ANCC /ADULT-GERONTOLOGY ACUTE CARE
NURSE PRACTITIONER (AGACNP) EXAM Q&A
LATEST
1.What is the first step in the management of a patient with mild levels of anxiety?
a. electroconvulsant therapy.
b. lithium.
c. SSRIs.
d. behavior therapy.
(correct answer) d. behavior therapy.
2.A 28-year-old male presents with symptoms of severe depression. Which of the following lab tests are
NOT part of a routine medical screening for this patient?
a. thyroid function tests.
b. growth hormone.
c. urine drug screen.
d. complete blood count.
(correct answer) b. growth hormone.
3.An agitated patient is admitted to a mental health unit. How does one best establish a provider-
patient relationship?
a. place in four-point restraints after talking to them briefly, so they can calm down.
b. introduce yourself in a polite manner, try to empathize with them so they know they are being heard,
and ask if they would like to have a seat and talk.
c. medicate them before talking to them, so they are calmer when you see them.
,d. explain that they need to remain calm or there will be consequences.
(correct answer) b. introduce yourself in a polite manner, try to empathize with them so they know they
are being heard, and ask if they would like to have a seat and talk.
4.What condition is associated with carphologia?
a. schizophrenia.
b. delirium.
c. Parkinson dementia.
d. Alzheimere dementia.
(correct answer) b. delirium.
5.Unintentional weight loss in an elderly nursing home patient is most likely due to which of the
following?
a. major depression.
b. malignancy.
c. drug adverse effects.
d. neurological disorder.
(correct answer) a. major depression.
6.Which of the following is NOT a characteristic of depression?
a. delusions.
b. low energy.
c. psychomotor retardation.
d. sleep disturbance.
(correct answer) a. delusions.
7.Two days after undergoing bowel surgery, the 75 year old patient presents with confusion,
disorientation, and paranoia. He is extremely agitated and starts to pull out all his IV lines and catheter.
, Examination reveals normal vital signs, but mental status evaluation is not possible. Blood work is within
normal limits. What is the most likely cause of his behavior?
a. schizophrenia.
b. manic disorder.
c. delirium.
c. opioid overdose. (correct answer) c. delirium.
8.A 25-year-old male has been brought into the ED by family due to worsening outbursts at home and
threatening violence against himself and others. You are the NP on duty and your first priority step if this
patient becomes agitated or threatens violent behavior while in the ED is to:
a. summon the campus or local police immediately.
b. place the patient in 4 point restraints.
c. medicate him with Ziprasidone IM.
d. speak in a soft voice. (correct answer) a. summon the campus or local police immediately.
9.When dealing with an agitated or violent patient, the last option that a provider has to control the
patient's disruptive behavior is:
a. medication management.
b. physical restraints.
c. armed guards.
d. electro-convulsive therapy. (correct answer) b. physical restraints.
10.You are seeing a 59-year-old male with a known history of ETOH abuse in the ED who collapsed in a
store with a witnessed grand mal seizure. He was transported to the ED via EMS. He is now alert, but
suffering auditory hallucinations. As the NP on duty, you know this is most likely due to:
a. new onset seizure disorder.
b. myocardial infarction.
NURSE PRACTITIONER (AGACNP) EXAM Q&A
LATEST
1.What is the first step in the management of a patient with mild levels of anxiety?
a. electroconvulsant therapy.
b. lithium.
c. SSRIs.
d. behavior therapy.
(correct answer) d. behavior therapy.
2.A 28-year-old male presents with symptoms of severe depression. Which of the following lab tests are
NOT part of a routine medical screening for this patient?
a. thyroid function tests.
b. growth hormone.
c. urine drug screen.
d. complete blood count.
(correct answer) b. growth hormone.
3.An agitated patient is admitted to a mental health unit. How does one best establish a provider-
patient relationship?
a. place in four-point restraints after talking to them briefly, so they can calm down.
b. introduce yourself in a polite manner, try to empathize with them so they know they are being heard,
and ask if they would like to have a seat and talk.
c. medicate them before talking to them, so they are calmer when you see them.
,d. explain that they need to remain calm or there will be consequences.
(correct answer) b. introduce yourself in a polite manner, try to empathize with them so they know they
are being heard, and ask if they would like to have a seat and talk.
4.What condition is associated with carphologia?
a. schizophrenia.
b. delirium.
c. Parkinson dementia.
d. Alzheimere dementia.
(correct answer) b. delirium.
5.Unintentional weight loss in an elderly nursing home patient is most likely due to which of the
following?
a. major depression.
b. malignancy.
c. drug adverse effects.
d. neurological disorder.
(correct answer) a. major depression.
6.Which of the following is NOT a characteristic of depression?
a. delusions.
b. low energy.
c. psychomotor retardation.
d. sleep disturbance.
(correct answer) a. delusions.
7.Two days after undergoing bowel surgery, the 75 year old patient presents with confusion,
disorientation, and paranoia. He is extremely agitated and starts to pull out all his IV lines and catheter.
, Examination reveals normal vital signs, but mental status evaluation is not possible. Blood work is within
normal limits. What is the most likely cause of his behavior?
a. schizophrenia.
b. manic disorder.
c. delirium.
c. opioid overdose. (correct answer) c. delirium.
8.A 25-year-old male has been brought into the ED by family due to worsening outbursts at home and
threatening violence against himself and others. You are the NP on duty and your first priority step if this
patient becomes agitated or threatens violent behavior while in the ED is to:
a. summon the campus or local police immediately.
b. place the patient in 4 point restraints.
c. medicate him with Ziprasidone IM.
d. speak in a soft voice. (correct answer) a. summon the campus or local police immediately.
9.When dealing with an agitated or violent patient, the last option that a provider has to control the
patient's disruptive behavior is:
a. medication management.
b. physical restraints.
c. armed guards.
d. electro-convulsive therapy. (correct answer) b. physical restraints.
10.You are seeing a 59-year-old male with a known history of ETOH abuse in the ED who collapsed in a
store with a witnessed grand mal seizure. He was transported to the ED via EMS. He is now alert, but
suffering auditory hallucinations. As the NP on duty, you know this is most likely due to:
a. new onset seizure disorder.
b. myocardial infarction.
