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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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Student Name: ___ [Insert Student’s Name] _____
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📱Hit Me UP__ Inbox Open 24/7 – 365 …...!!!! 📱 Chat with us here : 📱 Hybridgrades101@gmail.com AGACNP AACN Boards Certification Exam AACN ACNP-AG Adult-Gerontology Acute Care Nurse Practitioners 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: - 3 steps of pain management - =Answer>> 1. aspirin, tylenol, NSAIDs
- codeine, hydrocodone, oxycodone, tramadol (only with NSAIDS)
- morphine, hydromorphone, methadone, fentanyl Breakthrough cancer pain management - =Answer>> fentanyl Metastatic bone pain management - =Answer>> bisphosphonates Tension headache symptoms & management - =Answer>> symptoms - tight, back of head/neck 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 hypovolemic w/ urine sodium <10 causes - =Answer>> dehydration, diuresis, vomiting hypovolemic w/ urine sodium >20 - =Answer>> diuretics, ACE, mineralocorticoid deficiency hypervolemic hypotonic hyponatremia - =Answer>> edema, CHF, liver disease, renal failure must restrict fluids hypertonic hyponatremia serum osmolality and causes - =Answer>> serum osmolality > causes - HHS hypokalemia causes, signs/symptoms, treatment - =Answer>> causes - diuretics, GI losses, renal loss, alkalosis signs/symptoms - weakness, fatigue, cramps, broad T waves, u waves treatment - oral replacement if >2.5, 40mEq/L/hr IV if severe hyperkalemia causes, signs/symptoms, treatment - =Answer>> causes - renal failure, drugs, hypoaldosteronism signs/symptoms - weakness, flaccid paralysis, abdominal distension, diarrhea, peaked T waves treatment - ion resin exchange (kayexalate), insulin, D5W hypocalcemia causes, signs/symptoms, treatment - =Answer>> causes - pancreatitis, renal failure, trauma, massive transfusions symptoms - increased DTRs, cramps, convulsions, prolonged QT, Chvostek's and Trousseau's sign treatment - check for alkalosis, IV calcium gluconate if acute, oral supplements if chronic 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 hypercalcemia causes, signs/symptoms, treatment - =Answer>> causes - vitamin D intoxication, immobilization, thiazide diuretics symptoms - fatigue, muscle weakness, constipation, coma, death treatment - calcitonin if renal/card involvement, NS, loop diuretics, dialysis if severe respiratory acidosis causes, signs/symptoms, treatment - =Answer>> causes - hypoventilation (pH<7.35, pCO2>45) symptoms - somnolence, confusion, coma, myoclonus with asterixis treatment - narcan if unknown cause, increased ventilator rate respiratory alkalosis causes, signs/symptoms, treatment - =Answer>> causes - hyperventilation (pH>7.45, pCO2<35) symptoms - lightheadedness, tingling, tetany if severe treatment - paper bag breathing, decreased ventilator rate metabolic acidosis types, causes, treatment - =Answer>> types: increased anion gap - DKA, alcoholic ketoacidosis, lactic acidosis normal anion gap - diarrhea, ileostomy, renal tubular acidosis, DKA recovery treat with fluids metabolic alkalosis causes, signs/symptoms, treatment - =Answer>> causes - saline responsive, NG suction, vomiting, diuretics treatment - d/c diuretics, give NaCl and KCl, H2 blockers if GI loss Gram positive bacteria - =Answer>> streptococci, staphylococcus, enterococci, bacilli Gram negative bacteria - =Answer>> E. coli, klebsiella, pseudomonas, acinetobacter, enterobacter anti-rejection meds following transplant - =Answer>> 1. steroids 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 signs/symptoms - pica, dyspnea, fatigue, headache, palpitations treatment - ferrous sulfate (with vitamin C) Thalassemia characteristics, causes, signs/symptoms, treatment - =Answer>> characteristics - microcytic, hypochromic causes - genetic disorders signs/symptoms - minor: similar presentation as iron deficiency anemia; major: FTT, feeding difficulty, fever, diarrhea, jaundice treatment - RBC transfusion if severe Folic acid deficiency characteristics, causes, signs/symptoms, treatment - =Answer>> characteristics - macrocytic, normochromic causes - malabsorption of folic acid signs/symptoms - fatigue, dyspnea, pallor, NO neuro treatment - folate and high folic acid foods Pernicious anemia characteristics, causes, signs/symptoms, treatment - =Answer>> characteristics - macrocytic, normochromic causes - deficiency of intrinsic factor signs/symptoms - positive romberg, positive babinski treatment - cyanocobalamin (B12) Anemia of chronic disease characteristics, causes, signs/symptoms, treatment - =Answer>> characteristics - normocytic, normochromic causes - decreased erythrocyte lifespan signs/symptoms - fatigue, weakness, DOE, anorexia treatment - supportive Sickle Cell anemia characteristics, signs/symptoms, treatment - =Answer>> characteristics - chronic hemolytic anemia w/ sickled shape RBCs 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 signs/symptoms - severe pain, aching joint pain, weakness, dyspnea; peripheral smear w/ sickled RBCs treatment - fluids, analgesics, and oxygen Von Willebrand Disease characteristics, signs/symptoms, treatment - =Answer>> characteristics - reduced ability to clot d/t deficiency of vWF signs/symptoms - frequent, prolonged, severe bleeding, easy bruising treatment - desmopressin, cWF/factor VIII concentrate Acute Myelogenous Leukemia (AML) - =Answer>> Acute Lymphocytic Leukemia (ALL) - =Answer>> Pancytopenia (all labs down) with circulating blasts (hallmark of disease) More difficult to cure in adults than children Chronic Lymphocytic Leukemia (CLL) - =Answer>> lymphocytosis Chronic Myelogenous Leukemia (CML) - =Answer>> Philadelphia chromosome Non-Hodgkin's Lymphoma - =Answer>> most common neoplams between 20-40, presents with lymphadenopathy Hodgkin's Lymphoma - =Answer>> cervical adenopathy that spreads along lymph, Reed Sternberg cells Idiopathic Thrombocytopenia Purpura (ITP) - =Answer>> cause - autoimmune destruction of platelets management - only if low platelets; corticosteroids to elevate platelets, IV gamma globulin Heparin-induced thrombocytopenia (HIT) - =Answer>> destruction of platelets d/t heparin reaction 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 Hospital acquired pneumonia - =Answer>> usually staph aureus, strep pneumoniae, or h. influenzae cefepime/levo/imipenem/meropenem add vanco or linezolid if MRSA risk Ventilator acquired pneumonia - =Answer>> usually pseudomonas pneumothorax symptoms, diagnosis, treatment - =Answer>> symptoms - diminished breath sounds and hyperresonance on affected side, mediastinal shift (tension), hypotension diagnose - CXR treatment - chest tube Sarcoidosis symptoms, diagnosis, treatment - =Answer>> symptoms - progressive dyspnea, nonproductive cough, rales diagnosis - CXR to stage, PFT, bronchoscopy w/ transbronchial biopsy treatment - corticosteroids Pulmonary embolus symptoms, diagnosis, treatment - =Answer>> symptoms - abrupt onset, unexplained dyspnea and tachycardia, chest pain, hypotension, cyanosis diagnosis - VQ scan, ABG, D-Dimer, spiral CT, pulmonary angiography management - heparin Adult respiratory distress syndrome (ARDS) - =Answer>> symptoms - severe dyspnea, respiratory distress, cyanosis, tachycardia, rales, wheezes diagnosis - CXR (usually shows white out) treatment - mechanical vent w/ PEEP 10cm and TV 6- 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 Modes of ventilation: control - =Answer>> machine does work, preset TV and RR Modes of ventilation: assist-control - =Answer>> client can trigger machine, which would deliver preset volume Modes of ventilation: synchronized intermittent mandatory ventilation.intermittent mandatory ventilation (SIMV/IMV) - =Answer>> preset # breaths at tidal volume but can breath on own at whatever tidal volume they pull Modes of ventilation: Continuous positive airway pressure (CPAP) - =Answer>> breathing spontaneously at pressure above atmospheric Modes of ventilation: Positive end expiratory pressure (PEEP) - =Answer>> maintains intrathoracic airway pressure above atmospheric throughout expiration Modes of ventilation: Pressur esupport - =Answer>> inspiratory effort unassisted, but preset airway pressure delivered with each breath Pleural effusion - =Answer>> transudative vs. exudative DM1 signs/symptoms, diagnostics, management - =Answer>> symptoms - polyuria, polydipsia, polyphagia diagnosis - serum fasting glucose >126, A1c >6/5, possible ketones in urine Treatment - basal insulin w/ mealtime boluses of rapid Somogyi effect - =Answer>> nocturnal hypoglycemia that causes rebound hyperglycemia in AM 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 Hyperthyroidism causes, S&S, diagnostics, treatment - =Answer>> causes - grave's disease, toxic adenoma, TSH secreting tumor of pituitary, amoidarone S&S - increased DTRs, increased appetite, weight loss, fine and thin hair, exophthalmos, tachy, heat intolerant diagnosis - elevated T3, sometimes elevated T4, high iodine uptake indicitive of grave's, serum ANA elevated treatment - propranolol for symptoms, radioactive iodine for goiters Hypothyroidism causes, S&S, diagnostics, treatment - =Answer>> causes - disease of thyroid gland, pituitary deficiency of TSH, hypothalamic deficiency of TRH, hashimoto's, iodine deficiency S&S - arthralgias, cold intolerance, constipation, weight gain, hair loss, dry skin ,puffy eyes, edema, bradycardia, slow DTRs diagnosis - elevated TSH, low/normal T treatment - levothyroxine Thyroid crisis treatment - =Answer>> propylthiouracil or methimazole, avoid aspirin myxedema coma treatment - =Answer>> replace fluids, levothyroxine, vent as needed Cushing's syndrome causes, S&S, diagnostics, treatment - =Answer>> causes - ACTH hypersecretion by pituitary, adrenal tumors S&S - obesity, moon face, buffalo hump, acne, purple striae, hirsutism, amenorrhea diagnosis - hyperglycemia, hypernatremia, hypokalemia, serum ACTH, elevated plasma cortisol in AM treatment - d/c medications causing symptoms, transsphenoidal resection of pituitary adenoma, surgical removal of adrenal tumors 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 Addison's disease causes, S&S, diagnostics, treatment - =Answer>> cause - autoimmune destruction of adrenal gland, decreased ACTH S&S - hyperpigmentation in buccal mucosa/skin creases, freckles, tanning, orthostasis, hypotension, scant pubic hair diagnosis.- hypoglycemia, hyponatremia, hyperkalemia, elevated ESR, lymphocytosis, plasma cortison <5 @8am treatment - glucocorticoid and mineralocorticoid replacement (outpatient) or hydrocortisone IV w/ NS (inpatient) Syndrome of Inappropriate Antidiuretic Hormone (SIADH) causes, S&S, diagnostics, treatment - =Answer>> causes - inappropriate water retention S&S - neuro changes, decreased DTRs, hypothermia, weight gain/edema, N/V, cold intolerance diagnosis - decreased serum osmolality, increasd urine osmolality, urine sodium > treatment - treat underlying cause, fluid replacement Diabetes insipidus (DI) causes, S&S, diagnostics, treatment - =Answer>> causes - inadequate ADH causing excessive urination and extreme thirst S&S - thirst, polyuria, weight loss, fatigue, changed LOC, tachy, hypotension, dry membranes Diagnosis - hypernatremia, elevated BUN/Cr, serum osmolality elevated, urine osmolality decreased, USG low, MRI to look for mass if no apparent cause Treatment - d5w Pheochromocytoma causes, S&S, diagnostics, treatment - =Answer>> causes - excess catecholamine release d/t tumor of adrenal medulla S&S - HTN, diaphoresis, hyperglycemia, palpitations, tremor, tachy, weight loss diagnosis - normal TSH, CT to locate tumor 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 diagnosis - proteinuria/bilirubinuria, elevated AST/ALT and LDH HBsAg, HBeAG, Anti-HBv, IgM if active HBsAG, antiHBc, antiHBe, IgM, IgG if chronic AntiHBc, AntiHBs if recovered Hepatitis C causes, S&S, diagnostics, treatment - =Answer>> Causes - bloodborne RNA virus (blood and IV drug use) S&S - pre-icteric: fatigue, malaise, anorexia, nausea, vomiting, headache icteric: weight loss, jaundice, RUQ pain, clay stool, dark urine diagnosis - proteinuria/bilirubinuria, elevated AST/ALT and LDH AntiHCV, HCV RNA if acute OR chronic Diverticulitis causes, S&S, diagnostics, treatment - =Answer>> Causes - inflammation of diverticula w/ abscess formation S&S - LLQ aching abdominal pain, constipation or diarrhea, N/V, low fever, tenderness Diagnosis - leukocytosis, elevated ESR, sigmoidoscopy showing inflamed mucosa, CT, x-ray to assess free air treatment - surgical consult Cholecystitis causes, S&S, diagnostics, treatment - =Answer>> causes - often associated w/ gallstones S&S - sudden and severe RUQ pain, vomiting, positive murphy's sign, muscle guarding, rebound pain, fever, high WBCs, ALT, AST, LDH diagnosis - US is gold standard, HIDA scan if needed or ERCP treatment - manage pain, NGT for decompression, lap chole Acute pancreatitis causes, S&S, diagnostics, treatment - =Answer>> causes - escape of pancreatic enzymes into surrounding tissue causing autodigestion S&S - severe epigastric pain worse w/ movement and supine, radiates to back, N/V, weak, sweaty, cool skin, mild jaundice, positive grey turner sign or cullen sign if hemorrhagic 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 Diagnosis - hyperglycemia, elevated LDH, AST, amylase, and lipase, hypocalcemia (Chvostek/trousseau), CT >US Treatment - NPO, NG suction, IV volume repletion, pain control Bowel obstruction causes, S&S, diagnostics, treatment - =Answer>> cause - adhesions, tumors, impaction, hernia S&S - cramping, vomiting, maybe fever, high pitched, unable to pass gas/stool Diagnosis - elevated WBVs, dehydration, xray w/ dilated loops of bowel and air-fluid levels (horizontal = SBO, frame = LBO) Treatment - fluids, NG suction, surgical intervention if complete Ulcerative Colitis causes, S&S, diagnostics, treatment - =Answer>> cause - idiopathic inflammatory condition S&S - bloody diarrhea, symptomatic episodes and remissions Diagnosis - sigmoidoscopy to diagnose Management - mesalamine or hydrocortisone suppositories/enemas Mesenteric infarct causes, S&S, diagnostics, treatment - =Answer>> cause - inadequate blood flow causing ischemia S&S - sudden cramp/colicky pain, guarding, tenderness, peritoneal findings as disease worsens, elevated amylase, leukocytosis Diagnose - abdominal films, CT Treatment - emergent surgical intervention Appendicitis S&S, diagnostics, treatment - =Answer>> S&S - vague/colicky umbilical pain that shifts to RLQ, pain worse w/ coughing; guarding, tenderness, positive Psoas sign, obturator sign, or rovsing's sign, low fever diagnosis - CT or ultrasound Treatment - surgical removal, IV fluids, pain management 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 Ethylene Glycol (antifreeze) overdose S&S and management - =Answer>> S&S - loss of coordination, headache, slurred speech, N/V, changes in BP, breathing, and heartbeat, kidney failure Management - fomepizole, ethanol Rule of 9's - =Answer>> Head and neck = 9% Upper Ex = 9% each Lower Ex = 9% each Front trunk = 18% Back trunk = 18% Parkland formula - =Answer>> 4ml/kg/% burned area Half of this fluid in first 8 hours Remaining in hours 8- Lactated Ringers is preferred Tar burn treatment - =Answer>> use petroleum based product to remove the burning tar Silver Sulfadiazine - =Answer>> used to treat second and third degree burns Pneumocystis jirovecii prophylaxis drug of choice - =Answer>> bactrim Emtricitabine/Tenofovir disoproxil fumarate and Emtricitabine/Tenofovir alafenamide - =Answer>> post-exposure prophylaxis for HIV Osteoarthritis S&S, diagnostics, treatment - =Answer>> S&S - weight bearing joints, heberden nodes, bouchard nodes, better in morning but worse as day progresses, limited ROM, crepitus Diagnosis - synovial aspirate normal, xray shows narrow joint space and osteophytes Management - aspirin, tylenol, 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 Rheumatoid arthritis S&S, diagnostics, treatment - =Answer>> S&S
- extremities (mostly hands), swelling, heat, worse in morning but improves as day progresses Diagnosis - ESR elevated, ANA positive, synovial aspirate with inflammatory changes and WBCs, xray with cortical thinning and joint space narrowing Management - NSAIDs, DMARDs Compartment syndrome S&S, diagnostics, treatment - =Answer>> S&S - severe ischemic pain, parasthesias, muscel stretch painful, loss of sensory/motor function Diagnosis - ICP >30mmHg Management - fasciotomy Systemic Lupus Erythematosus S&S, diagnostics, treatment - =Answer>> S&S - butterfly rash, periungual erythema, splinter hemorrhages, alopecia, raynaud's Diagnosis - ANA+, anemia, leukopenia, thrombocytopenia Management - NSAIDs, hydroxychloroquine, glucocorticoids Giant Cell Arteritis (Temporal arteritis) S&S, diagnostics, treatment - =Answer>> S&S - headache, scalp tenderness, jaw claudication, temporal artery enlarged and tender Diagnosis - very high ESR, normal WBC, temporal artery biopsy positive Management - prednisone Bacterial conjunctivitis antibiotic - =Answer>> levocloxacin/ciprofloxacin/gentamycin Corneal Abrasion S&S, diagnostics, treatment - =Answer>> S&S - intense pain in affected eye, tearing, redness Diagnosis - history of trauma to eye, fluorescein stain positive Management - anesthetize for thorough exam Need Writing 📱Help? We've Got You Covered! ✍️ 100% NO A I or Plagiarism Guaranteed📱
