ancc adult gerontology acute care nurse practitioner agacnp question and answers certification exam review 20222023
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ANCC /ADULT-GERONTOLOGY ACUTE CARE NURSE
PRACTITIONER (AGACNP) QUESTION AND ANSWERS
CERTIFICATION EXAM REVIEW 2022/2023
1.What class of medications listed below should be avoided when dealing with geriatric patients who
have suffered musculoskeletal injuries due to concern for adverse events?
a. NSAIDs.
b. antibiotics.
c. anti-hypertensives.
d. diabetic medications.
(correct answers)a. NSAIDs.
2.What is the first test that should be performed when a patient presents with signs and symptoms of
an acute stroke?
a. CBC.
b. non-contrast CT head scan.
c. EKG.
d. diffusion weighted perfusion MRI brain.
(correct answers)b. non-contrast CT head scan.
3.You are rounding on a patient admitted to observation after experiencing a TIA. The risk of stroke after
a TIA is around 10 to 15% in the first three months, with most events occurring in the first two days after
an ischemic stroke. Which of the following medication regimens have demonstrated the ability to
reduce the risk of stroke in patients who experienced a TIA?
a. Aspirin and Plavix
b. Aspirin and warfarin
c. Apixaban
,d. Rivaroxaban
(correct answers)a. Aspirin and Plavix
5.A geriatric male presents with a history of hypertension and falls and is diagnosed with atrial
fibrillation following a transient ischemic attack. He is currently on antihypertensive and antiarrhythmic
therapy. On discharge, which of the following should be added to the treatment plan?
a. electrical cardioversion.
b. oral warfarin.
c. enteric coated aspirin.
d. pacemaker placement.
(correct answers)b. oral warfarin.
6.Glucocorticoids impair fracture healing by which of the below mechanisms:
a. they reduce bone density and impair bone metabolism.
b. they induce osteoclast apoptosis.
c. they induce osteoblast survival.
d. they increase intestinal calcium absorption and decrease renal calcium excretion.
(correct answers)a. they reduce bone density and impair bone metabolism.
7.Complex Regional Pain Syndrome, or Reflex Sympathetic Dystrophy, is a complex disorder that can
occur post fracture, with or without nerve injury, and is characterized by ALL the below EXCEPT:
a. pain.
b. vasomotor instability.
c. swelling.
d. increase bone mineralization.
(correct answers)d. increase bone mineralization.
,8.A patient has been admitted to the ICU post intracerebral hemorrhage and you are the ACNP on duty;
presently vital signs are BP 165/86, HR 98, RR 24, T 36.0 C. As the provider on duty, you know it is
extremely important to maintain the following parameters:
a. SBP between 130-140 mmHg
b. SBP between 150-220 mmHg
c. SBP between 100-120 mmHg
d. SBP between 90-120 mmHg
(correct answers)a. SBP between 130-140 mmHg
9.You are caring for a patient with ALS, the patient is currently taking Riluzole 100 mg/day. The patient
asks you if this will cure ALS. What is the most appropriate response?
a. Riluzole will not cure ALS, however, it has shown to delay respiratory failure and ventilator
dependence, and lengthen the time of survival by 2-3 months
b. Riluzole, if taken daily, will prevent respiratory failure and cure ALS
c. There is no benefit to taking Riluzole
d. Riluzole will not cure ALS, however, it has shown to delay respiratory failure and ventilator
dependence, and lengthen the time of survival by 2-3 years
(correct answers)a. Riluzole will not cure ALS, however, it has shown to delay respiratory failure and
ventilator dependence, and lengthen the time of survival by 2-3 months
10.Which statement is TRUE regarding Amyotrophic Lateral Sclerosis (ALS)?
a. Riluzole 50 mg every 12 hours has been shown to slow progression of disease.
b. management of ALS is geared towards a curative outcome.
c. MRI is diagnostic for the upper motor neuron alterations seen in ALS.
d. familial ALS is more predominant in occurrence than sporadic ALS.
(correct answers)a. Riluzole 50 mg every 12 hours has been shown to slow progression of disease.
11.Most strokes are due to ischemic cerebral infarction instead of brain hemorrhage.
, a. true.
b. false.
(correct answers)a. true.
In a situation where a patient has increasing intracranial pressure and an impending cerebral herniation,
the Cushing triad of symptoms may be present. Which set of symptoms below represents the Cushing
triad of symptoms?
a. increasing systolic blood pressure (widening pulse pressure), decreasing respiratory rate and
bradycardia.
b. decreasing systolic blood pressure with increasing diastolic blood pressure (narrowing pulse
pressure), decreasing respiratory rate and bradycardia.
c. increasing systolic blood pressure (widening pulse pressure), decreasing respiratory rate and
tachycardia.
d. decreasing systolic blood pressure, increasing respiratory rate and bradycardia. (correct answers)a.
increasing systolic blood pressure (widening pulse pressure), decreasing respiratory rate and
bradycardia.
A 24-year-old male presents to the ED complaining of right knee pain with decreased ROM and inability
to weight bear after falling while playing basketball. You have placed an order for an x-ray and as the
ACNP on duty you know to always obtain:
a. anterior-posterior (a/p) films to rule out fractures or dislocations.
b. posterior-anterior (p/a) films to rule out fractures or dislocations.
c. both a/p and p/a films to rule out fractures or dislocations.
d. a/p and lateral films to rule out fractures or dislocations. (correct answers)d. a/p and lateral films to
rule out fractures or dislocations.
Which of the following is MOST likely to cause a calcaneal fracture?
a. running.
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