ACNPC-AG EXAM SAMPLE QUESTIONS 2026/2027
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 fx
b. a subdural hematoma
c. an epidural hematoma
d. a cerebellar herniation - ANSWER ✔️-an epidural hematoma
1. 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 - ANSWER ✔️-a. V/Q scan
2. Concerns are raised about a unit's increasing utilization of blood products. The ACNP is
asked to participate on a newly formed inter-professional team. Upon agreeing to
participate, the ACNP should *first*
a. verify that the meeting schedule would align with the ACNPs schedule
b. ensure that the ACNP's suggestions will be adopted
c. find out who else will be participating
d. identify the goals assigned to the team - ANSWER ✔️-d. identify the goals
assigned to the team
3. Following cardiac sx, a pt in sinus rhythm suddenly converts to a fib. The pt is
asymptomatic. Tx should include
a. sedation and cardioversion
b. diltiazem (Cardizem) infusion
c. emergency defibrillation
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 fx
b. a subdural hematoma
c. an epidural hematoma
d. a cerebellar herniation - ANSWER ✔️-an epidural hematoma
1. 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 - ANSWER ✔️-a. V/Q scan
2. Concerns are raised about a unit's increasing utilization of blood products. The ACNP is
asked to participate on a newly formed inter-professional team. Upon agreeing to
participate, the ACNP should *first*
a. verify that the meeting schedule would align with the ACNPs schedule
b. ensure that the ACNP's suggestions will be adopted
c. find out who else will be participating
d. identify the goals assigned to the team - ANSWER ✔️-d. identify the goals
assigned to the team
3. Following cardiac sx, a pt in sinus rhythm suddenly converts to a fib. The pt is
asymptomatic. Tx should include
a. sedation and cardioversion
b. diltiazem (Cardizem) infusion
c. emergency defibrillation
