1|Page
ANCC Adult-Gerontology Acute Care Nurse
Practitioner (AGACNP-BC) 2025 Exam Review
35 yo. M is admitted to the hospital with viral PNA. During his
hospitalization, a HIV test is drawn and it is positive. Pt is
married with two small children and states that he will not tell
his wife or you have to do it. What is the most appopriate next
step in the management of his care? - . . ANSWER ✓✓ Explain to
him the importance of informing his wife and offering support.
Telling the wife would be a breach of confidentiality.
4 distinct roles for NPs: - . . ANSWER ✓✓ clinician,
consultant/collaborator, educator, researcher
A healthcare plan in which nurse practitioners and MDs are
employed directly by the health plan is: - . . ANSWER ✓✓ a staff-
model health maintenance organization (HMO)
(DIC) Disseminated Intravascular coagulation - . . ANSWER ✓✓
Acquired coagulation disorder which results from the
intraascular activation of both the coagulation and fibrinolytic
,2|Page
system (thrombin and plasmin) causing simultaneous
thrombosis and hemorrhage
Mortality is 50-85%
(HIT) heparin induced thrombocytopenia - . . ANSWER ✓✓ STOP
heparin
Argatoban
Lepirudin
#1 consideration with transplant patients - . . ANSWER ✓✓
Immunosuppressed
101.5 degrees F - . . ANSWER ✓✓ 38.6 degrees C
1st priority is the - . . ANSWER ✓✓ most salvagable pts. Most
critically injured cared for last.
25 yo. M s/p MVC and cannot feed himself. Who do you consult? -
. . ANSWER ✓✓ Occupational Therapy
ABCDE to Melanoma - . . ANSWER ✓✓ Asymmetry
Border irregularity
,3|Page
Color variation
Diameter > 6mm
Elevation
Enlargement
2+ = malignant melanoma
ABCDEE of melanoma - . . ANSWER ✓✓ A: asymmetry
B: border irregularity
C: Color variation
D: diameter >6mm
E: elevation
E: enlargement
2 or more of ABCDEE = 90% sensitivity
Absence (petite mal) - . . ANSWER ✓✓ Sudden arrest of motor
activity with blank stare
Common discovered in children/adolescents; begin and end
suddenly
Absolute contraindications for revascularization - . . ANSWER
✓✓ active bleeding includes abnormal coat values
, 4|Page
Abx given for what type of bite - . . ANSWER ✓✓ Human and
animal bites, give 3-7 day course of p.o prophylactic abc for
coverage of both staph and anaerobes (Augmentin)
ACE Inhibitors drug of choice for which patients - . . ANSWER
✓✓ Commonly drug of choice in pts with DM; watch for cough
and bronchospasm as side effects from this class
Ex: captopril, enalapril, benazepril, ramipril
Acetazolamide - . . ANSWER ✓✓ Diamox
- used in contraction alkalosis
Acid anti-secretory agents for PUD - . . ANSWER ✓✓ H2
receptor antagonists "dines": Cimetidine (tagamet) Ranitidine
(zantac) Famotidine (pepcid) Nizatidine (Axid)
Proton Pump inhibitors "zoles": Lanzoprazole, (prevacid)
Omeprazole(prilosec) pantoprazole (prilosec) ans Esomeprazole
(nexium) Used for patients that cannot discontinue NSAIDS as
well
Acidemia _____Ionized calcium - . . ANSWER ✓✓ increases
Actinic Keratoses - . . ANSWER ✓✓ 1. small patches occurring
on sun exposed parts of the body
ANCC Adult-Gerontology Acute Care Nurse
Practitioner (AGACNP-BC) 2025 Exam Review
35 yo. M is admitted to the hospital with viral PNA. During his
hospitalization, a HIV test is drawn and it is positive. Pt is
married with two small children and states that he will not tell
his wife or you have to do it. What is the most appopriate next
step in the management of his care? - . . ANSWER ✓✓ Explain to
him the importance of informing his wife and offering support.
Telling the wife would be a breach of confidentiality.
4 distinct roles for NPs: - . . ANSWER ✓✓ clinician,
consultant/collaborator, educator, researcher
A healthcare plan in which nurse practitioners and MDs are
employed directly by the health plan is: - . . ANSWER ✓✓ a staff-
model health maintenance organization (HMO)
(DIC) Disseminated Intravascular coagulation - . . ANSWER ✓✓
Acquired coagulation disorder which results from the
intraascular activation of both the coagulation and fibrinolytic
,2|Page
system (thrombin and plasmin) causing simultaneous
thrombosis and hemorrhage
Mortality is 50-85%
(HIT) heparin induced thrombocytopenia - . . ANSWER ✓✓ STOP
heparin
Argatoban
Lepirudin
#1 consideration with transplant patients - . . ANSWER ✓✓
Immunosuppressed
101.5 degrees F - . . ANSWER ✓✓ 38.6 degrees C
1st priority is the - . . ANSWER ✓✓ most salvagable pts. Most
critically injured cared for last.
25 yo. M s/p MVC and cannot feed himself. Who do you consult? -
. . ANSWER ✓✓ Occupational Therapy
ABCDE to Melanoma - . . ANSWER ✓✓ Asymmetry
Border irregularity
,3|Page
Color variation
Diameter > 6mm
Elevation
Enlargement
2+ = malignant melanoma
ABCDEE of melanoma - . . ANSWER ✓✓ A: asymmetry
B: border irregularity
C: Color variation
D: diameter >6mm
E: elevation
E: enlargement
2 or more of ABCDEE = 90% sensitivity
Absence (petite mal) - . . ANSWER ✓✓ Sudden arrest of motor
activity with blank stare
Common discovered in children/adolescents; begin and end
suddenly
Absolute contraindications for revascularization - . . ANSWER
✓✓ active bleeding includes abnormal coat values
, 4|Page
Abx given for what type of bite - . . ANSWER ✓✓ Human and
animal bites, give 3-7 day course of p.o prophylactic abc for
coverage of both staph and anaerobes (Augmentin)
ACE Inhibitors drug of choice for which patients - . . ANSWER
✓✓ Commonly drug of choice in pts with DM; watch for cough
and bronchospasm as side effects from this class
Ex: captopril, enalapril, benazepril, ramipril
Acetazolamide - . . ANSWER ✓✓ Diamox
- used in contraction alkalosis
Acid anti-secretory agents for PUD - . . ANSWER ✓✓ H2
receptor antagonists "dines": Cimetidine (tagamet) Ranitidine
(zantac) Famotidine (pepcid) Nizatidine (Axid)
Proton Pump inhibitors "zoles": Lanzoprazole, (prevacid)
Omeprazole(prilosec) pantoprazole (prilosec) ans Esomeprazole
(nexium) Used for patients that cannot discontinue NSAIDS as
well
Acidemia _____Ionized calcium - . . ANSWER ✓✓ increases
Actinic Keratoses - . . ANSWER ✓✓ 1. small patches occurring
on sun exposed parts of the body
