ANCC AGACNP
FRANCES GUIDE REVIEW
500+ Practice Qs w/ Ans
board-exam preparation
Main Features:
• Focused ANCC AGACNP board-exam review
• Extensive collection of practice questions
• Helpful for identifying knowledge gaps
• Covers high-yield acute care concepts
• Supports structured study and final revision
, PREVIEW QUESTIONS BELOW
ANCC AGACNP Frances Guide Review
Explore selected sample pages
PDF
Get the Complete PDF After Purchase
Digital download - ready for focused study and revision.
SAMPLE TOPICS INCLUDED IN THIS PREVIEW
Policy, Research and Scope Ethics, Consent and Care
of Practice Coordination
Wound Care, Infection and Fluids, Electrolytes and
Geriatrics Nutrition
Endocrine and Metabolic Cardiovascular Assessment
Review and Treatment
Pulmonary and Respiratory Shock, Critical Care and
Care Emergency Review
Need clarification or another study resource?
Feel free to message me.
Preview pages are selected from the uploaded study document.
,POLICY, RESEARCH AND SCOPE OF PRACTICE SAMPLE
1. You want to get more funding for your hospital's Rapid Response Team. How should
you present this issue to the committee?
a. Stress importance of the team (look up evidence about how team affects outcomes)
b. Describe how to improve and expand the team
>>> a. stress importance of team
2. What is the best way for the AGACNP to get involved in policy making?
a. attend legislative days at the state capitol
b. join a hospital committee
c. write your local congressman
d. review literature and give more in-services
>>> b. join a hospital committee
3. What is the best way for the AGACNP to demonstrate and advocate for full scope of
practice?
a. join a hospital committee
b. petition the government
c. bill for independent services
d. start your own practice
>>> c. bill for independent services
4. Which of the following is considered a high acuity role for the AGACNP?
a. primary care clinic
b. cardiology office
c. community health department
d. minute clinic
>>> b. cardiology office
5. What is the best way to advocate for gay and lesbian population?
a. participate in a high state or national level
Preview page 3 of 10 | Source page 2 Complete PDF after purchase
,ETHICS, CONSENT AND CARE COORDINATION SAMPLE
c. instruct him to call the department head
d. share the information he requests
>>> d. share the information he requests
66. Your patient has refused human blood products based on religious beliefs. He is now
rapidly destabilizing. What do you do?
a. administer PRBCs as needed
b. call the ethics committee
c. continue to research alternative treatments
d. ask the family to give permission now that he's unconscious
>>> c. continue to research alternative treatments
67. What is the best way to make sure a patient will follow up as instructed?
a. instruct the patient to schedule the appointment
b. ask the patient the best time they can go to an appointment
c. have the office manager to schedule the appointment
d. schedule the appointment for the patient
>>> d. schedule the appointment for the patient
68. Your patient is brain dead on the ventilator. The family wants all possible treatment
measures done to preserves life, but states that the patient would not want to be on a
ventilator. What should you do?
a. consult neurology to come interview the family
b. document the situation carefully in the chart
c. call a clergy member to offer support
d. call the ethics committee
>>> d. call the ethics committee
69. A patient visits your clinic for sinusitis. She requests a PAP smear since she has not
had one in "years". You:
a. refer her to a gynecologist
b. schedule her to come back next week for the PAP at another appt
Preview page 4 of 10 | Source page 10 Complete PDF after purchase
,WOUND CARE, INFECTION AND GERIATRICS SAMPLE
d. 4-6 weeks
>>> c. 2 days
110. The patient has been in a bar fight and has a human bite on his hand. What should
you do next?
a. order PO abx
b. order wound culture
c. order IV abx
d. measure the wound depth and width
>>> a. Order PO abx
111. Your patient has a chronic, nonhealing decubitus ulcer. He c/o pain when he moves
his leg. What is a potential complication?
a. compartment syndrome
b. decrease in ROM ability
c. septic shock
d. osteomyelitis
>>> d. osteomyelitis
112. What is the strongest predictor of functional impairment prior to discharge of the
elderly patient?
a. advanced age
b. incontinence
c. cognitive impairment
d. poor balance
>>> c. cognitive impairment
113. Your patient has been taking Thorazine and now has fever, sweating, lethargy, and a
temp of 39.4 (102.2)
a. give IVF
b. antipyretic
c. abx
Preview page 5 of 10 | Source page 18 Complete PDF after purchase
,FLUIDS, ELECTROLYTES AND NUTRITION SAMPLE
a. diarrhea
b. diuretics
c. dehydration
d. vomiting
>>> b. diuretics (Na<10 is nonrenal cause. Diuretics are associated with renal cause, urine
na >20)
163. A 61 year old female c/o fatigue, muscle weakness, and constipation. She adds that
she had felt her heart beating 'abnormally' and she has been experiencing muscle
spasms on occasion. You order and EKG and find decreased amplitude and broad T
waves. Occasionally you also note prominent U waves. Of the following, which is the
most likely diagnosis?
a. hypokalemia
b. hyperkalemia
c. hypocalcemia
d. hypermagnesemia
>>> a. hypokalemia
164. Your patient has complications from parenteral nutritional support. All of the
following are plausible explanations except:
a. hypernatremia
b. pneumothorax
c. HHNK
d. GI bleed
>>> d. GI bleed
165. 65yo male with c/o n/v/constipation x several days and a six pound weight loss. Pt
s/p TKR severral weeks ago and reports not getting off the couch. What electrolyte is
altered?
>>> Hypercalcemia secondary to immoblity
166. Pt with s/s of abd distention, weakness and occasional diarrhea. Hx indicates renal
failure. You conclude that the patient has a fluid and electorlyte problem. Which of the
following is he most likely experiencing?
>>> Hyperkalemia
Preview page 6 of 10 | Source page 25 Complete PDF after purchase
,ENDOCRINE AND METABOLIC REVIEW SAMPLE
d. 3% hypertonic saline, calculated
>>> d. 3% hypertonic saline, calculated
184. For the past few months, 29yo Janine has been gaining weight while experiencing
amenorrhea and increasingly severe acnes. She has gained more than 20 pounds, and
you note that she is carrying her weight around her midline, with bilateral purple-ish
striae across both flanks. You suspect CUshing's syndrome. Which of the following
findings would not contribute to a diagnosis?
a. urine free cortisol=360 ug/day (>50 abnormal)
b. glycosuria
c. wbc 19
d. after a high dose of dexamethasone, there is a 90% reduction in urinary free cortisol
>>> d. after a high dose of dexamethasone, there is a 90% reduction in urinary free cortisol
In cushing's, pituitary does not respond to dexamethasone.
185. Which of the following is NOT a criteria of metabolic syndrome?
a. BP>140/90
b. waist >40 in
c. TG>150
d. HDL <40
>>> a. BP>140/90
It's 130/85
186. What are Cushing's labs/symptoms?
>>> Increased BG, increased Na, decreased K Central obesity, moon face with buffalo
hump, purple striae, amenorrhea
187. What are Addison's disease labs/diagnosis/tx?
>>> Decreased BG, decreased Na, increased K Cosyntropin test, positive if serum cortison
<18mcg/dL in the morning
Tx: florinef, hydrocortisone, steroid bolus
188. Patient is hypotensive with Addison's disease. What is the treatment?
>>> IVF (D5NS), dopaine/pressors don't work
189. What is SIADH, lab values, and treatment?
Preview page 7 of 10 | Source page 28 Complete PDF after purchase
,CARDIOVASCULAR ASSESSMENT AND TREATMENT SAMPLE
219. When d/c'ing an 85 yo female patient with stasis dermatitis, the NP includes
instructions to:
>>> Keep legs elevated while seated
220. An older man is a smoker and has been for years. He has shiny hairless legs. Which
diagnostic test would you order?
a. ankle-brachial index
b. arterial doppler
c. venous doppler
d. d-dimer
>>> a. ankle brachial index
PAD
221. A 70 yo patient with acute systolic HF denies any functional limitations, is able to
walk five blocks before tiring, and is euvolemic. Which medication is the first line therapy
for this patient?
>>> Lisinopril
222. A patient with HF has dyspnea on exertion and sleeps all night while using 3 pillows.
What is her NYHA HF stage?
>>> Stage III
223. Treatment of heart block?
>>> Identify type, trancutaneous pacing, venous if can't capture, atropine if very
symptomatic, plan for pacemaker, d/c all AV nodal blocking drugs
224. Patient has an EF of 20% and a bronchospasm, what med caused it?
>>> Beta blocker
225. What BP is hypertensive emergency?
>>> 220/110
226. What BP is hypertensive urgency?
>>> 180/110
227. What lab should you check with new onset Afib and what is the treatment?
>>> TSH, beta blocker
Preview page 8 of 10 | Source page 34 Complete PDF after purchase
,PULMONARY AND RESPIRATORY CARE SAMPLE
d. right to left shunt
>>> a. hyperventilation
335. What is the initial finding in pulmonary embolism?
a. respiratory acidosis
b. respiratory alkalosis
c. metabolic acidosis
d. metabolic alkalosis
>>> b. respiratory alkalosis
336. Your 32 yo male patient has a history of MVR and c/o wheezing with exercise. What
is your order?
a. pulmonary consult
b. PO steroids
c. PFTs
d. SABA
>>> c. PFTs
337. The mother of a 19 yo female calls you with concerns about her daughter's asthma
attack. She tells you that she is SOB and has difficulty speaking in sentences. She adds
that her usual medicine, alupent, is not working. Which of the following should the
mother administer to treat the asthma attack?
a. metaproterenol
b. albuterol
c. aqueous epinephrine
d. ipratroprium bromide
>>> d. ipratroprium bromide (anticholinergic) Alupent is albuterol, metaproterenol acts the
same way and aqueous epinephrine should only be used if the patient won't cooperate
338. A 36yo patient who has a history of asthma comes to the Ed in a fatigued state. She
has difficulty speaking d/t respiratory distress but is able to explain that she is
recovering from a cold, but her s/s are so severe that she came into the ED. HR is 118,
FVC WDL, FEV 1 45% of expected value. You order metaproterenol 0.3 mL in 5% solution,
but the patient does not respond. Now what?
Preview page 9 of 10 | Source page 48 Complete PDF after purchase
, SHOCK, CRITICAL CARE AND EMERGENCY REVIEW SAMPLE
423. Hypovolemic shock treatment?
>>> IVF, tranfuse PRBC's as needed
424. Cardiogenic shock treatment?
>>> IVF then vasopressors: NE, dopamine, dobutamine, nitro IV if ischemia
425. Obstructive shock causes and treatment?
>>> PE, tension pneumothorax, tamponade
Tx: IVF, maintain bp, treat underlying cause, vasopressors: NE, dopamine
426. Anaphylactic shock treatment?
>>> Airway, epi IM, benadryl IV/IM, IVF, consider ranitidine (H2 antagonist), inhaled beta
agonist
427. Neurogenic shock cause and treatment?
>>> Spinal cord injury, regional anesthesia
Tx: airway, IVF, vasopressors: dopamine, NE, ephedrine
428. Septic shock treatment?
>>> Blood cultures, IVF, vasopressors: NE, dopamine, dobutamine; abx within 1 hour
429. Basic vent settings?
>>> RR 12, PEEP 5-8, Vt 6-8mL/kg
430. Lung protective ventilation
>>> For ARDS, low tidal volume 4-8 mL/kg of ideal body weight. Can also adjust tidal
volume to goal inspiratory plateau pressure <= 30. Decreased tidal volume = decreased risk
of alveolar over distension and ventilator associated lung injury
431. Patient is 2 days post extubation, is now stable but failed swallow eval in ICU. Can
you transfer to step down?
>>> Yes
432. Patient is decompensating and family isn't sure what they want to do. What do you
do?
>>> Intubate
433. What acid base imbalance indicates CRRT?
>>> Metabolic acidosis
Preview page 10 of 10 | Source page 60 Complete PDF after purchase
FRANCES GUIDE REVIEW
500+ Practice Qs w/ Ans
board-exam preparation
Main Features:
• Focused ANCC AGACNP board-exam review
• Extensive collection of practice questions
• Helpful for identifying knowledge gaps
• Covers high-yield acute care concepts
• Supports structured study and final revision
, PREVIEW QUESTIONS BELOW
ANCC AGACNP Frances Guide Review
Explore selected sample pages
Get the Complete PDF After Purchase
Digital download - ready for focused study and revision.
SAMPLE TOPICS INCLUDED IN THIS PREVIEW
Policy, Research and Scope Ethics, Consent and Care
of Practice Coordination
Wound Care, Infection and Fluids, Electrolytes and
Geriatrics Nutrition
Endocrine and Metabolic Cardiovascular Assessment
Review and Treatment
Pulmonary and Respiratory Shock, Critical Care and
Care Emergency Review
Need clarification or another study resource?
Feel free to message me.
Preview pages are selected from the uploaded study document.
,POLICY, RESEARCH AND SCOPE OF PRACTICE SAMPLE
1. You want to get more funding for your hospital's Rapid Response Team. How should
you present this issue to the committee?
a. Stress importance of the team (look up evidence about how team affects outcomes)
b. Describe how to improve and expand the team
>>> a. stress importance of team
2. What is the best way for the AGACNP to get involved in policy making?
a. attend legislative days at the state capitol
b. join a hospital committee
c. write your local congressman
d. review literature and give more in-services
>>> b. join a hospital committee
3. What is the best way for the AGACNP to demonstrate and advocate for full scope of
practice?
a. join a hospital committee
b. petition the government
c. bill for independent services
d. start your own practice
>>> c. bill for independent services
4. Which of the following is considered a high acuity role for the AGACNP?
a. primary care clinic
b. cardiology office
c. community health department
d. minute clinic
>>> b. cardiology office
5. What is the best way to advocate for gay and lesbian population?
a. participate in a high state or national level
Preview page 3 of 10 | Source page 2 Complete PDF after purchase
,ETHICS, CONSENT AND CARE COORDINATION SAMPLE
c. instruct him to call the department head
d. share the information he requests
>>> d. share the information he requests
66. Your patient has refused human blood products based on religious beliefs. He is now
rapidly destabilizing. What do you do?
a. administer PRBCs as needed
b. call the ethics committee
c. continue to research alternative treatments
d. ask the family to give permission now that he's unconscious
>>> c. continue to research alternative treatments
67. What is the best way to make sure a patient will follow up as instructed?
a. instruct the patient to schedule the appointment
b. ask the patient the best time they can go to an appointment
c. have the office manager to schedule the appointment
d. schedule the appointment for the patient
>>> d. schedule the appointment for the patient
68. Your patient is brain dead on the ventilator. The family wants all possible treatment
measures done to preserves life, but states that the patient would not want to be on a
ventilator. What should you do?
a. consult neurology to come interview the family
b. document the situation carefully in the chart
c. call a clergy member to offer support
d. call the ethics committee
>>> d. call the ethics committee
69. A patient visits your clinic for sinusitis. She requests a PAP smear since she has not
had one in "years". You:
a. refer her to a gynecologist
b. schedule her to come back next week for the PAP at another appt
Preview page 4 of 10 | Source page 10 Complete PDF after purchase
,WOUND CARE, INFECTION AND GERIATRICS SAMPLE
d. 4-6 weeks
>>> c. 2 days
110. The patient has been in a bar fight and has a human bite on his hand. What should
you do next?
a. order PO abx
b. order wound culture
c. order IV abx
d. measure the wound depth and width
>>> a. Order PO abx
111. Your patient has a chronic, nonhealing decubitus ulcer. He c/o pain when he moves
his leg. What is a potential complication?
a. compartment syndrome
b. decrease in ROM ability
c. septic shock
d. osteomyelitis
>>> d. osteomyelitis
112. What is the strongest predictor of functional impairment prior to discharge of the
elderly patient?
a. advanced age
b. incontinence
c. cognitive impairment
d. poor balance
>>> c. cognitive impairment
113. Your patient has been taking Thorazine and now has fever, sweating, lethargy, and a
temp of 39.4 (102.2)
a. give IVF
b. antipyretic
c. abx
Preview page 5 of 10 | Source page 18 Complete PDF after purchase
,FLUIDS, ELECTROLYTES AND NUTRITION SAMPLE
a. diarrhea
b. diuretics
c. dehydration
d. vomiting
>>> b. diuretics (Na<10 is nonrenal cause. Diuretics are associated with renal cause, urine
na >20)
163. A 61 year old female c/o fatigue, muscle weakness, and constipation. She adds that
she had felt her heart beating 'abnormally' and she has been experiencing muscle
spasms on occasion. You order and EKG and find decreased amplitude and broad T
waves. Occasionally you also note prominent U waves. Of the following, which is the
most likely diagnosis?
a. hypokalemia
b. hyperkalemia
c. hypocalcemia
d. hypermagnesemia
>>> a. hypokalemia
164. Your patient has complications from parenteral nutritional support. All of the
following are plausible explanations except:
a. hypernatremia
b. pneumothorax
c. HHNK
d. GI bleed
>>> d. GI bleed
165. 65yo male with c/o n/v/constipation x several days and a six pound weight loss. Pt
s/p TKR severral weeks ago and reports not getting off the couch. What electrolyte is
altered?
>>> Hypercalcemia secondary to immoblity
166. Pt with s/s of abd distention, weakness and occasional diarrhea. Hx indicates renal
failure. You conclude that the patient has a fluid and electorlyte problem. Which of the
following is he most likely experiencing?
>>> Hyperkalemia
Preview page 6 of 10 | Source page 25 Complete PDF after purchase
,ENDOCRINE AND METABOLIC REVIEW SAMPLE
d. 3% hypertonic saline, calculated
>>> d. 3% hypertonic saline, calculated
184. For the past few months, 29yo Janine has been gaining weight while experiencing
amenorrhea and increasingly severe acnes. She has gained more than 20 pounds, and
you note that she is carrying her weight around her midline, with bilateral purple-ish
striae across both flanks. You suspect CUshing's syndrome. Which of the following
findings would not contribute to a diagnosis?
a. urine free cortisol=360 ug/day (>50 abnormal)
b. glycosuria
c. wbc 19
d. after a high dose of dexamethasone, there is a 90% reduction in urinary free cortisol
>>> d. after a high dose of dexamethasone, there is a 90% reduction in urinary free cortisol
In cushing's, pituitary does not respond to dexamethasone.
185. Which of the following is NOT a criteria of metabolic syndrome?
a. BP>140/90
b. waist >40 in
c. TG>150
d. HDL <40
>>> a. BP>140/90
It's 130/85
186. What are Cushing's labs/symptoms?
>>> Increased BG, increased Na, decreased K Central obesity, moon face with buffalo
hump, purple striae, amenorrhea
187. What are Addison's disease labs/diagnosis/tx?
>>> Decreased BG, decreased Na, increased K Cosyntropin test, positive if serum cortison
<18mcg/dL in the morning
Tx: florinef, hydrocortisone, steroid bolus
188. Patient is hypotensive with Addison's disease. What is the treatment?
>>> IVF (D5NS), dopaine/pressors don't work
189. What is SIADH, lab values, and treatment?
Preview page 7 of 10 | Source page 28 Complete PDF after purchase
,CARDIOVASCULAR ASSESSMENT AND TREATMENT SAMPLE
219. When d/c'ing an 85 yo female patient with stasis dermatitis, the NP includes
instructions to:
>>> Keep legs elevated while seated
220. An older man is a smoker and has been for years. He has shiny hairless legs. Which
diagnostic test would you order?
a. ankle-brachial index
b. arterial doppler
c. venous doppler
d. d-dimer
>>> a. ankle brachial index
PAD
221. A 70 yo patient with acute systolic HF denies any functional limitations, is able to
walk five blocks before tiring, and is euvolemic. Which medication is the first line therapy
for this patient?
>>> Lisinopril
222. A patient with HF has dyspnea on exertion and sleeps all night while using 3 pillows.
What is her NYHA HF stage?
>>> Stage III
223. Treatment of heart block?
>>> Identify type, trancutaneous pacing, venous if can't capture, atropine if very
symptomatic, plan for pacemaker, d/c all AV nodal blocking drugs
224. Patient has an EF of 20% and a bronchospasm, what med caused it?
>>> Beta blocker
225. What BP is hypertensive emergency?
>>> 220/110
226. What BP is hypertensive urgency?
>>> 180/110
227. What lab should you check with new onset Afib and what is the treatment?
>>> TSH, beta blocker
Preview page 8 of 10 | Source page 34 Complete PDF after purchase
,PULMONARY AND RESPIRATORY CARE SAMPLE
d. right to left shunt
>>> a. hyperventilation
335. What is the initial finding in pulmonary embolism?
a. respiratory acidosis
b. respiratory alkalosis
c. metabolic acidosis
d. metabolic alkalosis
>>> b. respiratory alkalosis
336. Your 32 yo male patient has a history of MVR and c/o wheezing with exercise. What
is your order?
a. pulmonary consult
b. PO steroids
c. PFTs
d. SABA
>>> c. PFTs
337. The mother of a 19 yo female calls you with concerns about her daughter's asthma
attack. She tells you that she is SOB and has difficulty speaking in sentences. She adds
that her usual medicine, alupent, is not working. Which of the following should the
mother administer to treat the asthma attack?
a. metaproterenol
b. albuterol
c. aqueous epinephrine
d. ipratroprium bromide
>>> d. ipratroprium bromide (anticholinergic) Alupent is albuterol, metaproterenol acts the
same way and aqueous epinephrine should only be used if the patient won't cooperate
338. A 36yo patient who has a history of asthma comes to the Ed in a fatigued state. She
has difficulty speaking d/t respiratory distress but is able to explain that she is
recovering from a cold, but her s/s are so severe that she came into the ED. HR is 118,
FVC WDL, FEV 1 45% of expected value. You order metaproterenol 0.3 mL in 5% solution,
but the patient does not respond. Now what?
Preview page 9 of 10 | Source page 48 Complete PDF after purchase
, SHOCK, CRITICAL CARE AND EMERGENCY REVIEW SAMPLE
423. Hypovolemic shock treatment?
>>> IVF, tranfuse PRBC's as needed
424. Cardiogenic shock treatment?
>>> IVF then vasopressors: NE, dopamine, dobutamine, nitro IV if ischemia
425. Obstructive shock causes and treatment?
>>> PE, tension pneumothorax, tamponade
Tx: IVF, maintain bp, treat underlying cause, vasopressors: NE, dopamine
426. Anaphylactic shock treatment?
>>> Airway, epi IM, benadryl IV/IM, IVF, consider ranitidine (H2 antagonist), inhaled beta
agonist
427. Neurogenic shock cause and treatment?
>>> Spinal cord injury, regional anesthesia
Tx: airway, IVF, vasopressors: dopamine, NE, ephedrine
428. Septic shock treatment?
>>> Blood cultures, IVF, vasopressors: NE, dopamine, dobutamine; abx within 1 hour
429. Basic vent settings?
>>> RR 12, PEEP 5-8, Vt 6-8mL/kg
430. Lung protective ventilation
>>> For ARDS, low tidal volume 4-8 mL/kg of ideal body weight. Can also adjust tidal
volume to goal inspiratory plateau pressure <= 30. Decreased tidal volume = decreased risk
of alveolar over distension and ventilator associated lung injury
431. Patient is 2 days post extubation, is now stable but failed swallow eval in ICU. Can
you transfer to step down?
>>> Yes
432. Patient is decompensating and family isn't sure what they want to do. What do you
do?
>>> Intubate
433. What acid base imbalance indicates CRRT?
>>> Metabolic acidosis
Preview page 10 of 10 | Source page 60 Complete PDF after purchase
