AGACNP Exam Questions With Correct
Answers
Which of the following sedative agents can act as a negative inotrope?
| | | | | | | | | | | |
Select all that apply.
| | | |
a. Propofol
| |
b. Fentanyl
|
c. Dexmedetomidine
|
d. Midazolam - CORRECT ANSWER✔✔-Propofol & Dexmedetomidine
| | | | | |
Which of the following CSF findings is most likely in a patient with
| | | | | | | | | | | | |
bacterial meningitis?
| |
a. Lymphocyte predominance
| | |
b. Decreased opening pressures on lumbar puncture
| | | | | |
c. increased glucose
| |
d. increase protein - CORRECT ANSWER✔✔-Increased protein
| | | | | |
A NP's license can be jeopardized by improper actions. What's an
| | | | | | | | | | |
example of an action that would put an NP's license in jeopardy?
| | | | | | | | | | | |
a. You appropriately delegate medication administration to a trusted RN
| | | | | | | | | |
employee who administers a fatal dose
| | | | | |
,b. You delegate client assessment tasks to an LPN who has been floated
| | | | | | | | | | | | |
to your unit fort he day
| | | | |
c. You provide nursing care services consistent with established
| | | | | | | | |
standards of practice in your jurisdiction
| | | | | |
d. The medical assistant in your supervision physician's office exceeds
| | | | | | | | | |
the scope of her authority, but you take prompt action to correct the
| | | | | | | | | | | | |
problem - CORRECT ANSWER✔✔-B| | |
A 19-year-old male college student presents with fever, headache and
| | | | | | | | | |
petechia rash. A LP is performed. Grain stain of his CSF shows gram
| | | | | | | | | | | | |
negative diplococci. Which of the following organisms is the cause of his
| | | | | | | | | | |
symptoms?
|
a. Streptococcus pneumonia
| |
b. Cryptococcal meningitis
| | |
c. Neisseria meningitis
| | |
d. Listeria monocytogenes - CORRECT ANSWER✔✔-Neisseria Meningitis
| | | | | |
What differentiates delirium from dementia?
| | | |
a. personality changes
| |
b. global confusion
| |
c. age of onset
| | |
d. reversibility
| |
c. short-term memory impairment - CORRECT ANSWER✔✔-Reversibility
| | | | | |
,Pupil Abnormalities usually point to problems in the midbrain or CNIII. -
| | | | | | | | | | | |
CORRECT ANSWER✔✔-True |
A pt with uncontrolled HTN presents to ED w/ loss of consciousness at
| | | | | | | | | | | | |
home. There is no history of trauma or ingestion and his wife states that
| | | | | | | | | | | | | |
he complained of a headache and vomiting earlier, and appeared to be
| | | | | | | | | | | |
drowsy. She checked on him after he had returned to the bedroom to
| | | | | | | | | | | | |
rest, but she was unable to arouse him. Exam is significant for pinpoint
| | | | | | | | | | | | |
pupils that are bilaterally reactive and total paralysis. Which is
| | | | | | | | | |
consistent with the history & presentation? | | | | |
a. Subarachnoid hemorrhage
| |
b. Pontine hemorrhage
| | |
c. MCA ischemic stroke
| | |
d. Vertebrobasilar artery stroke - CORRECT ANSWER✔✔-Pontine
| | | | | | |
hemorrhage
Contraindication for tPA - CORRECT ANSWER✔✔-Prior intracranial | | | | | | |
hemorrhage at any time | | |
Headache described as: severe, unilateral throbbing pain that is
| | | | | | | | |
aggravated by movement, associated with nausea and sensitivity to
| | | | | | | | |
light. Physical exam is completely normal - what is the likely diagnosis?
| | | | | | | | | | |
a. Migraine headache
| |
, b. Tension headache
| |
c. Cluster headache
| |
d. nummular headache - CORRECT ANSWER✔✔-Migraine
| | | | |
50 y/o male with weakness in legs that has progressed over 2 days.
| | | | | | | | | | | | |
PMH: DM, HTN & recent resp. infection. He reports numbness and
| | | | | | | | | | |
tingling in his feet and his exam is significant for decreased ankle jerk
| | | | | | | | | | | | |
reflexes. The NP suspect Guillian-Barre Syndrome. Which of the
| | | | | | | | |
following is true? | |
a. It is caused by autoantibodies to acetylcholine receptors
| | | | | | | |
b. Creatinine phosphokinase may be elevated
| | | | |
c. ESR will be decreased
| | | |
d. CSF protein is reduced - CORRECT ANSWER✔✔-Creatinine
| | | | | | | |
phosphokinase may be elevated | | |
Which of the following characterizes a patient who is experiences a
| | | | | | | | | | |
simple partial seizure? - CORRECT ANSWER✔✔-Abnormal motor
| | | | | | |
behavior in an awake state that lasts 2 minutes
| | | | | | | |
Which of the following would you expect in the evaluation of a patient
| | | | | | | | | | | | |
with Parkinson's disease?
| |
a. Ataxia and occulomotor dysfunction
| | | |
b. Sensory loss and muscle weakness
| | | | |
Answers
Which of the following sedative agents can act as a negative inotrope?
| | | | | | | | | | | |
Select all that apply.
| | | |
a. Propofol
| |
b. Fentanyl
|
c. Dexmedetomidine
|
d. Midazolam - CORRECT ANSWER✔✔-Propofol & Dexmedetomidine
| | | | | |
Which of the following CSF findings is most likely in a patient with
| | | | | | | | | | | | |
bacterial meningitis?
| |
a. Lymphocyte predominance
| | |
b. Decreased opening pressures on lumbar puncture
| | | | | |
c. increased glucose
| |
d. increase protein - CORRECT ANSWER✔✔-Increased protein
| | | | | |
A NP's license can be jeopardized by improper actions. What's an
| | | | | | | | | | |
example of an action that would put an NP's license in jeopardy?
| | | | | | | | | | | |
a. You appropriately delegate medication administration to a trusted RN
| | | | | | | | | |
employee who administers a fatal dose
| | | | | |
,b. You delegate client assessment tasks to an LPN who has been floated
| | | | | | | | | | | | |
to your unit fort he day
| | | | |
c. You provide nursing care services consistent with established
| | | | | | | | |
standards of practice in your jurisdiction
| | | | | |
d. The medical assistant in your supervision physician's office exceeds
| | | | | | | | | |
the scope of her authority, but you take prompt action to correct the
| | | | | | | | | | | | |
problem - CORRECT ANSWER✔✔-B| | |
A 19-year-old male college student presents with fever, headache and
| | | | | | | | | |
petechia rash. A LP is performed. Grain stain of his CSF shows gram
| | | | | | | | | | | | |
negative diplococci. Which of the following organisms is the cause of his
| | | | | | | | | | |
symptoms?
|
a. Streptococcus pneumonia
| |
b. Cryptococcal meningitis
| | |
c. Neisseria meningitis
| | |
d. Listeria monocytogenes - CORRECT ANSWER✔✔-Neisseria Meningitis
| | | | | |
What differentiates delirium from dementia?
| | | |
a. personality changes
| |
b. global confusion
| |
c. age of onset
| | |
d. reversibility
| |
c. short-term memory impairment - CORRECT ANSWER✔✔-Reversibility
| | | | | |
,Pupil Abnormalities usually point to problems in the midbrain or CNIII. -
| | | | | | | | | | | |
CORRECT ANSWER✔✔-True |
A pt with uncontrolled HTN presents to ED w/ loss of consciousness at
| | | | | | | | | | | | |
home. There is no history of trauma or ingestion and his wife states that
| | | | | | | | | | | | | |
he complained of a headache and vomiting earlier, and appeared to be
| | | | | | | | | | | |
drowsy. She checked on him after he had returned to the bedroom to
| | | | | | | | | | | | |
rest, but she was unable to arouse him. Exam is significant for pinpoint
| | | | | | | | | | | | |
pupils that are bilaterally reactive and total paralysis. Which is
| | | | | | | | | |
consistent with the history & presentation? | | | | |
a. Subarachnoid hemorrhage
| |
b. Pontine hemorrhage
| | |
c. MCA ischemic stroke
| | |
d. Vertebrobasilar artery stroke - CORRECT ANSWER✔✔-Pontine
| | | | | | |
hemorrhage
Contraindication for tPA - CORRECT ANSWER✔✔-Prior intracranial | | | | | | |
hemorrhage at any time | | |
Headache described as: severe, unilateral throbbing pain that is
| | | | | | | | |
aggravated by movement, associated with nausea and sensitivity to
| | | | | | | | |
light. Physical exam is completely normal - what is the likely diagnosis?
| | | | | | | | | | |
a. Migraine headache
| |
, b. Tension headache
| |
c. Cluster headache
| |
d. nummular headache - CORRECT ANSWER✔✔-Migraine
| | | | |
50 y/o male with weakness in legs that has progressed over 2 days.
| | | | | | | | | | | | |
PMH: DM, HTN & recent resp. infection. He reports numbness and
| | | | | | | | | | |
tingling in his feet and his exam is significant for decreased ankle jerk
| | | | | | | | | | | | |
reflexes. The NP suspect Guillian-Barre Syndrome. Which of the
| | | | | | | | |
following is true? | |
a. It is caused by autoantibodies to acetylcholine receptors
| | | | | | | |
b. Creatinine phosphokinase may be elevated
| | | | |
c. ESR will be decreased
| | | |
d. CSF protein is reduced - CORRECT ANSWER✔✔-Creatinine
| | | | | | | |
phosphokinase may be elevated | | |
Which of the following characterizes a patient who is experiences a
| | | | | | | | | | |
simple partial seizure? - CORRECT ANSWER✔✔-Abnormal motor
| | | | | | |
behavior in an awake state that lasts 2 minutes
| | | | | | | |
Which of the following would you expect in the evaluation of a patient
| | | | | | | | | | | | |
with Parkinson's disease?
| |
a. Ataxia and occulomotor dysfunction
| | | |
b. Sensory loss and muscle weakness
| | | | |
