Adult-Gerontology Acute Care NP Certification –
Comprehensive Exam Questions & Clinical Review with
Answers
Description:
This document includes verified exam questions and detailed answers for the
AGACNP certification exam. It covers acute care scenarios, diagnostic reasoning,
and evidence-based management. The material is exam-focused and aligned with
clinical practice standards.
Possible side effects of Amiodarone - answer✔✔side effects include
hypothyroidism, hyperthyroidism. interstitial lung disease, elevated liver enzymes.
When starting a pt of this drug, remember to check TFTs, LFTs, and PFTs. Ankle-
brachial index (ABI) - answer✔✔ Acute appendicitis - answer✔✔Most common
in 10-19 y/o, RLQ pain, anorexia, N/V, Periumbilical pain that migrates ot RLQ, Fever,
Pain at McBurney's Point McBurney's point - answer✔✔RLQ point (1/3 of the way
from the ASIS to the umbilicus) tenderness indicative of appendicitis Rovsing sign -
answer✔✔pain in the RLQ when the LLQ is palpated (indicative of appendicitis)
What is the preferred diagnostic imaging study in patients where appendicitis is
, suspected? - answer✔✔CT scan Obturator sign - answer✔✔pain in the lower
abdomen or inside of thigh when the hip is flexed and internally rotated; a sign of
appendicitis Psoas sign - answer✔✔RLQ pain with extension of right thigh
indicative of appendicitis Mitral stenosis murmur - answer✔✔mid-late diastolic
rumble at apex and/or opening snap; no radiation; left sternal border thrill Ramsay
Hunt Syndrome (Herpes Zoster Oticus) - answer✔✔Caused by reactivation of a
latent varicella zoster virus infection in the geniculate ganglion of the 7th cranial
nerve; Signs=unilateral facial nerve palsy, severe pain, and a vesicular eruption.
Vesicles may appear on the pinna, external auditory canal, tympanic membrane,
within oral cavity, on face/neck. Treatment for Ramsay Hunt Syndrome -
answer✔✔Oral steroids and antiviral therapy (prednisone and oral valacyclovir)
Hunt and Hess grade I - answer✔✔Mild HA, normal mental status, no nerve
deficits Hunt and Hess grade II - answer✔✔Severe HA, normal mental status, may
have cranial nerve deficits Hunt and Hess grade III - answer✔✔Somnolent,
confused, may have cranial nerve or mild motor nerve deficit Hunt and Hess grade IV
- answer✔✔Stupor, moderate to severe motor deficit, mayu have intermittent
reflex posturing Hunt and Hess grade V - answer✔✔Coma, reflex posturing or
flaccid symptoms of hypothyroidism - answer✔✔Fatigue, weakness, cold
intolerance, bradycardia; DOE, cognitive dysfunction, dry skin; brittle dry hair; weight
gain; constipation; delayed deep tendon reflexes, slow movement and speech,
hoarseness, edema, enlargement of tongue What are the patient safety goals? -
Comprehensive Exam Questions & Clinical Review with
Answers
Description:
This document includes verified exam questions and detailed answers for the
AGACNP certification exam. It covers acute care scenarios, diagnostic reasoning,
and evidence-based management. The material is exam-focused and aligned with
clinical practice standards.
Possible side effects of Amiodarone - answer✔✔side effects include
hypothyroidism, hyperthyroidism. interstitial lung disease, elevated liver enzymes.
When starting a pt of this drug, remember to check TFTs, LFTs, and PFTs. Ankle-
brachial index (ABI) - answer✔✔ Acute appendicitis - answer✔✔Most common
in 10-19 y/o, RLQ pain, anorexia, N/V, Periumbilical pain that migrates ot RLQ, Fever,
Pain at McBurney's Point McBurney's point - answer✔✔RLQ point (1/3 of the way
from the ASIS to the umbilicus) tenderness indicative of appendicitis Rovsing sign -
answer✔✔pain in the RLQ when the LLQ is palpated (indicative of appendicitis)
What is the preferred diagnostic imaging study in patients where appendicitis is
, suspected? - answer✔✔CT scan Obturator sign - answer✔✔pain in the lower
abdomen or inside of thigh when the hip is flexed and internally rotated; a sign of
appendicitis Psoas sign - answer✔✔RLQ pain with extension of right thigh
indicative of appendicitis Mitral stenosis murmur - answer✔✔mid-late diastolic
rumble at apex and/or opening snap; no radiation; left sternal border thrill Ramsay
Hunt Syndrome (Herpes Zoster Oticus) - answer✔✔Caused by reactivation of a
latent varicella zoster virus infection in the geniculate ganglion of the 7th cranial
nerve; Signs=unilateral facial nerve palsy, severe pain, and a vesicular eruption.
Vesicles may appear on the pinna, external auditory canal, tympanic membrane,
within oral cavity, on face/neck. Treatment for Ramsay Hunt Syndrome -
answer✔✔Oral steroids and antiviral therapy (prednisone and oral valacyclovir)
Hunt and Hess grade I - answer✔✔Mild HA, normal mental status, no nerve
deficits Hunt and Hess grade II - answer✔✔Severe HA, normal mental status, may
have cranial nerve deficits Hunt and Hess grade III - answer✔✔Somnolent,
confused, may have cranial nerve or mild motor nerve deficit Hunt and Hess grade IV
- answer✔✔Stupor, moderate to severe motor deficit, mayu have intermittent
reflex posturing Hunt and Hess grade V - answer✔✔Coma, reflex posturing or
flaccid symptoms of hypothyroidism - answer✔✔Fatigue, weakness, cold
intolerance, bradycardia; DOE, cognitive dysfunction, dry skin; brittle dry hair; weight
gain; constipation; delayed deep tendon reflexes, slow movement and speech,
hoarseness, edema, enlargement of tongue What are the patient safety goals? -
