2025 UPDATE AGACNP-CERT EXAM WITH Q&A 100% VERIFIED ANSWERS {CLEANEST VERSION}

2025 UPDATE AGACNP-CERT EXAM WITH Q&A 100% VERIFIED ANSWERS {CLEANEST VERSION} pectus excavatum You examine a 24-year-old woman with mitral valve prolapse (MVP). Her physical examination findings may also include: A. pectus excavatum B. obesity C. petite stature D. hyper-extensible joints a mid- to late-systolic murmur In performing a cardiac examination in a person with mitral valve prolapse, you expect to find: A. an early- to mid-systolic, crescendo-descrendo murmur. B. a pansystolic murmur C. a low-pitched, diastolic rumble D. a mid- to late-systolic murmur Marfan syndrome A risk factor for MVP (mitral valve prolapse) includes a history of: A. rheumatic fever B. rheumatoid arthritis C. Kawasaki disease D. Marfan syndrome a mid-systolic click Additional findings in MVP (mitral valve prolapse) include: A. an opening snap B. a mid-systolic click C. a paradoxical splitting of the second heart sound (S2). D. a fourth heart sound encouragement of a regular program of aerobic activity Intervention for patients with MVP (mitral valve prolapse) often includes advice about which of the following? A. restricted activity because of low cardiac output B. control of fluid intake to minimize risk of volume overload C. routine use of beta-adrenergic antagonists to control palpitations D. encouragement of a regular program of aerobic activity stenotic When a heart valve fails to open to its normal orifice size, it is said to be: A. stenotic B. incompetent C. sclerotic D. regurgitant incompetent When a heart valve fails to close properly, it is said to be: A. stenotic B. incompetent C. sclerotic D. regurgitant echocardiogram Upon detection of a suspected pathologic cardiac murmur, the next step in obtaining a diagnostic procedure usually includes a: A. ventilation perfusion scan B. echocardiogram C. pulmonary artery angiography D. cardiac computerized tomography (CT) scan localized diastolic with little radiation You are evaluating a patient who has rheumatic heart disease. When assessing her for mitral stenosis, you auscultate the heart, anticipating finding the following murmur: A. systolic with wide radiation over the precordium B. localized diastolic with little radiation C. diastolic with radiation to the neck D. systolic with radiation to the axilla systolic with radiation to the axilla In evaluating mitral valve incompetency, you expect to find the following murmur: A. systolic with radiation to the axilla B. diastolic with little radiation C. diastolic with radiation to the axilla D. localized systolic left ventricular hypertrophy In evaluating the person with aortic stenosis, the NP anticipates finding 12-lead ECG changes consistent with: A. right bundle branch block B. extreme axis deviation C. right atrial enlargement D. left ventricular hypertrophy bradycardia Signs and symptoms consistent with endocarditis include all of the following except: A. bradycardia B. Osler's nodes C. hematuria D. petechiae blood culture From the following list, the most helpful test in suspected bacterial endocarditis includes: A. urine culture B. blood culture C. chest x-ray D. myocardial biopsy a 54-year-old woman with a prosthetic aortic valve Of the following patients, who is in greatest need of endocarditis prophylaxis when planning dental work? A. a 22-year-old woman with MVP with trace mitral regurgitation noted on echocardiogram B. a 54-year-old woman with a prosthetic aortic valve C. a 66-year-old man with cardiomyopathy D. a 58-year-old woman who had a three-vessel coronary artery bypass graft with drug-eluting stents 1 year ago a 55-year-old man who was diagnosed with a Still's murmur during childhood Of the following people, who has no significant increased risk for developing bacterial endocarditis? A. a 43-year-old woman with a bicuspid aortic valve B. a 55-year-old man who was diagnosed with a Still's murmur during childhood C. a 45-year-old woman with a history of endocarditis D. a 75-year-old man with dilated cardiomyopathy aortic stenosis You are examining an 85-year-old woman and find a grade 3/6 crescendo-descrendo systolic murmur with radiation to the neck. This is most likely caused by: A. aortic stenosis B. aortic regurgitation C. anemia D. mitral stenosis a result of a congenital defect Aortic stenosis in a 15-year-old male is most likely: A. a sequela of rheumatic fever B. a result of a congenital defect C. calcific in nature D. found with atrial septal defect prior rheumatic fever A risk factor for acquired aortic stenosis is: A. history of pulmonary embolism B. chronic obstructive pulmonary disorder (COPD) C. type 2 diabetes D. prior rheumatic feve