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Examen

2025/2026 AG-ACNP Exam Review – 90 High-Yield Q&As with Detailed Rationales | Asthma, COPD, Pneumonia, ARDS, TB, Vent Settings & Pulmonary Mastery

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Escrito en
2024/2025

This advanced and fully updated study guide includes 90 expert-level board-style questions and answers meticulously designed for the 2025/2026 Adult-Gerontology Acute Care Nurse Practitioner (AG-ACNP) certification exam. With a specialized focus on pulmonary and critical care topics, this resource prepares students and practitioners for high-stakes scenarios encountered in acute and emergency settings. Topics covered reflect the real complexity of acute care NP practice: Pulmonary Disorders: Full-spectrum management of asthma (acute, outpatient, status asthmaticus), COPD, pneumonitis, pneumothorax, ARDS, TB, and pleural effusions Infectious Disease: CAP, HAP, VAP, MRSA PNA, and TB pharmacotherapy (including duration, monitoring, and risks like ethambutol-induced vision loss) Critical Care & Ventilation: Detailed explanations of mechanical ventilation modes (Assist Control, SIMV, CPAP, Pressure Support), tidal volume settings, PEEP effects, ARDS management protocols, and weaning criteria Diagnostics & Monitoring: CXR interpretation, ABG analysis, PaO2/FiO2 ratios, and indications for ICU admission Emergency Interventions: Recognition and immediate management of life-threatening conditions like tension pneumothorax, refractory hypoxemia, and pulmonary embolism The document emphasizes gold-standard diagnostics and evidence-based interventions aligned with current AACN/ANCC board expectations and acute care clinical guidelines. Who this document is for: AG-ACNP students enrolled in DNP or MSN programs preparing for 2025/2026 certification Nurse practitioner residents working in critical care, ED, or pulmonary settings Acute care clinical instructors and preceptors developing board-relevant review or exam content Practicing nurse practitioners preparing for recertification with a need to review pulmonary and ICU management principles Keywords: AGACNP 2025 review, pulmonary board prep, asthma exacerbation management, COPD outpatient therapy, pneumonia antibiotics, ventilator settings, tidal volume, PEEP effects, ARDS diagnostic criteria, TB drug therapy, pleural effusion on CXR, respiratory failure, status asthmaticus, PE diagnosis, pulmonary hypertension, pressure support, mechanical ventilation modes, sputum culture protocol

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Institución
AG-ACNP
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AG-ACNP

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Subido en
29 de julio de 2025
Número de páginas
18
Escrito en
2024/2025
Tipo
Examen
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Preguntas y respuestas

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AG-ACNP Boards 2025/2026 Exam
Questions with 100% Correct Answers |
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58 yo. M presents to ED with complaints of dry cough. CXR revealed generalized,

inflamed film throughout. What is the most likely diagnosis? - 🧠 ANSWER

✔✔Pneumonitis


What drug has been known to prevent nosocomial PNA? - 🧠 ANSWER

✔✔Sulcarafate (Carafate) - Mucosal Protective Agent


What is an initial finding associated with a pulmonary embolism? - 🧠 ANSWER

✔✔Respiratory Alkalosis - secondary to increased RR and blowing off CO2


What is diagnostic of pulmonary HTN? - 🧠 ANSWER ✔✔2D echo


Your patient is intubated on the following settings: SIMV/FiO2 .6/PEEP 5. You

notice shunting. What should your next action be? - 🧠 ANSWER ✔✔Increase

,PEEP from 5 to 10 to recruit alveoli and increase surface area to improve

oxygenation

32 yo. M with PMH significant for mitral valve replacement now complains of

wheezing during physical activity 2-3 times/week. What should you do next? - 🧠

ANSWER ✔✔Send patient for pulmonary function testing.


What is the pathology of asthma? - 🧠 ANSWER ✔✔Increased

responsiveness/hyperresponsiveness of the trachea and bronchi to a stimuli.

Acute inflammation

Narrowing of airways

Hypertrophy of smooth muscle

Mucosal plugging of airways

What are the hallmark signs and symptoms of asthma? - 🧠 ANSWER

✔✔Respiratory distress at rest


Difficulty speaking in sentences

RR > 28

Pulsus paradoxus > 12 mmHg

, What PFT value is suggestive of an obstructive disease? - 🧠 ANSWER

✔✔Decreased FEV1


Which acid-base imbalance is associated with asthma? - 🧠 ANSWER

✔✔Respiratory Alkalosis with mild hypoxemia


What PFT values would indicate hospitalization of an asthmatic patient? - 🧠

ANSWER ✔✔Decreased FEV1 <30% predicted OR


does not increase to at least 40% predicted after 1 hr.




Peak flow is <60 L/min initially OR does not increase to >50% predicted after 1 hr

tx

What are the ominous findings associated with an asthma exacerbation? - 🧠

ANSWER ✔✔Extreme fatigue


Lethargy

ABG - hypercapnea >pCO2 >45 mmHg = EMERGENCY

What is the outpatient daily management drug for asthma? - 🧠 ANSWER

✔✔Inhaled Corticosteroids - Budesonide (Pulmicort)




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