AGACNP AACN BOARD EXAM (ACTUAL
EXAM) WITH CORRECT ACTUAL
QUESTIONS AND CORRECTLY WELL
DEFINED ANSWERS LATEST ALREADY
GRADED A+ 2025 – 2026
Rule of 9's - ANSWERS-Head and neck = 9%
Upper Ex = 9% each
Lower Ex = 9% each
Front trunk = 18%
Back trunk = 18%
Parkland formula - ANSWERS-4ml/kg/% burned area
Half of this fluid in first 8 hours
Remaining in hours 8-24
Lactated Ringers is preferred
Tar burn treatment - ANSWERS-use petroleum based product to remove the
burning tar
,Silver Sulfadiazine - ANSWERS-used to treat second and third degree burns
Pneumocystis jirovecii prophylaxis drug of choice - ANSWERS-bactrim
Emtricitabine/Tenofovir disoproxil fumarate and Emtricitabine/Tenofovir
alafenamide - ANSWERS-post-exposure prophylaxis for HIV
Osteoarthritis S&S, diagnostics, treatment - ANSWERS-S&S - weight bearing
joints, heberden nodes, bouchard nodes, better in morning but worse as day
progresses, limited ROM, crepitus
Diagnosis - synovial aspirate normal, xray shows narrow joint space and
osteophytes
Management - aspirin, tylenol, NSAIDs
Rheumatoid arthritis S&S, diagnostics, treatment - ANSWERS-S&S -
extremities (mostly hands), swelling, heat, worse in morning but improves as
day progresses
Diagnosis - ESR elevated, ANA positive, synovial aspirate with inflammatory
changes and WBCs, xray with cortical thinning and joint space narrowing
Management - NSAIDs, DMARDs
Compartment syndrome S&S, diagnostics, treatment - ANSWERS-S&S - severe
ischemic pain, parasthesias, muscel stretch painful, loss of sensory/motor
function
Diagnosis - ICP >30mmHg
Management - fasciotomy
,Systemic Lupus Erythematosus S&S, diagnostics, treatment - ANSWERS-S&S -
butterfly rash, periungual erythema, splinter hemorrhages, alopecia,
raynaud's
Diagnosis - ANA+, anemia, leukopenia, thrombocytopenia
Management - NSAIDs, hydroxychloroquine, glucocorticoids
hypervolemic hypotonic hyponatremia - ANSWERS-edema, CHF, liver disease,
renal failure
must restrict fluids
hypertonic hyponatremia serum osmolality and causes - ANSWERS-serum
osmolality >290
causes - HHS
hypokalemia causes, signs/symptoms, treatment - ANSWERS-causes -
diuretics, GI losses, renal loss, alkalosis
signs/symptoms - weakness, fatigue, cramps, broad T waves, u waves
treatment - oral replacement if >2.5, 40mEq/L/hr IV if severe
hyperkalemia causes, signs/symptoms, treatment - ANSWERS-causes - renal
failure, drugs, hypoaldosteronism
signs/symptoms - weakness, flaccid paralysis, abdominal distension, diarrhea,
peaked T waves
treatment - ion resin exchange (kayexalate), insulin, D5W
hypocalcemia causes, signs/symptoms, treatment - ANSWERS-causes -
pancreatitis, renal failure, trauma, massive transfusions
, symptoms - increased DTRs, cramps, convulsions, prolonged QT, Chvostek's
and Trousseau's sign
treatment - check for alkalosis, IV calcium gluconate if acute, oral
supplements if chronic
hypercalcemia causes, signs/symptoms, treatment - ANSWERS-causes -
vitamin D intoxication, immobilization, thiazide diuretics
symptoms - fatigue, muscle weakness, constipation, coma, death
treatment - calcitonin if renal/card involvement, NS, loop diuretics, dialysis if
severe
respiratory acidosis causes, signs/symptoms, treatment - ANSWERS-causes -
hypoventilation (pH<7.35, pCO2>45)
symptoms - somnolence, confusion, coma, myoclonus with asterixis
treatment - narcan if unknown cause, increased ventilator rate
respiratory alkalosis causes, signs/symptoms, treatment - ANSWERS-causes -
hyperventilation (pH>7.45, pCO2<35)
symptoms - lightheadedness, tingling, tetany if severe
treatment - paper bag breathing, decreased ventilator rate
metabolic acidosis types, causes, treatment - ANSWERS-types:
increased anion gap - DKA, alcoholic ketoacidosis, lactic acidosis
normal anion gap - diarrhea, ileostomy, renal tubular acidosis, DKA recovery
treat with fluids
EXAM) WITH CORRECT ACTUAL
QUESTIONS AND CORRECTLY WELL
DEFINED ANSWERS LATEST ALREADY
GRADED A+ 2025 – 2026
Rule of 9's - ANSWERS-Head and neck = 9%
Upper Ex = 9% each
Lower Ex = 9% each
Front trunk = 18%
Back trunk = 18%
Parkland formula - ANSWERS-4ml/kg/% burned area
Half of this fluid in first 8 hours
Remaining in hours 8-24
Lactated Ringers is preferred
Tar burn treatment - ANSWERS-use petroleum based product to remove the
burning tar
,Silver Sulfadiazine - ANSWERS-used to treat second and third degree burns
Pneumocystis jirovecii prophylaxis drug of choice - ANSWERS-bactrim
Emtricitabine/Tenofovir disoproxil fumarate and Emtricitabine/Tenofovir
alafenamide - ANSWERS-post-exposure prophylaxis for HIV
Osteoarthritis S&S, diagnostics, treatment - ANSWERS-S&S - weight bearing
joints, heberden nodes, bouchard nodes, better in morning but worse as day
progresses, limited ROM, crepitus
Diagnosis - synovial aspirate normal, xray shows narrow joint space and
osteophytes
Management - aspirin, tylenol, NSAIDs
Rheumatoid arthritis S&S, diagnostics, treatment - ANSWERS-S&S -
extremities (mostly hands), swelling, heat, worse in morning but improves as
day progresses
Diagnosis - ESR elevated, ANA positive, synovial aspirate with inflammatory
changes and WBCs, xray with cortical thinning and joint space narrowing
Management - NSAIDs, DMARDs
Compartment syndrome S&S, diagnostics, treatment - ANSWERS-S&S - severe
ischemic pain, parasthesias, muscel stretch painful, loss of sensory/motor
function
Diagnosis - ICP >30mmHg
Management - fasciotomy
,Systemic Lupus Erythematosus S&S, diagnostics, treatment - ANSWERS-S&S -
butterfly rash, periungual erythema, splinter hemorrhages, alopecia,
raynaud's
Diagnosis - ANA+, anemia, leukopenia, thrombocytopenia
Management - NSAIDs, hydroxychloroquine, glucocorticoids
hypervolemic hypotonic hyponatremia - ANSWERS-edema, CHF, liver disease,
renal failure
must restrict fluids
hypertonic hyponatremia serum osmolality and causes - ANSWERS-serum
osmolality >290
causes - HHS
hypokalemia causes, signs/symptoms, treatment - ANSWERS-causes -
diuretics, GI losses, renal loss, alkalosis
signs/symptoms - weakness, fatigue, cramps, broad T waves, u waves
treatment - oral replacement if >2.5, 40mEq/L/hr IV if severe
hyperkalemia causes, signs/symptoms, treatment - ANSWERS-causes - renal
failure, drugs, hypoaldosteronism
signs/symptoms - weakness, flaccid paralysis, abdominal distension, diarrhea,
peaked T waves
treatment - ion resin exchange (kayexalate), insulin, D5W
hypocalcemia causes, signs/symptoms, treatment - ANSWERS-causes -
pancreatitis, renal failure, trauma, massive transfusions
, symptoms - increased DTRs, cramps, convulsions, prolonged QT, Chvostek's
and Trousseau's sign
treatment - check for alkalosis, IV calcium gluconate if acute, oral
supplements if chronic
hypercalcemia causes, signs/symptoms, treatment - ANSWERS-causes -
vitamin D intoxication, immobilization, thiazide diuretics
symptoms - fatigue, muscle weakness, constipation, coma, death
treatment - calcitonin if renal/card involvement, NS, loop diuretics, dialysis if
severe
respiratory acidosis causes, signs/symptoms, treatment - ANSWERS-causes -
hypoventilation (pH<7.35, pCO2>45)
symptoms - somnolence, confusion, coma, myoclonus with asterixis
treatment - narcan if unknown cause, increased ventilator rate
respiratory alkalosis causes, signs/symptoms, treatment - ANSWERS-causes -
hyperventilation (pH>7.45, pCO2<35)
symptoms - lightheadedness, tingling, tetany if severe
treatment - paper bag breathing, decreased ventilator rate
metabolic acidosis types, causes, treatment - ANSWERS-types:
increased anion gap - DKA, alcoholic ketoacidosis, lactic acidosis
normal anion gap - diarrhea, ileostomy, renal tubular acidosis, DKA recovery
treat with fluids
