ANCC AGACNP - Frances Guide
Review Questions with Accurate
Answers
15 year old patient with DMI reports increased BG in AM. The ACNP
determines hyperglycemia is d/t dawn phenomenon? What should you
do to his tx regimen? correct answer Increase the insulin dosage at
bedtime
23 yo female presents with DKA. Abg pH 7.3, glucose 520, BP 90/65, HR
120, and she is confused. Which of the following are not included in the
initial management of DKA?
a. isotonic fluids
b. insulin infusion
c. sodium bicarbonate
d. supportive care correct answer c. sodium bicarbonate
Only indicated for DKA if pH <7.1
24 yo male presents with DKA. He is now confused and irritable. AbgL
7.29/33/22. Received isotonic fluids x 1 hour, BP 110/70, HR 90. Blood
glucose is 550. What is the best IV fluid indicated? correct answer 1/2
NS because BG>500
,25yo female presents with green vaginal discharg,e what is the
diagnosis? correct answer Gonorrhea
28 yo female presents with fever, malaise, rash across the back and
splinter hemorrhages, Hgb 10, positive ANA, UA, proteinuria, and
elevated ESR. What is the suspected diagnosis? correct answer SLE
31 yo male with a blowing murmur occurring during S1 and galloping
addition heart sound. Mumur is heard best at the base of the heart.
What is MM? correct answer Mitral regurgitation
32 yo presents with c/o fever, night sweats, and unexplained weight
loss. Upon exam you note a swollen cervical lymph node. A subsequent
CXR reveals mediastinal adenopathy. What is the diagnosis? correct
answer Hodgkin's lymphoma
32yo M presented with a gunshot wound (GSW) to the FA. Injuries are
negligible and pt is stable. Pt reports the shot was an accident during
hunting. What should the NP do? correct answer Report to the police.
All GSW must be reported
35yo Asian american is in good health. He is worried about life
prolonging measures. What is the most likely cause of death for a man
like him? correct answer Unintentional injury (if he's African american,
it's homicide <35 and heart disease at 35)
,35yo F presents with c/o bilateral wrist pain. You suspect spouse abuse.
You notice a handgun in her purse. What would be your next action?
correct answer Call security to ensure safety
36yo with history of Crohn's disease arrives in the ER with c/o abd pain,
frequent vomiting and water bowel movements. You notice high-
pitched, tinkling bowel sounds and a transabdominal US reveals a
partial SBO. Which is not necessary?
a. NPO and IVF
b. NGT for LIS
c. immediate surgical consult
d. monitor for spontaneous resolution correct answer c. immediate
surgical consult
37 yo s/p ET intubation 2 days ago has fever, chills, and purulent
sputum. CXR shows lung infiltrates. Which of the following regimen for
the patient's condition? correct answer Cefepime and ciprofloxacin
38 yo female immobilized for 4 months. Examining her before releasing
you not dyspnea and tachycardia. You suspect PE, but VQ scan does not
confirm. What is the next diagnostic test? correct answer Pulmonary
angiography
42 yo male with epigastric pain that is better after he eats? correct
answer Duodenal ulcer
, 45yo M s/p abd surgery has now developed ARF: BUN 100/cr 4.5, what
are indications for dialysis? correct answer Increased K, metabolic
acidosis, and encephalopathy
45yo s/p double mastectomy 2 months ago. Now is c/o pain at the
incision site correct answer Neuropathic pain
47 yo male comes in complaining of intense right eye pain which has
worsened since he woke up. Eye exam: copious tearing/redness. What
do you do to confirm the suspected diagnosis? correct answer Sodium
fluorescein stain for corneal abrasion
48yo with fever, abdominal pain and bloody diarrhea with h/o chronic
sinusitis, arthritis, and recent DVT. Which represents the most likely
diagnosis and test to order? correct answer Ulcerative colitis,
sigmoidoscopy
49 yo male presents with c/o abdominal swelling that progressed over
2 days. Patient also reports mucous-filled diarrhea and abdominal pain.
Exam is significant for profound abd distention. You suspect SBO. What
type of bowel sounds are associated? correct answer High pitched,
tinkling bowel sounds
50-60 year old patient ith a new diagnosis of cancer. To appropriately
plan for discharge, what should the NP do?
Review Questions with Accurate
Answers
15 year old patient with DMI reports increased BG in AM. The ACNP
determines hyperglycemia is d/t dawn phenomenon? What should you
do to his tx regimen? correct answer Increase the insulin dosage at
bedtime
23 yo female presents with DKA. Abg pH 7.3, glucose 520, BP 90/65, HR
120, and she is confused. Which of the following are not included in the
initial management of DKA?
a. isotonic fluids
b. insulin infusion
c. sodium bicarbonate
d. supportive care correct answer c. sodium bicarbonate
Only indicated for DKA if pH <7.1
24 yo male presents with DKA. He is now confused and irritable. AbgL
7.29/33/22. Received isotonic fluids x 1 hour, BP 110/70, HR 90. Blood
glucose is 550. What is the best IV fluid indicated? correct answer 1/2
NS because BG>500
,25yo female presents with green vaginal discharg,e what is the
diagnosis? correct answer Gonorrhea
28 yo female presents with fever, malaise, rash across the back and
splinter hemorrhages, Hgb 10, positive ANA, UA, proteinuria, and
elevated ESR. What is the suspected diagnosis? correct answer SLE
31 yo male with a blowing murmur occurring during S1 and galloping
addition heart sound. Mumur is heard best at the base of the heart.
What is MM? correct answer Mitral regurgitation
32 yo presents with c/o fever, night sweats, and unexplained weight
loss. Upon exam you note a swollen cervical lymph node. A subsequent
CXR reveals mediastinal adenopathy. What is the diagnosis? correct
answer Hodgkin's lymphoma
32yo M presented with a gunshot wound (GSW) to the FA. Injuries are
negligible and pt is stable. Pt reports the shot was an accident during
hunting. What should the NP do? correct answer Report to the police.
All GSW must be reported
35yo Asian american is in good health. He is worried about life
prolonging measures. What is the most likely cause of death for a man
like him? correct answer Unintentional injury (if he's African american,
it's homicide <35 and heart disease at 35)
,35yo F presents with c/o bilateral wrist pain. You suspect spouse abuse.
You notice a handgun in her purse. What would be your next action?
correct answer Call security to ensure safety
36yo with history of Crohn's disease arrives in the ER with c/o abd pain,
frequent vomiting and water bowel movements. You notice high-
pitched, tinkling bowel sounds and a transabdominal US reveals a
partial SBO. Which is not necessary?
a. NPO and IVF
b. NGT for LIS
c. immediate surgical consult
d. monitor for spontaneous resolution correct answer c. immediate
surgical consult
37 yo s/p ET intubation 2 days ago has fever, chills, and purulent
sputum. CXR shows lung infiltrates. Which of the following regimen for
the patient's condition? correct answer Cefepime and ciprofloxacin
38 yo female immobilized for 4 months. Examining her before releasing
you not dyspnea and tachycardia. You suspect PE, but VQ scan does not
confirm. What is the next diagnostic test? correct answer Pulmonary
angiography
42 yo male with epigastric pain that is better after he eats? correct
answer Duodenal ulcer
, 45yo M s/p abd surgery has now developed ARF: BUN 100/cr 4.5, what
are indications for dialysis? correct answer Increased K, metabolic
acidosis, and encephalopathy
45yo s/p double mastectomy 2 months ago. Now is c/o pain at the
incision site correct answer Neuropathic pain
47 yo male comes in complaining of intense right eye pain which has
worsened since he woke up. Eye exam: copious tearing/redness. What
do you do to confirm the suspected diagnosis? correct answer Sodium
fluorescein stain for corneal abrasion
48yo with fever, abdominal pain and bloody diarrhea with h/o chronic
sinusitis, arthritis, and recent DVT. Which represents the most likely
diagnosis and test to order? correct answer Ulcerative colitis,
sigmoidoscopy
49 yo male presents with c/o abdominal swelling that progressed over
2 days. Patient also reports mucous-filled diarrhea and abdominal pain.
Exam is significant for profound abd distention. You suspect SBO. What
type of bowel sounds are associated? correct answer High pitched,
tinkling bowel sounds
50-60 year old patient ith a new diagnosis of cancer. To appropriately
plan for discharge, what should the NP do?
