BARKLEY ADULT GERONTOLOGY ACUTE CARE NP (AGACNP)
EXAM TEST BANK ACTUAL 2026/2027 PRACTICE QUESTIONS
AND CURRENTLY UPDATED STUDY GUIDE COMPLETE
ACCURATE EXAM APPROVED QUESTIONS WITH WELL
ELABORATED ANSWERS AND DETAILED RATIONALES (100%
CORRECT VERIFIED ANSWERS) A NEW UPDATED VERSION 2026
EDITION |GUARANTEED PASS A+|FULL REVISED BARKLEY
ADULT GERONTOLOGY ACUTE CARE NP (AGACNP) APPROVED
EXAM |JUST RELEASED
Question 1
A 72-year-old male patient is admitted with acute onset of severe,
tearing chest pain radiating to the back. His blood pressure is
190/100 in the right arm and 110/70 in the left arm. Which of the
following is the most likely diagnosis?
A. Acute myocardial infarction
B. Pulmonary embolism
C. Acute pericarditis
D. Acute aortic dissection
Correct Answer: D
Rationale: Acute aortic dissection classically presents with severe,
tearing chest pain that radiates to the back, along with a pulse deficit
,and differential blood pressures between arms. Myocardial infarction
typically presents with pressure or heaviness in the chest. Pulmonary
embolism presents with pleuritic chest pain and dyspnea. Pericarditis
presents with sharp chest pain that improves when leaning forward.
Question 2
A 68-year-old female patient presents with acute confusion, fever,
and flank pain. Her urinalysis shows white blood cell casts. Which of
the following is the most likely diagnosis?
A. Cystitis
B. Urethritis
C. Prostatitis
D. Pyelonephritis
Correct Answer: D
Rationale: Pyelonephritis is characterized by fever, flank pain, and
white blood cell casts in the urine. Cystitis presents with suprapubic
pain and dysuria. Urethritis presents with urethral discharge.
Prostatitis presents with perineal pain and fever.
Question 3
,A 75-year-old male patient is admitted with shortness of breath and
leg swelling. On exam, you note jugular venous distension, crackles
in both lung bases, and 3+ pitting edema in both legs. Which of the
following is the most likely diagnosis?
A. Chronic obstructive pulmonary disease
B. Pneumonia
C. Pulmonary embolism
D. Heart failure
Correct Answer: D
Rationale: Heart failure presents with dyspnea, crackles on lung
auscultation, peripheral edema, and jugular venous distension.
COPD presents with chronic cough and wheezing. Pneumonia
presents with fever and productive cough. Pulmonary embolism
presents with acute dyspnea and pleuritic chest pain.
Question 4
A 62-year-old male patient presents with epigastric pain radiating to
his back. His serum amylase and lipase are elevated. Which of the
following is the most likely diagnosis?
A. Cholecystitis
, B. Peptic ulcer disease
C. Gastroenteritis
D. Acute pancreatitis
Correct Answer: D
Rationale: Acute pancreatitis presents with epigastric pain radiating
to the back, nausea, and vomiting with elevated serum amylase and
lipase. Cholecystitis presents with right upper quadrant pain. Peptic
ulcer disease presents with burning epigastric pain. Gastroenteritis
presents with diarrhea and vomiting.
Question 5
A 65-year-old female patient presents with a painful, red, swollen left
calf. She recently returned from a long flight. Which of the following
is the most likely diagnosis?
A. Cellulitis
B. Venous insufficiency
C. Lymphedema
D. Deep vein thrombosis
Correct Answer: D
EXAM TEST BANK ACTUAL 2026/2027 PRACTICE QUESTIONS
AND CURRENTLY UPDATED STUDY GUIDE COMPLETE
ACCURATE EXAM APPROVED QUESTIONS WITH WELL
ELABORATED ANSWERS AND DETAILED RATIONALES (100%
CORRECT VERIFIED ANSWERS) A NEW UPDATED VERSION 2026
EDITION |GUARANTEED PASS A+|FULL REVISED BARKLEY
ADULT GERONTOLOGY ACUTE CARE NP (AGACNP) APPROVED
EXAM |JUST RELEASED
Question 1
A 72-year-old male patient is admitted with acute onset of severe,
tearing chest pain radiating to the back. His blood pressure is
190/100 in the right arm and 110/70 in the left arm. Which of the
following is the most likely diagnosis?
A. Acute myocardial infarction
B. Pulmonary embolism
C. Acute pericarditis
D. Acute aortic dissection
Correct Answer: D
Rationale: Acute aortic dissection classically presents with severe,
tearing chest pain that radiates to the back, along with a pulse deficit
,and differential blood pressures between arms. Myocardial infarction
typically presents with pressure or heaviness in the chest. Pulmonary
embolism presents with pleuritic chest pain and dyspnea. Pericarditis
presents with sharp chest pain that improves when leaning forward.
Question 2
A 68-year-old female patient presents with acute confusion, fever,
and flank pain. Her urinalysis shows white blood cell casts. Which of
the following is the most likely diagnosis?
A. Cystitis
B. Urethritis
C. Prostatitis
D. Pyelonephritis
Correct Answer: D
Rationale: Pyelonephritis is characterized by fever, flank pain, and
white blood cell casts in the urine. Cystitis presents with suprapubic
pain and dysuria. Urethritis presents with urethral discharge.
Prostatitis presents with perineal pain and fever.
Question 3
,A 75-year-old male patient is admitted with shortness of breath and
leg swelling. On exam, you note jugular venous distension, crackles
in both lung bases, and 3+ pitting edema in both legs. Which of the
following is the most likely diagnosis?
A. Chronic obstructive pulmonary disease
B. Pneumonia
C. Pulmonary embolism
D. Heart failure
Correct Answer: D
Rationale: Heart failure presents with dyspnea, crackles on lung
auscultation, peripheral edema, and jugular venous distension.
COPD presents with chronic cough and wheezing. Pneumonia
presents with fever and productive cough. Pulmonary embolism
presents with acute dyspnea and pleuritic chest pain.
Question 4
A 62-year-old male patient presents with epigastric pain radiating to
his back. His serum amylase and lipase are elevated. Which of the
following is the most likely diagnosis?
A. Cholecystitis
, B. Peptic ulcer disease
C. Gastroenteritis
D. Acute pancreatitis
Correct Answer: D
Rationale: Acute pancreatitis presents with epigastric pain radiating
to the back, nausea, and vomiting with elevated serum amylase and
lipase. Cholecystitis presents with right upper quadrant pain. Peptic
ulcer disease presents with burning epigastric pain. Gastroenteritis
presents with diarrhea and vomiting.
Question 5
A 65-year-old female patient presents with a painful, red, swollen left
calf. She recently returned from a long flight. Which of the following
is the most likely diagnosis?
A. Cellulitis
B. Venous insufficiency
C. Lymphedema
D. Deep vein thrombosis
Correct Answer: D
