1|Page
ANCC AGACNP Adult Gerontology Acute
Care Nurse Practitioner Board EXAM
questions with verified accurate solution
(detailed & elaborated) (2026/2027) TEST!!
How to differentiate ITP form SLE ......ANSWER.....Bone marrow
test
Both have thrombocytopenia
(DIC) Disseminated Intravascular coagulation
......ANSWER.....Acquired coagulation disorder which results from
the intraascular activation of both the coagulation and fibrinolytic
system (thrombin and plasmin) causing simultaneous thrombosis
and hemorrhage
Mortality is 50-85%
Patho of DIC ......ANSWER.....-Thrombin causes conversion of
fibrinogen to fibrin, producing fibrin clots in the microcirculation
-Coagulation factors are reduced
-Circulating thrombin activates the fibrinolytic system which lyses
fibrin clots into fibrin degradation products
-Hemorrhage results from the anticoagulation activity of FDPs and
the depletion of coagulation factors
,2|Page
Lab/diagnositics of DIC ......ANSWER.....Thrombocytopenia
(platelets <150,000)
Hypofibrinogenmia (Fibrinogen <170)
Decreased RBCs
Increased fibrin degradation products (FDPs) >45 or present at
>1:100 dilution
Prolonged PT (>19sec)
Prolonged PTT (>42 sec)
D-Dimer( + at 1:8 dilution) Reflects simultaneous activation of
thrombin and plasmin
with increased FDPs; dives a predictive accuracy of 96% for
diagnosing DIC
Management of DIC ......ANSWER.....Treat underlying condition
Platelet transfusion for thrombocytopenia
FFP to replace clotting factors
Cryoprecipitate to maintain fibrinogen leves
PRBCs if severe bleeding
Use heparin to decrease thrombin (CONTROVERSIAL)
Cessation of bleeding, increasing plasma fibrinogen and the
platelet found and decreasing FDPs
Cranial Nerves (OOOTTAFAGVSH) ......ANSWER.....CN I-Olfactory
,3|Page
CNII-Optic
CN III- Oculomotor
CN IV- Trochlear
CN V -Trigeminal
CN VI- Abducens
CN VII- Facial
CN VIII- Acoustic
CN IX- Glossopharyngeal
CN X-Vagus
CN XI- Spinal Accessory
CNXII-Hypoglossal
On old Olympus towering tops a Finn and German view some
Hops.
Type of Nerves (SSMMBMBSBBMM) ......ANSWER.....Some say
marry money but my brother says big bras matter most
CN 5 is associated with ......ANSWER.....Migraines
CN 7 is associated with ......ANSWER.....Bells palsy
L sided CVA Causes ......ANSWER.....aphasia
, 4|Page
Mini Mental Assessment ......ANSWER.....Components:
Appearance, behavior, cognition, throught process
**No family in room
Mini Mental Exam scoring ......ANSWER.....Max: 30
No cognitive impairment: 24-30
Delirium/dementia: 18-23
TIA ......ANSWER.....Cerebral insufficiency lasting less than 24
hours without any residual deficits. Most resolve in <3 hrs
Concepts of TIA ......ANSWER.....Approximately 1/3 of pts with a
TIA with experience a cerebral infarction in 5 years
S/S of TIA ......ANSWER.....Ipsilateral (same side) monocular
blindness (amaurosis fugax)
Motor impairment: Paresthesias of contralateral (opposite side)
arm, leg or face
If C/O worst H/A of life ......ANSWER.....SAH
Middle cerebral CVA can cause ......ANSWER.....hemiplegia
ANCC AGACNP Adult Gerontology Acute
Care Nurse Practitioner Board EXAM
questions with verified accurate solution
(detailed & elaborated) (2026/2027) TEST!!
How to differentiate ITP form SLE ......ANSWER.....Bone marrow
test
Both have thrombocytopenia
(DIC) Disseminated Intravascular coagulation
......ANSWER.....Acquired coagulation disorder which results from
the intraascular activation of both the coagulation and fibrinolytic
system (thrombin and plasmin) causing simultaneous thrombosis
and hemorrhage
Mortality is 50-85%
Patho of DIC ......ANSWER.....-Thrombin causes conversion of
fibrinogen to fibrin, producing fibrin clots in the microcirculation
-Coagulation factors are reduced
-Circulating thrombin activates the fibrinolytic system which lyses
fibrin clots into fibrin degradation products
-Hemorrhage results from the anticoagulation activity of FDPs and
the depletion of coagulation factors
,2|Page
Lab/diagnositics of DIC ......ANSWER.....Thrombocytopenia
(platelets <150,000)
Hypofibrinogenmia (Fibrinogen <170)
Decreased RBCs
Increased fibrin degradation products (FDPs) >45 or present at
>1:100 dilution
Prolonged PT (>19sec)
Prolonged PTT (>42 sec)
D-Dimer( + at 1:8 dilution) Reflects simultaneous activation of
thrombin and plasmin
with increased FDPs; dives a predictive accuracy of 96% for
diagnosing DIC
Management of DIC ......ANSWER.....Treat underlying condition
Platelet transfusion for thrombocytopenia
FFP to replace clotting factors
Cryoprecipitate to maintain fibrinogen leves
PRBCs if severe bleeding
Use heparin to decrease thrombin (CONTROVERSIAL)
Cessation of bleeding, increasing plasma fibrinogen and the
platelet found and decreasing FDPs
Cranial Nerves (OOOTTAFAGVSH) ......ANSWER.....CN I-Olfactory
,3|Page
CNII-Optic
CN III- Oculomotor
CN IV- Trochlear
CN V -Trigeminal
CN VI- Abducens
CN VII- Facial
CN VIII- Acoustic
CN IX- Glossopharyngeal
CN X-Vagus
CN XI- Spinal Accessory
CNXII-Hypoglossal
On old Olympus towering tops a Finn and German view some
Hops.
Type of Nerves (SSMMBMBSBBMM) ......ANSWER.....Some say
marry money but my brother says big bras matter most
CN 5 is associated with ......ANSWER.....Migraines
CN 7 is associated with ......ANSWER.....Bells palsy
L sided CVA Causes ......ANSWER.....aphasia
, 4|Page
Mini Mental Assessment ......ANSWER.....Components:
Appearance, behavior, cognition, throught process
**No family in room
Mini Mental Exam scoring ......ANSWER.....Max: 30
No cognitive impairment: 24-30
Delirium/dementia: 18-23
TIA ......ANSWER.....Cerebral insufficiency lasting less than 24
hours without any residual deficits. Most resolve in <3 hrs
Concepts of TIA ......ANSWER.....Approximately 1/3 of pts with a
TIA with experience a cerebral infarction in 5 years
S/S of TIA ......ANSWER.....Ipsilateral (same side) monocular
blindness (amaurosis fugax)
Motor impairment: Paresthesias of contralateral (opposite side)
arm, leg or face
If C/O worst H/A of life ......ANSWER.....SAH
Middle cerebral CVA can cause ......ANSWER.....hemiplegia
