AGACNP 106 EXAM FINAL PAPER 2026
COMPLETE SOLUTIONS AND DETAILED
ANSWERS GRADED A+
⩥ Ulcerative Colitis Treatment. Answer: 1. Mesalamine (Canasa)
suppositories or enemas for 3 to 12 weeks
2. Hydrocortisone suppositories and enema
⩥ Diverticulitis Treatment. Answer: 1. NPO
2. IVF to maintain hydration
3. Significant GI bleeding is present, treat like PUD
4. 20-30% of patients will require surgical management: Surgical consult
UpToDate: ATB cipro/flagyl or levo/flagyl
surgical consult on admit
⩥ SIADH Labs/Diagnostics. Answer: -Hyponatremia (yet euvolemic)
-Decreased serum osmolality (<280)
-Increased serum urine osmolality (>100)
-Urine sodium >20
-Renal, cardiac, thyroid function normal
,⩥ DI Labs/Diagnostics Answer: -Hypernatremia
-Elevated BUN/Creatinine
-Serum osmolality >290
-Urine osmolality <100
-Urine specific gravity low <1.005
⩥ What side effect to watch for Metoclopramide (Reglan)? Answer: -
EPS - tardive dyskinesia
-Black Box warning
⩥ What is a contraindication for using Succinylcholine? Answer:
Hyperkalemia
⩥ Collaborative Practice Answer: -Enhance quality of care
-Improve patient outcome
-Collaboration = true partnership in which all parties have desire and
power, share common goals, accept separate areas of responsibilities and
activities
⩥ Pericarditis
Treatment?
, Test to identify?
What is a complication to watch for? Answer: -Inflammation of the
pericardium
-NSAIDS
-ECHO
-Cardiac tamponade
⩥ What are the s/s of epiglottitis? Answer: -Dysphagia
-Drooling
-Expiratory stridor
⩥ Who should be tested for HIV (highest priority lowest)? Answer: 1.
IVDA
2. Unprotected anal intercourse
3. Unprotected vaginal sex
⩥ What is the treatment for pleural effusion? Answer: Thoracentesis
COMPLETE SOLUTIONS AND DETAILED
ANSWERS GRADED A+
⩥ Ulcerative Colitis Treatment. Answer: 1. Mesalamine (Canasa)
suppositories or enemas for 3 to 12 weeks
2. Hydrocortisone suppositories and enema
⩥ Diverticulitis Treatment. Answer: 1. NPO
2. IVF to maintain hydration
3. Significant GI bleeding is present, treat like PUD
4. 20-30% of patients will require surgical management: Surgical consult
UpToDate: ATB cipro/flagyl or levo/flagyl
surgical consult on admit
⩥ SIADH Labs/Diagnostics. Answer: -Hyponatremia (yet euvolemic)
-Decreased serum osmolality (<280)
-Increased serum urine osmolality (>100)
-Urine sodium >20
-Renal, cardiac, thyroid function normal
,⩥ DI Labs/Diagnostics Answer: -Hypernatremia
-Elevated BUN/Creatinine
-Serum osmolality >290
-Urine osmolality <100
-Urine specific gravity low <1.005
⩥ What side effect to watch for Metoclopramide (Reglan)? Answer: -
EPS - tardive dyskinesia
-Black Box warning
⩥ What is a contraindication for using Succinylcholine? Answer:
Hyperkalemia
⩥ Collaborative Practice Answer: -Enhance quality of care
-Improve patient outcome
-Collaboration = true partnership in which all parties have desire and
power, share common goals, accept separate areas of responsibilities and
activities
⩥ Pericarditis
Treatment?
, Test to identify?
What is a complication to watch for? Answer: -Inflammation of the
pericardium
-NSAIDS
-ECHO
-Cardiac tamponade
⩥ What are the s/s of epiglottitis? Answer: -Dysphagia
-Drooling
-Expiratory stridor
⩥ Who should be tested for HIV (highest priority lowest)? Answer: 1.
IVDA
2. Unprotected anal intercourse
3. Unprotected vaginal sex
⩥ What is the treatment for pleural effusion? Answer: Thoracentesis
