AGACNP AACN Board Exam Questions with Verified Answers | 100% Correct | Latest 2025/2026.

AGACNP AACN Board Exam Questions i,- i,- i,- i,- i,-




with Verified Answers | 100% Correct | i,- i,- i,- i,- i,- i,- i,-




Latest 2025/2026. i,-




What is Zollinger-Ellison syndrome?
i,- i,- rare condition i,- i,-i,- i,- i,- i,-



characterized by gastrin-producing tumors in the duodenum i,- i,- i,- i,- i,- i,- i,-



and/or pancreas that lead to oversecretion of gastrin, which lead
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to gastric and duodenal ulcers that result in gastric bleeding.
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treatment is same as PUD +/- tumor resection i,- i,- i,- i,- i,- i,- i,-




PUD s/s i,- i,-i,- i,- gnawing epigastric pain i,- i,-




relief of pain with eating (duodenal)
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if pain worsens with eating then (epigastric)
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duodenal ulcer i,- i,-i,- i,- age 30-55 i,-




pain relief with EATING
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Peptic Ulcer disease causes and incidence
i,- i,- i,- i,- i,- i,-i,- i,- h. pylori
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men 3:1 i,-




smokers
NSAIDs, ASA, glucocorticoids i,- i,-

,alcohol and dietary factors don't seem to contribute
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zollinger ellison syndrome which is a gastric secreting tumor
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gastric ulcer i,- i,-i,- i,- ages 55-65 i,-




pain worse with EATING
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physical findings of PUD i,- i,- i,- i,-i,- i,- often unremarkable but might have
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epigastric tenderness i,-




GI bleeding 20% of causes- melena, hematemesis or coffee
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ground emesis i,-




perforation s/s i,- i,-i,- i,- board like abdomen i,- i,-




quiet bowel sounds
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RIGIDITY - peritonitis - hole in lumina of GI tract- requires
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immediate surgery (washout with abx) i,- i,- i,- i,-




other acute abdomen causes
i,- i,- i,- i,-i,- i,- crohn's disease i,-




ruptured diverticulum i,-




ruptured appendix i,-

,labs/diagnostics for ulcer i,- i,- i,-i,- i,- can show anemia
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endoscopy after 8-12 weeks of treatment i,- i,- i,- i,- i,-




h. pylori testing
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PPI vs H2RA
i,- i,- i,-i,- i,- PPI indicated for acute ulceration
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Medical management - H2 receptor antagonist - start with
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dyspepsia
"tidine" i,-i,- i,- cimetidine (tagamet) - 800mg/HS i,- i,- i,-




Famotidine (pepcid) - 40mg/HS i,- i,- i,-




nizatidine (axid) - 300mg/HS i,- i,- i,-




start at HS, then BID, then add PPI
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medical management - PPI - start if pepcid ulcer disease
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suspected
"prazole" i,-i,- i,- lansoprazole (pravacid) - 15mg/day i,- i,- i,-




pantoprazole (protonix) - 20mg/day i,- i,- i,-




omeprazole (prilosec) - 40mg/day i,- i,- i,-




esomeprazole (nexium) - 20mg/day i,- i,- i,-

, rebound GERD i,-




BLACK BOX WARNING - hip fracture with long-term use
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mucosal protective agents i,- i,- i,-i,- i,- sucralfate (carafate) 1 gm QID i,- i,- i,- i,-




i,- - decreases nosocomial PNA
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i,- - avoid antacids and H2 blockers
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bismuth subsalicylate (pepto-bismol) i,- i,-




i,- - helps against h. pylori
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i,- - prostaglandin production/gastric bicarb
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antacids


H. pylori eradication therapy
i,- i,- i,- i,-i,- i,- EBP - combination i,- i,- i,-




2 antibiotics + PPI with or without bismuth for 10 - 14 days
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the abx in H.Pylori tx
i,- i,- i,- i,- i,-i,- i,- clarithromycin and amoxicillin i,- i,-




what to ask for eradication therapy?
i,- i,- i,- i,- i,- i,-i,- i,- PCN allergy i,-




macrolide antibiotic use i,- i,-