AGACNP AACN Board Exam QUESTIONS AND CORRECT
ANSWERS| ACCURATE REAL EXAM WITH FREQUENTLY TESTED
QUESTIONS|ALREADY A GRADED|GUARANTEED PASS|LATEST
UPDATE 2025
CPGs for hypertensive urgency BP reduction - CORRECT ANSWER-10-25% in the 1st
hour, then 160/100 within 6h, then to normal over next 24h.
Septal MI - CORRECT ANSWER-V1, V2
LAD
Anterior MI - CORRECT ANSWER-V3, V4
LAD
Inferior/posterior MI - CORRECT ANSWER-II, III, aVF
RCA
Lateral MI - CORRECT ANSWER-I, aVL, V5, V6
Circumflex
,Endocarditis - CORRECT ANSWER-Echo shows vegetation, abscess, or valve
dysfunction. Tx ABX
Pulsus paradoxus - CORRECT ANSWER-Fall in SBP >10 mmHg during inspiration
S4 gallop - CORRECT ANSWER-Common in aortic stenosis
Pericarditis - CORRECT ANSWER-Often present w/ friction rub, sharp CP w/
inspiration, low-grade fever, muffled heart tones, hypotension. Tx w/ colchicine.
Pulmonary edema - CORRECT ANSWER-Pink/frothy sputum. Tachypnea, dyspnea, b/l
wheeze. CXR shows alveolar infiltrates, kerley B lines, and pleural effusions.
Cardiac tamponade - CORRECT ANSWER-Becks Triad= muffled tones, JVD, HoTN.
Narrow pulse pressure. Low C.O., low BP, tachy, high RR, JVD, pulsus paradoxus.
Diagnose w/ Echo
A-FIb ablation - CORRECT ANSWER->90% pulmonary veins. Anticoags for 2-3 months
following.
NYHA HF Classification - CORRECT ANSWER-Stages of HF:
Class I (mild): no sx, no limitations
Class II (mild): no sx @ rest, slight limitation, ordinary activity leads to sx
,Class III (moderate): no sx @ rest, marked limitation w/ physical activity, less than
ordinary activity results in sx
Class IV (severe): sx @ rest, unable to do any physical activity w/o discomfort
Nitroglycerin - CORRECT ANSWER-Vasodilator, causes hypotension, HA.
AHA guideline statin therapy - CORRECT ANSWER-Age 40-75 w/ DM and LDL >/= 70
should get moderate to high intensity statin therapy
Hyperkalemia ECG changes - CORRECT ANSWER-• Tall/peaked T wave
• Prolonged PR
• ST depression
• Wide QRS
• Loss of P wave
• V-FIb
• Ventricular standstill
Common complication of carotid endarterectomy - CORRECT ANSWER-Hypoglossal
nerve damage, tongue deviation ipsilateral side of surgery.
Common rhythm w/ TOF - CORRECT ANSWER-V-Tach
, Statin side effect - CORRECT ANSWER-Causes painful muscle spasms 2/2 skeletal
muscle breakdown, increased CK levels.
ACS medications - CORRECT ANSWER-Aspirin 1st (antiplatelet), nitroglycerin for
ischemia, beta blocker to reduce cardiac workload by reducing HR.
Cardiac resynchronization therapy - CORRECT ANSWER-Uses 3 leads (RA, RV, LV) to
improve ventricular filling and cardiac output.
Clopidogrel (Plavix) - CORRECT ANSWER-Antiplatelet;
Loading dose 300 mg, then 75 mg daily
Digoxin toxicity - CORRECT ANSWER-Brady, PVCs, LBBB.
*Diltiazem known to increase digoxin levels, worsening toxicity. Tx= digibind.
SVT - CORRECT ANSWER-tachy 100-300 bpm, generally narrow QRS complexes, and P
wave often buried in or after the QRS complex.
Postural orthostatic tachycardia syndrome (POTS) - CORRECT ANSWER-Usually
triggered lying to standing. Sx= lightheadedness, fainting, and rapid HR.
Tx= increase Na+ and fluids, add beta blocker.
ANSWERS| ACCURATE REAL EXAM WITH FREQUENTLY TESTED
QUESTIONS|ALREADY A GRADED|GUARANTEED PASS|LATEST
UPDATE 2025
CPGs for hypertensive urgency BP reduction - CORRECT ANSWER-10-25% in the 1st
hour, then 160/100 within 6h, then to normal over next 24h.
Septal MI - CORRECT ANSWER-V1, V2
LAD
Anterior MI - CORRECT ANSWER-V3, V4
LAD
Inferior/posterior MI - CORRECT ANSWER-II, III, aVF
RCA
Lateral MI - CORRECT ANSWER-I, aVL, V5, V6
Circumflex
,Endocarditis - CORRECT ANSWER-Echo shows vegetation, abscess, or valve
dysfunction. Tx ABX
Pulsus paradoxus - CORRECT ANSWER-Fall in SBP >10 mmHg during inspiration
S4 gallop - CORRECT ANSWER-Common in aortic stenosis
Pericarditis - CORRECT ANSWER-Often present w/ friction rub, sharp CP w/
inspiration, low-grade fever, muffled heart tones, hypotension. Tx w/ colchicine.
Pulmonary edema - CORRECT ANSWER-Pink/frothy sputum. Tachypnea, dyspnea, b/l
wheeze. CXR shows alveolar infiltrates, kerley B lines, and pleural effusions.
Cardiac tamponade - CORRECT ANSWER-Becks Triad= muffled tones, JVD, HoTN.
Narrow pulse pressure. Low C.O., low BP, tachy, high RR, JVD, pulsus paradoxus.
Diagnose w/ Echo
A-FIb ablation - CORRECT ANSWER->90% pulmonary veins. Anticoags for 2-3 months
following.
NYHA HF Classification - CORRECT ANSWER-Stages of HF:
Class I (mild): no sx, no limitations
Class II (mild): no sx @ rest, slight limitation, ordinary activity leads to sx
,Class III (moderate): no sx @ rest, marked limitation w/ physical activity, less than
ordinary activity results in sx
Class IV (severe): sx @ rest, unable to do any physical activity w/o discomfort
Nitroglycerin - CORRECT ANSWER-Vasodilator, causes hypotension, HA.
AHA guideline statin therapy - CORRECT ANSWER-Age 40-75 w/ DM and LDL >/= 70
should get moderate to high intensity statin therapy
Hyperkalemia ECG changes - CORRECT ANSWER-• Tall/peaked T wave
• Prolonged PR
• ST depression
• Wide QRS
• Loss of P wave
• V-FIb
• Ventricular standstill
Common complication of carotid endarterectomy - CORRECT ANSWER-Hypoglossal
nerve damage, tongue deviation ipsilateral side of surgery.
Common rhythm w/ TOF - CORRECT ANSWER-V-Tach
, Statin side effect - CORRECT ANSWER-Causes painful muscle spasms 2/2 skeletal
muscle breakdown, increased CK levels.
ACS medications - CORRECT ANSWER-Aspirin 1st (antiplatelet), nitroglycerin for
ischemia, beta blocker to reduce cardiac workload by reducing HR.
Cardiac resynchronization therapy - CORRECT ANSWER-Uses 3 leads (RA, RV, LV) to
improve ventricular filling and cardiac output.
Clopidogrel (Plavix) - CORRECT ANSWER-Antiplatelet;
Loading dose 300 mg, then 75 mg daily
Digoxin toxicity - CORRECT ANSWER-Brady, PVCs, LBBB.
*Diltiazem known to increase digoxin levels, worsening toxicity. Tx= digibind.
SVT - CORRECT ANSWER-tachy 100-300 bpm, generally narrow QRS complexes, and P
wave often buried in or after the QRS complex.
Postural orthostatic tachycardia syndrome (POTS) - CORRECT ANSWER-Usually
triggered lying to standing. Sx= lightheadedness, fainting, and rapid HR.
Tx= increase Na+ and fluids, add beta blocker.
