AGACNP NU 700 Knowledge for Nursing
Practice
Midterms Exam (Qns & Ans)
2025
Multiple Choice Questions (MCQ)
In managing a patient with septic shock, which hemodynamic
parameter is MOST indicative of fluid responsiveness?
A. Central Venous Pressure (CVP)
B. Mean Arterial Pressure (MAP)
C. Pulse Pressure Variation (PPV)
D. Heart Rate (HR)
ANS: C
©2025
,Rationale: Pulse Pressure Variation is a dynamic parameter
sensitive in predicting fluid responsiveness, unlike static
parameters such as CVP.
Which of the following BEST defines the role of genetics in
personalized nursing care?
A. Predicting patient insurance eligibility
B. Tailoring pharmacologic interventions based on genetic
profiles
C. Diagnosing infectious diseases
D. Determining patient’s risk for fall injuries
ANS: B
Rationale: Genetics informs personalized pharmacotherapy and
risk stratification, critical for individualized nursing care plans.
A 58-year-old patient develops acute respiratory distress
syndrome (ARDS). Which ventilatory strategy should the
AGACNP prioritize?
A. High tidal volume ventilation
B. Low tidal volume ventilation (6 ml/kg predicted body weight)
C. Hyperventilation to reduce CO2
D. Prolonged expiratory phase
ANS: B
©2025
,Rationale: Low tidal volume ventilation reduces ventilator-
induced lung injury and improves survival in ARDS patients.
The concept of ‘clinical reasoning’ in advanced nursing practice
primarily involves:
A. Memorizing clinical protocols
B. Applying theoretical knowledge to patient care decisions
C. Delegating care tasks efficiently
D. Recording vital signs systematically
ANS: B
Rationale: Clinical reasoning integrates theoretical and empirical
data to guide complex patient care decisions.
What is the LEAST appropriate intervention in managing
delirium in a critically ill patient?
A. Minimizing sedative use
B. Using antipsychotics prophylactically for all ICU patients
C. Ensuring environmental orientation aids like clocks and
windows
D. Promoting early mobilization
ANS: B
©2025
, Rationale: Routine prophylactic use of antipsychotics is not
recommended unless clinically indicated, as it poses risk without
proven benefit.
Fill-in-the-Blank Questions
The primary pharmacologic agent used for reversing opioid-
induced respiratory depression is __________.
ANS: Naloxone
Rationale: Naloxone is an opioid antagonist promptly reversing
opioid toxicity.
The nursing process step that involves setting measurable goals is
known as __________.
ANS: Planning
Rationale: Planning involves developing patient-centered goals
with measurable outcomes.
The pathophysiologic hallmark of cardiogenic shock is
__________ __________ leading to inadequate tissue perfusion.
ANS: myocardial pump failure
Rationale: Cardiogenic shock results from pump failure causing
systemic hypoperfusion.
©2025
Practice
Midterms Exam (Qns & Ans)
2025
Multiple Choice Questions (MCQ)
In managing a patient with septic shock, which hemodynamic
parameter is MOST indicative of fluid responsiveness?
A. Central Venous Pressure (CVP)
B. Mean Arterial Pressure (MAP)
C. Pulse Pressure Variation (PPV)
D. Heart Rate (HR)
ANS: C
©2025
,Rationale: Pulse Pressure Variation is a dynamic parameter
sensitive in predicting fluid responsiveness, unlike static
parameters such as CVP.
Which of the following BEST defines the role of genetics in
personalized nursing care?
A. Predicting patient insurance eligibility
B. Tailoring pharmacologic interventions based on genetic
profiles
C. Diagnosing infectious diseases
D. Determining patient’s risk for fall injuries
ANS: B
Rationale: Genetics informs personalized pharmacotherapy and
risk stratification, critical for individualized nursing care plans.
A 58-year-old patient develops acute respiratory distress
syndrome (ARDS). Which ventilatory strategy should the
AGACNP prioritize?
A. High tidal volume ventilation
B. Low tidal volume ventilation (6 ml/kg predicted body weight)
C. Hyperventilation to reduce CO2
D. Prolonged expiratory phase
ANS: B
©2025
,Rationale: Low tidal volume ventilation reduces ventilator-
induced lung injury and improves survival in ARDS patients.
The concept of ‘clinical reasoning’ in advanced nursing practice
primarily involves:
A. Memorizing clinical protocols
B. Applying theoretical knowledge to patient care decisions
C. Delegating care tasks efficiently
D. Recording vital signs systematically
ANS: B
Rationale: Clinical reasoning integrates theoretical and empirical
data to guide complex patient care decisions.
What is the LEAST appropriate intervention in managing
delirium in a critically ill patient?
A. Minimizing sedative use
B. Using antipsychotics prophylactically for all ICU patients
C. Ensuring environmental orientation aids like clocks and
windows
D. Promoting early mobilization
ANS: B
©2025
, Rationale: Routine prophylactic use of antipsychotics is not
recommended unless clinically indicated, as it poses risk without
proven benefit.
Fill-in-the-Blank Questions
The primary pharmacologic agent used for reversing opioid-
induced respiratory depression is __________.
ANS: Naloxone
Rationale: Naloxone is an opioid antagonist promptly reversing
opioid toxicity.
The nursing process step that involves setting measurable goals is
known as __________.
ANS: Planning
Rationale: Planning involves developing patient-centered goals
with measurable outcomes.
The pathophysiologic hallmark of cardiogenic shock is
__________ __________ leading to inadequate tissue perfusion.
ANS: myocardial pump failure
Rationale: Cardiogenic shock results from pump failure causing
systemic hypoperfusion.
©2025
