AGACNP AACN Boards exam QUESTIONS AND CORRECT {VERIFIED} ANSWERS NEWEST UPDATE|ALREADY GRADED A+.| latest updated version ( 2025/2026)

AGACNP AACN Boards exam QUESTIONS
AND CORRECT {VERIFIED} ANSWERS
NEWEST UPDATE|ALREADY GRADED A+.



What are the 3 steps of pain management?
Answer:
• Aspirin, Tylenol, NSAIDs
• Codeine, Hydrocodone, Oxycodone, Tramadol (only with NSAIDs)
• Morphine, Hydromorphone, Methadone, Fentanyl


What is used for breakthrough cancer pain management?
Answer:
Fentanyl


What is used for metastatic bone pain management?
Answer:
Bisphosphonates


What are the symptoms and management of a tension headache?
Answer:

, • Symptoms: Tight sensation, pain at back of head/neck
• Management: OTC analgesics and rest


What are the types and treatments of migraine headaches?
Answer:
• Classic Migraine: With aura
• Common Migraine: Without aura
• Treatment: Sumatriptan and analgesics


What are the symptoms and management of cluster headaches?
Answer:
• Symptoms: Occur at night, ipsilateral nasal congestion, rhinorrhea, and eye
redness


What does albumin level <3.5 indicate?
Answer:
Protein malnutrition


What does albumin level <2.7 indicate?
Answer:
Edema


What are complications of enteral nutrition?

,Answer:
Aspiration, refeeding syndrome, dehydration


What are complications of parenteral nutrition?
Answer:
Pneumothorax, hemothorax


What does urine sodium >20 indicate?
Answer:
Renal salt wasting (kidney is the problem)


What does urine sodium <10 indicate?
Answer:
Kidney isn't the problem


What is the serum osmolality range and causes of isotonic hyponatremia?
Answer:
• Serum osmolality: 284–295
• Causes: Extreme hyperlipidemia or hyperproteinemia


What is the serum osmolality and classification of hypotonic hyponatremia?
Answer:
• Serum osmolality: <280
• Types:

, o Hypovolemic with urine sodium <10
o Hypovolemic with urine sodium >20
o Hypervolemic


What are the causes of hypovolemic hypotonic hyponatremia with urine sodium
<10?
Answer:
Dehydration, diuresis, vomiting


What are the causes of hypovolemic hypotonic hyponatremia with urine sodium
>20?
Answer:
Diuretics, ACE inhibitors, mineralocorticoid deficiency


What are the features of hypervolemic hypotonic hyponatremia?
Answer:
Edema, CHF, liver disease, renal failure
Management: Fluid restriction


What is the serum osmolality and cause of hypertonic hyponatremia?
Answer:
• Serum osmolality: >290
• Cause: Hyperosmolar hyperglycemic state (HHS)