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A comprehensive review of key concepts and clinical scenarios related to the aacn certification acnpc-ag exam for adult-gerontology acute care nurse practitioners. It includes a series of questions and answers covering various aspects of respiratory care, including asthma, copd, tuberculosis, and pneumonia. Designed to help students prepare for the exam by providing insights into common exam topics and potential questions.
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📱Hit Me UP__ Inbox Open 24/7 – 365 …...!!!! 📱 Chat with us here : 📱 Hybridgrades101@gmail.com AG-ACNP Boards Exam Review AG-ACNP Adult Gerontology Acute Care Nurse Practitioner 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: - 58 yo. M presents to ED with complaints of dry cough. CXR revealed generalized, inflamed film throughout. What is the most likely diagnosis? - =Answer>> Pneumonitis What drug has been known to prevent nosocomial PNA? - =Answer>> Sulcarafate (Carafate) - Mucosal Protective Agent What is an initial finding associated with a pulmonary embolism? - =Answer>> Respiratory Alkalosis - secondary to increased RR and blowing off CO What is diagnostic of pulmonary HTN? - =Answer>> 2D echo Need Writing 📱Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📱 Click Here To <
📱Hit Me UP__ Inbox Open 24/7 – 365 …...!!!! 📱 Chat with us here : 📱 Hybridgrades101@gmail.com Peak flow is <60 L/min initially OR does not increase to >50% predicted after 1 hr tx What are the ominous findings associated with an asthma exacerbation? - =Answer>> Extreme fatigue Lethargy ABG - hypercapnea >pCO2 >45 mmHg = EMERGENCY What is the outpatient daily management drug for asthma? - =Answer>> Inhaled Corticosteroids - Budesonide (Pulmicort) What side effect is associated with inhaled corticosteroids? - =Answer>> Candidal infection of the oropharynx, dry mouth, and sore throat. Educate patient to rinse mouth. What drug is indicated for breakthrough symptoms, rescue therapy and before exercise in the asthma patient? - =Answer>> Short acting beta-2 adrenergic agonist - Albuterol (Proventil) If symptoms persist in the asthma patient, what pharmacological interventions are indicated? - =Answer>> Increase inhaled corticosteroids or add long acting beta-2 adrenergic agonist - Salmeterol (Serevent) What is the indications for ipratroprium bromide (Atrovent)? - =Answer>> Secretion management. Inhaled anticholinergic What drug is indicated in the chronic management of asthma? - =Answer>> Antileukotrienes - montelukast (Singulair) Which drugs are associated with the BBW - Do not take during acute asthma exacerbation? - =Answer>> Long acting beta-2 agonists Antileukotrienes 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 What is the inpatient management of an acute asthma attack? - =Answer>> O IVF ABG Albuterol 0.3 cc in 3 mL NSS q30-60 mins Corticosteroids - Methylprednisolone 60-125 mg IV x 1 then 20 mg IV q4-6 hrs Anticholinergic - Atrovent MDI 2-6 puffs q4-6 hrs Define status asthmaticus. - =Answer>> Severe, acute asthma that is unremitting and poorly responsive. What are the gold standard interventions for status asthmaticus? - =Answer>> IV D51/2NS Intubation Cont. pulse ox ABG q 10-20 min How often do you monitor pulse ox and ABGs in status asthmaticus?
📱Hit Me UP__ Inbox Open 24/7 – 365 …...!!!! 📱 Chat with us here : 📱 Hybridgrades101@gmail.com What are the drugs used in initial TB treatment? - =Answer>> Isoniazid 300 mg Rifampin 600 mg Pyrazinamide 1.5-2.0 gm Ethambutol 15 mg/kg Explain the duration of TB therapy - =Answer>> Isoniazid 300 mg, Rifampin 600 mg, pyrazinamide 1.5-2.0 gm and ethambutol 15 mg/kg daily x 2 months THEN Isoniazid 300 mg and Rifampin 600 mg daily x 4 months What is duration of therapy for a patient with HIV diagnosed with TB? - =Answer>> NINE months What is the monitoring protocol for patient newly diagnosed with pulmonary TB? - =Answer>> Weekly sputum smears and cultures for SIX weeks then MONTHLY after negative cultures What labs should be evaluated at baseline when initiating TB therapy? - =Answer>> Liver function tests CBC serum Creatinine What is the risk with ethambutol? - =Answer>> Changes in visual acuity Red-green color blind For those with a positive PPD test, what drug is indicated and for how long? - =Answer>> INH x 6 months High risk - 5 mm induration Moderate risk - 10 mm induration Low risk - 15 mm induration 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 Define PNA. - =Answer>> Inflammation of the LOWER respiratory tract What microorganism is most responsible for community acquired pneumonia (CAP)? - =Answer>> Strep. pneumoniae - gram + What is the gold standard in diagnosing PNA? - =Answer>> CXR - infiltrates Blood cultures x 3 Identify the management of CAP in the healthy adult < 60 yo? - =Answer>> Macrolides
📱Hit Me UP__ Inbox Open 24/7 – 365 …...!!!! 📱 Chat with us here : 📱 Hybridgrades101@gmail.com At what point does a pneumothorax become symptomatic and require intervention? - =Answer>> When the pneumothorax is
20% What intervention is used first in the management on a non- emergent pneumothorax? - =Answer>> Chest tube placement 4th- 5th ICS MAL What is the immediate intervention indicated for a tension pneumothorax? - =Answer>> Needle thoracostomy 2nd ICS MCL What is the leading cause of inpatient hospital death? - =Answer>> Pulmonary Embolism. Identify the risk factors of a pulmonary embolism. - =Answer>> Immobility
Venous stasis Hypercoagulable states Endothelial damage Recent surgery of a long-bone PO contraceptives What are the hallmark signs and symptoms of a pulmonary embolism? - =Answer>> ACUTE SOB Hypotension Tachycardia Chest pain Hemoptysis What ABG values are associated with a pulmonary embolism? - =Answer>> Hypoxemia (SaO2 <90%, PaO2 <80 mmHg) Hypocapnia (pCO2 <35 mmHG r/t reflexive hyperventilation 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 What are the diagnostics indicated for pulmonary embolism? - =Answer>> VQ scan Spiral CT scan Pulmonary angiography What is the medical management of a pulmonary embolism? - =Answer>> O2, intubation IVF Heparin 80 u/kg bolus Heparin 18 u/kg/hr - PTT 1.5-2 x normal Coumadin SIMULTANEOUSLY - INR 2- What is the goal INR for Coumadin tx with pulmonary embolism? - =Answer>> INR 2- What is the goal PTT for Heparin therapy with PE? - =Answer>> PTT 1.5 - 2 x normal (Normal: PTT 60-90 seconds) What is the pathology of ARDS? - =Answer>> Transudative fluid build up in alveoli related to systemic inflammatory process that impairs ventilation and perfusion. What are the signs and symptoms associated with ARDS? - =Answer>> ACUTE severe dyspnea Respiratory distress Wheezes What is the hallmark feature of ARDS? - =Answer>> Refractory hypoxemia - giving O2 and it doesnt help CXR - whited out with diffuse bilateral infiltrates What is the management of a patient with ARDS? - =Answer>> Mechanical ventilation - Low tidal volume, Increase PEEP TV 5-7 or 6-8 ml/kg ideal body weight 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 No PEEP No Pressure Support 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 What parameters need to be met in order to wean a patient from mechanical ventilation? - =Answer>> FiO2 40%, SaO2 >92% 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 Consult pulm/RT Cough 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 Gag reflex What is the gold standard for diagnosing a pleural effusion? - =Answer>> CXR - blunting of the costophrenic angles (shark fins) 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 PaCO2 reflects - =Answer>> alveolar ventilation 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 ARDS is - =Answer>> Respiratory failure with hypoxia Need Writing 📱Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📱