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AGACNP (Adult Gerontology Acute Care Nurse
Practitioner) EXAM COMPILATION 202 5 /ACTUAL EXAMS
WITH CORRECT DETAILED ANSWERS/BRAND NEW
2025 /ALREADY GRADED A+
Contents
AGACNP CERTIFICATION EXAM 1 ................................................................................................................................................ 1 AGACNP EXAM- RISK ASSESSMENT, HERBAL AGENTS ................................................................................................. 84 NURS 642 /AGACNP EXAM 1 ........................................................................................................................................................ 95 AGACNP EXAM 3............................................................................................................................................................................... 126 AGACNP NT TEST PREP EXAM ................................................................................................................................................. 165 AGACNP 106 FINAL EXAM .......................................................................................................................................................... 181 AGACNP FINAL EXAM REVIEW ................................................................................................................................................ 215 ANCC AGACNP CERTIFICATION FINAL EXAM VERSION 1 ........................................................................................ 273 ANCC AGACNP FINAL EXAM VERSION 2 ............................................................................................................................. 332
AGACNP CERTIFICATION EXAM 1
At what grade level would health literature be written at - Correct Answer-6th-8th grade Accreditation guidelines are laid out by - Correct Answer-the joint commission QI is the management process of - Correct Answer-Monitoring Evaluating Continuously reviewing Improving the quality of healthcare delivery and safety of the system If patient has a 0 on the RASS, then the patient is - Correct Answer-alert and calm
If the patient has a +4 on the RASS, then the patient is - Correct Answer-combative What is used as pain assessment for pain in intubated patients? - Correct Answer-CPOT Using the MMSE, when does the patient have cognitive disfunction - Correct Answer- < 24 Nursing informatics role - Correct Answer-Practice Education Government Industry This is the comparison and measurement of a healthcare organization's services against other national healthcare organizations - Correct Answer-Benchmarking Process by which practiced RNs systematically access, monitor, and make judgementsabout the quality of nursing care provided by peers measured against professional standards of practiced - Correct Answer-Peer review Written statement of patient's intent regarding medical treatment - Correct Answer-Advance directive This Act requires that all patients entering a hospital should be advised of their right to execute an advance directive - Correct Answer-Patient Self-Determination Act of 1990 Written compilation of statements in document format that specifies which life-
HIV
TB
Criminal acts and injury from a dangerous weapon Animal bites Suspected or actual child/elder abuse What is collaboration - Correct Answer-True partnership If a patient is receiving comfort measures and death is imminent within 6 months orless, then the patient can be placed on - Correct Answer-hospice Sets the standard for reimbursement and cutting costs - Correct Answer-Medicare Varies from state to state - Correct Answer-Medicaid A limited examination of the affected body area or organ system - Correct Answer-Problem focused A limited examination of the affected body area or organ system and any other symptomatic or related body areas or organ systems - Correct Answer-Expanded problem focused An extended examination of the affected body area or organ system and any other symptomatic or related body area or organ - Correct Answer-Detailed A general multi-system examination - Correct Answer-Comprehensive
Covers inpatient hospitalizations, skilled nursing facilities, home health, and most individuals may qualify to receive at 65 years of age - Correct Answer-Medicare Part A Patients must pay for which two types of Medicare - Correct Answer-Part B and D New patient always requires what kind of assessment - Correct Answer-Comprehensive Covers physician services, outpatient hospital services, lab and diagnostics - Correct Answer-Medicare part B NPs receive what percentage of physician reimbursement? - Correct Answer-85% Which things are not covered as physician services under Medicare? - Correct Answer- Regular physical exams, health maintenance screenings, counseling for well patients What is the purpose of case managers? - Correct Answer-Mobilize, monitor, and control resources that a patient uses during a course of an illness while balancing quality and cost A process for evaluating the care of patients using established standards of care toensure quality - Correct Answer-Quality assurance A tool for identifying prevention strategies to ensure safety - Correct Answer-Root cause analysis What is the purpose of RCA? - Correct Answer-Build a culture of safety Unexpected occurrences involving death or serious physical or psychological injury orrisk
Danforth Amendment of 1991 states that - Correct Answer-patient can refuse care Study of moral conduct and behavior which serves to govern conduct, thereby protecting the rights of an individual - Correct Answer-ethics The duty to do no harm - Correct Answer-Nonmaleficience The right act is the one that produces the greatest good for the greatest number - Correct Answer-Utilitarianism The duty to prevent harm and promote good - Correct Answer-Beneficence The duty to be fair - Correct Answer-Justice The duty to be faithful - Correct Answer-Fidelity The duty to be truthful - Correct Answer-Veracity The duty to respect an individual's thoughts and actions - Correct Answer-Autonomy Who developed the first NP program - Correct Answer-Silver and Ford Where was the first NP program - Correct Answer-University of Colorado When was the first NP program developed - Correct Answer-1960s Why was the first NP program developed - Correct Answer-Hospital restructuring and
decrease in medical residency programs Distinct roles of the NP - Correct Answer-Clinician Educator Consultant Researcher What are the two categories of non-experimental research - Correct Answer-Descriptive research and correlational research Study that examines a population with a very similar attribute, but differ in one specific variable. Used to find relationships between variables at a certain point in time - Correct Answer-Cross sectional Research study that compares a particular outcome in groups of individuals who are alike in many ways but differ by a certain characteristic - Correct Answer-Cohort Study that involves taking multiple measures of a group/population over an extended period of time to find relationships between variables - Correct Answer-Longitudinal What two things to experimental studies need? - Correct Answer-Randomization andcontrol Involves manipulation of variables but lacks a comparison group or randomization - Correct Answer-Quasi experimental Includes case studies, open ended questions, participant observations - Correct
Legal responsibility that a nurse practitioner has for actions that fail to meet the standards of care, resulting in actual or potential harm to a patient - Correct Answer- Liability Used as criteria to measure whether negligence has occurred - Correct Answer-Standards of care Failure of an individual to do what a reasonable person would do, resulting in injury to the patient - Correct Answer-Negligence Failure of a professional to render services with the degree of care, diligence and precaution that another member of the same profession under similar circumstanceswould render to prevent injury - Correct Answer-Malpractice This may involve: professional misconduct, unreasonable lack of skill, illegal/immoral conduct, other allegations resulting in harm to a patient - Correct Answer-Malpractice Intentional act by one person that creates an apprehension in another or an imminent harmful or offensive contact - Correct Answer-Assault Illegal, willful, angry, violent or negligent striking or a person, his clothes or anything with which he has in contact - Correct Answer-Battery Defaming, distributed written material - Correct Answer-Libel Spoken defamation - Correct Answer-Slander
The degree to which those who have a disease screen/test positive - Correct Answer- Sensitivity The degree to which those who have a disease screen/test negative - Correct Answer- Specificity The frequency with which a disease or disorder appears in a particular population or area at a given time - Correct Answer-Incidence The proportion of a population that is affected by a disease or disorder at a particular time - Correct Answer-Prevalence Healthy diet, exercise, avoiding tobacco, wearing seat belts and immunizations areexamples of - Correct Answer-Primary prevention Pap smear screening, prostate cancer screening and cholesterol screening are examples of - Correct Answer-Secondary prevention Cardiac rehabilitation, kidney screening after a diagnosis of DM is an example of - Correct Answer-Tertiary prevention Pain that is localized on the skin or surface of the body - Correct Answer-Cutaneous Poor localized pain such as with internal organs - Correct Answer-Visceral Non-localized pain that originates in muscle, bone, nerves, blood vessels andsupporting tissue - Correct Answer-Somatic
Treatment for cluster headache - Correct Answer-Inhalation of O Sumatriptan Albumin levels less than indicate malnutrition - Correct Answer-3. With albumin levels less than you will see edema - Correct Answer-2. Imitrex is used for treatment in which two headaches? - Correct Answer-Cluster and migraine What are normal albumin levels - Correct Answer-3.5- 5 What are normal potassium levels - Correct Answer-3.5- 5 What are normal phosphorus levels - Correct Answer-3.5- 5 What are normal magnesium levels - Correct Answer-1.5-2. If the patient can use the GI tract, but is at risk for aspiration, what kind of feeding tube should be NP use? - Correct Answer-duodenal The following are complications of what kind of feeding: Aspiration Diarreha Emesis Bleeding
Hypernatremia Dehydration - Correct Answer-Enteral (through tube) The following are complications of what kind of feeding: Hyperglycemia HHNK Air emboli - Correct Answer-Parenterl (through vein) What electrolytes should you watch for with refeeding syndrome? - Correct Answer- Phos and K With diarrhea which electrolyte imbalance will you have? - Correct Answer- Hyperkalemia What is normal urine Na - Correct Answer- 10 - 20 What is normal serum osmolality - Correct Answer- 275 - 285 Patient has serum osmo of 275 and sodium of 125. What is the treatment? - Correct Answer-Cut down on fat What are causes of hypovolemic hyponatremia and a urine Na <10? - Correct Answer- Dehydration Diarrhea Vomiting
How do you treat hypovolemic hypernatremia? - Correct Answer-NS followed by ½ normal saline How do you treat euvolemic hypernatremia? - Correct Answer-D5W How do you treat hypervolemic hypernatremia? - Correct Answer-D5W and loop diuretics What are some causes of hypokalemia - Correct Answer-DiureticsGI loss Excess renal loss Alkalosis Muscular weakness, fatigue, muscle cramps, constipation signifies which electrolyte imbalance - Correct Answer-Hypokalemia What EKG changes would you expect to see in hypokalemia? - Correct Answer-Broad Twaves Prominent U waves
What electrolyte deficiency frequency impairs K correction - Correct Answer-Magnesium What are some causes of hyperkalemia - Correct Answer-Excess intake Renal failure Hypoaldosternoism NSAIDs Heparin Acidosis Weakness, flaccid paralysis, abdominal distention and diarrhea are signs of whichelectrolyte imbalance - Correct Answer-Hyperkalemia Which EKG changes would you expect to find with hyperkalemia - Correct Answer-Tall, peaked T waves Major cellular ion and important as a mediator of neuromuscular and cardiac function - Correct Answer-Calcium What is normal total calcium? - Correct Answer-2.2-2.6 mmol/L OR 8.5-10.5 mg/dl What is normal ionized calcium? - Correct Answer-1.1-1.4 mmol/L Why would you get ionized calcium over total calcium? - Correct Answer-Ionizedcalcium does not vary with albumin
These drugs decrease perfusion to renal vasculature - Correct Answer-NSAIDs What are some causes of hypercalcemia? - Correct Answer-Hyperparathyroidism Hyperthyroidism Vitamin D intoxication Prolonged immobilization Fatigue, muscle weakness, anorexia, constipation are manifestations of - Correct Answer-Hypercalcemia How do you treat hypercalcemia - Correct Answer-Calitonin Dialysis At what point is Calcium considered a medical emergency - Correct Answer-> Results from decreased alveolar ventilation - Correct Answer-Respiratory acidosis Formula for anion gap - Correct Answer-(Na + K) - (HCO3 + C1) What is a normal gap? - Correct Answer- 7 - 17 What are some things that cause an increased anion gap? - Correct Answer-DKALactic acidosis What are some things that have a normal anion gap? - Correct Answer-DiarrheaIleostomy Renal tubular acidosis Renal failure
If the patient has an increased anion gap, how do you treat? - Correct Answer-Treat thecause Fluid HCO3 indicated if severe hyperkaemia If the patient has a normal anion gap, how do you treat? - Correct Answer-Bicitra 10 - 30 cc Ng suction and vomiting can cause which acid base imbalance - Correct Answer-Metabolic alkalosis With metabolic alkalosis, which electrolyte imbalance will you see - Correct Answer- Hypokalemia What is acetazolamide? - Correct Answer-Diamox; diuretic
