ANCC AGACNP - Frances Guide
Review Tested Exam Questions with
Correct Solutions||100%
Guaranteed Pass||Already
Graded A+ Updated
2025/2026!!!<<Newest Version>>
What is dantroline sodium/dantrium treatment used for? - ANSWER ✓ Serotonin
syndrome, malignant hyperthermia, neuroleptic malignant syndrome
Detrol LA side effects - ANSWER ✓ Anticholinergic effects: drying- xerostomia,
constipation, dyspepsia, dry eyes, dysuria, headache
Ginseng SE - ANSWER ✓ increases risk of bleeding
Metformin SE - ANSWER ✓ Lactic acidosis
What should you monitor for when taking NSAIDs? - ANSWER ✓ creatinine,
hyperkalemia
How long should you monitor the opiate niave? - ANSWER ✓ 3 hours
How do you know a patient understands his coumadin instructions? - ANSWER ✓
They are getting their INR checked
Tamoxifen side effects - ANSWER ✓ Estrogen modulator: hot flashes,
menopausal symptoms, vaginal dryness, hair thinning/loss, menstrual irregularities,
pancytopenia, increased risk of DVT/CVA
St John's wort side effects - ANSWER ✓ decreases effectiveness of digoxin,
increased risk of serotonin syndrome
, Succinylcholine precautions - ANSWER ✓ Risk of malignant hyperthermia,
increases K,
Synthroid increases risk of what? - ANSWER ✓ MI
How to ensure adequate synthroid use? - ANSWER ✓ Check TSH
What is an expected finding in TCA overdose? - ANSWER ✓ Prolonged QT
What would you monitor postop with serotonin HT3? - ANSWER ✓ Nausea
(zofran is serotonin 5HT3 antagonist)
What 2 herbs are associated with relieving menstrual symptoms? - ANSWER ✓
Evening primrose and black cohosh
Elderly patient takes an herbal root t o help fight colds, however has a history of
renal insuficiency. Which herb could exacerbate his diagnosis? - ANSWER ✓
Echinacea causes nephrotoxicity
Which of the following is not an indicator of prerenal failure?
a. BUN/Cr ratio >10:1
b. FeNa <1
c. specific gravity > 1.015
d. urine na >40 - ANSWER ✓ d. urine na >40
A 34 year old female presents to the ED with severe flank pain, nausea, and
vomiting. The patient states she had trouble urinating before the onset of her other
s/s. A CT scan reveals a 2.5 mm stone in the L kidney just above the upper ureter.
Which course of action is most appropriate?
a. give IVF
b. strain the urine immediately
c. schedule lithotripsy - ANSWER ✓ b. strain the urine immediately
She may past stone on her own
Your 33 yo female patient tells you she does not use protection during sexual
intercourse. Cervical motion tenderness in addition to what other finding indicates
PID?
,a. adnexal tenderness
b. vaginal itching
c. UTI
d. no other symptoms - ANSWER ✓ a. adnexal tenderness
53 yo male c/o dribbling and nocturia. You suspect BPH, PSA 3.2. What confirms
the diagnosis? - ANSWER ✓ Transrectal ultrasound
A male patietn you have placed on an alpha blocker for BPH comes in
complaining of increased urinary frequency. What do you do? - ANSWER ✓
Leave it alone, the med is working
A 78yo male patient with CHF develops a bacterial UTI secondary to indwelling
foley catheter. Pt has known allergy to PCN and sulfonamides. The appropriate
choice for antimicrobial therapy is? - ANSWER ✓ Ciprofoxacin
Patient with history of Afib has maintained NSR with sotalol, is hospitalized for
acute pyelonephritis. The appropriate antibiotic regimen for this patient is? -
ANSWER ✓ IV Ceftriaxone
A young female patient is in ED with vaginal discharge. After pelvic exam, the
NP documents which finding? - ANSWER ✓ Cervical motion tenderness
Your female patient presents with mucopurulent cervical drainage, fever 102F,
adnexal tenderness, and distended/rigid abdomen. What is the appropriate
measure? - ANSWER ✓ Call surgery and arrange for an ex lap and pelvic abscess
drainage
Lower UTI treatment - ANSWER ✓ Bactrim, cipro, augmentin for 3d course
Male patient with UTI on 3 day regimen of abx comes in requestion stronger abx,
you order? - ANSWER ✓ Levaquin (narrow the spectrum)
UTI patient is allergic to PCN, you order? - ANSWER ✓ Bactrim
UTI during pregnancy, you order? - ANSWER ✓ Amoxicillin, macrobid, keflex
for 7 days
, Most common UTI etiology in women/men? - ANSWER ✓ Ecoli in women/
proteus in men
Difference between upper and lower UTI? - ANSWER ✓ flank pain
First test to order with a male presenting with BPH? - ANSWER ✓ UA
Treatment of BPH - ANSWER ✓ 5 alpha reuctase inhibitors: finasteride (proscar)
and dutaseride (avodart)
At what age is the PSA screening indicated in non-African american male with no
family hx? - ANSWER ✓ 50
ATN causes? - ANSWER ✓ Ischemia (prerenal/perfusion related), sepsis, and
nephrotoxins (IV contrast)
Wht is the leading cause of intrinsic acute renal failure? - ANSWER ✓
Nephrotoxic drugs
Renal disease gives what metabolic abnormality? - ANSWER ✓ Metabolic
acidosis, treat with IVF of NS and sodium bicarbonate as needed
What is the cause of anemia in renal failure? - ANSWER ✓ Decrease in
erythropoietin production
What is azotemia? - ANSWER ✓ BUN >100, treatment is dialysis
What should the dietary protein requirment be with chronic renal insufficiency? -
ANSWER ✓ <40g/day
Chronic renal insufficiency results in what calcium imbalance? - ANSWER ✓
Hypercalcemia (d/t secondary hyperparathyroidism, renal osteodystrophy)
Gold standard for diagnosis of nephrolithiasis? - ANSWER ✓ CT scan
Most common types of stones - ANSWER ✓ Calcium 80%, gout = uric acid,
women = struvite
Review Tested Exam Questions with
Correct Solutions||100%
Guaranteed Pass||Already
Graded A+ Updated
2025/2026!!!<<Newest Version>>
What is dantroline sodium/dantrium treatment used for? - ANSWER ✓ Serotonin
syndrome, malignant hyperthermia, neuroleptic malignant syndrome
Detrol LA side effects - ANSWER ✓ Anticholinergic effects: drying- xerostomia,
constipation, dyspepsia, dry eyes, dysuria, headache
Ginseng SE - ANSWER ✓ increases risk of bleeding
Metformin SE - ANSWER ✓ Lactic acidosis
What should you monitor for when taking NSAIDs? - ANSWER ✓ creatinine,
hyperkalemia
How long should you monitor the opiate niave? - ANSWER ✓ 3 hours
How do you know a patient understands his coumadin instructions? - ANSWER ✓
They are getting their INR checked
Tamoxifen side effects - ANSWER ✓ Estrogen modulator: hot flashes,
menopausal symptoms, vaginal dryness, hair thinning/loss, menstrual irregularities,
pancytopenia, increased risk of DVT/CVA
St John's wort side effects - ANSWER ✓ decreases effectiveness of digoxin,
increased risk of serotonin syndrome
, Succinylcholine precautions - ANSWER ✓ Risk of malignant hyperthermia,
increases K,
Synthroid increases risk of what? - ANSWER ✓ MI
How to ensure adequate synthroid use? - ANSWER ✓ Check TSH
What is an expected finding in TCA overdose? - ANSWER ✓ Prolonged QT
What would you monitor postop with serotonin HT3? - ANSWER ✓ Nausea
(zofran is serotonin 5HT3 antagonist)
What 2 herbs are associated with relieving menstrual symptoms? - ANSWER ✓
Evening primrose and black cohosh
Elderly patient takes an herbal root t o help fight colds, however has a history of
renal insuficiency. Which herb could exacerbate his diagnosis? - ANSWER ✓
Echinacea causes nephrotoxicity
Which of the following is not an indicator of prerenal failure?
a. BUN/Cr ratio >10:1
b. FeNa <1
c. specific gravity > 1.015
d. urine na >40 - ANSWER ✓ d. urine na >40
A 34 year old female presents to the ED with severe flank pain, nausea, and
vomiting. The patient states she had trouble urinating before the onset of her other
s/s. A CT scan reveals a 2.5 mm stone in the L kidney just above the upper ureter.
Which course of action is most appropriate?
a. give IVF
b. strain the urine immediately
c. schedule lithotripsy - ANSWER ✓ b. strain the urine immediately
She may past stone on her own
Your 33 yo female patient tells you she does not use protection during sexual
intercourse. Cervical motion tenderness in addition to what other finding indicates
PID?
,a. adnexal tenderness
b. vaginal itching
c. UTI
d. no other symptoms - ANSWER ✓ a. adnexal tenderness
53 yo male c/o dribbling and nocturia. You suspect BPH, PSA 3.2. What confirms
the diagnosis? - ANSWER ✓ Transrectal ultrasound
A male patietn you have placed on an alpha blocker for BPH comes in
complaining of increased urinary frequency. What do you do? - ANSWER ✓
Leave it alone, the med is working
A 78yo male patient with CHF develops a bacterial UTI secondary to indwelling
foley catheter. Pt has known allergy to PCN and sulfonamides. The appropriate
choice for antimicrobial therapy is? - ANSWER ✓ Ciprofoxacin
Patient with history of Afib has maintained NSR with sotalol, is hospitalized for
acute pyelonephritis. The appropriate antibiotic regimen for this patient is? -
ANSWER ✓ IV Ceftriaxone
A young female patient is in ED with vaginal discharge. After pelvic exam, the
NP documents which finding? - ANSWER ✓ Cervical motion tenderness
Your female patient presents with mucopurulent cervical drainage, fever 102F,
adnexal tenderness, and distended/rigid abdomen. What is the appropriate
measure? - ANSWER ✓ Call surgery and arrange for an ex lap and pelvic abscess
drainage
Lower UTI treatment - ANSWER ✓ Bactrim, cipro, augmentin for 3d course
Male patient with UTI on 3 day regimen of abx comes in requestion stronger abx,
you order? - ANSWER ✓ Levaquin (narrow the spectrum)
UTI patient is allergic to PCN, you order? - ANSWER ✓ Bactrim
UTI during pregnancy, you order? - ANSWER ✓ Amoxicillin, macrobid, keflex
for 7 days
, Most common UTI etiology in women/men? - ANSWER ✓ Ecoli in women/
proteus in men
Difference between upper and lower UTI? - ANSWER ✓ flank pain
First test to order with a male presenting with BPH? - ANSWER ✓ UA
Treatment of BPH - ANSWER ✓ 5 alpha reuctase inhibitors: finasteride (proscar)
and dutaseride (avodart)
At what age is the PSA screening indicated in non-African american male with no
family hx? - ANSWER ✓ 50
ATN causes? - ANSWER ✓ Ischemia (prerenal/perfusion related), sepsis, and
nephrotoxins (IV contrast)
Wht is the leading cause of intrinsic acute renal failure? - ANSWER ✓
Nephrotoxic drugs
Renal disease gives what metabolic abnormality? - ANSWER ✓ Metabolic
acidosis, treat with IVF of NS and sodium bicarbonate as needed
What is the cause of anemia in renal failure? - ANSWER ✓ Decrease in
erythropoietin production
What is azotemia? - ANSWER ✓ BUN >100, treatment is dialysis
What should the dietary protein requirment be with chronic renal insufficiency? -
ANSWER ✓ <40g/day
Chronic renal insufficiency results in what calcium imbalance? - ANSWER ✓
Hypercalcemia (d/t secondary hyperparathyroidism, renal osteodystrophy)
Gold standard for diagnosis of nephrolithiasis? - ANSWER ✓ CT scan
Most common types of stones - ANSWER ✓ Calcium 80%, gout = uric acid,
women = struvite
