Adult Health Nursing Final Exam
(AGACNP-C) 2026–2027 |
Comprehensive Question Practice Test
with Answers & Rationales| Free Pdf
Access
1. Which step of the nursing process involves collecting patient information?
A. Diagnosis
B. Assessment
C. Planning
D. Evaluation
Correct Answer: B
Rationale: Assessment is the systematic collection of subjective and objective data to
identify patient needs.
2. Which patient should the nurse assess first?
A. A patient with chest pain and shortness of breath
B. A patient requesting pain medication for chronic arthritis
C. A patient asking for discharge instructions
D. A patient waiting for breakfast
,Correct Answer: A
Rationale: Chest pain with dyspnea may indicate a life-threatening cardiovascular
emergency.
3. Which electrolyte imbalance places a patient at greatest risk for cardiac
dysrhythmias?
A. Hyperkalemia
B. Hypernatremia
C. Hypermagnesemia
D. Hyperphosphatemia
Correct Answer: A
Rationale: Elevated potassium disrupts cardiac conduction and can lead to fatal
arrhythmias.
4. A serum sodium level of 124 mEq/L indicates:
A. Hypernatremia
B. Hyponatremia
C. Hyperkalemia
D. Hypocalcemia
Correct Answer: B
Rationale: Normal sodium ranges from 135–145 mEq/L. A value of 124 mEq/L indicates
hyponatremia.
5. Which IV solution is isotonic?
A. 0.9% Normal Saline
,B. 0.45% Normal Saline
C. 3% Normal Saline
D. D10W
Correct Answer: A
Rationale: Normal saline has approximately the same osmolality as plasma.
6. Which finding indicates fluid volume overload?
A. Crackles in the lungs
B. Dry mucous membranes
C. Poor skin turgor
D. Flat neck veins
Correct Answer: A
Rationale: Pulmonary crackles indicate excess fluid accumulation.
7. Which acid-base imbalance is commonly associated with prolonged
vomiting?
A. Metabolic alkalosis
B. Metabolic acidosis
C. Respiratory acidosis
D. Respiratory alkalosis
Correct Answer: A
Rationale: Loss of gastric acid during vomiting causes metabolic alkalosis.
, 8. Which intervention has the highest priority for a patient with respiratory
distress?
A. Maintain a patent airway
B. Encourage fluids
C. Assist with meals
D. Promote sleep
Correct Answer: A
Rationale: Airway management is the highest priority according to the ABC approach.
9. Which oxygen delivery device provides the highest oxygen concentration?
A. Non-rebreather mask
B. Nasal cannula
C. Venturi mask
D. Simple face mask
Correct Answer: A
Rationale: A properly fitted non-rebreather mask delivers up to 95–100% oxygen.
10. Which assessment finding is most consistent with pneumonia?
A. Crackles with productive cough
B. Bradycardia
C. Polyuria
D. Hematuria
(AGACNP-C) 2026–2027 |
Comprehensive Question Practice Test
with Answers & Rationales| Free Pdf
Access
1. Which step of the nursing process involves collecting patient information?
A. Diagnosis
B. Assessment
C. Planning
D. Evaluation
Correct Answer: B
Rationale: Assessment is the systematic collection of subjective and objective data to
identify patient needs.
2. Which patient should the nurse assess first?
A. A patient with chest pain and shortness of breath
B. A patient requesting pain medication for chronic arthritis
C. A patient asking for discharge instructions
D. A patient waiting for breakfast
,Correct Answer: A
Rationale: Chest pain with dyspnea may indicate a life-threatening cardiovascular
emergency.
3. Which electrolyte imbalance places a patient at greatest risk for cardiac
dysrhythmias?
A. Hyperkalemia
B. Hypernatremia
C. Hypermagnesemia
D. Hyperphosphatemia
Correct Answer: A
Rationale: Elevated potassium disrupts cardiac conduction and can lead to fatal
arrhythmias.
4. A serum sodium level of 124 mEq/L indicates:
A. Hypernatremia
B. Hyponatremia
C. Hyperkalemia
D. Hypocalcemia
Correct Answer: B
Rationale: Normal sodium ranges from 135–145 mEq/L. A value of 124 mEq/L indicates
hyponatremia.
5. Which IV solution is isotonic?
A. 0.9% Normal Saline
,B. 0.45% Normal Saline
C. 3% Normal Saline
D. D10W
Correct Answer: A
Rationale: Normal saline has approximately the same osmolality as plasma.
6. Which finding indicates fluid volume overload?
A. Crackles in the lungs
B. Dry mucous membranes
C. Poor skin turgor
D. Flat neck veins
Correct Answer: A
Rationale: Pulmonary crackles indicate excess fluid accumulation.
7. Which acid-base imbalance is commonly associated with prolonged
vomiting?
A. Metabolic alkalosis
B. Metabolic acidosis
C. Respiratory acidosis
D. Respiratory alkalosis
Correct Answer: A
Rationale: Loss of gastric acid during vomiting causes metabolic alkalosis.
, 8. Which intervention has the highest priority for a patient with respiratory
distress?
A. Maintain a patent airway
B. Encourage fluids
C. Assist with meals
D. Promote sleep
Correct Answer: A
Rationale: Airway management is the highest priority according to the ABC approach.
9. Which oxygen delivery device provides the highest oxygen concentration?
A. Non-rebreather mask
B. Nasal cannula
C. Venturi mask
D. Simple face mask
Correct Answer: A
Rationale: A properly fitted non-rebreather mask delivers up to 95–100% oxygen.
10. Which assessment finding is most consistent with pneumonia?
A. Crackles with productive cough
B. Bradycardia
C. Polyuria
D. Hematuria
