CORRECT ANSWER: Malnutrition
Alkalemia and calcium - CORRECT ANSWER: Alkalemia DECREASES calcium
All of the following statements concerning basal cell carcinoma are true except:
a. it is the most common cutaneous malignancy
b. it is associated with chronic sun exposure
, c. it is most commonly found on the abdomen and trunk
d. it may be difficult to differentiate from malignant melanoma - CORRECT ANSWER: c. Basal
cell carcinoma is commonly found on the HEAD and NECK not abdomen and trunk
aminoglycoside toxicity - CORRECT ANSWER: ototoxicity
nephrotoxicity
Anion Gap - CORRECT ANSWER: Anion Gap normal: +/- 5 12 (7-17)
AG = [(Na)+(K)]-[(HCO3) + (Cl)]
Higher anion gap = higher acuity
anti-emetic that blocks serotonin 5HTC and can cause EPSE used for delayed gastric emptying -
CORRECT ANSWER: metoclopramide (Reglan)
Antidepressant Toxicity agents - CORRECT ANSWER: Amytriptyline (Elavil)
Fluoxetine
Bupropion
Antidepressant Toxicity management - CORRECT ANSWER: GI lavage
Activated Charcoal
IV sodium bicarbonate - cardiac arrythmias
IV benzodiazepine - diazepam (Valium) seizure control
Antidepressant Toxicity s/s - CORRECT ANSWER: Hypothermia
Seizures
Hypotension
