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American Association of Critical-Care
Nurses AACN
AACN Adult-Gerontology Acute Care Nurse
Practitioners ACNP-AG
AACN Certification ACNPC-AG Exam
Course Title and Number: AACN Certification ACNPC-AG Exam
Exam Title: ACNPC-AG
Exam Date: Exam 2025- 2026
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📱Hit Me UP__ Inbox Open 24/7 – 365 …...!!!! 📱 Chat with us here : 📱 Hybridgrades101@gmail.com AACN ACNPC-AG Board Certification Exam AACN American Association of Critical-Care Nurses Review Questions and Answers | 100% Pass Guaranteed | Graded A+ | 2025- AACN Certification Corporation's ACNPC-AG Exam Adult-Gerontology Acute Care Nurse Practitioners ACNP-AG - AACN American Association of Critical-Care Nurses Read All Instructions Carefully and Answer All the Questions Correctly Good Luck: - Pericarditis - =Answer>> Often present w/ friction rub, sharp CP w/ inspiration, low-grade fever, muffled heart tones, hypotension. Tx w/ colchicine. Pulmonary edema - =Answer>> Pink/frothy sputum. Tachypnea, dyspnea, b/l wheeze. CXR shows alveolar infiltrates, kerley B lines, and pleural effusions. Cardiac tamponade - =Answer>> Becks Triad= muffled tones, JVD, HoTN. Narrow pulse pressure. Low C.O., low BP, tachy, high RR, JVD, pulsus paradoxus. Need Writing 📱Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📱 Click Here To <> Follow Link https://yourassignmenthandlers.kit.com/93b2309b !!!.ORDER NOW.!!! << TO GET INSTANT EXPERT HELP >> !!!.ORDER NOW.!!!
📱Hit Me UP__ Inbox Open 24/7 – 365 …...!!!! 📱 Chat with us here : 📱 Hybridgrades101@gmail.com Class III (moderate): no sx @ rest, marked limitation w/ physical activity, less than ordinary activity results in sx Class IV (severe): sx @ rest, unable to do any physical activity w/o discomfort Nitroglycerin - =Answer>> Vasodilator, causes hypotension, HA. AHA guideline statin therapy - =Answer>> Age 40-75 w/ DM and LDL >/= 70 should get moderate to high intensity statin therapy Hyperkalemia ECG changes - =Answer>> • Tall/peaked T wave
- Prolonged PR
- ST depression
- Wide QRS
- Loss of P wave
- V-FIb
- Ventricular standstill Common complication of carotid endarterectomy - =Answer>> Hypoglossal nerve damage, tongue deviation ipsilateral side of surgery. Common rhythm w/ TOF - =Answer>> V-Tach Statin side effect - =Answer>> Causes painful muscle spasms 2/ skeletal muscle breakdown, increased CK levels. ACS medications - =Answer>> Aspirin 1st (antiplatelet), nitroglycerin for ischemia, beta blocker to reduce cardiac workload by reducing HR. Cardiac resynchronization therapy - =Answer>> Uses 3 leads (RA, RV, LV) to improve ventricular filling and cardiac output. Need Writing 📱Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📱
📱Hit Me UP__ Inbox Open 24/7 – 365 …...!!!! 📱 Chat with us here : 📱 Hybridgrades101@gmail.com Clopidogrel (Plavix) - =Answer>> Antiplatelet; Loading dose 300 mg, then 75 mg daily Digoxin toxicity - =Answer>> Brady, PVCs, LBBB. *Diltiazem known to increase digoxin levels, worsening toxicity. Tx= digibind. SVT - =Answer>> tachy 100-300 bpm, generally narrow QRS complexes, and P wave often buried in or after the QRS complex. Postural orthostatic tachycardia syndrome (POTS) - =Answer>> Usually triggered lying to standing. Sx= lightheadedness, fainting, and rapid HR. Tx= increase Na+ and fluids, add beta blocker. Target Temp Management (TTM) - =Answer>> Reduce mortality and improve neurological outcomes in unresponsive patients who achieve ROSC after cardiac arrest. Contraindications; hemorrhagic stroke, GCS > 8, uncontrolled bleeding, uncontrolled hemodynamically unstable rhythms, and cardiac arrest due to trauma. Pulmonary Embolism - =Answer>> CP, dyspnea, tachycardia, tachypnea, hemoptysis. Trop/BNP often elevated 2/2 R heart strain. CTPA gold standard diagnostic. Tx w/ Hep gtt, unless thrombectomy or tPA. Pulmonary HTN - =Answer>> Dyspnea, ECG= R axis deviation, RV hypertrophy, tricuspid regurg. Diagnose w/ R heart cath. Community acquired PNA (CAP) - =Answer>> Strept pneumoniae likely pathogen. Oral amoxicillin + macrolide ie azithromycin. Need Writing 📱Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📱
📱Hit Me UP__ Inbox Open 24/7 – 365 …...!!!! 📱 Chat with us here : 📱 Hybridgrades101@gmail.com Chylothorax - =Answer>> damage to thoracic duct, allowing chyle (lymph) in pleural space. Milky fluid w/ high triglyceride level >110, higher protein, low LDH. Tension PTX - =Answer>> trachea and mediastinum push to contralateral side Tx= Large bore needle decompression placed in 2nd anterior ICS. Epoprostenol (Flolan) - =Answer>> Used for pulm HTN. Interruptions in administration can cause death w/in minutes because of acute increase in pulmonary artery pressures 2/2 short (3 minute) half-life of the medication. Tube thoracostomy placement - =Answer>> Supine position, fourth or fifth intercostal space at midaxillary line, enter above rib, finger sweep, advance tube toward apex. Rhabdomyolysis indicator - =Answer>> CK is an indicator of muscle breakdown, >1000 U/L. Commonly causes AKI 2/ myoglobin. Tx= prompt crystalloid resuscitation. Statins potentiate - =Answer>> potentiate the effect of anticoagulants Horner syndrome - =Answer>> miosis, ptosis, anhidrosis. MRA head/neck rule out carotid dissection Central cord syndrome - =Answer>> produces weakness prominent in upper extremities vs lower Post-intensive care syndrome (PICS) - =Answer>> muscle weakness and neuro deficits. Tx = PT Subluxation of acromioclavicular joint - =Answer>> Sling, ice, NSAIDS Need Writing 📱Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📱
📱Hit Me UP__ Inbox Open 24/7 – 365 …...!!!! 📱 Chat with us here : 📱 Hybridgrades101@gmail.com nimodipine (Nimotop) - =Answer>> CA channel blocker, improves CPP. Good for SAH w/ vasospasm ICU delirium treatment - =Answer>> Precedex gtt Diagnostic for osteomyelitis - =Answer>> MRI to see infection of bone Normal pressure hydrocephalus - =Answer>> urinary incontinence, cognitive decline, gait disturbances/falls. Enlargement of ventricles on CT. Substance induced mania 2/2 to steroids - =Answer>> HOLD steroids, give olanzapine (Zyprexa) Brown-Sequard Syndrome - =Answer>> Damage to half of spinal cord. Loss of pain/temperature sensation on contralateral side. Loss of proprioception and weakness ipsilateral side of injury. TBI - =Answer>> Intubation and ICP monitoring for GCS 3-8 and abnormal head CT Idiopathic intracranial HTN - =Answer>> HA, visual changes, papilledema. Risk= obesity, hypothyroidism, recent tx w/ tetracycline such as doxycycline. Contraindications for tPA - =Answer>> Neuro surgery/head trauma within 3 months SBP > DBP > recent lumbar puncture ACA embolism - =Answer>> affects voluntary movement Need Writing 📱Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📱
📱Hit Me UP__ Inbox Open 24/7 – 365 …...!!!! 📱 Chat with us here : 📱 Hybridgrades101@gmail.com pneumocytosis pneumonia - =Answer>> Common opportunistic infection in those w/ human immunodeficiency virus (HIV) Tx= trimethoprim-sulfamethoxazole (Bactrim) Graft versus host disease (GVHD) - =Answer>> Transplanted cells recognize host as foreign and mount immune response, skin rash and GI symptoms common. Tx w/ steroids. Cardiac index for Cardiogenic shock - =Answer>> CI < 1. Normal= 2.5- Normal cardiac output - =Answer>> 5 L/min Liver transplant complication - =Answer>> Cytomegalovirus viremia. Hallmark = profound diarrhea w/ few other symptoms. Tx w/ ganciclovir (Cytovene). Tx for persistent dyspnea in palliative patient - =Answer>> Sustained release opioids, oxygen IF hypoxic Advanced directive - =Answer>> Document to outline pt wishes for initiation/continuation of life-sustaining Tx in the setting of acute/critical illness. Document names a proxy that can make decisions for the patient regarding these Tx's when pt unable to do so. Can be overturned at any time by patient or legal next of kin. Primary prevention - =Answer>> Efforts to prevent an injury or illness from ever occurring. Secondary prevention - =Answer>> Efforts to limit the effects of an injury or illness that you cannot completely prevent. Need Writing 📱Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📱
📱Hit Me UP__ Inbox Open 24/7 – 365 …...!!!! 📱 Chat with us here : 📱 Hybridgrades101@gmail.com Tertiary prevention - =Answer>> Actions taken after an adverse event (such as illness, injury, or abuse) occurs and that are aimed at reducing the harm or preventing disability. Preferred pain control in acute trauma - =Answer>> Fentanyl, due to short half-life and less effect on hemodynamics Tricyclic antidepressant OD - =Answer>> Tx= Sodium Bicarb to reverse metabolic acidosi s Acetaminophen OD - =Answer>> Tx= N-acetylcysteine Beta blocker OD - =Answer>> Tx= Glucagon and Ca+ Benzodiazepine OD - =Answer>> Flumazenil Colon CA screening age - =Answer>> 50, 45 blacks, and 40 (at risk) or 10 years younger than family hx DKA treatment - =Answer>> Priority is correction of fluid deficit, NS 1-3 L in 1st hr. Insulin 2nd step, 0.1 units/kg bolus, followed by 0.1-1.5 units/kg/hr. Check K+ prior to insulin, hold until >3. *bicarbonate therapy increases the risk of hypokalemia and cerebral edema as well as slows the rate of recovery from ketosis. Not clinically reccomended for DKA w/ pH >6. Gastroparesis - =Answer>> Delayed gastric emptying, early satiety, postprandial fullness. Complication of uncontrolled hyperglycemia. Somogyi effect - =Answer>> hypoglycemia followed by rebound hyperglycemia Tx= decrease evening intermediate acting insulin Need Writing 📱Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📱
📱Hit Me UP__ Inbox Open 24/7 – 365 …...!!!! 📱 Chat with us here : 📱 Hybridgrades101@gmail.com Hemolytic Uremic Syndrome (HUS) - =Answer>> Renal failure, neuro abnormalities, anemia, thrombocytopenia, normal FDP. Tx= Dialysis, plasmapheresis, IV fluids Graves disease - =Answer>> Onset 20-40, typically female. Low TSH, High T3/T4, goiter. Heparin-induced thrombocytopenia (HIT) - =Answer>> IgG antibodies target heparin-platelet factor 4 complex. Decrease in PLT by 30-50% w/in 5-10 following heparin exposure. Tx= STOP heparin, may require direct thrombin inhibitor (argatroban). Hepatorenal syndrome (HRS) - =Answer>> Acute renal failure from decrease in renal blood flow 2/2 liver disease characterized by decreased glomerular filtration rate and urine output (oliguria) Tx= Albumin, midodrine, octreotide Acute pancreatitis causes - =Answer>> GET SMASHED Gallstone Ethanol Trauma Steroids Mumps Autoimmune disease Scorpion sting Hypercalcemia/HyperTAGs (>1000) ERCP Drugs (sulfas) Acute pancreatitis treatment - =Answer>> NPO NG suctioning Need Writing 📱Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📱
📱Hit Me UP__ Inbox Open 24/7 – 365 …...!!!! 📱 Chat with us here : 📱 Hybridgrades101@gmail.com IV fluids Pain management Nutrition (TPN) Kehr's sign - =Answer>> Referred pain down the left shoulder; 2/ blood in peritoneal cavity. Sign of a ruptured spleen. Steven Johnson Syndrome (SJS) - =Answer>> Drug reaction w/ most common being NSAIDs, sulfa drugs, allopurinol, and phenytoin. Involves the mucous membranes of the mouth and/or eyes. Purpuric rash will progress to epidermal necrosis with sloughing skin. Redman syndrome - =Answer>> Reaction to Rapid infusion of Vancomycin -flushing and/or an erythematous rash that affects the face, neck, and upper torso.
- hypotension and angioedema may also occur.
- Symptoms Seen within 5-10 minutes of Infusion Refeeding syndrome - =Answer>> Hypophosphatemia is most common feature. Fluid and electrolyte shifts seen during aggressive nutritional rehabilitation of malnourished patients. Hemophilia A - =Answer>> Factor VIII deficiency Hemophilia B - =Answer>> Factor IX deficiency Superior mesenteric artery (SMA) - =Answer>> Supplies blood to small bowel, ileum, ascending colon, and two-thirds of the transverse colon Need Writing 📱Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📱
📱Hit Me UP__ Inbox Open 24/7 – 365 …...!!!! 📱 Chat with us here : 📱 Hybridgrades101@gmail.com Testicular cancer markers - =Answer>> alpha-fetoprotein (AFP) beta-human chorionic gonadotropin (b-hCG) Anterior cruciate ligament (ACL) tests - =Answer>> Anterior drawer sign or Lachman test Simple Triage And Rapid Treatment (START) - =Answer>> Black- dead Red- immediate Yellow- delayed Green- minor Diagnostic for gallbladder disease - =Answer>> 1st diagnostic= Transabdominal ultrasound Ethylene glycol/methanol OD - =Answer>> IVF, sodium bicarb, fomepizole Myxedema coma - =Answer>> severe hypothyroidism, characterized by decreased mental status and hypothermia. Signs include fatigue, weight gain, cold intolerance and constipation. Tx= IV thyroid hormone replacement, glucocorticoids Subdural hematoma (SDH) - =Answer>> Cause= Rupture of bridging veins. Presents w/ headache, altered mental status, dizziness, nausea, vomiting, focal weakness. Often requires surgical evacuation. Normal PTT - =Answer>> 25-35 seconds. Elevated levels= increased clotting time Ranson criteria - =Answer>> Screening for pancreatitis On admission: ->55yo Need Writing 📱Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📱
📱Hit Me UP__ Inbox Open 24/7 – 365 …...!!!! 📱 Chat with us here : 📱 Hybridgrades101@gmail.com -WBC> -glucose > -AST> -LDH> 48hrs after admission: -HCT drop >10% -BUN incr > -Ca< -arterial pO2< -base deficit >4 (24-HCO3) -fluid needs >6L Mortality risk: 28% if 3 points 40% if 6 points 100% if 7 points immunoglubulins - =Answer>> IgM- Recent infection, 1st line B- cells IgG- Indicates prolonged infection. 2nd immune response (only immunoglobulin that crosses the placenta). IgE- hypersensitivity response (allergic reaction) IgA- support immune function of mucus membranes. Addison's disease - =Answer>> Adrenal glands do not produce enough cortisol or aldosterone. Sx= bronze pigmentation of skin, changes in distribution of body hair, GI disturbances, weakness, hypoglycemia, hypotension, weight loss. Tx= glucocorticoids SIADH Tx - =Answer>> Fluid restriction, IV hypertonic saline, furosemide (Lasix) diabetes insipidus (DI) - =Answer>> Inadequate antidiuretic hormone (ADH), or there is a resistance of the kidney to ADH. Often 2/2 head trauma/tumor. Tx= desmopressin Need Writing 📱Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📱
📱Hit Me UP__ Inbox Open 24/7 – 365 …...!!!! 📱 Chat with us here : 📱 Hybridgrades101@gmail.com Tx= HOB elevate 90 degrees, loosen constrictive clothing, assess for full bladder or bowel impaction (trigger), administer antihypertensives (may cause stroke, MI, seizure) Cranial nerves - =Answer>> Olfactory #1 (Smell) Optic #2 (Vision) Oculomotor #3 (Motor control of some eye muscles and eyelid) Trochlear #4 (motor control of some eye muscles) Trigeminal #5 (Chewing & facial sensation) Abducens #6 (Motor control of some eye muscles) Facial #7 ( Motor control of facial muscles, salivation, tastes and cutaneous sensations) Vestibulocochlear #8 (Hearing, equilibrium) Glossopharyngeal #9 (Salivation, sensations of skin, taste) Vagus #10 (Motor control of the heart, sensation from the thorax) Accessory #11 (Motor impulses to pharynx and shoulder) Hypoglossal #12 (Motor control of the tongue, some skeletal muscles, some viscera, sensation from skin and viscera) Ankle-Brachial Index (ABI) - =Answer>> ratio of the ankle systolic pressure to the brachial systolic pressure; an objective measurement of PAD that indicates degree of stenosis. ABI < 0.3 = critical ischemia. Primary survey - =Answer>> Airway Breathing Circulation Disability Exposure Secondary survey - =Answer>> Head-to-toe exam and labs Preferred BP med for African American - =Answer>> Calcium channel blocker (-pine) Need Writing 📱Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📱
📱Hit Me UP__ Inbox Open 24/7 – 365 …...!!!! 📱 Chat with us here : 📱 Hybridgrades101@gmail.com Complicated UTI - =Answer>> present when underlying factors such as catheterization or obstruction predispose to ascending bacterial infection Tx= Fluoroquinolone or beta-lactam Simple UTI treatment - =Answer>> Trimethoprim, Nitrofurantoin, amoxicillin Inflammatory markers - =Answer>> Erythrocyte sedimentation rate (ESR): 0-22 (M)/0-29 (F) C-reactive protein (CRP): < 3 mg/L Uncomplicated gonorrhea treatment - =Answer>> Cefatrizine (IM) and azithromycin (PO) both single doses Dementia-associated conditions from environmental cause - =Answer>> AIDS, ETOH abuse, syphilis, vitamin deficiencies Acute nutritional diagnostic lab value - =Answer>> Prealbumin, quickly decreases when nutrition is inadequate. Responds quickly to increased protein intake. Tracer methodology - =Answer>> A process the Joint Commission surveyors use to "trace" the continuum of care from admission to post discharge using medical records (documents and interviews) as a guide. Why hold Levodopa w/ mild Parkinson's Sx - =Answer>> Levodopa effectiveness decreases over time (held until symptoms worsen) Charcot foot - =Answer>> Neuropathic fracture/dislocation found in patients with diabetes, resulting in a "rocker-bottom" foot deformity. Need Writing 📱Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📱
