ANCC AGACNP CERTIFICATION 2026 BANK
CURRENTLY TESTING COMPLETE 500
ACTUAL EXAM QUESTIONS WITH
DETAILED VERIFIED ANSWERS EXPERT
VERIFIED /ALREADY GRADED A+
When should women have screening for osteoporosis? -
....ANSWER...Screening every 2 years with Dexa bone scan
in women > 65 years old
When is lung cancer screening recommended? -
....ANSWER...annual screening with low-dose CT for
adults 55-80 who have a 30 pack year smoking history and
currently smoke or have quit within the past 15 years
What volume is normal in the pericardial sac? -
....ANSWER...50 ml
What are the symptoms and treatment of
organophosphate poisoning? - ....ANSWER...Symptoms:
,AMS, diaphoresis, lacrimation, miosis, urination,
defecation, bradycardia and diffuse wheezing
Treatment: atropine to block muscarinic effects,
pralidoxime chloride reactivates the enzyme cholinesterase
(reversing muscle paralysis and CNS depression)
What do you use in cyanide poisoning? -
....ANSWER...sodium nitrite
What clinical features increase the likelihood of MI? -
....ANSWER...Radiation of pain to both arms, a third heart
sound, and hypotension
What is the most likely finding in lab on a person with
diarrhea - ....ANSWER...Metabolic acidosis as the stool
due to the loss of alkaline salts
A pregnant woman comes in with a soft 2/6 ejection
systolic murmur. When should you be concerned? -
....ANSWER...This is normal along with an S3. Do not be
concerned unless symptoms of HF develop. Diastolic
murmurs and S4 are abnormal however.
,What should you recommend for an incidental adrenal
mass? - ....ANSWER...Overnight dexamethasone
suppression test
What symptoms and monitoring indices are consistent
with cardiac tamponade? - ....ANSWER...- Diastolic
equalization of right atrial, pulmonary artery diastolic and
PAWP
- distant heart sounds, pulsus paradoxus, distended jugular
veins
Which ion is primarily responsible for rapid depolarization
if the cardiac myocyte? - ....ANSWER...Sodium
What is first degree heart block? -
....ANSWER...Prolonged but fixed PR interval > .20
seconds (5 little boxes); prolonged conduction of atrial
impulses without loss of any impulses
What is second degree heart block? -
....ANSWER...Wenkebach (mobitz 1): PR continues to get
, longer and longer until a QRS is dropped. "Longer longer
longer drop, that is a wenkebach"
Mobitz type 2: the PR is lengthened but constant. But
then a dropped QRS occurs
What is third degree AV block? - ....ANSWER...Complete
heart block. No conduction (relationship) between the atria
and ventricles. P-waves and QRS are unrelated on ECG. P-
waves at normal rate (SA node pace); QRS 40-60 beats/min
(AV node pace).
When should you consider a G tube? - ....ANSWER...If
supplemental feeding is needed > 6 weeks
When should parenteral nutrition be used? -
....ANSWER...When GI tract cannot be used. And use the
central line if > 2 weeks.
What is normal sodium? - ....ANSWER...135-145 mEq/L
What is normal urine sodium? - ....ANSWER...10-20
mEq/L
CURRENTLY TESTING COMPLETE 500
ACTUAL EXAM QUESTIONS WITH
DETAILED VERIFIED ANSWERS EXPERT
VERIFIED /ALREADY GRADED A+
When should women have screening for osteoporosis? -
....ANSWER...Screening every 2 years with Dexa bone scan
in women > 65 years old
When is lung cancer screening recommended? -
....ANSWER...annual screening with low-dose CT for
adults 55-80 who have a 30 pack year smoking history and
currently smoke or have quit within the past 15 years
What volume is normal in the pericardial sac? -
....ANSWER...50 ml
What are the symptoms and treatment of
organophosphate poisoning? - ....ANSWER...Symptoms:
,AMS, diaphoresis, lacrimation, miosis, urination,
defecation, bradycardia and diffuse wheezing
Treatment: atropine to block muscarinic effects,
pralidoxime chloride reactivates the enzyme cholinesterase
(reversing muscle paralysis and CNS depression)
What do you use in cyanide poisoning? -
....ANSWER...sodium nitrite
What clinical features increase the likelihood of MI? -
....ANSWER...Radiation of pain to both arms, a third heart
sound, and hypotension
What is the most likely finding in lab on a person with
diarrhea - ....ANSWER...Metabolic acidosis as the stool
due to the loss of alkaline salts
A pregnant woman comes in with a soft 2/6 ejection
systolic murmur. When should you be concerned? -
....ANSWER...This is normal along with an S3. Do not be
concerned unless symptoms of HF develop. Diastolic
murmurs and S4 are abnormal however.
,What should you recommend for an incidental adrenal
mass? - ....ANSWER...Overnight dexamethasone
suppression test
What symptoms and monitoring indices are consistent
with cardiac tamponade? - ....ANSWER...- Diastolic
equalization of right atrial, pulmonary artery diastolic and
PAWP
- distant heart sounds, pulsus paradoxus, distended jugular
veins
Which ion is primarily responsible for rapid depolarization
if the cardiac myocyte? - ....ANSWER...Sodium
What is first degree heart block? -
....ANSWER...Prolonged but fixed PR interval > .20
seconds (5 little boxes); prolonged conduction of atrial
impulses without loss of any impulses
What is second degree heart block? -
....ANSWER...Wenkebach (mobitz 1): PR continues to get
, longer and longer until a QRS is dropped. "Longer longer
longer drop, that is a wenkebach"
Mobitz type 2: the PR is lengthened but constant. But
then a dropped QRS occurs
What is third degree AV block? - ....ANSWER...Complete
heart block. No conduction (relationship) between the atria
and ventricles. P-waves and QRS are unrelated on ECG. P-
waves at normal rate (SA node pace); QRS 40-60 beats/min
(AV node pace).
When should you consider a G tube? - ....ANSWER...If
supplemental feeding is needed > 6 weeks
When should parenteral nutrition be used? -
....ANSWER...When GI tract cannot be used. And use the
central line if > 2 weeks.
What is normal sodium? - ....ANSWER...135-145 mEq/L
What is normal urine sodium? - ....ANSWER...10-20
mEq/L
