ANCC AGACNP 2025
ANCC AGACNP 2025 LATEST FRANCES
GUIDE TEST BANK COMPLETE 550
QUESTION AND ANSWERS GRADED A+
SOLVED ACCURATE FALL-SPRING
WITH DETAILED RATIONALES
GRADED A+
What disorder can be ruled out using the Cosyntropin stimulation test?
a. Cushing's
b. DI
c. Adrenal insufficiency
d. SIADH
c. Adrenal insufficiency
A+ 1
, ANCC AGACNP 2025
What side effect of levothyroxine is most likely to lead to non-compliance when first initiated?
a. alopecia
b. dyspepsia
c. weight loss
d. nevousness
a. alopecia
You are treating a patient for hypothyroidism. Which lab value is monitored for
treatment/synthroid effectiveness?
a. T3
b. T4
c. TSH
d. thyroxin index
c. TSH
What method should you use to treat hyponatremia related to SIADH?
a. Bolus 500mL NS
b. Bolus 3% hypertonic saline
c. NS at 200mL/hr
d. 3% hypertonic saline, calculated
d. 3% hypertonic saline, calculated
For the past few months, 29yo Janine has been gaining weight while experiencing
amenorrhea and increasingly severe acnes. She has gained more than 20 pounds, and you
note that she is carrying her weight around her midline, with bilateral purple-ish striae across
A+ 2
, ANCC AGACNP 2025
both flanks. You suspect CUshing's syndrome. Which of the following findings would not
contribute to a diagnosis?
a. urine free cortisol=360 ug/day (>50 abnormal)
b. glycosuria
c. wbc 19
d. after a high dose of dexamethasone, there is a 90% reduction in urinary free cortisol
d. after a high dose of dexamethasone, there is a 90% reduction in urinary free cortisol
In cushing's, pituitary does not respond to dexamethasone.
Which of the following is NOT a criteria of metabolic syndrome?
a. BP>140/90
b. waist >40 in
c. TG>150
d. HDL <40
a. BP>140/90
It's 130/85
23 yo female presents with DKA. Abg pH 7.3, glucose 520, BP 90/65, HR 120, and she is
confused. Which of the following are not included in the initial management of DKA?
a. isotonic fluids
b. insulin infusion
c. sodium bicarbonate
d. supportive care
A+ 3
, ANCC AGACNP 2025
c. sodium bicarbonate
Only indicated for DKA if pH <7.1
You want to get more funding for your hospital's Rapid Response Team. How should you
present this issue to the committee?
a. Stress importance of the team (look up evidence about how team affects outcomes)
b. Describe how to improve and expand the team
a. stress importance of team
What is the best way for the AGACNP to get involved in policy making?
a. attend legislative days at the state capitol
b. join a hospital committee
c. write your local congressman
d. review literature and give more in-services
b. join a hospital committee
What is the best way for the AGACNP to demonstrate and advocate for full scope of practice?
a. join a hospital committee
b. petition the government
c. bill for independent services
d. start your own practice
c. bill for independent services
A+ 4
ANCC AGACNP 2025 LATEST FRANCES
GUIDE TEST BANK COMPLETE 550
QUESTION AND ANSWERS GRADED A+
SOLVED ACCURATE FALL-SPRING
WITH DETAILED RATIONALES
GRADED A+
What disorder can be ruled out using the Cosyntropin stimulation test?
a. Cushing's
b. DI
c. Adrenal insufficiency
d. SIADH
c. Adrenal insufficiency
A+ 1
, ANCC AGACNP 2025
What side effect of levothyroxine is most likely to lead to non-compliance when first initiated?
a. alopecia
b. dyspepsia
c. weight loss
d. nevousness
a. alopecia
You are treating a patient for hypothyroidism. Which lab value is monitored for
treatment/synthroid effectiveness?
a. T3
b. T4
c. TSH
d. thyroxin index
c. TSH
What method should you use to treat hyponatremia related to SIADH?
a. Bolus 500mL NS
b. Bolus 3% hypertonic saline
c. NS at 200mL/hr
d. 3% hypertonic saline, calculated
d. 3% hypertonic saline, calculated
For the past few months, 29yo Janine has been gaining weight while experiencing
amenorrhea and increasingly severe acnes. She has gained more than 20 pounds, and you
note that she is carrying her weight around her midline, with bilateral purple-ish striae across
A+ 2
, ANCC AGACNP 2025
both flanks. You suspect CUshing's syndrome. Which of the following findings would not
contribute to a diagnosis?
a. urine free cortisol=360 ug/day (>50 abnormal)
b. glycosuria
c. wbc 19
d. after a high dose of dexamethasone, there is a 90% reduction in urinary free cortisol
d. after a high dose of dexamethasone, there is a 90% reduction in urinary free cortisol
In cushing's, pituitary does not respond to dexamethasone.
Which of the following is NOT a criteria of metabolic syndrome?
a. BP>140/90
b. waist >40 in
c. TG>150
d. HDL <40
a. BP>140/90
It's 130/85
23 yo female presents with DKA. Abg pH 7.3, glucose 520, BP 90/65, HR 120, and she is
confused. Which of the following are not included in the initial management of DKA?
a. isotonic fluids
b. insulin infusion
c. sodium bicarbonate
d. supportive care
A+ 3
, ANCC AGACNP 2025
c. sodium bicarbonate
Only indicated for DKA if pH <7.1
You want to get more funding for your hospital's Rapid Response Team. How should you
present this issue to the committee?
a. Stress importance of the team (look up evidence about how team affects outcomes)
b. Describe how to improve and expand the team
a. stress importance of team
What is the best way for the AGACNP to get involved in policy making?
a. attend legislative days at the state capitol
b. join a hospital committee
c. write your local congressman
d. review literature and give more in-services
b. join a hospital committee
What is the best way for the AGACNP to demonstrate and advocate for full scope of practice?
a. join a hospital committee
b. petition the government
c. bill for independent services
d. start your own practice
c. bill for independent services
A+ 4
