ANCC AGACNP EXAM WITH QUESTIONS AND
WELL VERIFIED ANSWERS|| ALREADY
GRADED A+|| GUARANTEED PASS|| LATEST
VERSION
What among the following is a common cause of pancreatitis?
a. moderate ETOH use
b. medications
c. abdominal trauma
d. cholelithiasis - ANSWER-d. cholelithias
Your patient is s/p liver transplant. He develops fever and his bile production
decreases to 20 from 300. What should you do next?
a. consider liver biopsy
b. run a c&s on the bile
c. call the surgeon to recommend an operation
d. consult GI to rule out pancreatitis - ANSWER-a. consider a liver biopsy
Which of the following displays a current or recent Hepatitis A infection?
a. antibody-specific to IgG
b. antibody specific to IgM
c. hepatitis A core antibody
,d. hepatitis a surface antigen - ANSWER-b. antibody specific to IgM
Your patient is post op cardiothoracic surgery. She devlops nausea,
periumbilical abdominal pain, moderate lipase, LDH, ALT, decreased Bs. What
is the diagnosis? - ANSWER-Mesenteric infarct
Your patient complains of tarry stools, change in stool caliber, and constipation.
What intervention is appropriate?
a. order more testing
b. consult surgery for posible colon cancer
c. give PRBCs
d. consult oncology for chemotherapy - ANSWER-a. order more testing
Your patient has been on peritoneal dialysis long term, and develops a fever and
cloudy peritoneal fluid. What do you order first?
a. blood culture
b. antibiotics
c. culture the dialysis tube - ANSWER-c. culture the dialysis tube
Most critical symptom for diagnosing peritonitis/bowel perforation?
a. guarding
b. rigidity
c. distention
d. rebound tenderness - ANSWER-b. rigidity
What is GI angioplasty used to diagnose?
a. hemorrhage of unknown cause
b. uncontrolled bleeding
c. cholelithiasis
,d. bleeding due to PVD - ANSWER-a. hemorrhage of unknown cause
What disorder can be ruled out using the Cosyntropin stimulation test?
a. Cushing's
b. DI
c. Adrenal insufficiency
d. SIADH - ANSWER-c. Adrenal insufficiency
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 - ANSWER-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 - ANSWER-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 - ANSWER-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 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 - ANSWER-d. after a high dose of dexamethasone, there is a 90%
reduction in urinary free cortisol
Your patient with sickle cell anemia is complaining of nausea and lack of sleep.
What med is best?
a. reglan
b. zofran
c. phenergan
d. ativan - ANSWER-c. phenergan
Patient presents with RLQ pain, 1-2 episodes of vomiting, and positive Psoas
sign. What diagnostics are confirmatory for appendicitis?
a. abd us and WBC 10-20
b. CT abd and elevated amylase
c. abd us and elevated amylase
d. ct abd and elevated amylase and lipase - ANSWER-a. abd us and WBC 10-20
(key is WBC, a CT would also work)
36yo with history of Crohn's disease arrives in the ER with c/o abd pain,
frequent vomiting and water bowel movements. You notice high-pitched,
WELL VERIFIED ANSWERS|| ALREADY
GRADED A+|| GUARANTEED PASS|| LATEST
VERSION
What among the following is a common cause of pancreatitis?
a. moderate ETOH use
b. medications
c. abdominal trauma
d. cholelithiasis - ANSWER-d. cholelithias
Your patient is s/p liver transplant. He develops fever and his bile production
decreases to 20 from 300. What should you do next?
a. consider liver biopsy
b. run a c&s on the bile
c. call the surgeon to recommend an operation
d. consult GI to rule out pancreatitis - ANSWER-a. consider a liver biopsy
Which of the following displays a current or recent Hepatitis A infection?
a. antibody-specific to IgG
b. antibody specific to IgM
c. hepatitis A core antibody
,d. hepatitis a surface antigen - ANSWER-b. antibody specific to IgM
Your patient is post op cardiothoracic surgery. She devlops nausea,
periumbilical abdominal pain, moderate lipase, LDH, ALT, decreased Bs. What
is the diagnosis? - ANSWER-Mesenteric infarct
Your patient complains of tarry stools, change in stool caliber, and constipation.
What intervention is appropriate?
a. order more testing
b. consult surgery for posible colon cancer
c. give PRBCs
d. consult oncology for chemotherapy - ANSWER-a. order more testing
Your patient has been on peritoneal dialysis long term, and develops a fever and
cloudy peritoneal fluid. What do you order first?
a. blood culture
b. antibiotics
c. culture the dialysis tube - ANSWER-c. culture the dialysis tube
Most critical symptom for diagnosing peritonitis/bowel perforation?
a. guarding
b. rigidity
c. distention
d. rebound tenderness - ANSWER-b. rigidity
What is GI angioplasty used to diagnose?
a. hemorrhage of unknown cause
b. uncontrolled bleeding
c. cholelithiasis
,d. bleeding due to PVD - ANSWER-a. hemorrhage of unknown cause
What disorder can be ruled out using the Cosyntropin stimulation test?
a. Cushing's
b. DI
c. Adrenal insufficiency
d. SIADH - ANSWER-c. Adrenal insufficiency
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 - ANSWER-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 - ANSWER-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 - ANSWER-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 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 - ANSWER-d. after a high dose of dexamethasone, there is a 90%
reduction in urinary free cortisol
Your patient with sickle cell anemia is complaining of nausea and lack of sleep.
What med is best?
a. reglan
b. zofran
c. phenergan
d. ativan - ANSWER-c. phenergan
Patient presents with RLQ pain, 1-2 episodes of vomiting, and positive Psoas
sign. What diagnostics are confirmatory for appendicitis?
a. abd us and WBC 10-20
b. CT abd and elevated amylase
c. abd us and elevated amylase
d. ct abd and elevated amylase and lipase - ANSWER-a. abd us and WBC 10-20
(key is WBC, a CT would also work)
36yo with history of Crohn's disease arrives in the ER with c/o abd pain,
frequent vomiting and water bowel movements. You notice high-pitched,
