AGACNP 106 DOCUMENT QUESTIONS AND
ANSWERS LATEST 2025-2026 EXAM
UPDATE
What ethnicity like to have DM and not seek treatment? - Answer-
Hispanics
Steps in the Research Process - Answer-1. Formulating the research
problem
2. Reviewing related literature
3. Formulating the hypotheses
4. Selecting the research design
5. Identifying the population to be studied
6. Specifying methods of data collection
7. Designing the study
8. Conducting the study
9. Analyzing the data
10. Interpreting the results
11. Communicating the findings
Arcus Senilis - Answer--A cloudy appearance of the cornea with a
gray/white arc or circle around the limbus
-Due to deposition of lipid material
-No effect on vision
,-Permanent color change of the eye
-Underlying issue = HLD
Ventilatory settings for ARDS - Answer--Peep = 10 (manage
pulmonary shunting by adding PEEP)
-Tidal volume 6-8 mL/kg ideal body weight (low tidal volume to prevent
acute lung injury)
Medicare Part A covers? - Answer--Inpatient/hospitalization
-Skilled nursing facility services
-Home health services
-Hospice (inpatient)
Medicare Part B covers? - Answer--Physician services
-Outpatient hospital services
-Labs and diagnostic procedures
-Medical equipment
-Some home health services
Medicare Part C covers? - Answer--Medicare A + B
-HMOs, PPOs
Medicare Part D covers? - Answer--Limited prescription drug coverage
,Therapeutic Communication - Answer--Listen more than talk
-"Tell me"
-Never ask "why"
-Focus on feelings (mad, sad, glad, afraid, ashamed)
-Do not mince words; no euphemisms (I am concerned about
alcoholism, I'm sorry but she died)
When do you transfer pts to tertiary facilities? - Answer--Serious
ill/injured pts if full range of services are not available
-Assess all injuries, stabilize, assess the capabilities of your facility and
the transfer as appropriate
-Major maxillofacial injuries
-Severe Le Fort fractures of the skull
1-floating pallete
2-floating maxilla
3-floating face
What lab to assess to see if enteral feeding is beneficial? - Answer-Pre-
albumin (earliest indicator of protein malnutrition)
What is Refeeding Syndrome? - Answer-Complication enteral feeding
-Hypokalemia
-Hypophosphatemia **
-Hypomagnesemia
, -Hypocalcemia
-Thiamine Def
What labs do you check for with TPN? - Answer--Albumin
-Glucose?
Pt says don't tell my daughter about my diagnosis, what ethical
principle is this honoring? - Answer-Fidelity
-The duty to be faithful
ICU pt, 2 days post extubation fails swallow study. Keep in ICU or
transfer to floor? - Answer-Transfer to step down
Veracity - Answer-The duty to be truthful
DNR with advanced directives, family asking for everything to be
done? - Answer-We don't go against advanced directives
Pt comes in with CHF and dementia, first thing NP should do? -
Answer-Assess cognition
Side effect Levothyroxine (Synthroid)? - Answer-Alopecia
What pt most likely to have angioedema with ACE? - Answer-African
American
ANSWERS LATEST 2025-2026 EXAM
UPDATE
What ethnicity like to have DM and not seek treatment? - Answer-
Hispanics
Steps in the Research Process - Answer-1. Formulating the research
problem
2. Reviewing related literature
3. Formulating the hypotheses
4. Selecting the research design
5. Identifying the population to be studied
6. Specifying methods of data collection
7. Designing the study
8. Conducting the study
9. Analyzing the data
10. Interpreting the results
11. Communicating the findings
Arcus Senilis - Answer--A cloudy appearance of the cornea with a
gray/white arc or circle around the limbus
-Due to deposition of lipid material
-No effect on vision
,-Permanent color change of the eye
-Underlying issue = HLD
Ventilatory settings for ARDS - Answer--Peep = 10 (manage
pulmonary shunting by adding PEEP)
-Tidal volume 6-8 mL/kg ideal body weight (low tidal volume to prevent
acute lung injury)
Medicare Part A covers? - Answer--Inpatient/hospitalization
-Skilled nursing facility services
-Home health services
-Hospice (inpatient)
Medicare Part B covers? - Answer--Physician services
-Outpatient hospital services
-Labs and diagnostic procedures
-Medical equipment
-Some home health services
Medicare Part C covers? - Answer--Medicare A + B
-HMOs, PPOs
Medicare Part D covers? - Answer--Limited prescription drug coverage
,Therapeutic Communication - Answer--Listen more than talk
-"Tell me"
-Never ask "why"
-Focus on feelings (mad, sad, glad, afraid, ashamed)
-Do not mince words; no euphemisms (I am concerned about
alcoholism, I'm sorry but she died)
When do you transfer pts to tertiary facilities? - Answer--Serious
ill/injured pts if full range of services are not available
-Assess all injuries, stabilize, assess the capabilities of your facility and
the transfer as appropriate
-Major maxillofacial injuries
-Severe Le Fort fractures of the skull
1-floating pallete
2-floating maxilla
3-floating face
What lab to assess to see if enteral feeding is beneficial? - Answer-Pre-
albumin (earliest indicator of protein malnutrition)
What is Refeeding Syndrome? - Answer-Complication enteral feeding
-Hypokalemia
-Hypophosphatemia **
-Hypomagnesemia
, -Hypocalcemia
-Thiamine Def
What labs do you check for with TPN? - Answer--Albumin
-Glucose?
Pt says don't tell my daughter about my diagnosis, what ethical
principle is this honoring? - Answer-Fidelity
-The duty to be faithful
ICU pt, 2 days post extubation fails swallow study. Keep in ICU or
transfer to floor? - Answer-Transfer to step down
Veracity - Answer-The duty to be truthful
DNR with advanced directives, family asking for everything to be
done? - Answer-We don't go against advanced directives
Pt comes in with CHF and dementia, first thing NP should do? -
Answer-Assess cognition
Side effect Levothyroxine (Synthroid)? - Answer-Alopecia
What pt most likely to have angioedema with ACE? - Answer-African
American
