AACN Agacnp Review Test
Comprehensive Questions and Answers
Verified Solutions Latest Update
2026/2027
Question:
Breakthrough cancer pain management.
Answer:
fentanyl
Question:
Metastatic bone pain management.
Answer:
bisphosphonates
Question:
Tension headache symptoms & management.
Answer:
symptoms - tight, back of head/neck
management - OTC analgesics and rest
Question:
Migraine headache types and treatments.
Answer:
classic - WITH aura
common - WITHOUT aura
treatment - sumatriptan and analgesics
,Question:
Cluster headache symptoms and management.
Answer:
symptoms - occur at night, ipsilateral congestion, rhinorrhea, and eye redness
Question:
Albumin levels <3.5.
Answer:
protein malnutrition
Question:
Albumin <2.7.
Answer:
Edema
Question:
Complications of enteral nutrition.
Answer:
aspiration, refeeding, dehydration
Question:
Complications of parenteral nutrition.
Answer:
pneumothorax, hemothorax
Question:
Urine sodium >20.
,Answer:
renal salt wasting (kidney is the problem)
Question:
Urine sodium <10.
Answer:
kidney isn't the problem
Question:
isotonic hyponatremia serum osmolality and causes.
Answer:
serum osmolality - 284-295
causes - extreme hyperlipidemia or nhyperproteinemia
Question:
hypotonic hyponatremia serum osmolality and types.
Answer:
serum osmolality <280
hypovolemic w/ sodium <10
hypovolemic w/ sodium >20
hypervolemic
Question:
hypovolemic w/ urine sodium <10 causes.
Answer:
dehydration, diuresis, vomiting
Question:
hypovolemic w/ urine sodium >20.
, Answer:
diuretics, ACE, mineralocorticoid deficiency
Question:
hypervolemic hypotonic hyponatremia.
Answer:
edema, CHF, liver disease, renal failure
must restrict fluids
Question:
hypertonic hyponatremia serum osmolality and causes.
Answer:
serum osmolality >290
causes - HHS
Question:
hypokalemia causes, signs/symptoms, treatment.
Answer:
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
Question:
hyperkalemia causes, signs/symptoms, treatment.
Answer:
causes - renal failure, drugs, hypoaldosteronism
signs/symptoms - weakness, flaccid paralysis, abdominal distension, diarrhea, peaked T waves
treatment - ion resin exchange (kayexalate), insulin, D5W
Question:
Comprehensive Questions and Answers
Verified Solutions Latest Update
2026/2027
Question:
Breakthrough cancer pain management.
Answer:
fentanyl
Question:
Metastatic bone pain management.
Answer:
bisphosphonates
Question:
Tension headache symptoms & management.
Answer:
symptoms - tight, back of head/neck
management - OTC analgesics and rest
Question:
Migraine headache types and treatments.
Answer:
classic - WITH aura
common - WITHOUT aura
treatment - sumatriptan and analgesics
,Question:
Cluster headache symptoms and management.
Answer:
symptoms - occur at night, ipsilateral congestion, rhinorrhea, and eye redness
Question:
Albumin levels <3.5.
Answer:
protein malnutrition
Question:
Albumin <2.7.
Answer:
Edema
Question:
Complications of enteral nutrition.
Answer:
aspiration, refeeding, dehydration
Question:
Complications of parenteral nutrition.
Answer:
pneumothorax, hemothorax
Question:
Urine sodium >20.
,Answer:
renal salt wasting (kidney is the problem)
Question:
Urine sodium <10.
Answer:
kidney isn't the problem
Question:
isotonic hyponatremia serum osmolality and causes.
Answer:
serum osmolality - 284-295
causes - extreme hyperlipidemia or nhyperproteinemia
Question:
hypotonic hyponatremia serum osmolality and types.
Answer:
serum osmolality <280
hypovolemic w/ sodium <10
hypovolemic w/ sodium >20
hypervolemic
Question:
hypovolemic w/ urine sodium <10 causes.
Answer:
dehydration, diuresis, vomiting
Question:
hypovolemic w/ urine sodium >20.
, Answer:
diuretics, ACE, mineralocorticoid deficiency
Question:
hypervolemic hypotonic hyponatremia.
Answer:
edema, CHF, liver disease, renal failure
must restrict fluids
Question:
hypertonic hyponatremia serum osmolality and causes.
Answer:
serum osmolality >290
causes - HHS
Question:
hypokalemia causes, signs/symptoms, treatment.
Answer:
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
Question:
hyperkalemia causes, signs/symptoms, treatment.
Answer:
causes - renal failure, drugs, hypoaldosteronism
signs/symptoms - weakness, flaccid paralysis, abdominal distension, diarrhea, peaked T waves
treatment - ion resin exchange (kayexalate), insulin, D5W
Question:
