AACN ACNPC-AG case studies
AACN ACNPC-AG · Put your knowledge to work in context.
ACNPC-AG (Adult-Gerontology Acute Care Nurse Practitioner) is AACN's entry-level advanced practice board certification for acute care nurse practitioners educated at the graduate level to provide continuous and comprehensive advanced nursing care to acutely ill adult-gerontology patients - young adults, older adults and the frail elderly - who are experiencing episodic illness, exacerbation of a chronic illness or terminal illness. It aligns with the APRN Consensus Model and other foundational national standards of APRN education, accreditation and regulation, is accepted in all states, and is accepted by the Magnet Recognition Program. The AACN ACNPC-AG case studies are 5 cases and about 2,449 words.
1Dyspnea in HFpEF With CKD and Obesity: Interpreting a Low BNP
78-year-old woman with HFpEF (EF 55%), stage 4 CKD (baseline creatinine 2.0 mg/dL), BMI 39, and type 2 diabetes presents with 3 days of worsening dyspnea, orthopnea, and 4 kg weight gain. Vitals: BP 172/94, HR 108, RR 28, SpO2 89% on 2 L nasal cannula, temp 36.8°C.
507 words, about 3 min2Cirrhotic Patient With Fever and Hypotension: Sepsis Bundle Nuances
67-year-old man with alcohol-related cirrhosis, ascites, and prior SBP presents with 1 day of fever, confusion, and abdominal pain. Vitals: T 38.7°C, BP 86/52, HR 122, RR 24, SpO2 94% on room air.
466 words, about 2 min3New Diabetes With CKD in an Uninsured Patient: Sequencing Care
58-year-old man with newly diagnosed type 2 diabetes, BMI 32, A1c 10.1%, BP 152/90, eGFR 36, UACR 420 mg/g, LDL 140. He is uninsured, works as a day laborer, and cannot afford brand-name medications.
495 words, about 2 min4Family Conflict Over Code Status in Advanced Dementia
86-year-old woman with advanced Alzheimer disease, admitted with aspiration pneumonia. She is minimally responsive, has a feeding tube placed 6 months ago, and has had three hospitalizations in 6 months.
492 words, about 2 min5Euglycemic DKA on an SGLT2 Inhibitor
72-year-old woman with type 2 diabetes on empagliflozin, metformin, and glipizide presents with 2 days of nausea, vomiting, and abdominal pain. She recently had a viral illness and reduced oral intake.
489 words, about 2 min