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ANCC AGACNP Frances Guide Review 2026 | 530 Practice Questions & Answers | Acute Care NP Exam Prep

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Prepare for the ANCC Adult Gerontology Acute Care Nurse Practitioner (AGACNP) certification exam with 530 practice questions and answers based on Frances Guide review materials. Review high yield acute care concepts, critical care, clinical assessment, pharmacology, pathophysiology, evidence based practice, professional roles, ethics, healthcare policy, and clinical decision making. Designed to support structured study, knowledge review, and focused AGACNP board exam preparation.

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Page 1 of 126


AGACNP - BASED ON FRANCES GUIDE REVIEW
MATERIALS EXAM NEWEST 2026 ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) ALL ANSWERED {530 Q & A}
ALREADY GRADED A+ | BRAND NEW! | 100%
GUARANTEED PASS




Which of the following is not an indicator of prerenal failure?
a. BUN/Cr ratio >10:1
b. FeNa <1
c. specific gravity > 1.015
d. urine na >40 - ✔✔✔ Correct Answer > d. urine na >40


A code you are in does not go well, and staff members
afterwards are criticizing each other. How do you deal with the
situation?
a. schedule an in service to discuss common code mistakes
b. meet with each team member individually
c. set up exercises to increase collaboration during a code
d. meet with all who participated in the code and have a one-
time briefing - ✔✔✔ Correct Answer > d. meet with all who
participated in the code and have a one-time briefing

,Page 2 of 126




A 34 year old female presents to the ED with severe flank pain,
nausea, and vomiting. The patient states she had trouble
urinating before the onset of her other s/s. A CT scan reveals a
2.5 mm stone in the L kidney just above the upper ureter.
Which course of action is most appropriate?
a. give IVF
b. strain the urine immediately
c. schedule lithotripsy - ✔✔✔ Correct Answer > b. strain the
urine immediately


She may past stone on her own


Your 33 yo female patient tells you she does not use protection
during sexual intercourse. Cervical motion tenderness in
addition to what other finding indicates PID?
a. adnexal tenderness
b. vaginal itching
c. UTI
d. no other symptoms - ✔✔✔ Correct Answer > a. adnexal tenderness


53 yo male c/o dribbling and nocturia. You suspect BPH, PSA
3.2. What confirms the diagnosis? - ✔✔✔ Correct Answer >
Transrectal ultrasound

,Page 3 of 126




A male patietn you have placed on an alpha blocker for
BPH comes in complaining of increased urinary frequency.
What do you do? - ✔✔✔ Correct Answer > Leave it alone, the med
is working


A 78yo male patient with CHF develops a bacterial UTI
secondary to indwelling foley catheter. Pt has known allergy to
PCN and sulfonamides. The appropriate choice for antimicrobial
therapy is? - ✔✔✔ Correct Answer > Ciprofoxacin


Patient with history of Afib has maintained NSR with sotalol, is
hospitalized for acute pyelonephritis. The appropriate
antibiotic regimen for this patient is? - ✔✔✔ Correct Answer > IV
Ceftriaxone


A young female patient is in ED with vaginal discharge. After
pelvic exam, the NP documents which finding? - ✔✔✔ Correct
Answer
> Cervical motion tenderness


Your female patient presents with mucopurulent cervical
drainage, fever 102F, adnexal tenderness, and distended/rigid
abdomen. What is the appropriate measure? - ✔✔✔ Correct Answer >
Call surgery and arrange for an ex lap and pelvic abscess
drainage

, Page 4 of 126


Lower UTI treatment - ✔✔✔ Correct Answer > Bactrim, cipro,
augmentin for 3d course


Male patient with UTI on 3 day regimen of abx comes in
requestion stronger abx, you order? - ✔✔✔ Correct Answer >
Levaquin (narrow the spectrum)


UTI patient is allergic to PCN, you order? - ✔✔✔ Correct Answer >
Bactrim


UTI during pregnancy, you order? - ✔✔✔ Correct Answer > Amoxicillin,
macrobid, keflex for 7 days


Most common UTI etiology in women/men? - ✔✔✔ Correct Answer >
Ecoli in women/ proteus in men


Difference between upper and lower UTI? - ✔✔✔ Correct Answer >
flank pain


First test to order with a male presenting with BPH? - ✔✔✔
Correct Answer > UA




Treatment of BPH - ✔✔✔ Correct Answer > 5 alpha reuctase
inhibitors: finasteride (proscar) and dutaseride (avodart)

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