ANCC AGACNP-BC Practice Questions - ANCC Adult-Gerontology Acute Care Nurse Practitioner (AGACNP-BC) Exam - ANCC AGACNP-BC Practice Questions - ANCC Adult-Gerontology Acute Care Nurse Practitioner (AGACNP-BC) Exam

Question 1

A 68-year-old patient presents with acute onset of severe tearing chest pain radiating to the back. Blood pressure is 180/110 mmHg in the right arm and 130/80 mmHg in the left arm. Which pathophysiological mechanism best explains these findings?

Dissection of the intima with blood creating a false lumen in the aorta Rupture of atherosclerotic plaque causing coronary artery thrombosis Weakening of the aortic wall leading to localized dilation and rupture Inflammation of the aortic wall causing stenosis and hypertension

Correct Answer:

Dissection of the intima with blood creating a false lumen in the aorta

Question 2

In acute kidney injury, which hemodynamic change leads to the initial reduction in glomerular filtration rate (GFR)?

Increased efferent arteriolar vasoconstriction Decreased afferent arteriolar blood flow Increased hydrostatic pressure in Bowman capsule Decreased oncotic pressure in the glomerular capillaries

Correct Answer:

Decreased afferent arteriolar blood flow

Question 3

Which pathophysiological process is responsible for the hypoxemia seen in acute pulmonary edema?

Ventilation-perfusion mismatch due to alveolar flooding Decreased diffusion capacity from thickened alveolar walls Right-to-left shunt through pulmonary arteriovenous malformations Hyperventilation causing decreased PaCO2 and oxygen extraction

Correct Answer:

Ventilation-perfusion mismatch due to alveolar flooding

Question 4

A patient with chronic liver disease develops hepatic encephalopathy. What is the primary neurotoxin responsible for this condition?

Bilirubin accumulation in the cerebral cortex Ammonia produced by bacterial metabolism in the gut Lactate from anaerobic metabolism in the brain Bile acids crossing the blood-brain barrier

Correct Answer:

Ammonia produced by bacterial metabolism in the gut

Question 5

A patient on warfarin for atrial fibrillation presents with an INR of 8.5 and minor gum bleeding. What is the most appropriate management?

Administer vitamin K 10 mg IV immediately Hold warfarin and give vitamin K 2.5-5 mg orally Administer fresh frozen plasma and continue warfarin Hold warfarin only and monitor INR daily

Correct Answer:

Hold warfarin and give vitamin K 2.5-5 mg orally

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Prepare with the ANCC AGACNP-BC Practice Questions - ANCC Adult-Gerontology Acute Care Nurse Practitioner (AGACNP-BC) Exam practice quiz. This question bank includes 100 questions covering patient, finding, acute, presents, and mmhg. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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ANCC AGACNP-BC Practice Questions - ANCC Adult-Gerontology Acute Care Nurse Practitioner (AGACNP-BC) Exam

This practice set contains 100 questions from the matching question bank and focuses on patient, finding, acute, presents, and mmhg. 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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ANCC AGACNP-BC Practice Questions - ANCC Adult-Gerontology Acute Care Nurse Practitioner (AGACNP-BC) Exam

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