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Question 1
An ACNP is evaluating a 64-year-old man in the ED with substernal chest pressure that began 90 minutes ago. The 12-lead ECG shows 2 mm ST elevation in leads II, III, and aVF with reciprocal ST depression in I and aVL. Vital signs: BP 92/58, HR 48, RR 18, SpO2 96% on room air. Which additional ECG lead set is most important to obtain before administering nitroglycerin?
Correct Answer:
Right-sided precordial leads (V3R-V6R)
Question 2
A 58-year-old patient with ARDS is on volume-control ventilation. Weight is 80 kg, height 178 cm (predicted body weight 73 kg). The current tidal volume is 600 mL with plateau pressure 34 cmH2O, PEEP 12, FiO2 0.7, PaO2 62. Per ARDSnet protocol, what is the most appropriate next adjustment?
Correct Answer:
Decrease tidal volume to 440 mL and recheck plateau pressure
Question 3
A 72-year-old septic patient remains hypotensive (MAP 58) after 30 mL/kg of balanced crystalloid. Lactate is 4.2 mmol/L. Per the Surviving Sepsis 1-hour bundle, which intervention should be initiated next?
Correct Answer:
Norepinephrine titrated to MAP ≥65 mmHg
Question 4
An ACNP is interpreting an ABG on a patient with COPD exacerbation: pH 7.28, PaCO2 72, PaO2 58, HCO3 33, on 2 L NC. The patient is somnolent but arousable, with accessory muscle use. What is the most appropriate intervention?
Correct Answer:
Initiate noninvasive positive pressure ventilation (BiPAP)
Question 5
A 45-year-old presents with sudden severe headache ("worst of my life"). Non-contrast head CT performed 4 hours after onset is read as normal. What is the most appropriate next step?
Correct Answer:
Lumbar puncture to evaluate for xanthochromia and RBCs
Question 1
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About this Exam

Prepare with the AACN ACNPC-AG Practice Questions - AACN Acute Care Adult-Gerontology Nurse Practitioner Certification (ACNPC-AG) Exam practice quiz. This question bank includes 100 questions covering year-old, patient, presents, acnp, and guidelines. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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AACN ACNPC-AG Practice Questions - AACN Acute Care Adult-Gerontology Nurse Practitioner Certification (ACNPC-AG) Exam

This practice set contains 100 questions from the matching question bank and focuses on year-old, patient, presents, acnp, and guidelines. Work through each question carefully, review the provided solutions, and revisit topics that need more study before your next attempt.

This is an independent study resource intended for practice and review; it is not an official examination or an endorsement by any organization named in the title.

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