ANCC AGACNP 2025
NCA 622 TEST 1 MODULE III 2025/2026
TEST BANK COMPLETE 550
QUESTIONS AND ANSWERS GRADED
A+ SOLVED ACCURATE FALL-SPRING
WITH DETAILED RATIONALES
GRADED A+
In older adults, functional status should always be determined despite of what care setting
the patient is in. All of the following are functional assessment tools except:
A) Patient Health Questionnaire-9
B) Short Form-36
C) Functional Independence Measure
D) Reuben's Physical Performance Test
A+ 1
, ANCC AGACNP 2025
A) Patient Health Questionnaire-9 - this is a depression screening tool
The Short Form-36 is a tool to measure function in an outpatient setting. The Functional
Independence Measure is a tool that is used to monitor functional status in a rehabilitation
setting. Reuben's Physical Performance Test is an assessment tool that can show providers a
patient's actual physical performance and capabilities
Which lab value is not expected to truly change due to increasing age?
A)Creatinine
B)Ferritin
C)Hgb
D)Albumin
Hgb
Lab values that remain unchanged due to aging alone include WBC, Hgb, HCT, Platelet count,
BUN, Electrolytes, LFT's, Ca. Phos. and TSH
A nurse practitioner student shows understanding of a secondary immune deficiency when
he/she identifies which of the following:
A) Chronic use of Mycophenolate (CellCept)
B) Autoimmune Lymphoproliferative Syndrome (ALPS)
C) Cystic Fibrosis
D) X-linked agammaglobulinemia
A) Chronic use of Mycophenolate (CellCept)
Rationale: Long-term use of Cellcept involves immunosuppressive therapy and therefore a
high risk of a secondary immune deficiency. All other options are primary immune
deficiencies.
A+ 2
, ANCC AGACNP 2025
The AGACNP knows an example of a type IV cell-mediated reaction involving complications
with T-cell mediators includes:
A) Acute transfusion reaction
B) Systemic Lupus Erythematous (SLE)
C) Graft Rejection
D) Angioedema after eating shrimp tacos
C) Graft Rejection
Acute transfusion reaction is a Type II reaction involving IgG and IgM
A patient with a history of seizures checks into the emergency department complaining of
multiple blisters on his face. He also states he has been feeling chills and his temperature is
101.0. All of the following are a priority except:
A) Administration of corticosteroids
B) Obtain a full medical history that includes a current medication list
C) Administration of oral diphenhydramine
D) Order IV fluids
C) Administration of oral diphenhydramine
Getting a medication list is important since anticonvulsants can cause StevensJohnson
Syndrome and the medications need to be stopped immediately. Themain treatment for SJS
is supportive care therefore corticosteroids and IV fluidsshould be administered for
inflammation and volume repletion.Diphenhydramine may help with any itching the patient
may experience but it willnot treat the rash if it is SJS therefore the other three options are
prioritized overthis option.
A 30-year-old female presents with bacterial sinusitis and pneumonia. She tells you that this is
the third time she has had sinusitis and pneumonia in the past 6 months. You suspect she has
A+ 3
, ANCC AGACNP 2025
common variable immunodeficiency (CVID). What lab values would you expect to see?
A) Low IgG and IgA levels
B) Low IgG and high IgM levels
C) Low IgG and low number of CD8 cells
D) High IgG and IgA levels
A) Low IgG and IgA levels
A 22-year-old male presents to the ED with dry, red patches behind his knees an dinner
elbows. He describes it as continuously itchy and flaky. As the nurse practitioner, you
understand that this reaction is due to what?
A) IgE antibodies binding to cell antigens that lead to complement activation and destruction
of the cell.
B) antigen-antibody complexes that are deposited into tissues that activate a chain reaction
causing local inflammation and massive infiltration of neutrophils.
C) T-cells release cytokines that activate and recruit macrophages to release inflammatory
cytokines and to mediate direct cellular damage.
D) allergen-specific IgE causing mast-cell and basophil degranulation releasing histamine and
other vasoactive mediators.
D) allergen-specific IgE causing mast-cell and basophil degranulation releasinghistamine and
other vasoactive mediators
© UAB. All RightsReserved.Rationale:The patient is presenting with Eczema, which is a Type 1
hypersensitivity reaction.Type 1 is an allergic response with IgE mediators causing mast-cell
degranulationwhich releases histamines and other inflammatory mediators. Answer choice A
isincorrect because its IgG and IgM antibodies that bind to cell antigens causingcomplement
activation and destruction of a cell, which is a Type 2 (cytotoxic)hypersensitivity reaction.
Answer choice B is the mechanism of action for a type 3(Immune complex) hypersensitivity
reaction. Answer choice C is the Type 4mechanism of action, which is a delayed
hypersensitivity reaction.
A+ 4
NCA 622 TEST 1 MODULE III 2025/2026
TEST BANK COMPLETE 550
QUESTIONS AND ANSWERS GRADED
A+ SOLVED ACCURATE FALL-SPRING
WITH DETAILED RATIONALES
GRADED A+
In older adults, functional status should always be determined despite of what care setting
the patient is in. All of the following are functional assessment tools except:
A) Patient Health Questionnaire-9
B) Short Form-36
C) Functional Independence Measure
D) Reuben's Physical Performance Test
A+ 1
, ANCC AGACNP 2025
A) Patient Health Questionnaire-9 - this is a depression screening tool
The Short Form-36 is a tool to measure function in an outpatient setting. The Functional
Independence Measure is a tool that is used to monitor functional status in a rehabilitation
setting. Reuben's Physical Performance Test is an assessment tool that can show providers a
patient's actual physical performance and capabilities
Which lab value is not expected to truly change due to increasing age?
A)Creatinine
B)Ferritin
C)Hgb
D)Albumin
Hgb
Lab values that remain unchanged due to aging alone include WBC, Hgb, HCT, Platelet count,
BUN, Electrolytes, LFT's, Ca. Phos. and TSH
A nurse practitioner student shows understanding of a secondary immune deficiency when
he/she identifies which of the following:
A) Chronic use of Mycophenolate (CellCept)
B) Autoimmune Lymphoproliferative Syndrome (ALPS)
C) Cystic Fibrosis
D) X-linked agammaglobulinemia
A) Chronic use of Mycophenolate (CellCept)
Rationale: Long-term use of Cellcept involves immunosuppressive therapy and therefore a
high risk of a secondary immune deficiency. All other options are primary immune
deficiencies.
A+ 2
, ANCC AGACNP 2025
The AGACNP knows an example of a type IV cell-mediated reaction involving complications
with T-cell mediators includes:
A) Acute transfusion reaction
B) Systemic Lupus Erythematous (SLE)
C) Graft Rejection
D) Angioedema after eating shrimp tacos
C) Graft Rejection
Acute transfusion reaction is a Type II reaction involving IgG and IgM
A patient with a history of seizures checks into the emergency department complaining of
multiple blisters on his face. He also states he has been feeling chills and his temperature is
101.0. All of the following are a priority except:
A) Administration of corticosteroids
B) Obtain a full medical history that includes a current medication list
C) Administration of oral diphenhydramine
D) Order IV fluids
C) Administration of oral diphenhydramine
Getting a medication list is important since anticonvulsants can cause StevensJohnson
Syndrome and the medications need to be stopped immediately. Themain treatment for SJS
is supportive care therefore corticosteroids and IV fluidsshould be administered for
inflammation and volume repletion.Diphenhydramine may help with any itching the patient
may experience but it willnot treat the rash if it is SJS therefore the other three options are
prioritized overthis option.
A 30-year-old female presents with bacterial sinusitis and pneumonia. She tells you that this is
the third time she has had sinusitis and pneumonia in the past 6 months. You suspect she has
A+ 3
, ANCC AGACNP 2025
common variable immunodeficiency (CVID). What lab values would you expect to see?
A) Low IgG and IgA levels
B) Low IgG and high IgM levels
C) Low IgG and low number of CD8 cells
D) High IgG and IgA levels
A) Low IgG and IgA levels
A 22-year-old male presents to the ED with dry, red patches behind his knees an dinner
elbows. He describes it as continuously itchy and flaky. As the nurse practitioner, you
understand that this reaction is due to what?
A) IgE antibodies binding to cell antigens that lead to complement activation and destruction
of the cell.
B) antigen-antibody complexes that are deposited into tissues that activate a chain reaction
causing local inflammation and massive infiltration of neutrophils.
C) T-cells release cytokines that activate and recruit macrophages to release inflammatory
cytokines and to mediate direct cellular damage.
D) allergen-specific IgE causing mast-cell and basophil degranulation releasing histamine and
other vasoactive mediators.
D) allergen-specific IgE causing mast-cell and basophil degranulation releasinghistamine and
other vasoactive mediators
© UAB. All RightsReserved.Rationale:The patient is presenting with Eczema, which is a Type 1
hypersensitivity reaction.Type 1 is an allergic response with IgE mediators causing mast-cell
degranulationwhich releases histamines and other inflammatory mediators. Answer choice A
isincorrect because its IgG and IgM antibodies that bind to cell antigens causingcomplement
activation and destruction of a cell, which is a Type 2 (cytotoxic)hypersensitivity reaction.
Answer choice B is the mechanism of action for a type 3(Immune complex) hypersensitivity
reaction. Answer choice C is the Type 4mechanism of action, which is a delayed
hypersensitivity reaction.
A+ 4
