Adult-Gerontology Acute Care Nurse Practitioner
Certification (AGACNP-BC®) – 2025/2026 Verified
Q&A
Pheochromocytoma - ANSWER small vascular tumor of the adrenal medulla, causing
irregular secretion of epinephrine and norepinephrine, leading to attacks of raised blood pressure,
palpitations, and headache. Tx with Alpha blockers
Rovsing's Sign - ANSWER Palpation in LLQ ilicits pain in RLQ indicates appendicitis
NYHA classes of Heart Failure - ANSWER I No limitation of physical activity. Ordinary
physical activity does not cause undue fatigue, palpitation, dyspnea (shortness of breath).
II Slight limitation of physical activity. Comfortable at rest. Ordinary physical activity results in
fatigue, palpitation, dyspnea (shortness of breath).
III Marked limitation of physical activity. Comfortable at rest. Less than ordinary activity causes
fatigue, palpitation, or dyspnea.
IV Unable to carry on any physical activity without discomfort. Symptoms of heart failure at
rest. If any physical activity is undertaken, discomfort increases.
,Step-wise Approach to Asthma Diagnosis & Treatment - ANSWER Step 1- Mild Intermitten
FEV1/PEF > 80% predicted. Symptoms <2 days/week. Albuterol as needed.
Step 2- Mild presistent Asthma (FEV1/PEF > 80% predicted. Symptoms > 2 days/week.
Albuterol as needed. Low dose ICS ex Flovent. Alt cromolyn, montelukast, nedocromil,
theophylline.
Step 3- Mod presistent (FEV1 or PEF 60-80% predicted. Daily Symptoms. SABA plus low dose
ICS or med dose ICS or low dose with leukotriene inhibitor (singulair, theophylline, zileuton).
Step 4- Severe presistent asthma (FEV1/PEF <60% predicted. Symptoms most of day. High dose
ICS plus long acting B2 agonist plus oral steroid daily (prednisone).
Peak Expiratory Flow Rate (HAG):
Green Yellow Red Zone: - ANSWER PEF based on Height Age Gender. Blow hard using
spirometer highest value recorded.
80-100% expected volume Green Zone maintain or reduce meds
50-80% expected volume Yellow Zone increase maintenance therapy. Or Having exacerbation.
,Below 50% expected volume Red Zone call 911 give epinephrine inj.
PPD - ANSWER Neg- No firm bump forms at the test site, or a bump forms that is smaller
than 5 mm (0.2 in.).
A firm bump that is 5 mm (0.2 in.) in size suggests a TB infection in people who are in a high-
risk group. HIV, immunocompromise, exposed.
A firm bump that is 10 mm (0.4 in.) in size suggests a TB infection in people who are in a
moderate-risk group. healthcare workers, immigrants, homeless.
A firm bump that is 15 mm (0.6 in.) in size suggests a TB infection in people who are in a low-
risk group no risk for tb.
Digoxin (Cardiac Glycosides) - ANSWER Therapuetic 0.5-2.0
Overdose toxcitity GI upset, arrhythmias, confusion visual changes (yellow/green tinge vision-
scotomas). Tx with digibind. order dig level, electrolytes, creatinine ekg.
, Thiazide Diuretics - ANSWER Pt with both htn and osteoporosis have an extra benefit from
thiazides. thiazide diuretics decrease calcium excretion by the kidneys and stimulate osteoclasts
formation. Patients with serious sulfa allergies should avoid thiazide diuretics. Potassium sparing
diuretics can be used as alternative.
Chlorthalidone (hygroton), hydrochlororthiazide (esidrix, microzide), indapamide (lozol),
metolazone (zaroxolyn); indicated for decreased fluid volume, inexpensive, effective, useful in
severe hypertension, effective orally, enhances other antihypertensives; adverse reactions:
hypokalemia symptoms, hyperuricemia, glucose tolerance, hypercholesterolemia, sexual
dysfunction; observe for postural hypotension, caution with renal failure gout and client taking
lithium; hypokalemia increases risk for digitalis toxicity, administer postassium supplements.
Avoid with Gout, Best fist line for elderly w/ systolic htn.
Coumadin (Warfarin) - ANSWER an anticoagulant administered to prevent blood clots from
forming or growing larger
Prophylaxis and/or treatment of venous thrombosis, pulmonary embolus, a fib, valve
replacement, recurrent MI, stroke; also immobile pt
Certification (AGACNP-BC®) – 2025/2026 Verified
Q&A
Pheochromocytoma - ANSWER small vascular tumor of the adrenal medulla, causing
irregular secretion of epinephrine and norepinephrine, leading to attacks of raised blood pressure,
palpitations, and headache. Tx with Alpha blockers
Rovsing's Sign - ANSWER Palpation in LLQ ilicits pain in RLQ indicates appendicitis
NYHA classes of Heart Failure - ANSWER I No limitation of physical activity. Ordinary
physical activity does not cause undue fatigue, palpitation, dyspnea (shortness of breath).
II Slight limitation of physical activity. Comfortable at rest. Ordinary physical activity results in
fatigue, palpitation, dyspnea (shortness of breath).
III Marked limitation of physical activity. Comfortable at rest. Less than ordinary activity causes
fatigue, palpitation, or dyspnea.
IV Unable to carry on any physical activity without discomfort. Symptoms of heart failure at
rest. If any physical activity is undertaken, discomfort increases.
,Step-wise Approach to Asthma Diagnosis & Treatment - ANSWER Step 1- Mild Intermitten
FEV1/PEF > 80% predicted. Symptoms <2 days/week. Albuterol as needed.
Step 2- Mild presistent Asthma (FEV1/PEF > 80% predicted. Symptoms > 2 days/week.
Albuterol as needed. Low dose ICS ex Flovent. Alt cromolyn, montelukast, nedocromil,
theophylline.
Step 3- Mod presistent (FEV1 or PEF 60-80% predicted. Daily Symptoms. SABA plus low dose
ICS or med dose ICS or low dose with leukotriene inhibitor (singulair, theophylline, zileuton).
Step 4- Severe presistent asthma (FEV1/PEF <60% predicted. Symptoms most of day. High dose
ICS plus long acting B2 agonist plus oral steroid daily (prednisone).
Peak Expiratory Flow Rate (HAG):
Green Yellow Red Zone: - ANSWER PEF based on Height Age Gender. Blow hard using
spirometer highest value recorded.
80-100% expected volume Green Zone maintain or reduce meds
50-80% expected volume Yellow Zone increase maintenance therapy. Or Having exacerbation.
,Below 50% expected volume Red Zone call 911 give epinephrine inj.
PPD - ANSWER Neg- No firm bump forms at the test site, or a bump forms that is smaller
than 5 mm (0.2 in.).
A firm bump that is 5 mm (0.2 in.) in size suggests a TB infection in people who are in a high-
risk group. HIV, immunocompromise, exposed.
A firm bump that is 10 mm (0.4 in.) in size suggests a TB infection in people who are in a
moderate-risk group. healthcare workers, immigrants, homeless.
A firm bump that is 15 mm (0.6 in.) in size suggests a TB infection in people who are in a low-
risk group no risk for tb.
Digoxin (Cardiac Glycosides) - ANSWER Therapuetic 0.5-2.0
Overdose toxcitity GI upset, arrhythmias, confusion visual changes (yellow/green tinge vision-
scotomas). Tx with digibind. order dig level, electrolytes, creatinine ekg.
, Thiazide Diuretics - ANSWER Pt with both htn and osteoporosis have an extra benefit from
thiazides. thiazide diuretics decrease calcium excretion by the kidneys and stimulate osteoclasts
formation. Patients with serious sulfa allergies should avoid thiazide diuretics. Potassium sparing
diuretics can be used as alternative.
Chlorthalidone (hygroton), hydrochlororthiazide (esidrix, microzide), indapamide (lozol),
metolazone (zaroxolyn); indicated for decreased fluid volume, inexpensive, effective, useful in
severe hypertension, effective orally, enhances other antihypertensives; adverse reactions:
hypokalemia symptoms, hyperuricemia, glucose tolerance, hypercholesterolemia, sexual
dysfunction; observe for postural hypotension, caution with renal failure gout and client taking
lithium; hypokalemia increases risk for digitalis toxicity, administer postassium supplements.
Avoid with Gout, Best fist line for elderly w/ systolic htn.
Coumadin (Warfarin) - ANSWER an anticoagulant administered to prevent blood clots from
forming or growing larger
Prophylaxis and/or treatment of venous thrombosis, pulmonary embolus, a fib, valve
replacement, recurrent MI, stroke; also immobile pt
