AG-ACNP Boards Exam 2025 Questions
and Answers
58 yo. M presents to ED with complaints of dry cough. CXR revealed generalized,
inflamed film throughout. What is the most likely diagnosis? - ....ANSWER☑️☑️...-
Pneumonitis
What drug has been known to prevent nosocomial PNA? - ....ANSWER☑️☑️...-
Sulcarafate (Carafate) - Mucosal Protective Agent
What is an initial finding associated with a pulmonary embolism? -
....ANSWER☑️☑️...-Respiratory Alkalosis - secondary to increased RR and blowing
off CO2
What is diagnostic of pulmonary HTN? - ....ANSWER☑️☑️...-2D echo
Your patient is intubated on the following settings: SIMV/FiO2 .6/PEEP 5. You notice
shunting. What should your next action be? - ....ANSWER☑️☑️...-Increase PEEP
from 5 to 10 to recruit alveoli and increase surface area to improve oxygenation
32 yo. M with PMH significant for mitral valve replacement now complains of
wheezing during physical activity 2-3 times/week. What should you do next? -
....ANSWER☑️☑️...-Send patient for pulmonary function testing.
What is the pathology of asthma? - ....ANSWER☑️☑️...-Increased
responsiveness/hyperresponsiveness of the trachea and bronchi to a stimuli.
Acute inflammation
FOR STUDY PURPOSES ONLY ©️ 2025 ALL RIGHTS RESERVED 1
, Narrowing of airways
Hypertrophy of smooth muscle
Mucosal plugging of airways
What are the hallmark signs and symptoms of asthma? - ....ANSWER☑️☑️...-
Respiratory distress at rest
Difficulty speaking in sentences
RR > 28
Pulsus paradoxus > 12 mmHg
What PFT value is suggestive of an obstructive disease? - ....ANSWER☑️☑️...-
Decreased FEV1
Which acid-base imbalance is associated with asthma? - ....ANSWER☑️☑️...-
Respiratory Alkalosis with mild hypoxemia
What PFT values would indicate hospitalization of an asthmatic patient? -
....ANSWER☑️☑️...-Decreased FEV1 <30% predicted OR
does not increase to at least 40% predicted after 1 hr.
Peak flow is <60 L/min initially OR does not increase to >50% predicted after 1 hr tx
What are the ominous findings associated with an asthma exacerbation? -
....ANSWER☑️☑️...-Extreme fatigue
Lethargy
ABG - hypercapnea >pCO2 >45 mmHg = EMERGENCY
What is the outpatient daily management drug for asthma? - ....ANSWER☑️☑️...-
Inhaled Corticosteroids - Budesonide (Pulmicort)
FOR STUDY PURPOSES ONLY ©️ 2025 ALL RIGHTS RESERVED 2
and Answers
58 yo. M presents to ED with complaints of dry cough. CXR revealed generalized,
inflamed film throughout. What is the most likely diagnosis? - ....ANSWER☑️☑️...-
Pneumonitis
What drug has been known to prevent nosocomial PNA? - ....ANSWER☑️☑️...-
Sulcarafate (Carafate) - Mucosal Protective Agent
What is an initial finding associated with a pulmonary embolism? -
....ANSWER☑️☑️...-Respiratory Alkalosis - secondary to increased RR and blowing
off CO2
What is diagnostic of pulmonary HTN? - ....ANSWER☑️☑️...-2D echo
Your patient is intubated on the following settings: SIMV/FiO2 .6/PEEP 5. You notice
shunting. What should your next action be? - ....ANSWER☑️☑️...-Increase PEEP
from 5 to 10 to recruit alveoli and increase surface area to improve oxygenation
32 yo. M with PMH significant for mitral valve replacement now complains of
wheezing during physical activity 2-3 times/week. What should you do next? -
....ANSWER☑️☑️...-Send patient for pulmonary function testing.
What is the pathology of asthma? - ....ANSWER☑️☑️...-Increased
responsiveness/hyperresponsiveness of the trachea and bronchi to a stimuli.
Acute inflammation
FOR STUDY PURPOSES ONLY ©️ 2025 ALL RIGHTS RESERVED 1
, Narrowing of airways
Hypertrophy of smooth muscle
Mucosal plugging of airways
What are the hallmark signs and symptoms of asthma? - ....ANSWER☑️☑️...-
Respiratory distress at rest
Difficulty speaking in sentences
RR > 28
Pulsus paradoxus > 12 mmHg
What PFT value is suggestive of an obstructive disease? - ....ANSWER☑️☑️...-
Decreased FEV1
Which acid-base imbalance is associated with asthma? - ....ANSWER☑️☑️...-
Respiratory Alkalosis with mild hypoxemia
What PFT values would indicate hospitalization of an asthmatic patient? -
....ANSWER☑️☑️...-Decreased FEV1 <30% predicted OR
does not increase to at least 40% predicted after 1 hr.
Peak flow is <60 L/min initially OR does not increase to >50% predicted after 1 hr tx
What are the ominous findings associated with an asthma exacerbation? -
....ANSWER☑️☑️...-Extreme fatigue
Lethargy
ABG - hypercapnea >pCO2 >45 mmHg = EMERGENCY
What is the outpatient daily management drug for asthma? - ....ANSWER☑️☑️...-
Inhaled Corticosteroids - Budesonide (Pulmicort)
FOR STUDY PURPOSES ONLY ©️ 2025 ALL RIGHTS RESERVED 2
