AGACNP 106 CERTIFICATION REVIEW
SCRIPT 2026 ANSWERS GRADED A+
⩥ What is the most preventable death? Answer: Tobacco
⩥ Highest mortality in the US following heart disease? Answer: CA
⩥ If gyn patient refuses a pelvic exam, what should you do? Answer:
Research alternatives
⩥ Contraindication for a IABP? Answer: -Aortic valve insufficiency
-Moderate-severe aortic regurgitation
-Dissecting aortic aneurysm
⩥ Managing Asthma in Adults Answer: Step 1: SABA -Albuterol
Step 2: ICS (Budesonide, fluticasone, trimcinolone)
Step 3: Low dose ICS + LABA -Salmeterol, fomoterol
-Combo: Salmeterol + fluticasone=advair
fomoterol + budesonide= symbicort
Step 4: medium dose ICS +LABA
Step 5: high dose ICS+LABA
Step 6: high dose ICS+LABA + Oral corticosteroid
,⩥ Ulcerative Colitis Treatment Answer: 1. Mesalamine (Canasa)
suppositories or enemas for 3 to 12 weeks
2. Hydrocortisone suppositories and enema
⩥ Diverticulitis Treatment Answer: 1. NPO
2. IVF to maintain hydration
3. Significant GI bleeding is present, treat like PUD
4. 20-30% of patients will require surgical management: Surgical consult
UpToDate: ATB cipro/flagyl or levo/flagyl
surgical consult on admit
⩥ SIADH Labs/Diagnostics Answer: -Hyponatremia (yet euvolemic)
-Decreased serum osmolality (<280)
-Increased serum urine osmolality (>100)
-Urine sodium >20
-Renal, cardiac, thyroid function normal
⩥ DI Labs/Diagnostics Answer: -Hypernatremia
-Elevated BUN/Creatinine
-Serum osmolality >290
, -Urine osmolality <100
-Urine specific gravity low <1.005
⩥ What side effect to watch for Metoclopramide (Reglan)? Answer: -
EPS - tardive dyskinesia
-Black Box warning
⩥ What is a contraindication for using Succinylcholine? Answer:
Hyperkalemia
⩥ Collaborative Practice Answer: -Enhance quality of care
-Improve patient outcome
-Collaboration = true partnership in which all parties have desire and
power, share common goals, accept separate areas of responsibilities and
activities
⩥ Pericarditis
Treatment?
Test to identify?
SCRIPT 2026 ANSWERS GRADED A+
⩥ What is the most preventable death? Answer: Tobacco
⩥ Highest mortality in the US following heart disease? Answer: CA
⩥ If gyn patient refuses a pelvic exam, what should you do? Answer:
Research alternatives
⩥ Contraindication for a IABP? Answer: -Aortic valve insufficiency
-Moderate-severe aortic regurgitation
-Dissecting aortic aneurysm
⩥ Managing Asthma in Adults Answer: Step 1: SABA -Albuterol
Step 2: ICS (Budesonide, fluticasone, trimcinolone)
Step 3: Low dose ICS + LABA -Salmeterol, fomoterol
-Combo: Salmeterol + fluticasone=advair
fomoterol + budesonide= symbicort
Step 4: medium dose ICS +LABA
Step 5: high dose ICS+LABA
Step 6: high dose ICS+LABA + Oral corticosteroid
,⩥ Ulcerative Colitis Treatment Answer: 1. Mesalamine (Canasa)
suppositories or enemas for 3 to 12 weeks
2. Hydrocortisone suppositories and enema
⩥ Diverticulitis Treatment Answer: 1. NPO
2. IVF to maintain hydration
3. Significant GI bleeding is present, treat like PUD
4. 20-30% of patients will require surgical management: Surgical consult
UpToDate: ATB cipro/flagyl or levo/flagyl
surgical consult on admit
⩥ SIADH Labs/Diagnostics Answer: -Hyponatremia (yet euvolemic)
-Decreased serum osmolality (<280)
-Increased serum urine osmolality (>100)
-Urine sodium >20
-Renal, cardiac, thyroid function normal
⩥ DI Labs/Diagnostics Answer: -Hypernatremia
-Elevated BUN/Creatinine
-Serum osmolality >290
, -Urine osmolality <100
-Urine specific gravity low <1.005
⩥ What side effect to watch for Metoclopramide (Reglan)? Answer: -
EPS - tardive dyskinesia
-Black Box warning
⩥ What is a contraindication for using Succinylcholine? Answer:
Hyperkalemia
⩥ Collaborative Practice Answer: -Enhance quality of care
-Improve patient outcome
-Collaboration = true partnership in which all parties have desire and
power, share common goals, accept separate areas of responsibilities and
activities
⩥ Pericarditis
Treatment?
Test to identify?
