ACNP BOARDS REVIEW: FITZGERALD
PRACTICE TEST 1. EXAM 2025
QUESTIONS AND ANSWERS
When coding a hospital-based patient encounter, the AGACNP knows that the evaluation and
management (E&M) codes: - ANS Determine the amount of reimbursement.
A 65-year-old female presents with right-sided temporal headache. She also reports ipsilateral
jaw claudication. The AGACNP expects laboratory evaluation to reveal: - ANS An erythrocyte
sedimentation rate >100 mm/h.
The management of critical care patients on neuromuscular blockade must include prophylaxis
for: - ANS Deep vein thrombosis and corneal abrasion.
The Synergy Model provides a comprehensive approach to patient assessment. Consistent with
this model, patient characteristics include all of the following: - ANS Resiliency.
Vulnerability.
Stability.
In accordance with JNC 8 recommendations for the management of hypertension in the adult
=> the age of 60 years, the nurse practitioner instructs the patient that her blood pressure goal
on medication is: - ANS <150/90 mm Hg.
Which of the following is an example of evidenced-based practice in the management of a
patient having an asthma exacerbation? - ANS Preparing for intubation in a patient with a
peak expiratory flow rate (PEFR) of 33% after one hour of emergency care.
1 Copyright ©2025 SIRJOEL ALL RIGHTS RESERVED
, Which of the following best describes Six Sigma? - ANS A quality improvement plan
characterized by limiting variability and removing defects in a process.
Mrs. Das is a 47-year-old patient of Hindi faith. She tells the nurse practitioner that she is very
uncomfortable because she feels unclean - she says she has not been properly washed since
her bowel resection 5 days ago. She is able to move around in bed but she is not yet able to
ambulate to the bathroom. The appropriate response would be to: - ANS Arrange for her to
have a bedside pan of water with a pitcher so that she can clean herself with running water.
Hospitals are required under the U.S. Department of Labor Occupational Safety and Health
Administration (OSHA) to have a Hospital Emergency Response Plan that protects health care
workers dealing with hazardous waste and emergency operations. Joint Commission--
accredited hospitals are further required to: - ANS Implement the plan twice a year either as
an actual response or a drill.
Medicare will not reimburse hospitals for the cost of care associated with hospital-acquired
infection. This is part of a quality improvement effort made possible by: - ANS The Deficit
Reduction Act.
Ms. Brady is a 45-year-old female with stage 3 chronic kidney disease who is treated for anemia
with erythropoietin 4000 units weekly. Within two months of beginning erythropoietin
treatment her hemoglobin has risen to 11.5 g/dL. The appropriate action is to: -
ANS Consider decreasing erythropoietin to 3000 units weekly.
While preparing to suture a traumatic laceration to the pinna, the AGACNP knows that the ring
block technique will produce local anesthesia for the external auditory meatus and the: -
ANS Concha.
The AGACNP has just intubated a 55-year-old female in the emergency department who
presented in respiratory arrest. She is now producing persistent high pressure alarms. The
cause is most likely due to: - ANS Mainstem bronchus intubation.
2 Copyright ©2025 SIRJOEL ALL RIGHTS RESERVED
PRACTICE TEST 1. EXAM 2025
QUESTIONS AND ANSWERS
When coding a hospital-based patient encounter, the AGACNP knows that the evaluation and
management (E&M) codes: - ANS Determine the amount of reimbursement.
A 65-year-old female presents with right-sided temporal headache. She also reports ipsilateral
jaw claudication. The AGACNP expects laboratory evaluation to reveal: - ANS An erythrocyte
sedimentation rate >100 mm/h.
The management of critical care patients on neuromuscular blockade must include prophylaxis
for: - ANS Deep vein thrombosis and corneal abrasion.
The Synergy Model provides a comprehensive approach to patient assessment. Consistent with
this model, patient characteristics include all of the following: - ANS Resiliency.
Vulnerability.
Stability.
In accordance with JNC 8 recommendations for the management of hypertension in the adult
=> the age of 60 years, the nurse practitioner instructs the patient that her blood pressure goal
on medication is: - ANS <150/90 mm Hg.
Which of the following is an example of evidenced-based practice in the management of a
patient having an asthma exacerbation? - ANS Preparing for intubation in a patient with a
peak expiratory flow rate (PEFR) of 33% after one hour of emergency care.
1 Copyright ©2025 SIRJOEL ALL RIGHTS RESERVED
, Which of the following best describes Six Sigma? - ANS A quality improvement plan
characterized by limiting variability and removing defects in a process.
Mrs. Das is a 47-year-old patient of Hindi faith. She tells the nurse practitioner that she is very
uncomfortable because she feels unclean - she says she has not been properly washed since
her bowel resection 5 days ago. She is able to move around in bed but she is not yet able to
ambulate to the bathroom. The appropriate response would be to: - ANS Arrange for her to
have a bedside pan of water with a pitcher so that she can clean herself with running water.
Hospitals are required under the U.S. Department of Labor Occupational Safety and Health
Administration (OSHA) to have a Hospital Emergency Response Plan that protects health care
workers dealing with hazardous waste and emergency operations. Joint Commission--
accredited hospitals are further required to: - ANS Implement the plan twice a year either as
an actual response or a drill.
Medicare will not reimburse hospitals for the cost of care associated with hospital-acquired
infection. This is part of a quality improvement effort made possible by: - ANS The Deficit
Reduction Act.
Ms. Brady is a 45-year-old female with stage 3 chronic kidney disease who is treated for anemia
with erythropoietin 4000 units weekly. Within two months of beginning erythropoietin
treatment her hemoglobin has risen to 11.5 g/dL. The appropriate action is to: -
ANS Consider decreasing erythropoietin to 3000 units weekly.
While preparing to suture a traumatic laceration to the pinna, the AGACNP knows that the ring
block technique will produce local anesthesia for the external auditory meatus and the: -
ANS Concha.
The AGACNP has just intubated a 55-year-old female in the emergency department who
presented in respiratory arrest. She is now producing persistent high pressure alarms. The
cause is most likely due to: - ANS Mainstem bronchus intubation.
2 Copyright ©2025 SIRJOEL ALL RIGHTS RESERVED
