AGACNP 106 Document Questions
and Answers | Latest Version |
2025/2026 | Correct & Verified
What is the most reliable indicator of adequate tissue perfusion in a shock patient?
✔✔Urine output greater than 0.5 mL/kg/hr
What is the first diagnostic test to order when a patient presents with acute chest pain and
shortness of breath?
✔✔12-lead electrocardiogram
What is the best initial intervention for a patient in hypertensive emergency with altered mental
status?
✔✔Administer IV antihypertensives and monitor neurologic status
What is the most appropriate response to a patient developing stridor after extubation?
✔✔Call for immediate airway support and prepare for reintubation
What lab finding is most consistent with acute pancreatitis?
1
,✔✔Elevated serum lipase
What imaging study is most useful for evaluating suspected pulmonary embolism in a stable
patient?
✔✔CT pulmonary angiography
What is the first-line vasopressor for septic shock unresponsive to fluids?
✔✔Norepinephrine
What electrolyte disturbance should be corrected before initiating magnesium sulfate in a patient
with torsades de pointes?
✔✔Hypokalemia
What is the most appropriate action when a central line is suspected to be the source of sepsis?
✔✔Remove the line and send the tip for culture
What finding is most specific for deep vein thrombosis on Doppler ultrasound?
✔✔Non-compressibility of the vein
2
,What condition is most associated with widened pulse pressure and bounding pulses?
✔✔Aortic regurgitation
What is the recommended target glucose range for critically ill patients in the ICU?
✔✔140–180 mg/dL
What is the most appropriate test to confirm diagnosis of C. difficile colitis?
✔✔Stool PCR for toxin gene
What is the most urgent concern in a patient with new-onset confusion, tachycardia, and fever
after surgery?
✔✔Postoperative sepsis
What test should be ordered first in a patient with suspected upper GI bleed and hypotension?
✔✔Type and crossmatch for blood transfusion
3
, What is the appropriate next step for a patient with suspected acute stroke within 3 hours of
symptom onset?
✔✔Activate stroke protocol and order emergent non-contrast head CT
What medication is first-line for rate control in a stable patient with new-onset atrial fibrillation?
✔✔IV metoprolol
What is the initial treatment for hyperkalemia with ECG changes?
✔✔IV calcium gluconate
What is the most likely cause of decreased breath sounds and tracheal deviation after central line
placement?
✔✔Tension pneumothorax
What is the preferred method to confirm endotracheal tube placement in an intubated patient?
✔✔End-tidal CO₂ waveform capnography
What finding is most consistent with cardiogenic shock?
4
and Answers | Latest Version |
2025/2026 | Correct & Verified
What is the most reliable indicator of adequate tissue perfusion in a shock patient?
✔✔Urine output greater than 0.5 mL/kg/hr
What is the first diagnostic test to order when a patient presents with acute chest pain and
shortness of breath?
✔✔12-lead electrocardiogram
What is the best initial intervention for a patient in hypertensive emergency with altered mental
status?
✔✔Administer IV antihypertensives and monitor neurologic status
What is the most appropriate response to a patient developing stridor after extubation?
✔✔Call for immediate airway support and prepare for reintubation
What lab finding is most consistent with acute pancreatitis?
1
,✔✔Elevated serum lipase
What imaging study is most useful for evaluating suspected pulmonary embolism in a stable
patient?
✔✔CT pulmonary angiography
What is the first-line vasopressor for septic shock unresponsive to fluids?
✔✔Norepinephrine
What electrolyte disturbance should be corrected before initiating magnesium sulfate in a patient
with torsades de pointes?
✔✔Hypokalemia
What is the most appropriate action when a central line is suspected to be the source of sepsis?
✔✔Remove the line and send the tip for culture
What finding is most specific for deep vein thrombosis on Doppler ultrasound?
✔✔Non-compressibility of the vein
2
,What condition is most associated with widened pulse pressure and bounding pulses?
✔✔Aortic regurgitation
What is the recommended target glucose range for critically ill patients in the ICU?
✔✔140–180 mg/dL
What is the most appropriate test to confirm diagnosis of C. difficile colitis?
✔✔Stool PCR for toxin gene
What is the most urgent concern in a patient with new-onset confusion, tachycardia, and fever
after surgery?
✔✔Postoperative sepsis
What test should be ordered first in a patient with suspected upper GI bleed and hypotension?
✔✔Type and crossmatch for blood transfusion
3
, What is the appropriate next step for a patient with suspected acute stroke within 3 hours of
symptom onset?
✔✔Activate stroke protocol and order emergent non-contrast head CT
What medication is first-line for rate control in a stable patient with new-onset atrial fibrillation?
✔✔IV metoprolol
What is the initial treatment for hyperkalemia with ECG changes?
✔✔IV calcium gluconate
What is the most likely cause of decreased breath sounds and tracheal deviation after central line
placement?
✔✔Tension pneumothorax
What is the preferred method to confirm endotracheal tube placement in an intubated patient?
✔✔End-tidal CO₂ waveform capnography
What finding is most consistent with cardiogenic shock?
4
