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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 Instructor: ____ [Insert Instructor’s Name] _______ Student Name: ___ [Insert Student’s Name] _____ Student ID: ____ [Insert Student ID] _____________
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AACN AGACNP Board Exam Review AACN Certification
American Association of Critical-Care Nurses Review
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AACN Certification Corporation's ACNPC-AG Exam
Adult-Gerontology Acute Care Nurse Practitioners
ACNP-AG - AACN
American Association of Critical-Care Nurses
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- Following a 10-foot fall, a young adult presents on a backboard with a c-collar on. The pt had an initial LOC at the scene and was lucid on arrival, but LOC is rapidly deteriorating. The right pupil is round and reactive, but the left is dilated and unresponsive to light. The ACNP should first suspect: a. a basilar skull fx b. a subdural hematoma c. an epidural hematoma Need Writing 📱Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📱 Click Here To <> Follow Link
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📱Hit Me UP__ Inbox Open 24/7 – 365 …...!!!! 📱 Chat with us here : 📱 Hybridgrades101@gmail.com minutes. The cardiac biomarkers and 12-lead ECG are unremarkable. The pt is currently pain free and anxious to go home. The ACNP should a. dc the pt and have them f/u w/their PCP b. hold dc and repeat cardiac biomarkers in 8 hrs c. dc the pt and schedule an appt for a cardiology f/u d. hold dc and schedule an emergent cardiac catheterization - =Answer>> b. hold dc and repeat cardiac biomarkers in 8 hrs Concerns are raised about a unit's increasing utilization of blood products. The ACNP is asked to participate on a newly formed inter-professional team. Upon agreeing to participate, the ACNP should first a. verify that the meeting schedule would align with the ACNPs schedule b. ensure that the ACNP's suggestions will be adopted c. find out who else will be participating d. identify the goals assigned to the team - =Answer>> d. identify the goals assigned to the team Following cardiac sx, a pt in sinus rhythm suddenly converts to a fib. The pt is asymptomatic. Tx should include a. sedation and cardioversion b. diltiazem (Cardizem) infusion c. emergency defibrillation d. digoxin (Lanoxin) - =Answer>> b. diltiazem (Cardizem) infusion Cushing's Syndrome/Disease - =Answer>> cortisol excess typically caused by pituitary adenoma 60-70% of cases. 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 Central obesity w/ extremity wasting. dorsocervical fat pad. rounded facies. spontaneous bruising. purple striae hyperpigmentation poor wound healing/ skin infections. Dexamethasone suppression test. 1mg dexamethasone at 2300 hours and measure serum cortisol at 0800. Remove sources of excess and manage consequences ( HTN, hypokalemia, hyperglycemia.) Addison's disease - =Answer>> Primary Caused by damage to the adrenal cortex (autoimmune, TB, metastatic disease, deposition diseases, and drug induced) leading to a decrease in cortisol production. Secondary Caused by pituitary failure to release ACTH (in any hypopituitary disorder) causing a decrease in cortisol production. Sudden withdrawal of systemic corticosteroids leading to a decrease in cortisol production from induced corticosteroid suppression. diabetes insipidus (DI) - =Answer>> Insufficient ADH or decreased sensitivity to ADH Nephron cannot conserve water. 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 SG <1. Protein <3 g/dl LDH < 200 Fluid-serum protein ratio <0. Fluid -serum LDH ratio <0. Exudate pleural effusion - =Answer>> Lung parenchymal infection Malignancy PE SG >1. Protein >3 g/dl LDH > Fluid-serum protein ratio >0. Fluid-serum LDH ratio >0. Fibrinolysis Contraindications - =Answer>> Absolute Hx of cerebrovascular event (ICH, intracranial neoplasm, aneurysm, AVM) Non-hemorrhagic stroke or head trauma <3 months ago. Cranial or spinal trauma <2 months ago. Known bleeding disorder. Active internal bleeding. Relative Hx of severe/poorly controlled HTN or severe, uncontrolled arterial HTN SBP>180 and DBP > Ischemic stroke >3 months ago. Trauma or major surgery in the last 3 weeks. Puncture of a non-compressible vessel. 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 Hemorrhagic ophthalmic condition. PT >15 sec or current use of anticoagulants. Known or suspected pregnancy. subarachnoid hemorrhage (SAH) - =Answer>> Bleeding into the subarachnoid space secondary to a cerebral aneurysm or head injury. Thunder clap headache. Vomiting. Confusion/LOC. Seizures. Treatment: BP Control Surgical intervention. Epidural Hematoma - =Answer>> Temporal or parietal skull fracture Middle meningeal artery injury. Rapid blood accumulation from arterial source between the dura mater and the skull. Headache TRANSIENT LOC Unilateral fixed pupil Nausea/vomiting Dizziness Treatment: BP Control Surgical intervention. 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 Heard best at LSB but usually audible over precordium No radiation. Softens or disappears with standing. Increases in intensity with activity, fever, anemia. S1 and S2 intact. PMI normal. Aortic Stenosis Murmur - =Answer>> Grade 1-4/6 harsh systolic murmur, usually crescendo-decrescendo pattern. Heard best at 2nd RICS, apex, and softens with standing. Radiates to carotids, may have diminished S2, slow filling carotid pulse, narrow pulse pressure, loud S4, heaving PMI. Great the degree of stenosis the later the peak of murmur. Younger adults due to bicuspid valve. Older adults due to calcific /rheumatic. Dizziness and syncope are an ominous sign pointing to severely decreased cardiac output. Aortic sclerosis - =Answer>> Grade 2-3/6 systolic ejection murmur best heard at RICS. Carotid upstroke full, not delayed, no S4, absence of symptoms. Benign thickening of the aortic valve leaflets. No change in valve pressure gradient. 50 over 50 (found in 50% of those over 50) Aortic regurgitation - =Answer>> Grade 1-3/4 high pitched blowing diastolic murmur heard best at 3rd LICS. May be enhanced by forced expiration, leaning forward. Usually S3, wide pulse pressure, sustained thrusting apical impulses. 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 More common in men usually from rheumatic heart disease and occasionally due to tertiary Syphilis. Mitral Stenosis Murmur - =Answer>> Grade 1-3/4 low pitched late diastolic murmur best heard at the apex. Short crescendo-decrescendo rumble like a bowling ball rolling down an alley or distant thunder. Often with an opening snap, accentuated S1 in the mitral area. ENHANCED by LEFT LATERAL DECUBITUS POSITION, squat, cough, immediately post Valsalva. Nearly all rheumatic in origin. Protracted latency period then gradual decrease in exercise tolerance leading to a rapid downhill course due to low cardiac output. AF common. Atrial Septal Defect ASD - =Answer>> Grade 1-3/6 systolic ejection murmur in the pulmonic area. Widely split S2, right ventricular heave. Typically without symptoms and then middle aged HF. Persistent ostium secundium in mid septum. Will resolve with ASD correction. Pulmonary Hypertension - =Answer>> Narrow splitting S2, murmur of tricuspid regurgitation. SOB nearly universal. Seen RVH, RAH as identified on EKG/echo. Secondary PH may be a consequence of Redux "Phen/fen" use 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 Drop Arm Test - =Answer>> Rotator cuff evaluation Finkelstein Test - =Answer>> De Quervain's Tenosynovitis Osgood-Schlatter disease - =Answer>> inflammation or irritation of the tibia at its point of attachment with the patellar tendon Osteoarthritis (OA) - =Answer>> Joint space narrowing Heberden's nodes - =Answer>> Closest to the tip of the finger. Bouchard's nodes - =Answer>> Middle Joint of finger. The most common cause of intestinal obstruction is: A. Adhesion B. Tumor C. Ischemic bowel D. Umbilical hernia - =Answer>> A- adhesion A firm liver on physical exam is usually associated with: A. Ascites B. Passive congestion C. Cirrhosis D. Hepatic carcinoma - =Answer>> B- Passive congestion Differential diagnosis of lower GI Bleed - =Answer>> - Diverticulum hemmorhage -Occult neoplastic -Colitis (infectious, ischemic, radiation, ulcerative colitis
Crohn's disease) 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 -Angiodysplasia -Anorectal (fissure, hemorrhoid, rectal ulcer) -Vasculitis Goals of GI Bleed Resuscitation - =Answer>> -Volume resuscitation (IV fluids, PRBCs) -Reverse coagulopathy: (FFP, vit K), platlet goal >50, -ICU if vital signs unstable or poor end-organ perfusion -Labs: H&H, platlet, PT/PTT, LFT, BUN/Creatinine What are the vitamin K dependent clotting factors synthesized by the liver? - =Answer>> Factor II, VII, IX, X and proteins C and S How is the adequacy of vit. K dependent clotting factors estimated? - =Answer>> PT and INR. Prolongated from impaired coagulation factor synthesis or Vitamin K deficiency. (If PT/INR normalize after Vit K administration, this indicates Vit K deficiency). AST and ALT enzymes - =Answer>> Elevations--
hepatocellular injury, necrosis. Marked elevations (>1000) typically occur with acute hepatocellular injury (viral, drugs, ischemia). AST>2x ALT = alcohol. AST<1 ALT = viral hepatitis Alkaline phosphatase (ALP) enzyme - =Answer>> Elevations-->cholestatic (biliary obtruction, space- occupying/infiltrative lesions of liver). ALP present in multiple tissues. An elevated GGT (enzyme) establishes hepatic origin of ALP Normal value: 50 - 136 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 D. a positive psoas sign - =Answer>> B) A positive Murphy's sign is not associated with acute appendicitis; rather it is associated w/acute cholecystitis 70 yr old male w/6 wk hx of indigestion after meals relieved with Maalox. Denies wt loss, change in appetite. Current med includes ASA 325 mg, enalapril 10 mg, and multivitamin. Exam reveals HR 80, BP 130/70 with normal cardiac, abdominal, & lung exam. Rectal exam reveals brown stool, + for blood. What is the next step in the evaluation of this patient? A. Tell patient to report back if further blood in stool B. Instruct patient to stop taking aspirin C. Have patient return in 1 week for repeat rectal D. Refer to gastroenterologist for further evaluation - =Answer>> D) The next step would be to refer the patient to GI for further evaluation. It would also be appropriate for the pt to stop aspirin but the cause of the blood in the stool needs to be determined. Crohn's disease is characterized by all of the following except: A. diarrhea B. LLQ abdominal pain C. weight loss D. rectal bleeding - =Answer>> B) Crohn's disease is not characterized by LLQ abdominal pain. It is associated with diarrhea, RLQ abdominal pain, wt loss, and rectal bleeding A hepatic bruit suggests: A. ascites B. carcinoma of the liver 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 C. peritonitis D. mesenteric ischemia - =Answer>> B) hepatic bruit suggests liver carcinoma Which of the following medications are contraindicated in C. difficile colitis b/c toxic megacolon can occur? A. Bismuth subsalicylate (Pepto-Bismol) B. Magnesium hydroxide (Maalox) C. Loperamide (Imodium) D. All of the above - =Answer>> C) Loperamide (Imodium) Volvulus of the intestines most frequently involves the: A. stomach B. sigmoid flexure C. jejunum D. cecum - =Answer>> B) Sigmoid flexure The classic triad of abdominal aortic aneurysm symptoms include all of the following except: A. hypotension B. pulsatile abdominal mass C. low back pain D. hypertension - =Answer>> D) Hypertension is not a symptoms of the classic triad. The most common cause of pancreatic disease is (are): A. alcoholism B. gallbladder disease C. prescription medication use D. all of the above - =Answer>> D) All of the above 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 D. H2RBs - =Answer>> A) Treatment of H. pylori does not include antacids. PUD not related to H. pylori infection may be treated with a trial of antacids. Treatment of H. pylori includes antibiotics, PPIs, and H2RBs A healthcare worker suffers a needlestick injury from a patient known to have hepatitis B virus. What would be the plan of care for this healthcare worker? A. Give the hepatitis B vaccine immediately. B. Obtain baseline LFTs C. Give the hepatitis B vaccine within 1 week D. Give hepatitis B immune globulin and hepatitis B vaccine immediately - =Answer>> D) Give HBIG and Hepatitis B vaccine immediately. The HBIG provides immediate, high- level passively acquired anti-hepatitis B immunity, whereas the hepatitis vaccine offers lasting immunity. Which of the following markers is indicative of acute hepatitis A infection? A. Hepatitis A IgM positive B. Hepatitis A IgM negative C. Hepatitis A IgG negative D. Hepatitis A IgG positive - =Answer>> A) The marker indicative of acute hepatitis A infection is hepatitis A IgM positive Hepatitis B is characterized by all of the following except: A. it is common in healthcare workers B. the incubation period is 10 days C. it may be associated with fatigue and arthralgia 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 D. there may be a chronic carrier state - =Answer>> B) The incubation period for HBV may extend from 6 weeks to 6 months; it is not 10 days. Causes of secretory diarrhea include: A. ulcerative colitis B. Irritable bowel syndrome C. esophageal cancer D. pancreatitis - =Answer>> A) ulcerative colitis. Other causes also include Crohn's disease, colon CA, and villous adenomas. The most common cause for a protuberant abdomen is: A. an umbilical hernia B. abdominal fat C. an abdominal tumor D. hepatomegaly - =Answer>> B) abdominal fat Hypoactive bowel sounds may be associated with: A. an ileus B. an abdominal tumor C. diarrhea D. an early intestinal obstruction - =Answer>> A) Hypoactive bowel sounds may be associated with an ileus. Diarrhea and early intestinal obstruction will produce hyperactive bowel sounds. Abdominal tumors may have no effect on bowel sounds unless there is an obstruction. An enlarged, irregular liver suggests: A. hepatitis A B. CHF C. hepatitis C Need Writing 📱Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📱
