ACNPC-AG Exam Sample Questions
With Correct Answers!!
1. Following a 10-foot fall, a young adult presents on a backboard with a c-collar on. The pt had an initial
LOC at the scene and was lucid on arrival, but LOC is rapidly deteriorating. The right pupil is round and
reactive, but the left is dilated and unresponsive to light. The ACNP should *first* suspect:
a. a basilar skull fx
b. a subdural hematoma
c. an epidural hematoma
d. a cerebellar herniation - Answer - an epidural hematoma
A pt is readmitted d/t suspected PE. Home meds include metformin (Glucophage). Which of the
following available dx methods would be indicated?
a. V/Q scan
b. spiral CT
c. pulmonary angiogram
d. venous doppler study - Answer - a. V/Q scan
The ACNP should recognize that a toxic exposure to
a. methanol is best tx with a sodium bicarb infusion
b. salicylates is best tx with n-acetylcysteine (Mucomyst)
c. benzos are best tx with hemodialysis
d. carbon monoxide is best tx with hyperbaric oxygen - Answer - d. carbon monoxide is best tx with
hyperbaric oxygen
When assessing the weaning ability of a 75 yo COPD pt who is being mechanically ventilated, it is
important for the ACNP to consider that elderly pts
a. have a greater respiratory reserve than younger pts
b. have equivalent PaO2/FiO2 ratios compared to younger pts
c. tend to breath faster and shallower than younger pts
d. tend to have a lower A-a gradient compared to younger pts - Answer - c. tend to breath faster and
shallower than younger pts
With Correct Answers!!
1. Following a 10-foot fall, a young adult presents on a backboard with a c-collar on. The pt had an initial
LOC at the scene and was lucid on arrival, but LOC is rapidly deteriorating. The right pupil is round and
reactive, but the left is dilated and unresponsive to light. The ACNP should *first* suspect:
a. a basilar skull fx
b. a subdural hematoma
c. an epidural hematoma
d. a cerebellar herniation - Answer - an epidural hematoma
A pt is readmitted d/t suspected PE. Home meds include metformin (Glucophage). Which of the
following available dx methods would be indicated?
a. V/Q scan
b. spiral CT
c. pulmonary angiogram
d. venous doppler study - Answer - a. V/Q scan
The ACNP should recognize that a toxic exposure to
a. methanol is best tx with a sodium bicarb infusion
b. salicylates is best tx with n-acetylcysteine (Mucomyst)
c. benzos are best tx with hemodialysis
d. carbon monoxide is best tx with hyperbaric oxygen - Answer - d. carbon monoxide is best tx with
hyperbaric oxygen
When assessing the weaning ability of a 75 yo COPD pt who is being mechanically ventilated, it is
important for the ACNP to consider that elderly pts
a. have a greater respiratory reserve than younger pts
b. have equivalent PaO2/FiO2 ratios compared to younger pts
c. tend to breath faster and shallower than younger pts
d. tend to have a lower A-a gradient compared to younger pts - Answer - c. tend to breath faster and
shallower than younger pts
