AGACNP REVIEW EXAM QUESTIONS AND
CORRECT ANSWERS WITH COMPLETE
SOLUTIONS
Most important step in EBP - ANS -Formulate a research question
AANC Synergy model - ANS -A conceptual framework that aligns patient needs with nurse competencies
How does Synergy influence ANCC competencies (3 ways - ANS -1. develop nurse competencies
2. Develop certification test plans
3. Support certification renewal
Neisseria Gonorrhea arthritis +ua and BC treatment - ANS -Azithromycin oral with ceftriaxone 1gm q12
(use azithromycin to cover chlamydia if it is +)
What is the coverage for HAP who is at high risk for VAP - ANS -staph coverage with 2 antipseudomonal
agents
-zosyn, meropenum and vancomycin
Refeeding syndrome and who are at risk - ANS -potential lethal compilation of the metabolic and normal
changes cause by the rapid refeeding.
at risk: chronic malnutrition, cancer elder and preexisting hypophosphatemia and hypokalemia
Classic sign of epidural hematoma - ANS -a lucid interval between trauma and decline in
consciousnesses
Appropriate treatment of acute heart failure in the setting of hypoperfusion - ANS -no vasodilators,
need to give dopamine for a + inotrope response
,What is the end point of resuscitation for sepsis - ANS -Lactic acid clearance, CVP 8-12, UPO >0.5ml/hr,
mix venous oxygen 70-80%
STD/Chlamydia treatment - ANS -Azithromycin 1gm as a single dose
What is QSEN and 6 competencies - ANS -quality and safety education for nurses:
1. patient centered care 2. teamwork 3. collaboration 4. EBP 5. QI 6. safety and informatics
Patient refusing rehab is an example of - ANS -self determination (right to make own decision)
Self determination - ANS -right to make own decision
Justice - ANS -Justice is fairness and impartiality. Nurses must make impartial, fair decisions regarding
patient care without regard to a patient's race, age, sexual orientation, or economic status
Beneficence - ANS -Beneficence is the act of doing what is good and right for the patient. This ethical
principle encompasses charity and kindness, which require actions by the nurse to benefit others.
Nonmaleficence - ANS -Nonmaleficence means doing no harm (intentional or unintentional). Nurses
must provide care that reflects standards to avoid or minimize risk to the patient, healthcare team, or
organization.
Examples of high intensity stating - ANS -atorvastatin 40-80mg
Rosuvastatin 20-40 mg
What medication to avoid during a thyroid storm - ANS -NSAIDS/ASA as these may bind to thyroid-
binding globulin, causing increased levels of free thyroid hormone levels.
Cause of hearing loss when aging - ANS -thickening of the TM causing conductive hearing loss (low
sounds)
HF is associated with dec elasticity and efficiency of ossicular articulation
, How fast can a Dilantin infusion go - ANS -not over 50mg/min d/t SE of cardiac depression
Kerh's sign - ANS -(irritated diaphragm) pain radiating to the shoulder classic sing for rupture spleen
What is the normal ocular pressure - ANS -10-20 mg/hg
What is a patient undergoing aggressive resuscitation with emergent surgery at risk for ? what would
airway pressure, TV and uo look like - ANS -3 spacing, intestinal edema. Can progress to intestinal
compartment syndrome. peak airway pressure, decreased TV, hypoxia, decreased UO, hypotension
normal central venous pressure - ANS -0-6 mm/hg
What mean arterial pressure (MAP) do we need to perfuse coronary arteries, brain, and kidneys? - ANS -
>65
Normal Pulmonary artery pressure - ANS -15-25/5-15
normal cardiac output - ANS -4-8 L/min
normal cardiac index - ANS -2.5-4 L/min/m2
tidal volume - ANS -Amount of air that moves in and out of the lungs during a normal breath 6-5 ml/kg)
Ideal body weight
Grey-Turner's sign is highly suggestive of which of the following conditions?
A) Acute pancreatitis
B) Acute appendicitis
C) Acute diverticulitis
CORRECT ANSWERS WITH COMPLETE
SOLUTIONS
Most important step in EBP - ANS -Formulate a research question
AANC Synergy model - ANS -A conceptual framework that aligns patient needs with nurse competencies
How does Synergy influence ANCC competencies (3 ways - ANS -1. develop nurse competencies
2. Develop certification test plans
3. Support certification renewal
Neisseria Gonorrhea arthritis +ua and BC treatment - ANS -Azithromycin oral with ceftriaxone 1gm q12
(use azithromycin to cover chlamydia if it is +)
What is the coverage for HAP who is at high risk for VAP - ANS -staph coverage with 2 antipseudomonal
agents
-zosyn, meropenum and vancomycin
Refeeding syndrome and who are at risk - ANS -potential lethal compilation of the metabolic and normal
changes cause by the rapid refeeding.
at risk: chronic malnutrition, cancer elder and preexisting hypophosphatemia and hypokalemia
Classic sign of epidural hematoma - ANS -a lucid interval between trauma and decline in
consciousnesses
Appropriate treatment of acute heart failure in the setting of hypoperfusion - ANS -no vasodilators,
need to give dopamine for a + inotrope response
,What is the end point of resuscitation for sepsis - ANS -Lactic acid clearance, CVP 8-12, UPO >0.5ml/hr,
mix venous oxygen 70-80%
STD/Chlamydia treatment - ANS -Azithromycin 1gm as a single dose
What is QSEN and 6 competencies - ANS -quality and safety education for nurses:
1. patient centered care 2. teamwork 3. collaboration 4. EBP 5. QI 6. safety and informatics
Patient refusing rehab is an example of - ANS -self determination (right to make own decision)
Self determination - ANS -right to make own decision
Justice - ANS -Justice is fairness and impartiality. Nurses must make impartial, fair decisions regarding
patient care without regard to a patient's race, age, sexual orientation, or economic status
Beneficence - ANS -Beneficence is the act of doing what is good and right for the patient. This ethical
principle encompasses charity and kindness, which require actions by the nurse to benefit others.
Nonmaleficence - ANS -Nonmaleficence means doing no harm (intentional or unintentional). Nurses
must provide care that reflects standards to avoid or minimize risk to the patient, healthcare team, or
organization.
Examples of high intensity stating - ANS -atorvastatin 40-80mg
Rosuvastatin 20-40 mg
What medication to avoid during a thyroid storm - ANS -NSAIDS/ASA as these may bind to thyroid-
binding globulin, causing increased levels of free thyroid hormone levels.
Cause of hearing loss when aging - ANS -thickening of the TM causing conductive hearing loss (low
sounds)
HF is associated with dec elasticity and efficiency of ossicular articulation
, How fast can a Dilantin infusion go - ANS -not over 50mg/min d/t SE of cardiac depression
Kerh's sign - ANS -(irritated diaphragm) pain radiating to the shoulder classic sing for rupture spleen
What is the normal ocular pressure - ANS -10-20 mg/hg
What is a patient undergoing aggressive resuscitation with emergent surgery at risk for ? what would
airway pressure, TV and uo look like - ANS -3 spacing, intestinal edema. Can progress to intestinal
compartment syndrome. peak airway pressure, decreased TV, hypoxia, decreased UO, hypotension
normal central venous pressure - ANS -0-6 mm/hg
What mean arterial pressure (MAP) do we need to perfuse coronary arteries, brain, and kidneys? - ANS -
>65
Normal Pulmonary artery pressure - ANS -15-25/5-15
normal cardiac output - ANS -4-8 L/min
normal cardiac index - ANS -2.5-4 L/min/m2
tidal volume - ANS -Amount of air that moves in and out of the lungs during a normal breath 6-5 ml/kg)
Ideal body weight
Grey-Turner's sign is highly suggestive of which of the following conditions?
A) Acute pancreatitis
B) Acute appendicitis
C) Acute diverticulitis
