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ANCC AGACNP - FRANCES GUIDE
PREP EXAM TEST BANK 2026 | ALL
QUESTIONS AND VERIFIED
ANSWERS |RATED A+ | NEW AND
REVISED
Your 24m patient has been out hiking on vacation. He shows you the
following rash, and thinks he has Rocky Mountain Spotted Fever. What
is his diagnoses? - ANSWER- Lyme disease (Erythema
migrans/bullseye rash), both are treated with doxycycline
Your patient is a Chinese female immigrant living in the US. You notice
she is avoiding eye contact. What is this due to?
a. shame because she feels the illness is her fault
b. embarrassment from the examination
c. a sign of respect
d. a normal response - ANSWER- c. a sign of respect
Your patient speaks only spanish and you need to evaluate his pain.
What do you do?
a. ask a family member to translate for you
b. utilize the hospital's interpreter service
c. call over the Hispanic housekeeper and ask her to translate
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d. Use a visual pain scale - ANSWER- D. use a visual pain scale
58yo Japanese male with CP 4/10 for 3 hours, reluctant to answer
questions. Which of the following in the Ed warrant admission?
a. age
b. gender
c. pain level
d. ethnicity - ANSWER- d. ethnicity (underestimates pain, taught to be
stoic, pain is probably much more severe)
A 77yo male patient's wife cares for him at home .Which statement by
the wife indicates a need for a SNF?
a. my husband needs more help with his ADLs
b. I can't lift him out of bed anymore
c. he has lost 20 pounds
d. he has trouble swallowing and I'm worried he will choke on his food -
ANSWER- a. my husband needs more help with his ADLs
Which psychiatric disorder is most commonly diagnosed, yet least
commonly treated?
a. bipolar disorder
b. alzheimer disease
c. depression
d. dementia - ANSWER- c. depression
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Your patient with PNA is noted to have a heavy drinking habit. 2 days
post admit he becomes combative/agitated. What is tx?
a. IV valium
b. IV ativan
c. PO librium
d. lasix - ANSWER- c. PO librium
Your patient has developed a fever of unknown origin. What is the next
step?
a. PO abx
b. IV abx
c. do nothing until diagnosis is confirmed
d. tylenol - ANSWER- c. do nothing until diagnosis is confirmed
How long will it take to begin to see healing in a pressure ulcer that has
a clean, well-vascularized bed?
a. 7 days
b. 2-4 weeks
c. 2 days
d. 4-6 weeks - ANSWER- c. 2 days
The patient has been in a bar fight and has a human bite on his hand.
What should you do next?
a. order PO abx
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b. order wound culture
c. order IV abx
d. measure the wound depth and width - ANSWER- a. Order PO abx
Your patient has a chronic, nonhealing decubitus ulcer. He c/o pain
when he moves his leg. What is a potential complication?
a. compartment syndrome
b. decrease in ROM ability
c. septic shock
d. osteomyelitis - ANSWER- d. osteomyelitis
What is the strongest predictor of functional impairment prior to
discharge of the elderly patient?
a. advanced age
b. incontinence
c. cognitive impairment
d. poor balance - ANSWER- c. cognitive impairment
Your patient has been taking Thorazine and now has fever, sweating,
lethargy, and a temp of 39.4 (102.2)
a. give IVF
b. antipyretic
c. abx
ANCC AGACNP - FRANCES GUIDE
PREP EXAM TEST BANK 2026 | ALL
QUESTIONS AND VERIFIED
ANSWERS |RATED A+ | NEW AND
REVISED
Your 24m patient has been out hiking on vacation. He shows you the
following rash, and thinks he has Rocky Mountain Spotted Fever. What
is his diagnoses? - ANSWER- Lyme disease (Erythema
migrans/bullseye rash), both are treated with doxycycline
Your patient is a Chinese female immigrant living in the US. You notice
she is avoiding eye contact. What is this due to?
a. shame because she feels the illness is her fault
b. embarrassment from the examination
c. a sign of respect
d. a normal response - ANSWER- c. a sign of respect
Your patient speaks only spanish and you need to evaluate his pain.
What do you do?
a. ask a family member to translate for you
b. utilize the hospital's interpreter service
c. call over the Hispanic housekeeper and ask her to translate
,2|Page
d. Use a visual pain scale - ANSWER- D. use a visual pain scale
58yo Japanese male with CP 4/10 for 3 hours, reluctant to answer
questions. Which of the following in the Ed warrant admission?
a. age
b. gender
c. pain level
d. ethnicity - ANSWER- d. ethnicity (underestimates pain, taught to be
stoic, pain is probably much more severe)
A 77yo male patient's wife cares for him at home .Which statement by
the wife indicates a need for a SNF?
a. my husband needs more help with his ADLs
b. I can't lift him out of bed anymore
c. he has lost 20 pounds
d. he has trouble swallowing and I'm worried he will choke on his food -
ANSWER- a. my husband needs more help with his ADLs
Which psychiatric disorder is most commonly diagnosed, yet least
commonly treated?
a. bipolar disorder
b. alzheimer disease
c. depression
d. dementia - ANSWER- c. depression
,3|Page
Your patient with PNA is noted to have a heavy drinking habit. 2 days
post admit he becomes combative/agitated. What is tx?
a. IV valium
b. IV ativan
c. PO librium
d. lasix - ANSWER- c. PO librium
Your patient has developed a fever of unknown origin. What is the next
step?
a. PO abx
b. IV abx
c. do nothing until diagnosis is confirmed
d. tylenol - ANSWER- c. do nothing until diagnosis is confirmed
How long will it take to begin to see healing in a pressure ulcer that has
a clean, well-vascularized bed?
a. 7 days
b. 2-4 weeks
c. 2 days
d. 4-6 weeks - ANSWER- c. 2 days
The patient has been in a bar fight and has a human bite on his hand.
What should you do next?
a. order PO abx
, 4|Page
b. order wound culture
c. order IV abx
d. measure the wound depth and width - ANSWER- a. Order PO abx
Your patient has a chronic, nonhealing decubitus ulcer. He c/o pain
when he moves his leg. What is a potential complication?
a. compartment syndrome
b. decrease in ROM ability
c. septic shock
d. osteomyelitis - ANSWER- d. osteomyelitis
What is the strongest predictor of functional impairment prior to
discharge of the elderly patient?
a. advanced age
b. incontinence
c. cognitive impairment
d. poor balance - ANSWER- c. cognitive impairment
Your patient has been taking Thorazine and now has fever, sweating,
lethargy, and a temp of 39.4 (102.2)
a. give IVF
b. antipyretic
c. abx
