Page 1 of 126
ANCC AGACNP - FRANCES GUIDE 2025/2026 EXAM
BANK WITH ALL COMPLETE CURRENT QUESTIONS
AND DETAILED CORRECT (VERIFIED) ANSWERS
FOR GUARANTEED PASS/TOP-RATED A+.
ANCC AGACNP
Ace your ANCC Adult-Gerontology Acute Care Nurse
Practitioner (AGACNP) board exam with this definitive guide,
designed to master complex patient management, advanced
diagnostics, and evidence-based interventions. This resource
delivers high-acuity, scenario-based questions covering
pathophysiology, pharmacology, and systems-level care.
What is the most important assessment findin in
determining a patient's mental status?
a. orientation level
b. attention
c. memory
d. affect ...... ANSWER ....... a. orientation level
Your patient has a severe closed head injury. VS are listed.
Which value is it crucial in evaluating him for brain death?
a. pt had a gag/cough reflex
b. pt is not normothermic
, Page 2 of 126
Pt is not normotensive
d. documenting family opinion on whether patient is brain
dead ...... ANSWER ....... b. pt is not normothermic
A nurse experiences a needle stick fro ma patient who has
Non-a, non-b hepatitis. She has already had the HepB
vaccine series. What is the next step? ...... ANSWER .......
Obtain blood samples from the patient and the RN
Your patient has a closed head injury and is ventilated. His
abg's are: pH 7.48, pCO2 35, FiO2 40%, pO2 60. What is the
recommended action?
a. increase the FiO2 to 60%
b. decrease the tidal volume
c. decrease the respiratory rate
d. leave the setting as it is ...... ANSWER ....... d. leave the
setting as it is (CO2 in head trauma, 35 is the goal)
A root cause analysis of a crisis situation in the ICU
identified a lack of clinician-family communication as the
basis for the resulting adverse outcome. As part of the
performance improvement plan, the NP is asked to develop
evidence-based policies to establish clinician-family
, Page 3 of 126
communication standards in the unit. These policies should
include: ...... ANSWER ....... Guidelines for having
discussions with family members that are geared toward
establishing treatment goals
Which clinical scenario does the NP evaluate for a quality
improvement process change? ...... ANSWER ....... An
increased incidence of postoperative sternal wound
infections
Goals set forth in healthy people 2020 by the US department
of Health and Human services include: ...... ANSWER .......
elimination of health disparities (and increased
QOL/LOL)
Based on the individual's culture, ethnicity, and personal
choices, the NP can optimize the therapeutic partnership
with the patient by: ...... ANSWER ....... Tailoring his or
her communication style to the patient's preference
A 70 year old patient with a history of DM, HTN, OAs, and a
new diagnosis of CAD, is being discharged. The adult-
gerontology acute care NP teaches the patient that the first
, Page 4 of 126
point of contact for health care needs is the: ...... ANSWER
....... PCP
The NP is asked to provide evidence to the hospital
administration about the safety of NP placing central lines.
Which resource provides the strongest level of evidence?
...... ANSWER ....... A systematic review (meta analysis)
What legislation allowed NPs to be recognized Medicare
providers in all geographical areas with their own provider
number? ...... ANSWER ....... Balanced Budget act
True/false: restraining an unwilling patient is grounds for
malpractice? ...... ANSWER ....... False, if they are a
danger you can restrain
A 68yo patient had sx three days ago to repair a AAA. The
patient remains intubated, is neurologically intact, and has
active bowel sounds. LFT's are normal, no s/s CHF, the
patient's laboratory values are: blood urea nitrogen of 12
mg/dL, creatinine of 0.8 mg/dL, PaCO2 of 37mmHg. Which
is the most appropriate method to deliver nutrition?
a. central line
b. PIV
c. G tube
ANCC AGACNP - FRANCES GUIDE 2025/2026 EXAM
BANK WITH ALL COMPLETE CURRENT QUESTIONS
AND DETAILED CORRECT (VERIFIED) ANSWERS
FOR GUARANTEED PASS/TOP-RATED A+.
ANCC AGACNP
Ace your ANCC Adult-Gerontology Acute Care Nurse
Practitioner (AGACNP) board exam with this definitive guide,
designed to master complex patient management, advanced
diagnostics, and evidence-based interventions. This resource
delivers high-acuity, scenario-based questions covering
pathophysiology, pharmacology, and systems-level care.
What is the most important assessment findin in
determining a patient's mental status?
a. orientation level
b. attention
c. memory
d. affect ...... ANSWER ....... a. orientation level
Your patient has a severe closed head injury. VS are listed.
Which value is it crucial in evaluating him for brain death?
a. pt had a gag/cough reflex
b. pt is not normothermic
, Page 2 of 126
Pt is not normotensive
d. documenting family opinion on whether patient is brain
dead ...... ANSWER ....... b. pt is not normothermic
A nurse experiences a needle stick fro ma patient who has
Non-a, non-b hepatitis. She has already had the HepB
vaccine series. What is the next step? ...... ANSWER .......
Obtain blood samples from the patient and the RN
Your patient has a closed head injury and is ventilated. His
abg's are: pH 7.48, pCO2 35, FiO2 40%, pO2 60. What is the
recommended action?
a. increase the FiO2 to 60%
b. decrease the tidal volume
c. decrease the respiratory rate
d. leave the setting as it is ...... ANSWER ....... d. leave the
setting as it is (CO2 in head trauma, 35 is the goal)
A root cause analysis of a crisis situation in the ICU
identified a lack of clinician-family communication as the
basis for the resulting adverse outcome. As part of the
performance improvement plan, the NP is asked to develop
evidence-based policies to establish clinician-family
, Page 3 of 126
communication standards in the unit. These policies should
include: ...... ANSWER ....... Guidelines for having
discussions with family members that are geared toward
establishing treatment goals
Which clinical scenario does the NP evaluate for a quality
improvement process change? ...... ANSWER ....... An
increased incidence of postoperative sternal wound
infections
Goals set forth in healthy people 2020 by the US department
of Health and Human services include: ...... ANSWER .......
elimination of health disparities (and increased
QOL/LOL)
Based on the individual's culture, ethnicity, and personal
choices, the NP can optimize the therapeutic partnership
with the patient by: ...... ANSWER ....... Tailoring his or
her communication style to the patient's preference
A 70 year old patient with a history of DM, HTN, OAs, and a
new diagnosis of CAD, is being discharged. The adult-
gerontology acute care NP teaches the patient that the first
, Page 4 of 126
point of contact for health care needs is the: ...... ANSWER
....... PCP
The NP is asked to provide evidence to the hospital
administration about the safety of NP placing central lines.
Which resource provides the strongest level of evidence?
...... ANSWER ....... A systematic review (meta analysis)
What legislation allowed NPs to be recognized Medicare
providers in all geographical areas with their own provider
number? ...... ANSWER ....... Balanced Budget act
True/false: restraining an unwilling patient is grounds for
malpractice? ...... ANSWER ....... False, if they are a
danger you can restrain
A 68yo patient had sx three days ago to repair a AAA. The
patient remains intubated, is neurologically intact, and has
active bowel sounds. LFT's are normal, no s/s CHF, the
patient's laboratory values are: blood urea nitrogen of 12
mg/dL, creatinine of 0.8 mg/dL, PaCO2 of 37mmHg. Which
is the most appropriate method to deliver nutrition?
a. central line
b. PIV
c. G tube
