Free AG-ACNP Practice Questions (With Explanations)

A patient arrives at a hospital without a cath lab 2 hours after chest pain began. The ECG shows ST elevation in V1–V4. Transfer for PCI would take about 150 minutes from first contact. The patient has no bleeding risk factors. The best reperfusion plan is:

A patient with pneumonia has a MAP of 58 mmHg and a lactate of 4.1 mmol/L after 30 mL/kg of balanced crystalloid. Only a peripheral IV is in place. The nurse practitioner should:

Three days after severe pancreatitis began, an intubated patient has bilateral opacities not explained by heart failure. On PEEP 10 cmH₂O and FiO₂ 0.6, the PaO₂ is 72 mmHg. By the Berlin definition, this ARDS is:

A patient with end-stage kidney disease missed dialysis. Potassium is 7.2 mEq/L, and the monitor shows a widening QRS with absent P waves. The first medication to give is:

A patient with DKA has a glucose of 480 mg/dL, pH 7.12 and potassium 3.1 mmol/L. IV fluids are running. The next step is to:

A patient last known well 2 hours ago has a disabling aphasia. Noncontrast CT shows no hemorrhage and glucose is 132 mg/dL. Blood pressure is 196/114 mmHg. Before giving tenecteplase, the nurse practitioner should:

On day 7 of IV unfractionated heparin after surgery, a patient’s platelets fall from 240,000 to 95,000/mcL and a new calf DVT is found. The 4Ts score is 7. The best plan is to stop heparin and:

A patient has a serum sodium of 114 mEq/L of unknown duration and mild confusion. The highest safe rise in sodium over the first 24 hours, counting the initial rise, is:

In a trial, 12% of patients on placebo and 8% of patients on a new drug died within a year. The number needed to treat to prevent one death is:

At discharge after hip surgery, a patient asks for refills on an oxycodone prescription to last until the follow-up visit. The nurse practitioner should explain that: