1
ACTUAL AGACNP ACCN BOARD EXAM WITH 1000+
QUESTIONS AND VERIFIED ANSWERS 100%
SUCCESS
Migraine headache types and treatments
classic - WITH aura
common - WITHOUT aura
treatment - sumatriptan and analgesics
Breakthrough cancer pain management
fentanyl
Metastatic bone pain management
bisphosphonates
Tension headache symptoms & management
symptoms - tight, back of head/neck
management - OTC analgesics and rest
, 2
Cluster headache symptoms and management
symptoms - occur at night, ipsilateral congestion, rhinorrhea, and eye redness
Albumin levels <3.5
protein malnutrition
Albumin <2.7
Edema
Complications of enteral nutrition
aspiration, refeeding, dehydration
Complications of parenteral nutrition
pneumothorax, hemothorax
Urine sodium >20
renal salt wasting (kidney is the problem)
, 3
Urine sodium <10
kidney isn't the problem
isotonic hyponatremia serum osmolality and causes
serum osmolality - 284-295
causes - extreme hyperlipidemia or nhyperproteinemia
hypotonic hyponatremia serum osmolality and types
serum osmolality <280
hypovolemic w/ sodium <10
hypovolemic w/ sodium >20
hypervolemic
hypovolemic w/ urine sodium <10 causes
dehydration, diuresis, vomiting
hypovolemic w/ urine sodium >20
diuretics, ACE, mineralocorticoid deficiency
, 4
hypervolemic hypotonic hyponatremia
edema, CHF, liver disease, renal failure
must restrict fluids
hypertonic hyponatremia serum osmolality and causes
serum osmolality >290
causes - HHS
hypokalemia causes, signs/symptoms, treatment
causes - diuretics, GI losses, renal loss, alkalosis
signs/symptoms - weakness, fatigue, cramps, broad T waves, u waves
treatment - oral replacement if >2.5, 40mEq/L/hr IV if severe
hyperkalemia causes, signs/symptoms, treatment
causes - renal failure, drugs, hypoaldosteronism
signs/symptoms - weakness, flaccid paralysis, abdominal distension, diarrhea,
peaked T waves
treatment - ion resin exchange (kayexalate), insulin, D5W
hypocalcemia causes, signs/symptoms, treatment
causes - pancreatitis, renal failure, trauma, massive transfusions
ACTUAL AGACNP ACCN BOARD EXAM WITH 1000+
QUESTIONS AND VERIFIED ANSWERS 100%
SUCCESS
Migraine headache types and treatments
classic - WITH aura
common - WITHOUT aura
treatment - sumatriptan and analgesics
Breakthrough cancer pain management
fentanyl
Metastatic bone pain management
bisphosphonates
Tension headache symptoms & management
symptoms - tight, back of head/neck
management - OTC analgesics and rest
, 2
Cluster headache symptoms and management
symptoms - occur at night, ipsilateral congestion, rhinorrhea, and eye redness
Albumin levels <3.5
protein malnutrition
Albumin <2.7
Edema
Complications of enteral nutrition
aspiration, refeeding, dehydration
Complications of parenteral nutrition
pneumothorax, hemothorax
Urine sodium >20
renal salt wasting (kidney is the problem)
, 3
Urine sodium <10
kidney isn't the problem
isotonic hyponatremia serum osmolality and causes
serum osmolality - 284-295
causes - extreme hyperlipidemia or nhyperproteinemia
hypotonic hyponatremia serum osmolality and types
serum osmolality <280
hypovolemic w/ sodium <10
hypovolemic w/ sodium >20
hypervolemic
hypovolemic w/ urine sodium <10 causes
dehydration, diuresis, vomiting
hypovolemic w/ urine sodium >20
diuretics, ACE, mineralocorticoid deficiency
, 4
hypervolemic hypotonic hyponatremia
edema, CHF, liver disease, renal failure
must restrict fluids
hypertonic hyponatremia serum osmolality and causes
serum osmolality >290
causes - HHS
hypokalemia causes, signs/symptoms, treatment
causes - diuretics, GI losses, renal loss, alkalosis
signs/symptoms - weakness, fatigue, cramps, broad T waves, u waves
treatment - oral replacement if >2.5, 40mEq/L/hr IV if severe
hyperkalemia causes, signs/symptoms, treatment
causes - renal failure, drugs, hypoaldosteronism
signs/symptoms - weakness, flaccid paralysis, abdominal distension, diarrhea,
peaked T waves
treatment - ion resin exchange (kayexalate), insulin, D5W
hypocalcemia causes, signs/symptoms, treatment
causes - pancreatitis, renal failure, trauma, massive transfusions
