ANCC AGACNP - Frances Guide Review Exam Actual Exam
ANCC AGACNP - FRANCES GUIDE REVIEW EXAM ACTUAL EXAM
NEWEST 2025/2026 COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |BRAND NEW VERSION!!
A 68yo patient had sx three days ago to repair a AAA. The patient remains
intubated, is neurologically intact, and has active bowel sounds. LFT's are normal,
no s/s CHF, the patient's laboratory values are: blood urea nitrogen of 12 mg/dL,
creatinine of 0.8 mg/dL, PaCO2 of 37mmHg. Which is the most appropriate
method to deliver nutrition?
a. central line
b. PIV
c. G tube
d. enteral feeding to the duodenum via a nasogastric small-bore tube - Correct
Answer-d. enteral feeding to the duodenum via a nasogastric small bore tube
Your patient has a serum osmolality of 268 mOsm/kg and a serum sodium of 134
mEq/L. His urine has Na less than 10 mEq/L. You know that all of the following are
possible explanations except:
a. diarrhea
b. diuretics
c. dehydration
d. vomiting - Correct Answer-b. diuretics (Na<10 is nonrenal cause. Diuretics are
associated with renal cause, urine na >20)
A 61 year old female c/o fatigue, muscle weakness, and constipation. She adds
that she had felt her heart beating 'abnormally' and she has been experiencing
muscle spasms on occasion. You order and EKG and find decreased amplitude and
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, ANCC AGACNP - Frances Guide Review Exam Actual Exam
broad T waves. Occasionally you also note prominent U waves. Of the following,
which is the most likely diagnosis?
a. hypokalemia
b. hyperkalemia
c. hypocalcemia
d. hypermagnesemia - Correct Answer-a. hypokalemia
Your patient has complications from parenteral nutritional support. All of the
following are plausible explanations except:
a. hypernatremia
b. pneumothorax
c. HHNK
d. GI bleed - Correct Answer-d. GI bleed
You want to get more funding for your hospital's Rapid Response Team. How
should you present this issue to the committee?
a. Stress importance of the team (look up evidence about how team affects
outcomes)
b. Describe how to improve and expand the team - Correct Answer-a. stress
importance of team
What is the best way for the AGACNP to get involved in policy making?
a. attend legislative days at the state capitol
b. join a hospital committee
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, ANCC AGACNP - Frances Guide Review Exam Actual Exam
c. write your local congressman
d. review literature and give more in-services - Correct Answer-b. join a hospital
committee
What is the best way for the AGACNP to demonstrate and advocate for full scope
of practice?
a. join a hospital committee
b. petition the government
c. bill for independent services
d. start your own practice - Correct Answer-c. bill for independent services
Which of the following is considered a high acuity role for the AGACNP?
a. primary care clinic
b. cardiology office
c. community health department
d. minute clinic - Correct Answer-b. cardiology office
What is the best way to advocate for gay and lesbian population?
a. participate in a high state or national level
b. join a non-profit advocacy group
c. consider lobbying the government
d. start at your facility - Correct Answer-d. start at your facility
Answers are worded differently. "decrease bias in healthcare" "create in-servises
in healthcare" "obtain funding to increase access"
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, ANCC AGACNP - Frances Guide Review Exam Actual Exam
Which of the following is most important to evaluate statistical significance when
reviewing the literature?
a. consider the sample size
b. make sure the confidence interval is tight
c. see if the p-value is less than the alpha-coefficient
d. determine the error rate - Correct Answer-a. consider the sample size
When closing a practice, the NP is required to do all of the following except
a. give the patient adequate time to find another provder
b. keep all of the patient's records for a minimum of five years
c. send a certified letter with a return receipt requested
d. provide names of other providers for future care - Correct Answer-c. send a
certified letter with a return receipt requested
Which of the following components of an evidenced based research process is the
most important for NP to participate in?
a. specifying methods of data collection
b. formulating the hypothesis
c. carefully reviewing the literature
d. formulating the research problem - Correct Answer-d. formulating the research
problem
4|Page
ANCC AGACNP - FRANCES GUIDE REVIEW EXAM ACTUAL EXAM
NEWEST 2025/2026 COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |BRAND NEW VERSION!!
A 68yo patient had sx three days ago to repair a AAA. The patient remains
intubated, is neurologically intact, and has active bowel sounds. LFT's are normal,
no s/s CHF, the patient's laboratory values are: blood urea nitrogen of 12 mg/dL,
creatinine of 0.8 mg/dL, PaCO2 of 37mmHg. Which is the most appropriate
method to deliver nutrition?
a. central line
b. PIV
c. G tube
d. enteral feeding to the duodenum via a nasogastric small-bore tube - Correct
Answer-d. enteral feeding to the duodenum via a nasogastric small bore tube
Your patient has a serum osmolality of 268 mOsm/kg and a serum sodium of 134
mEq/L. His urine has Na less than 10 mEq/L. You know that all of the following are
possible explanations except:
a. diarrhea
b. diuretics
c. dehydration
d. vomiting - Correct Answer-b. diuretics (Na<10 is nonrenal cause. Diuretics are
associated with renal cause, urine na >20)
A 61 year old female c/o fatigue, muscle weakness, and constipation. She adds
that she had felt her heart beating 'abnormally' and she has been experiencing
muscle spasms on occasion. You order and EKG and find decreased amplitude and
1|Page
, ANCC AGACNP - Frances Guide Review Exam Actual Exam
broad T waves. Occasionally you also note prominent U waves. Of the following,
which is the most likely diagnosis?
a. hypokalemia
b. hyperkalemia
c. hypocalcemia
d. hypermagnesemia - Correct Answer-a. hypokalemia
Your patient has complications from parenteral nutritional support. All of the
following are plausible explanations except:
a. hypernatremia
b. pneumothorax
c. HHNK
d. GI bleed - Correct Answer-d. GI bleed
You want to get more funding for your hospital's Rapid Response Team. How
should you present this issue to the committee?
a. Stress importance of the team (look up evidence about how team affects
outcomes)
b. Describe how to improve and expand the team - Correct Answer-a. stress
importance of team
What is the best way for the AGACNP to get involved in policy making?
a. attend legislative days at the state capitol
b. join a hospital committee
2|Page
, ANCC AGACNP - Frances Guide Review Exam Actual Exam
c. write your local congressman
d. review literature and give more in-services - Correct Answer-b. join a hospital
committee
What is the best way for the AGACNP to demonstrate and advocate for full scope
of practice?
a. join a hospital committee
b. petition the government
c. bill for independent services
d. start your own practice - Correct Answer-c. bill for independent services
Which of the following is considered a high acuity role for the AGACNP?
a. primary care clinic
b. cardiology office
c. community health department
d. minute clinic - Correct Answer-b. cardiology office
What is the best way to advocate for gay and lesbian population?
a. participate in a high state or national level
b. join a non-profit advocacy group
c. consider lobbying the government
d. start at your facility - Correct Answer-d. start at your facility
Answers are worded differently. "decrease bias in healthcare" "create in-servises
in healthcare" "obtain funding to increase access"
3|Page
, ANCC AGACNP - Frances Guide Review Exam Actual Exam
Which of the following is most important to evaluate statistical significance when
reviewing the literature?
a. consider the sample size
b. make sure the confidence interval is tight
c. see if the p-value is less than the alpha-coefficient
d. determine the error rate - Correct Answer-a. consider the sample size
When closing a practice, the NP is required to do all of the following except
a. give the patient adequate time to find another provder
b. keep all of the patient's records for a minimum of five years
c. send a certified letter with a return receipt requested
d. provide names of other providers for future care - Correct Answer-c. send a
certified letter with a return receipt requested
Which of the following components of an evidenced based research process is the
most important for NP to participate in?
a. specifying methods of data collection
b. formulating the hypothesis
c. carefully reviewing the literature
d. formulating the research problem - Correct Answer-d. formulating the research
problem
4|Page
