ACNPC-AG Exam Sample
Questions
1. Following a 10-foot fall, a young adult presents on a backboard with a c-collar on.
The pt had an initial LOC at the scene and was lucid on arrival, but LOC is rapidly
deteriorating. The right pupil is round and reactive, but the left is dilated and
unresponsive to light. The ACNP should *first* suspect:
a. a basilar skull fox
b. a subdural hematoma
c. an epidural hematoma
d. a cerebellar herniation - answers-an epidural hematoma
A pt is readmitted d/t suspected PE. Home meds include metformin (Glucophage).
Which of the following available dx methods would be indicated?
a. V/Q scan
b. spiral CT
c. pulmonary angiogram
d. venous doppler study - answers-a. V/Q scan
The ACNP should recognize that a toxic exposure to
a. methanol is best Tx with a sodium bicarb infusion
b. salicylates are best Tx with n-acetylcysteine (Macoys)
c. benzos are best Tx with hemodialysis
d. carbon monoxide is best Tx with hyperbaric oxygen - answers-d. carbon monoxide is
best Tx with hyperbaric oxygen
When assessing the weaning ability of a 75 you COPD pt who is being mechanically
ventilated, it is important for the ACNP to consider that elderly pts
a. has a greater respiratory reserve than younger pts
b. has equivalent PaO2/FiO2 ratios compared to younger pts
c. tends to breath faster and shallower than younger pts
d. tends to have a lower A-a gradient compared to younger pts - answers-c. tend to
breath faster and shallower than younger pts
While discharging a pt following knee replacement six, the pt experiences a new onset
episode of chest pain lasting 10 minutes. The cardiac biomarkers and 12-lead ECG are
unremarkable. The pt is currently pain free and anxious to go home. The ACNP should
a. dc the pt and have them f/u w/their PCP
b. hold dc and repeat cardiac biomarkers in 8 hrs.
c. dc the pt and schedule an appt for a cardiology f/u
Questions
1. Following a 10-foot fall, a young adult presents on a backboard with a c-collar on.
The pt had an initial LOC at the scene and was lucid on arrival, but LOC is rapidly
deteriorating. The right pupil is round and reactive, but the left is dilated and
unresponsive to light. The ACNP should *first* suspect:
a. a basilar skull fox
b. a subdural hematoma
c. an epidural hematoma
d. a cerebellar herniation - answers-an epidural hematoma
A pt is readmitted d/t suspected PE. Home meds include metformin (Glucophage).
Which of the following available dx methods would be indicated?
a. V/Q scan
b. spiral CT
c. pulmonary angiogram
d. venous doppler study - answers-a. V/Q scan
The ACNP should recognize that a toxic exposure to
a. methanol is best Tx with a sodium bicarb infusion
b. salicylates are best Tx with n-acetylcysteine (Macoys)
c. benzos are best Tx with hemodialysis
d. carbon monoxide is best Tx with hyperbaric oxygen - answers-d. carbon monoxide is
best Tx with hyperbaric oxygen
When assessing the weaning ability of a 75 you COPD pt who is being mechanically
ventilated, it is important for the ACNP to consider that elderly pts
a. has a greater respiratory reserve than younger pts
b. has equivalent PaO2/FiO2 ratios compared to younger pts
c. tends to breath faster and shallower than younger pts
d. tends to have a lower A-a gradient compared to younger pts - answers-c. tend to
breath faster and shallower than younger pts
While discharging a pt following knee replacement six, the pt experiences a new onset
episode of chest pain lasting 10 minutes. The cardiac biomarkers and 12-lead ECG are
unremarkable. The pt is currently pain free and anxious to go home. The ACNP should
a. dc the pt and have them f/u w/their PCP
b. hold dc and repeat cardiac biomarkers in 8 hrs.
c. dc the pt and schedule an appt for a cardiology f/u
