Adult - Gerontology Acute Care Nurse Practitioner Certification
AACN ACNPC- AG Exam Review with Answers and Rationales |
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2025- 2026
AACN ACNPC- AG Certification Exam
Adult- Gerontology Acute. Care Nurse Practitioner Certification
ACNPC- AG
AACN American Association of Critical- Care Nurses
American Nurses Association
AACN ACNPC- AG Complete 175 Questions and Answers
This is the Actual AACN ACNPC- AG Exam for March 2025 Proctored
Via PSI
1. postoperative assessment is performed on a patient who
underwent a lumbar 4/5 laminectomy and discectomy 2
hours ago. Preoperatively, she had pain in her right hip and
leg with numbness of her right foot, but no weakness. At the
time of the examination, her motor strength is 5/5 in all
extremities, and she has not voided postoperatively. She is
concerned that the numbness in her foot has not resolved.
Which of the following is an ACNP's best action? A Reassure
her that numbness often persists postoperatively. B. Scan
her bladder to assess for cauda equina syndrome. C. Obtain
a CT scan of her lumbar spine to evaluate for hematoma. D.
Administer steroids for nerve root radiculopathy.
2. It is important to emphasize which of the following when
providing smoking cessation education to a patient after
coronary stent placement? A. Patients with atherosclerosis
are more likely to develop lung disease within 5 years. B.
Within 3 years of cessation, coronary artery disease risk
improves., C. Nicotinand clopidogrel (Plavix) may produce
adverse effects. D. Most patients find it easy to quit smoking
after stent placement.
,3. patient has subcutaneous gas on CT scan in the left foot with
erythema extending up the lower extremity. The vascular
surgeon is requesting a CT angiography of the lower
extremity to assess vascular status prior to operative
intervention. Which laboratory data is most concerning for
ordering this test? Remaining: 2 A. hemoglobin 7 g/dL B.
lactate 2 mmol/L C. WBC 15/mm³ D. creatinine 1.9 mg/dL
4. A patient's laboratory results show a potassium level of 8.0,
and an ECG reveals peaked T waves. In addition to 25 g
dextrose 50%, which of the following is the be emergency
treatment? B. calcium gluconate 10 mL, regular insulin 10
units A. sodium polystyrene sulfonate resin (Kayexalate) 25
g, regular insulin 20 units C calcium chloride 10 mL, regular
insulin 20 units D. magnesium sulfate 1 g, regular insulin 10
units
5. A patient was in a 45 mph rollover MVC. His GCS was 7, and
he was intubated by EMS at the scene. He presents to the
emergency department with BP 76/54 and HR 90 after 2 L of
normal saline. The airway is maintained with an
endotracheal tube. Initially, there are bilateral breath
sounds, pulses 1+ throughout, and his skin is cool. External
bleeding is controlled and the GCS is now 3T. Secondary
examination shows Grey Turner's sign and a positive
abdominal FAST examination. Which of the following is the
correct disposition for this patient? A. Admit to the ICU. B.
Stabilize in the emergency department. C. Transfer to the
operating room. D. Send for a CT scan.
6. Which of the following abnormalities places a patient at
highest risk for embolic stroke? A. aortic stenosis B. patent
ductus arteriosus C. pulmonary stenosis D. atrial septal
defect
, 7. A 45-year-old patient died following a prolonged
resuscitation attempt secondary to an MVC. The patient's
family has arrived to the hospital and wants to be updated
on the patient's condition. A meeting is set up with the
family. An important initial step in this meeting includes End
Gassion Notepad/Whiteboard Zoom Shares Spring PSI A.
understanding what the family knows about the patient's
situation. B. summarize events and establish plans for
subsequent patient care. CC conveying the news to
appropriate individuals using easily understood terms. D.
empathizing with the individuals' emotions.
8. A staff nurse mentions to an ACNP that she read an article
on vitamin D deficiency and its relationship to heart failure.
The staff nurse thought that the cardiologists should screen
all heart failure patients for vitamin D deficiency on
admission and wants to know why it is not done. The best
next step for the ACNP is to A. begin screening all patients
with heart failure admissions. B. do a complete literature
search and share the findings with the staff nurse. C. take
the information to the cardiology medical staff committee for
evaluation. D. encourage the nurse to do a literature search
and help her evaluate the data.
9. An Bo-year-old patient with a pelvic fracture develops mild
dyspnea, hypoxia, altered mental status, and a petechial
rash the day following the trauma. The m hely diagnosis is A.
fat embolism. B. allergic drug reaction. CC. congestive heart
failure. O pulmonary edema.
10. patient presents after being intubated in the field status
post fall with numerous visible injuries. The most appropriate
initial assessment is LISA/Canada -1077508234 Coba 11617
564 5062 Maquest Bras End Beasdon 미 A. peripheral pulses.
B. breath sounds. C. level of consciousness. D. pupillary
response.