ANCC AGACNP Adult Gerontology Acute
Care Nurse Practitioner Board EXAM Latest
Update Questions with Correct Answers
Graded Perfect Score
#1 sign of PNA in elderly - Answer -tachypnea
2nd is SOB
3rd is confusion/mental status change
1st degree AV block - Answer -PR > 0.2 sec
2 tia classifications - Answer -vetebrobasilar and carotid
2nd degree, type I
aka. wenckeback or morbitz type I - Answer -PR longer and longer till QRS dropped
2nd degree, type II block - Answer -atrial regular, PR interval constant, ventricular rhythm irregular
(dropped QRS)
3 h. pylori eradication - Answer -MOC-> 7 days
MOA-> 14 days
AOC-> 7 days
-amoxcillin
3 H's of increased ICP - Answer -hypotension
hypoxemia/hypoxia
hypercapnea (keep CO2 at low end of normal ~35, increase RR on vent)
3rd degree AV block - Answer -no relationship between P and QRS complex
A1C dx for DM - Answer ->/ 6.5 %
ABCDEE melanoma - Answer -asymmetry
border irregularity
color variation
,diameter > 6
elevation
enlargement
(F)riend
sensitive if 2/6
tx. bx and excision
abdominal distention
-minimal vs pronounced - Answer -minimal: proximal
pronounced: distal
absence - Answer -*generalized*
aka. petit mall
-sudden arrest of motor activity w/ blank stare
-children/adolescent
ACC/AHA HTN
-elevated
-stg i
-stg ii - Answer -elevated
120-129 and <80
stg 1
130-139 or 80-89
stg 2
>/140 or >/ 90
acetaminophen toxicity tx - Answer -N-acetylcysteine (mucomyst)
actinic keratoses - Answer -sun exposed areas, remalignant, asymptomatic small patches
,tx. liquid nitrogen
activated charcoal
-dose - Answer -1g/kg max of 50g q4h, give w/ sorbitol
activated coagulation time (ACT) # - Answer -norm 70-120 sec
s/p PCA/stent: > 300
active Hep B serology - Answer -HBsAg
HBeAg
Anti-HBc
IgM
active hepatitis A - Answer -anti-hav
igM
acute and chronic hep C serology - Answer -Anti-HCV
HCV RNA
-draw PCR to differentiate acute vs chronic
acute colic-like flank pain - Answer -increase in intensity, radiation of pain to groin (passed to
lower 1/3 of ureter, testicular pain)
renal calculi (nephrolithiasis)
acute lymphocytic leukemia - Answer -difficult to cure adults than children
*pancytopenia w/ circulating blasts- hallmark
acute myogenous leukemia - Answer -80% acute leukemia in adult
long term survival
acute otitis media and sinusitis - Answer -haemophilus influenzae, s. pneumoniae, moraxella
catarrhalis
amoxicillin, amoxicillin clavulanate, cefuroxime, tmp-smz
addison's disease deficiency hormones - Answer -deficient cortisol, androgens, aldosterone
(togeter mineralocorticoid)
, autoimmune destruction of adrenal gland, bilat adrenal heomrrhage, pituitary failure, metastatic CA
advance directive - Answer -written statement of patient intent regarding medical treatment
(patient self-determination act 1990)
made to ensure those wishes are carried out should the person be unable to communicate them to a
doctor.
AEIOU criteria for dialysis - Answer -Acidosis (renal=metabolic)
Electrolyte imbalance (Calcium and K)
Intoxication
Oliguria (UO < 400 cc/24 hr)
Uremia (check BUN)
agnosia - Answer -inability to recognize object
alzheimer
AIDS # - Answer -cd4 <200 and/or opportunistic infection
AIDS confirm testq - Answer -western blot, but best is combination immunoassay (if +) -->
differentiation immunoassay
albumin level # - Answer -3.5-5
less protein malnutrion
edema if albumin < 2.7
but *prealbumin is best sign for malnutrition
all shock types - Answer -hypovolemic
cardiogenic
distributive
obstructive
allopurinol - Answer -gout
leukemia to reduce tumor lysis syndrome (increased K, phos, uric acid, BUN, decreased calcium)
alpha 2 agonist - Answer -vasodilate
ALT - Answer -< 30
alzheimer meds - Answer -increase acetylcholine (cholinesterase inhibitors)
Care Nurse Practitioner Board EXAM Latest
Update Questions with Correct Answers
Graded Perfect Score
#1 sign of PNA in elderly - Answer -tachypnea
2nd is SOB
3rd is confusion/mental status change
1st degree AV block - Answer -PR > 0.2 sec
2 tia classifications - Answer -vetebrobasilar and carotid
2nd degree, type I
aka. wenckeback or morbitz type I - Answer -PR longer and longer till QRS dropped
2nd degree, type II block - Answer -atrial regular, PR interval constant, ventricular rhythm irregular
(dropped QRS)
3 h. pylori eradication - Answer -MOC-> 7 days
MOA-> 14 days
AOC-> 7 days
-amoxcillin
3 H's of increased ICP - Answer -hypotension
hypoxemia/hypoxia
hypercapnea (keep CO2 at low end of normal ~35, increase RR on vent)
3rd degree AV block - Answer -no relationship between P and QRS complex
A1C dx for DM - Answer ->/ 6.5 %
ABCDEE melanoma - Answer -asymmetry
border irregularity
color variation
,diameter > 6
elevation
enlargement
(F)riend
sensitive if 2/6
tx. bx and excision
abdominal distention
-minimal vs pronounced - Answer -minimal: proximal
pronounced: distal
absence - Answer -*generalized*
aka. petit mall
-sudden arrest of motor activity w/ blank stare
-children/adolescent
ACC/AHA HTN
-elevated
-stg i
-stg ii - Answer -elevated
120-129 and <80
stg 1
130-139 or 80-89
stg 2
>/140 or >/ 90
acetaminophen toxicity tx - Answer -N-acetylcysteine (mucomyst)
actinic keratoses - Answer -sun exposed areas, remalignant, asymptomatic small patches
,tx. liquid nitrogen
activated charcoal
-dose - Answer -1g/kg max of 50g q4h, give w/ sorbitol
activated coagulation time (ACT) # - Answer -norm 70-120 sec
s/p PCA/stent: > 300
active Hep B serology - Answer -HBsAg
HBeAg
Anti-HBc
IgM
active hepatitis A - Answer -anti-hav
igM
acute and chronic hep C serology - Answer -Anti-HCV
HCV RNA
-draw PCR to differentiate acute vs chronic
acute colic-like flank pain - Answer -increase in intensity, radiation of pain to groin (passed to
lower 1/3 of ureter, testicular pain)
renal calculi (nephrolithiasis)
acute lymphocytic leukemia - Answer -difficult to cure adults than children
*pancytopenia w/ circulating blasts- hallmark
acute myogenous leukemia - Answer -80% acute leukemia in adult
long term survival
acute otitis media and sinusitis - Answer -haemophilus influenzae, s. pneumoniae, moraxella
catarrhalis
amoxicillin, amoxicillin clavulanate, cefuroxime, tmp-smz
addison's disease deficiency hormones - Answer -deficient cortisol, androgens, aldosterone
(togeter mineralocorticoid)
, autoimmune destruction of adrenal gland, bilat adrenal heomrrhage, pituitary failure, metastatic CA
advance directive - Answer -written statement of patient intent regarding medical treatment
(patient self-determination act 1990)
made to ensure those wishes are carried out should the person be unable to communicate them to a
doctor.
AEIOU criteria for dialysis - Answer -Acidosis (renal=metabolic)
Electrolyte imbalance (Calcium and K)
Intoxication
Oliguria (UO < 400 cc/24 hr)
Uremia (check BUN)
agnosia - Answer -inability to recognize object
alzheimer
AIDS # - Answer -cd4 <200 and/or opportunistic infection
AIDS confirm testq - Answer -western blot, but best is combination immunoassay (if +) -->
differentiation immunoassay
albumin level # - Answer -3.5-5
less protein malnutrion
edema if albumin < 2.7
but *prealbumin is best sign for malnutrition
all shock types - Answer -hypovolemic
cardiogenic
distributive
obstructive
allopurinol - Answer -gout
leukemia to reduce tumor lysis syndrome (increased K, phos, uric acid, BUN, decreased calcium)
alpha 2 agonist - Answer -vasodilate
ALT - Answer -< 30
alzheimer meds - Answer -increase acetylcholine (cholinesterase inhibitors)
