ANCC AGACNP
GUIDE REVIEW
400+ Practice Qs w/ Ans
board-exam preparation
Main Features:
• Focused ANCC AGACNP board-exam review
• Board-Prep Questions and Review Terms
• Extensive collection of practice questions
• Helpful for identifying knowledge gaps
• Covers high-yield acute care concepts
• Supports structured study and final revision
1
,1. T-score
osteopenia: -1.5 to -2.4
2. t score of osteoporosis
< -2.5
3. clue cells
bacterial vaginosis
4. tx of BV
Flagyl x 7 days PO can also use cream
5. strawberry cervix and mobile protozoa
trichomonias
6. pseduohyphae
candida
7. best test for IDA
serum ferritin
8. CYP450 inhibitors
macrolides (erythromycin, clarithromycin)
antifungals
cimetidine
citalopram
9. treatment for otitis externa
cortisporin otic drops
10. otitis externa'as most common bacterial pathogen
pseudomonas
2
,11. rinne test results for conductive hearing loss
BC > AC
12. weber test results for conductive hearing loss
lateralization to the bad ear
13. preferred antibiotic for bites
augmentin
14. herald patch or a christmas tree pattern is found in
pityriasis rosea
15. treatment for rosacea
topical metronidazole
16. all beneign murmurs occur during
S2
17. all mitral valve related murmurs will be described as
apex of the heart/apical area
5th. ICS on the left side of the sternum medial to the midclavicular line
18. S3 is a sign of
CHF
19. S4 is a sign of
LVH
20. first time a thrill will be palpated is at a grade
Grade IV
21. medicaid
A federal and state assistance program that pays for health care services for people
who cannot
afford them.
3
,22. diagnosis related group
Classification system used to determine payments from Medicare by as-
signing a standard flat rate to major diagnostic categories. This flat rate is paid to
hospitals regardless of the full cost
of the services provided
23. when measuring ABI, this index = PAD
</= 0.9
24. treatment of chlamydia
doxycycline
25. treatment of gonorrhea
rocephin
26. Mitral regurgitation murmur
Holosystolic murmur heard loudest at the apex and left axillary area
27. aortic regurgitation murmur
diastolic murmur
heard loudest with client sitting leading forward
28. aortic stenosis murmur
"mid-systolic ejection murmur best heard at the 2nd right intercostal space"
29. medicare part b covers
prescription medical equipment and home healthcare
30. medicare part a covers
hospital services
31. pneumonia vaccine
1 dose of PCV 20
or
PCV 15 followed by 23 one year later
32. AAA screening guidelines
ALL men age 65-75 who have ever smoked
4
,33. gold standard test for trichomonias
NAAT
34. first line treatment for COPD
inhaled anticholernergic
or short acting B2
35. most common pathogen responsible for otitis media
streptococcus pneumoniae
36. classic physical findings of aortic stenosis
harsh crescendo-decrescendo murmur loudest
over the second right ICS and radiates to the caortid arteries
37. sensitivity
defined as the ability of a test to detect a person who has the disease
38. specificity
defined as the ability of a test to detect a person who is healthy (person without the
disease)
39. macrolides
erythromycin
azithromycin
clarithromycin
40. first gen cephalosporin
keflex
41. 2nd gen cephalosporin
cefaclor
ceftin
cefzil
42. 3rd gen cephalosporin
rocephin
suprax
omnicef
5
,43. quinolones
ciprofloxacin and olofloxacin
44. quinolones with gram positive coverage
levofloxacin, moxifloxacin, gatifloxacin
45. sulfa drugs
bactrim, macrobid
46. tetracyclines
tetracycline, doxycycline, and minocycline
47. S4
LVH
can be normal in some elderly
best heard at the apex or apical area using the bell of the stethescope
48. bell stethescope
low tones such as extra heart sounds
mitral stenosis
49. diaphragm of the stethescope
mid to high pitch sounds
mitral regurg
aortic stenosis
50. grade V murmur
very loud murmur heard with edge of stethoscope off chest
51. apical murmur during S1
mitral regurgitation
52. apical murmur during S2
mitral stenosis
53. CHAD-VASC of 2 or more
needs anticoagulation
6
,54. CHAD-VASC
CHF
HTN
Age >75 (2)
Diabetes
Stroke/TIA (2)
vascular disease
Age 65-75
Female
55. preferred treatment for isolated systolic htn in elderly
thiazides or CCB
56. first line tx of stable HF
ACEI/ARB
57. high intensity statins
Atorvastatin 40-80 mg
Rosuvastatin 20-40 mg
58. LDL >190 = treatment
high intensity statin
59. treatment with these in alzheimers can provide a modest improvement of
symptoms, temporary stabilization of cognition, reduction of the rate of decline in
mild-mod alzheimers
cholinesterase inhibitors
donepezil
rivastigmine
galantamine
tacrine
60. this is used in adjunct with cholinesterase inhibiotrs in alzheimers disease for
mod-severe dementia
memantine
61. risk factors for endometriosis
delayed childbearing
menstrual cycles that regularly span >27 days
menstrual periods ?8 days per month
family hx in 1st degree relative
7
,62. obturator sign
abdominal pain with passive interal rotation of the right hip from the 90 degree
hip/knee
flexion
=appendicitis
63. murphy's sign
pain and a brieg inspiratory arrest result when a client takes a deep breath while the
examiner applies pressure over the gallbladder
=cholecystitis
64. patients age 40-75 without CV disease or DM with a 10 year risk of clinical events
>7.5% and an LDL from 70-189 need what
mod-high intensity statin
65. most common cause of incontinence in older adults
urge incontinence
66. treatment of Erysipelas
IV ceftriaxone
67. tx of impetigo
mupricon
68. tx of purulent cellulitis
doxycycline
69. stingy discharge from the eye is a hallmark of
allergic conjunctivitis
70. comprising of this nerve causes loss of vision
CN II optic nerve
71. comprimising this nerve causes the eyeball not to move down and out
CN
IV trochlear
8
,72. comprimising this nerve causes inability to move eyes to the side
CN VI
abducens
73. comprising this nerve causes dilated pupil, deviation of eye down and our, and
ptosis
oculomotor nerve (CN III)
74. this is the most common kind of incontience in woman age 45 to 49
stress
incontinence
75. Oncychomycosis
Fungal infection of the finger or toenail plate
thickened distored, crumbling nails
accumalation of subungal keratin
76. anterior drawer test
ACL tear
77. presentation of acute bacterial epidydymitis
unilateral testicular tenderness
urethral discharge
acute onset of swollen red scrotum that is painful
78. tx of acute bacterial epidydmitis in thos e who are sexually active and dont practice
insertive anal intercourse is
ceftriaxone 500mg IM and doxycycline 100mg BID x 10 days
79. tx of acute bacterial epidydmitis in thos e who are sexually active and HAVE anal
intercourse
ceftriaxone 500mg IM and fluoroquinolone: levofloxacin 500mg x 10 days
80. tx of bacterial epidydmitis in those who are NOT sexually active
levofloxacin
81. what is the leading preventable cause of death, disease, and disability in the US
Tobacco
9
, 82. first line tx for polymyagia rheumatica
oral prednisone
83. this usually affects elderly and is characterized by extended periods of morning
stiffness in hips, shoulders, neck, and thoracic spine
polymyalgia rheumatica
(PMR)
84. luteal phase
begins with ovulation and ends with menses
85. follicular phase
first day of menses until day 14 (ovulation)
86. correctable causes of urinary incontinence
Delirium
Infection
Atrophic urtheritis/vaginitis
Pharmaceuticals
Psychological
Excessive urine output
restricted mobility
stool impaction
87. first line tx of chronic htn in pregnancy
labetalol
88. AIDs defining illness
1. Kaposi sarcoma
2. CMV infection
3. pneumocystitis jiroveci PNA
4. Mycobacterium TB
89. blood glucose goals in pregnancy
1 hour post prandial = <140
2 hour PP = <120
fasting 65-95
90. age cut off for live attenuated vaccines
>49
10
GUIDE REVIEW
400+ Practice Qs w/ Ans
board-exam preparation
Main Features:
• Focused ANCC AGACNP board-exam review
• Board-Prep Questions and Review Terms
• Extensive collection of practice questions
• Helpful for identifying knowledge gaps
• Covers high-yield acute care concepts
• Supports structured study and final revision
1
,1. T-score
osteopenia: -1.5 to -2.4
2. t score of osteoporosis
< -2.5
3. clue cells
bacterial vaginosis
4. tx of BV
Flagyl x 7 days PO can also use cream
5. strawberry cervix and mobile protozoa
trichomonias
6. pseduohyphae
candida
7. best test for IDA
serum ferritin
8. CYP450 inhibitors
macrolides (erythromycin, clarithromycin)
antifungals
cimetidine
citalopram
9. treatment for otitis externa
cortisporin otic drops
10. otitis externa'as most common bacterial pathogen
pseudomonas
2
,11. rinne test results for conductive hearing loss
BC > AC
12. weber test results for conductive hearing loss
lateralization to the bad ear
13. preferred antibiotic for bites
augmentin
14. herald patch or a christmas tree pattern is found in
pityriasis rosea
15. treatment for rosacea
topical metronidazole
16. all beneign murmurs occur during
S2
17. all mitral valve related murmurs will be described as
apex of the heart/apical area
5th. ICS on the left side of the sternum medial to the midclavicular line
18. S3 is a sign of
CHF
19. S4 is a sign of
LVH
20. first time a thrill will be palpated is at a grade
Grade IV
21. medicaid
A federal and state assistance program that pays for health care services for people
who cannot
afford them.
3
,22. diagnosis related group
Classification system used to determine payments from Medicare by as-
signing a standard flat rate to major diagnostic categories. This flat rate is paid to
hospitals regardless of the full cost
of the services provided
23. when measuring ABI, this index = PAD
</= 0.9
24. treatment of chlamydia
doxycycline
25. treatment of gonorrhea
rocephin
26. Mitral regurgitation murmur
Holosystolic murmur heard loudest at the apex and left axillary area
27. aortic regurgitation murmur
diastolic murmur
heard loudest with client sitting leading forward
28. aortic stenosis murmur
"mid-systolic ejection murmur best heard at the 2nd right intercostal space"
29. medicare part b covers
prescription medical equipment and home healthcare
30. medicare part a covers
hospital services
31. pneumonia vaccine
1 dose of PCV 20
or
PCV 15 followed by 23 one year later
32. AAA screening guidelines
ALL men age 65-75 who have ever smoked
4
,33. gold standard test for trichomonias
NAAT
34. first line treatment for COPD
inhaled anticholernergic
or short acting B2
35. most common pathogen responsible for otitis media
streptococcus pneumoniae
36. classic physical findings of aortic stenosis
harsh crescendo-decrescendo murmur loudest
over the second right ICS and radiates to the caortid arteries
37. sensitivity
defined as the ability of a test to detect a person who has the disease
38. specificity
defined as the ability of a test to detect a person who is healthy (person without the
disease)
39. macrolides
erythromycin
azithromycin
clarithromycin
40. first gen cephalosporin
keflex
41. 2nd gen cephalosporin
cefaclor
ceftin
cefzil
42. 3rd gen cephalosporin
rocephin
suprax
omnicef
5
,43. quinolones
ciprofloxacin and olofloxacin
44. quinolones with gram positive coverage
levofloxacin, moxifloxacin, gatifloxacin
45. sulfa drugs
bactrim, macrobid
46. tetracyclines
tetracycline, doxycycline, and minocycline
47. S4
LVH
can be normal in some elderly
best heard at the apex or apical area using the bell of the stethescope
48. bell stethescope
low tones such as extra heart sounds
mitral stenosis
49. diaphragm of the stethescope
mid to high pitch sounds
mitral regurg
aortic stenosis
50. grade V murmur
very loud murmur heard with edge of stethoscope off chest
51. apical murmur during S1
mitral regurgitation
52. apical murmur during S2
mitral stenosis
53. CHAD-VASC of 2 or more
needs anticoagulation
6
,54. CHAD-VASC
CHF
HTN
Age >75 (2)
Diabetes
Stroke/TIA (2)
vascular disease
Age 65-75
Female
55. preferred treatment for isolated systolic htn in elderly
thiazides or CCB
56. first line tx of stable HF
ACEI/ARB
57. high intensity statins
Atorvastatin 40-80 mg
Rosuvastatin 20-40 mg
58. LDL >190 = treatment
high intensity statin
59. treatment with these in alzheimers can provide a modest improvement of
symptoms, temporary stabilization of cognition, reduction of the rate of decline in
mild-mod alzheimers
cholinesterase inhibitors
donepezil
rivastigmine
galantamine
tacrine
60. this is used in adjunct with cholinesterase inhibiotrs in alzheimers disease for
mod-severe dementia
memantine
61. risk factors for endometriosis
delayed childbearing
menstrual cycles that regularly span >27 days
menstrual periods ?8 days per month
family hx in 1st degree relative
7
,62. obturator sign
abdominal pain with passive interal rotation of the right hip from the 90 degree
hip/knee
flexion
=appendicitis
63. murphy's sign
pain and a brieg inspiratory arrest result when a client takes a deep breath while the
examiner applies pressure over the gallbladder
=cholecystitis
64. patients age 40-75 without CV disease or DM with a 10 year risk of clinical events
>7.5% and an LDL from 70-189 need what
mod-high intensity statin
65. most common cause of incontinence in older adults
urge incontinence
66. treatment of Erysipelas
IV ceftriaxone
67. tx of impetigo
mupricon
68. tx of purulent cellulitis
doxycycline
69. stingy discharge from the eye is a hallmark of
allergic conjunctivitis
70. comprising of this nerve causes loss of vision
CN II optic nerve
71. comprimising this nerve causes the eyeball not to move down and out
CN
IV trochlear
8
,72. comprimising this nerve causes inability to move eyes to the side
CN VI
abducens
73. comprising this nerve causes dilated pupil, deviation of eye down and our, and
ptosis
oculomotor nerve (CN III)
74. this is the most common kind of incontience in woman age 45 to 49
stress
incontinence
75. Oncychomycosis
Fungal infection of the finger or toenail plate
thickened distored, crumbling nails
accumalation of subungal keratin
76. anterior drawer test
ACL tear
77. presentation of acute bacterial epidydymitis
unilateral testicular tenderness
urethral discharge
acute onset of swollen red scrotum that is painful
78. tx of acute bacterial epidydmitis in thos e who are sexually active and dont practice
insertive anal intercourse is
ceftriaxone 500mg IM and doxycycline 100mg BID x 10 days
79. tx of acute bacterial epidydmitis in thos e who are sexually active and HAVE anal
intercourse
ceftriaxone 500mg IM and fluoroquinolone: levofloxacin 500mg x 10 days
80. tx of bacterial epidydmitis in those who are NOT sexually active
levofloxacin
81. what is the leading preventable cause of death, disease, and disability in the US
Tobacco
9
, 82. first line tx for polymyagia rheumatica
oral prednisone
83. this usually affects elderly and is characterized by extended periods of morning
stiffness in hips, shoulders, neck, and thoracic spine
polymyalgia rheumatica
(PMR)
84. luteal phase
begins with ovulation and ends with menses
85. follicular phase
first day of menses until day 14 (ovulation)
86. correctable causes of urinary incontinence
Delirium
Infection
Atrophic urtheritis/vaginitis
Pharmaceuticals
Psychological
Excessive urine output
restricted mobility
stool impaction
87. first line tx of chronic htn in pregnancy
labetalol
88. AIDs defining illness
1. Kaposi sarcoma
2. CMV infection
3. pneumocystitis jiroveci PNA
4. Mycobacterium TB
89. blood glucose goals in pregnancy
1 hour post prandial = <140
2 hour PP = <120
fasting 65-95
90. age cut off for live attenuated vaccines
>49
10
