Download AANP AGPCNP PSI Exam 1 & 2 AACN Certification ACNP-AG Review Questions and Answers and more Exams Gerontology in PDF only on Docsity!
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] _____________
Examination
Time: - ____ Hours: ___ Minutes
Instructions:
- Read each question carefully.
- Answer all questions.
- Use the provided answer sheet to mark your responses.
- Ensure all answers are final before submitting the exam.
- Please answer each question below and click Submit when you have completed the Exam.
- This test has a time limit, The test will save and submit automatically when the time expires
- This is Exam which will assess your knowledge on the course Learning Resources.
Good Luck……...!
📱Hit Me UP__ Inbox Open 24/7 – 365 …...!!!! 📱 Chat with us here : 📱 Hybridgrades101@gmail.com
AANP AGPCNP PSI Exam 1 & 2 AACN Certification ACNP-
AG American Association of Critical-Care Nurses Review
Questions and Answers | 100% Pass Guaranteed | Graded
A+ |
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: - An 88-year-old presents with right-side weakness after being unable to rise unassisted following a fall to the bathroom floor. History includes aphasia and noncompliance with hypertension medication regimen. What is the most likely diagnosis? Left-sided or right-sided CVA? - =Answer>> LEFT-SIDED CVA Which of the following signs/symtpoms are often associated with headahces due to intracranial tumor? 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 missed any doses and uses no other medication. Which of the following is appropriate?
- Changing to Ortho-Novum 1/
- Discontinue use
- Providing reassurance
- Double dose-for two days - =Answer>> 3) provide reassurance According to the Report of the U.S. Preventive Services Task Force, which of the following is NOT a current recommendation guideline for preventive care in elderly female patients?
- Mammogram and clinical breast exams
- Fecal Occult blood test and/or sig
- Rubella serology or vaccination history
- Pnuemo and influenza vaccines - =Answer>> 3) Rubella serology or vaccination history 87 y/o NH patient is drowsy and barely responsive. Temp 95, BP: 110/70, Pulse 60, R 10. The best action is to:
- initiate passive warming
- apply a rebreather
- Perform fluid replacement
- initiate active warming - =Answer>> 1) initiate passive rewarming A patient is referred with DM, HTN and CAD. He is on insulin and a beta blocker. How would you educate this patient on recognizing the signs and symptoms of hypoglycemia? 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
- Edema
- Tachycardia
- palpitations
- sweating - =Answer>> 4) sweating A 65-year-old overweight patient is diagnosed with plantar fasciitis. Initial therapy of NSAIDs, stretching, ice, and rest has proven ineffective after 3 weeks. The best follow-up plan of care would be to:
- stop NSAID, apply a heel cup and encourage exercise and wt loss.
- continue NSAID, apply an arch support and encourage wt loss and exercise
- continue NSAID, xray and add a short-leg night splint
- COntinue NSAID, xray and add a metatarsal bar - =Answer>> 2) continue NSAID, apply an arch support and encourage wt loss and exercise Fundoscopic exam of Hypertensive patient.
- nicking of arteriols and viens, and small retinol hemorrages
- drusen bodies and pale retina
- pale macula and swollen disk margins
- microaneurysms and optic disc cupping - =Answer>> 1) nicking of arteriols and viens, and small retinol hemorrages Which of the following is a common presenting feature of hyperthyroidism in the elderly? 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 has been present for 4 weeks. The diagnostic study to perform first would be:
- xray
- pulmonary function test
- bronchoscopy
- H & H - =Answer>> 1) xray (tb-night sweats) A 44-year-old female is complaining of frequent anxiety attacks with chest discomfort and fatigue. On physical examination, her lungs are clear bilaterally. There are a midsystolic click and a grade II/VI systolic murmur at the apex. Further evaluation would include which of the following?
- EKG, flat plate of the abdomen, lipid profile
- Echocardiogram, Doppler, EKG
- Labs and benzo's
- EEG, Anxiety Scale, and electrolytes - =Answer>> 2) Echocardiogram, Doppler, EKG A healthy 84 y/o would like to start an exercise program, what would you do before this takes place?
- physical exam
- EKG
- knee xrays
- PT Stress test - =Answer>> 1) Physical Exam 29 y/o has uncomplicated Chlamydia infection will exhibit: 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
- green penile discharge
- uticartia
- unremarkable symtpoms
- penile ulcer - =Answer>> 3) unremarkable symptoms 37 has suspected PE. c/o anxiety and cough, CXR normal, the next test should be:
- spirometry
- MRI
- COntract venogra[hy
- helical CT pulmonary angiograph - =Answer>> 4) helical CT pulmonary angiography. A 12-lead EKG shows an undulating baseline with no visible P waves and an irregularly irregular R-R interval. This arrhythmia is:
- atrial flutter
- atrial fibrillation
- second degree heart block
- Wolff-White Syndrome - =Answer>> 2) atrial fibrillation After a 3-week camping trip, a 17-year-old is seen for a target lesion with central clearing, located in the inguinal area. The patient has had a severe headache, malaise, fatigue, and generalized musculoskeletal pain for several days. Pharmacologic management of this condition includes:
- Bactrim 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
- Polymyalgia rheumatica
- polymyositis
- osteoarthritis
- Fibromyalgia - =Answer>> 1) polymyalgia rheumatica An 85-year-old male relates that on the way to his annual physical examination, he suffered a sudden loss of vision in his right eye characterized by "a bunch of lights" and a feeling that "a curtain came down." All of the following would be included in the differential diagnosis EXCEPT:
- opthalmolic migraine
- retinal detachment.
- diabetic retinopathy.
- TIA - =Answer>> 3) diabetic retinopathy A patient with diabetes mellitus who is on NPH and regular insulin split-dosing presents with complaints of early morning rise in fingerstick blood glucose. A review of self blood glucose monitoring reveals increased morning levels. After an increase in the evening insulin dose, the problem worsens. This is most likely an example of:
- insulin resistance
- the Somogyi effect.
- needing more insulin in the mornings
- Need to increase insulin at night - =Answer>> 2) Somogyi effect In a healthy elder, which of the following TRADITIONALLY defines a positive urine culture? 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
- ≥100,000 colonies/mL of a single organism
- ≥10,000 colonies/mL of a single organism
- ≥100,000 colonies/mL of a two or more organisms - =Answer>> ≥100,000 colonies/mL of a single organism A 55-year-old patient exhibits a verified serum calcium level of 13 mg/dL [normal = 8.9-10.2 mg/dL]. The next step in determining the presence of pathology is to order a:
- BUN and serum creatinine.
- 24 hour urine
- parathyroid hormone level.
- thyroid panel - =Answer>> 3) parathyroid hormone level An 88-year-old female presents with a 3-day history of vertigo. The patient has a past medical history of hypertension controlled with metoprolol, 50 mg daily. She reports that the presenting symptoms are constant, severe, and accompanied by nausea and vomiting. She denies experiencing diplopia, slurring of speech, chest pain, dyspnea, or diaphoresis. She exhibits mild anxiety and reluctance to change position or turn the head. BP = 126/76; P = 78; R = 16/min; and T = 98.2°F (36.8°C). HEENT examination reveals 17 beats of horizontal nystagmus on right lateral gaze; the nystagmus stops after several repetitions of the maneuver. Funduscopic, cardiac, pulmonary, abdominal, and neurologic examination results are normal. The most likely diagnosis is: 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
- Squamous epithelial cells with stippling appearance and indistinct borders, no lactobacillus rods, many white blood cells
- Squamous epithelial cells with stippling appearance and indistinct borders, many lactobacillus rods, few white blood cells - =Answer>> 2) Squamous epithelial cells with stippling appearance and indistinct borders, no lactobacillus rods, many white blood cells Which of the following physical findings would best alert a nurse practitioner to the probability of a herniated lumbar disc?
- Positive Patrick's sign, decreased thoracolumbar ROM, positive straight-leg raise at 90°
- Decreased thoracolumbar ROM, positive crossed straight-leg raise, positive straight-leg raise at 30°
- Negative Patrick's sign, decreased thoracolumbar ROM, positive straight-leg raise at 80° - =Answer>> 2) Decreased thoracolumbar ROM, positive crossed straight-leg raise, positive straight-leg raise at 30° An 87-year-old obese female presents with complaints of calf pain in her right leg. The patient reports that the pain is increased with ambulation and has been increasing over the past 24 to 48 hours. The patient denies the following: any recent injury to the leg, smoking, or recent surgery. To assess this patient's symptoms, you would initially assess: 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
- calf circumference and perform Doppler studies.
- popliteal pulses and Doppler studies
- Femoral pulses and skin temperature
- Patrick's signs and popliteal pulses - =Answer>> 1) calf circumference and perform Doppler studies What type of exercise would you recommend for a 74-year- old patient with hypertension and degenerative joint disease (DJD)?
- Stationary bike
- Aqua exercises
- aerobic walking - =Answer>> 2) Aqua exercises Trigeminal neuralgia
- electric shock like unilateral pain
- jaw pain extending to the neck
- Bilateral burning pain - =Answer>> 1) electric shock like unilateral pain A manifestation of autonomic neuropathy in a 70-year-old patient with diabetes mellitus is:
- tremors.
- orthostatic hypotension.
- hypertension
- color blindness - =Answer>> 2) orthostatic hypotension 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
- lymphoma
- Candida lingua - =Answer>> 2) HIV infection (hairy luekaplakia-immune) A 70-year-old patient presents with complaints of vague epigastric pain occurring at night, causing early morning awakening, and decreased appetite with early satiety. Significant history includes recent use of ibuprofen for headaches. Rectal examination was negative. While awaiting the results of ordered diagnostic tests, the practitioner should recommend all of the following EXCEPT:
- starting H2 blockers.
- taking off from work until the work-up is complete.
- Reporting nausea/vomiting
- Discontinue NSAIDS - =Answer>> 2) taking off work until the work-up is complete A 32-year-old patient reports a 6-month history of intermittent symmetrical swelling of the wrists and daily morning stiffness lasting 1 hour or more in and around other joints. What is the most likely diagnosis?
- Rheumatoid arthritis
- Osteoarthritis
- Gouty arthritis - =Answer>> 1) Rheumatoid arthritis An 18-year-old college student presents for an athletic physical. When asked about current medications, she mentions she takes "some herb" she bought at the health food store for migraines and menstrual cramps. Which of 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 the following herbal remedies has been commonly used for these conditions?
- Echinacea
- St. JOhn's Wort
- ginko biloba
- Feverfew - =Answer>> 4) Feverfew The most common bacterial agents responsible for pneumonia in older adults residing in the community are:
- Streptococcus pneumoniae and Haemophilus influenzae.
- staphylococcus aureas and Haemophilus influenzae.
- Psuedomonas aeruginosa and Klebsiella pneumonae
- Legionnaires and streptococcus pneumoniae - =Answer>> 1) Streptococcus pneumoniae and Haemophilus influenzae. Which cranial nerves test the oculomotor eye movement and strabismus?
- CN I III, IV
- CV III, IV and VI
- CN III, V, VII - =Answer>> 2) CV III, IV and VI The management of COPD in the elderly is best guided by:
- pulse oximetry
- arterial blood gases
- radiographic images
- symptomology - =Answer>> 4) symptomology 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 pneumococcal vaccine 10 years ago. The most appropriate plan of care would include:
- influenza vaccine, 0.5 mL IM,
- influenza vaccine, 0.5 mL IM, and pneumococcal vaccine, 0.5 mL IM.
- pneumococcal vaccine, 0.5 mL IM. - =Answer>> 2) influenza vaccine, 0.5 mL IM, and pneumococcal vaccine, 0.5 mL IM. An 87-year-old patient is being treated for major depression with a selective serotonin reuptake inhibitor. Which of the following would have the greatest probability of remaining in the serum long after being discontinued?
- Celexa
- Prozac
- Paxil
- Zoloft - =Answer>> 2) Fluoxetine (Prozac) Age-related macular degeneration leads to which of the following?
- Loss of central vision
- Loss of peripheral vision
- hemianopsia bilateral - =Answer>> 1) loss of central vision The approved therapeutic International Normalized Ratio (INR) for a patient on warfarin (Coumadin) therapy for atrial fibrillation is: 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
- 1.0-2.
- 2.0-3.
- 2.5-3.5 - =Answer>> 2) 2.0-3. A 57-year-old patient presents for a physical examination. The patient has been in good health, takes no medications, has a family history of hypertension and heart disease, denies alcohol use, and has never smoked. The patient's last tetanus booster was 9 years ago. Which of the following vaccines is indicated at this time?
- TD
- Influenza
- PNA
- Hep B - =Answer>> 2) Influenza A patient with a diagnosis of diverticulosis presents with localized left lower quadrant discomfort, a palpable mass, mild leukocytosis, and T = 100° (37.8°C). The patient does not appear toxic and can tolerate fluids. An appropriate plan should include:
- NPO, BARIUM enema
- low fiber diet and referral to GI
- clear liquids and oral antibiotics.
- admit to hospital - =Answer>> 3) clear liquids and oral antibiotics. A frail elder who is on total bed rest suddenly develops urinary and fecal incontinence. This condition is frequently an indication of: Need Writing 📱Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📱
