ANCC AGACNP - Frances Guide
Review Questions and Answers |
Latest Version | 2025/2026 | Correct &
Verified
A 78-year-old patient with CHF presents with worsening orthopnea and peripheral edema. What
is the next best step in management?
A. Increase fluid intake
✔✔B. Initiate IV furosemide
C. Prescribe a beta agonist
D. Discontinue ACE inhibitor
An elderly patient on warfarin develops hematuria and an INR of 5.8. What is the appropriate
intervention?
A. Increase warfarin dose
✔✔B. Hold warfarin and administer vitamin K
C. Add aspirin
D. Begin heparin infusion
Which electrolyte imbalance is most commonly associated with prolonged QT interval?
1
,A. Hypernatremia
B. Hyperkalemia
✔✔C. Hypocalcemia
D. Hypermagnesemia
A patient develops sudden chest pain and shortness of breath after central line insertion. What is
the most likely diagnosis?
✔✔A. Pneumothorax
B. Pulmonary embolism
C. Pneumonia
D. Pleural effusion
Which antibiotic is first-line for community-acquired pneumonia in a patient without
comorbidities?
A. Vancomycin
B. Ceftriaxone
✔✔C. Azithromycin
D. Ciprofloxacin
2
,What is the most appropriate DVT prophylaxis in a post-op hip surgery patient with no bleeding
risk?
✔✔A. Enoxaparin
B. Aspirin only
C. Warfarin
D. None
Which clinical feature differentiates delirium from dementia?
✔✔A. Acute onset and fluctuating course
B. Progressive memory loss
C. Language impairment
D. Disorientation to time
What is the most appropriate initial fluid for resuscitation in septic shock?
✔✔A. 0.9% Normal Saline
B. D5W
C. 0.45% NaCl
3
, D. Lactose-free Ringer’s
A 65-year-old with COPD exacerbation is acidotic with CO₂ retention. What treatment is most
appropriate?
A. Intubation
✔✔B. BiPAP
C. Nasal cannula O₂
D. Antibiotics only
Which of the following is most indicative of cardiogenic shock?
✔✔A. Elevated wedge pressure
B. Decreased systemic vascular resistance
C. High urine output
D. Bounding pulses
What is the goal A1C for most adults with type 2 diabetes mellitus?
A. <8.5%
B. <5.5%
4
Review Questions and Answers |
Latest Version | 2025/2026 | Correct &
Verified
A 78-year-old patient with CHF presents with worsening orthopnea and peripheral edema. What
is the next best step in management?
A. Increase fluid intake
✔✔B. Initiate IV furosemide
C. Prescribe a beta agonist
D. Discontinue ACE inhibitor
An elderly patient on warfarin develops hematuria and an INR of 5.8. What is the appropriate
intervention?
A. Increase warfarin dose
✔✔B. Hold warfarin and administer vitamin K
C. Add aspirin
D. Begin heparin infusion
Which electrolyte imbalance is most commonly associated with prolonged QT interval?
1
,A. Hypernatremia
B. Hyperkalemia
✔✔C. Hypocalcemia
D. Hypermagnesemia
A patient develops sudden chest pain and shortness of breath after central line insertion. What is
the most likely diagnosis?
✔✔A. Pneumothorax
B. Pulmonary embolism
C. Pneumonia
D. Pleural effusion
Which antibiotic is first-line for community-acquired pneumonia in a patient without
comorbidities?
A. Vancomycin
B. Ceftriaxone
✔✔C. Azithromycin
D. Ciprofloxacin
2
,What is the most appropriate DVT prophylaxis in a post-op hip surgery patient with no bleeding
risk?
✔✔A. Enoxaparin
B. Aspirin only
C. Warfarin
D. None
Which clinical feature differentiates delirium from dementia?
✔✔A. Acute onset and fluctuating course
B. Progressive memory loss
C. Language impairment
D. Disorientation to time
What is the most appropriate initial fluid for resuscitation in septic shock?
✔✔A. 0.9% Normal Saline
B. D5W
C. 0.45% NaCl
3
, D. Lactose-free Ringer’s
A 65-year-old with COPD exacerbation is acidotic with CO₂ retention. What treatment is most
appropriate?
A. Intubation
✔✔B. BiPAP
C. Nasal cannula O₂
D. Antibiotics only
Which of the following is most indicative of cardiogenic shock?
✔✔A. Elevated wedge pressure
B. Decreased systemic vascular resistance
C. High urine output
D. Bounding pulses
What is the goal A1C for most adults with type 2 diabetes mellitus?
A. <8.5%
B. <5.5%
4
