ANCC AGACNP EXAM COMPLETE
TESTBANK QUESTIONS AND VERIFIED
ANSWERS UPDATED GRADED A+
SABA - ANS✔✔-Albuterol (Proventil)
what step?
ICS - ANS✔✔-budesonide (pulmicort)
fluticasone (flovent HFA)
triamcinolone (Azmacort)
what step?
LRTA - ANS✔✔-montelukast (singuilair)
nedocromil (alocril)
what step?
xanthine - ANS✔✔-theophylline
what step?
what to check?
mast cell stabilizer - ANS✔✔-cromolyn
what step?
laba - ANS✔✔-salmeterol (servent)
formeterol (perforomist)
what step?
leukotriene synthesis inhibitor - ANS✔✔-zileuton (zyflo)
what step?
what to know extra?
omalizumab (xolair) - ANS✔✔-asthma w/ allergies
what step?
ipratropium (atrovent HFA) - ANS✔✔-inhaled anticholinergic
for what?
burn formula - ANS✔✔-4 ml/kg x TBSA (% burned) in 24 hours
1/2 fluid in 8 hrs
remaining in 16 hours (1/4 next 8 hr, 1/4 remaining 8 hr)
-use crystalloid
-watch for hyperkalemia first 2 days, then hypokalemia s/p fluid resusc 3
days
-watch metabolic acidosis early resusc phase
, ANCC AGACNP EXAM COMPLETE
TESTBANK QUESTIONS AND VERIFIED
ANSWERS UPDATED GRADED A+
DMARDS - ANS✔✔-for ra (disease modifying antirheumatic drugs)
corticosteroids
methotrexate
antimalarians (hydrochloroquine)
gold salt injections
IOP # - ANS✔✔-norm: 10-20 mm Hg
serum fasting blood gluose - ANS✔✔-at least 8 hours, > 126 mg/dL
more than x1
cutaneous - ANS✔✔-local to skin or surface of body
visceral - ANS✔✔-internal organs ex. cholelithiasis
somatic - ANS✔✔-muscles, bones, nerves, soft tissue ex. bone fx, breast
removed
neuropathic - ANS✔✔-tumor, nerve pathway injury or compression ex.
sciatica
Amitriptyline (Elavil) - ANS✔✔-+- adjuvent for pain, helps w/
headache
pain step 2 additions - ANS✔✔-codeine, hydrocodone, oxycodone,
tramadol, dihidrocodeine
pain step 3 additions - ANS✔✔-MORphine, hydroMORPhone,
methadone, fentanyl
epibole - ANS✔✔-rolled edges in pressure injury 3&4
celcius - ANS✔✔-37 c= 98.6, normal
38 c= 100.4
>38.3 c = 101.5
trimethoprim-sulfamethoxazole - ANS✔✔-bactrim
-can cause fever
-for PCP prophylaxis, aids
drugs that cause fever reactions - ANS✔✔-ampho B
bactrim
beta-lactam abx
, ANCC AGACNP EXAM COMPLETE
TESTBANK QUESTIONS AND VERIFIED
ANSWERS UPDATED GRADED A+
procainamide (antiarrhyrhmic)
isoniazid
alpha-methyldopa
quinidine (aniarrhythmic)
-fever lingers, does not spike, tylenol ineffective
tension headache - ANS✔✔-no neuro symptoms, relax w/ OTC
migraine headache (2 types) - ANS✔✔-classic- w/ aura
common- w/o aura
follows trigeminal nerve pathyway
adolescent female & early adult, fam hx
triggers- stress, sleep, menstruation, nitrate foods, ETOH, oral
contraceptives, weather
+ focal neurologic disturbances, visual disturbances, n/v, photophobia,
aphasia, may look like TIA
r/o brain tumor and neuro-syphillis (w/ VDRL)
tx: sumatriptan.
prophylactic if > 2-3x/month
ASA
dark quiet room
Amitryptyline (Elavil) - ANS✔✔-TCA antidepressant
for migraine HA tx
BBW: QT prolongation
divalproex (depakote) - ANS✔✔-for migraine HA
and seizures
propranolol (inderal) - ANS✔✔-migraine HA
imipramine (tofranil) - ANS✔✔-migraine HA
alpha2 agonist- vasodilate
, ANCC AGACNP EXAM COMPLETE
TESTBANK QUESTIONS AND VERIFIED
ANSWERS UPDATED GRADED A+
clonidine (catapres) - ANS✔✔-migraine HA
and BP
alpha 2 agonist - ANS✔✔-vasodilate
verapamil (Calan) - ANS✔✔-migraine HA
topiramate (topamax) - ANS✔✔-epilepsy
migraine HA
gabapentin (neurontin) - ANS✔✔-migraine HA
methysergide (Sansert) - ANS✔✔-migraine HA
cluster HA
magnesium - ANS✔✔-migraine HA
1.7-2.2
if very high, check if pt on antiacid
Sumatriptan (Imitrex) - ANS✔✔-migraine HA
6mg sQ for acute migraine HA, repeat x1, and cluster HA
25 mg PO at onset
ergotamine tartrate (ergostat) - ANS✔✔-inhalation for cluster HA
cluster HA - ANS✔✔-unilateral periorbital pain, ETOH, nasal
congestion, painfree months or weeks between attacks
w/ eye redness and rhinorrhea
tx: O2, sumatriptan SQ, ergostat
albumin level # - ANS✔✔-3.5-5
less protein malnutrion
edema if albumin < 2.7
but *prealbumin is best sign for malnutrition
refeeding syndrome (5 e- probs) - ANS✔✔-complication of enteral
support
hypophosphatemia
hypokalemia
hypomagnesemia
TESTBANK QUESTIONS AND VERIFIED
ANSWERS UPDATED GRADED A+
SABA - ANS✔✔-Albuterol (Proventil)
what step?
ICS - ANS✔✔-budesonide (pulmicort)
fluticasone (flovent HFA)
triamcinolone (Azmacort)
what step?
LRTA - ANS✔✔-montelukast (singuilair)
nedocromil (alocril)
what step?
xanthine - ANS✔✔-theophylline
what step?
what to check?
mast cell stabilizer - ANS✔✔-cromolyn
what step?
laba - ANS✔✔-salmeterol (servent)
formeterol (perforomist)
what step?
leukotriene synthesis inhibitor - ANS✔✔-zileuton (zyflo)
what step?
what to know extra?
omalizumab (xolair) - ANS✔✔-asthma w/ allergies
what step?
ipratropium (atrovent HFA) - ANS✔✔-inhaled anticholinergic
for what?
burn formula - ANS✔✔-4 ml/kg x TBSA (% burned) in 24 hours
1/2 fluid in 8 hrs
remaining in 16 hours (1/4 next 8 hr, 1/4 remaining 8 hr)
-use crystalloid
-watch for hyperkalemia first 2 days, then hypokalemia s/p fluid resusc 3
days
-watch metabolic acidosis early resusc phase
, ANCC AGACNP EXAM COMPLETE
TESTBANK QUESTIONS AND VERIFIED
ANSWERS UPDATED GRADED A+
DMARDS - ANS✔✔-for ra (disease modifying antirheumatic drugs)
corticosteroids
methotrexate
antimalarians (hydrochloroquine)
gold salt injections
IOP # - ANS✔✔-norm: 10-20 mm Hg
serum fasting blood gluose - ANS✔✔-at least 8 hours, > 126 mg/dL
more than x1
cutaneous - ANS✔✔-local to skin or surface of body
visceral - ANS✔✔-internal organs ex. cholelithiasis
somatic - ANS✔✔-muscles, bones, nerves, soft tissue ex. bone fx, breast
removed
neuropathic - ANS✔✔-tumor, nerve pathway injury or compression ex.
sciatica
Amitriptyline (Elavil) - ANS✔✔-+- adjuvent for pain, helps w/
headache
pain step 2 additions - ANS✔✔-codeine, hydrocodone, oxycodone,
tramadol, dihidrocodeine
pain step 3 additions - ANS✔✔-MORphine, hydroMORPhone,
methadone, fentanyl
epibole - ANS✔✔-rolled edges in pressure injury 3&4
celcius - ANS✔✔-37 c= 98.6, normal
38 c= 100.4
>38.3 c = 101.5
trimethoprim-sulfamethoxazole - ANS✔✔-bactrim
-can cause fever
-for PCP prophylaxis, aids
drugs that cause fever reactions - ANS✔✔-ampho B
bactrim
beta-lactam abx
, ANCC AGACNP EXAM COMPLETE
TESTBANK QUESTIONS AND VERIFIED
ANSWERS UPDATED GRADED A+
procainamide (antiarrhyrhmic)
isoniazid
alpha-methyldopa
quinidine (aniarrhythmic)
-fever lingers, does not spike, tylenol ineffective
tension headache - ANS✔✔-no neuro symptoms, relax w/ OTC
migraine headache (2 types) - ANS✔✔-classic- w/ aura
common- w/o aura
follows trigeminal nerve pathyway
adolescent female & early adult, fam hx
triggers- stress, sleep, menstruation, nitrate foods, ETOH, oral
contraceptives, weather
+ focal neurologic disturbances, visual disturbances, n/v, photophobia,
aphasia, may look like TIA
r/o brain tumor and neuro-syphillis (w/ VDRL)
tx: sumatriptan.
prophylactic if > 2-3x/month
ASA
dark quiet room
Amitryptyline (Elavil) - ANS✔✔-TCA antidepressant
for migraine HA tx
BBW: QT prolongation
divalproex (depakote) - ANS✔✔-for migraine HA
and seizures
propranolol (inderal) - ANS✔✔-migraine HA
imipramine (tofranil) - ANS✔✔-migraine HA
alpha2 agonist- vasodilate
, ANCC AGACNP EXAM COMPLETE
TESTBANK QUESTIONS AND VERIFIED
ANSWERS UPDATED GRADED A+
clonidine (catapres) - ANS✔✔-migraine HA
and BP
alpha 2 agonist - ANS✔✔-vasodilate
verapamil (Calan) - ANS✔✔-migraine HA
topiramate (topamax) - ANS✔✔-epilepsy
migraine HA
gabapentin (neurontin) - ANS✔✔-migraine HA
methysergide (Sansert) - ANS✔✔-migraine HA
cluster HA
magnesium - ANS✔✔-migraine HA
1.7-2.2
if very high, check if pt on antiacid
Sumatriptan (Imitrex) - ANS✔✔-migraine HA
6mg sQ for acute migraine HA, repeat x1, and cluster HA
25 mg PO at onset
ergotamine tartrate (ergostat) - ANS✔✔-inhalation for cluster HA
cluster HA - ANS✔✔-unilateral periorbital pain, ETOH, nasal
congestion, painfree months or weeks between attacks
w/ eye redness and rhinorrhea
tx: O2, sumatriptan SQ, ergostat
albumin level # - ANS✔✔-3.5-5
less protein malnutrion
edema if albumin < 2.7
but *prealbumin is best sign for malnutrition
refeeding syndrome (5 e- probs) - ANS✔✔-complication of enteral
support
hypophosphatemia
hypokalemia
hypomagnesemia
