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AANP AGPCNP Practice Questions with Answers, Exams of Nursing

Rasmussen College - North DakotaNursing

A set of practice questions for the aanp agpcnp certification exam. It covers a range of topics relevant to the practice of adult-gerontology primary care nursing, including common conditions, medications, and treatment approaches. The questions are presented in a multiple-choice format with correct answers provided. This resource can be valuable for nurses preparing for the agpcnp exam.

Typology: Exams

2024/2025

Available from 03/13/2025

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AANP AGPCNP PRACTICE questions with
answers
1. An older adult presents with severe abdominal pain. The husband
reports that earlier in the afternoon, the patient's abdominal hernia had
been firm and bulged out 4 inches (10.2 cm). The patient had him press on
the hernia and immediately felt burning pain throughout the abdomen.
Which of the following is the nurse practitioners' NEXT action?
1. Abdominal CT scan
2. Complete blood count with differential
3. Abdominal ultrasound
4. Referral to the ED - CORRECT ANSWERS ✔✔4. Referral to the ED
2. A young adult female who is 34 weeks pregnant presents with the
complaint of urinary frequency every 1 to 2 hours. The patient has no fever
and denies back pain. A urine dipstick test is positive for leukocyte esterase
and nitrites. Microscopic analysis reveals 15-20 WBCs/hpf and a few
bacteria. The BEST choice for treatment of this patient's urinary tract
infection would be:
1. trimethoprim-sulfamethoxazole (Bactrim), 160 mg/800 mg twice daily
for 3 days.
2. cephalexin (Keflex), 500 mg four times daily for 7 days.
3. ciprofloxacin (Cipro), 500 mg twice daily for 7 days.
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AANP AGPCNP PRACTICE questions with

answers

  1. An older adult presents with severe abdominal pain. The husband reports that earlier in the afternoon, the patient's abdominal hernia had been firm and bulged out 4 inches (10.2 cm). The patient had him press on the hernia and immediately felt burning pain throughout the abdomen. Which of the following is the nurse practitioners' NEXT action?
  2. Abdominal CT scan
  3. Complete blood count with differential
  4. Abdominal ultrasound
  5. Referral to the ED - CORRECT ANSWERS ✔✔4. Referral to the ED
  6. A young adult female who is 34 weeks pregnant presents with the complaint of urinary frequency every 1 to 2 hours. The patient has no fever and denies back pain. A urine dipstick test is positive for leukocyte esterase and nitrites. Microscopic analysis reveals 15-20 WBCs/hpf and a few bacteria. The BEST choice for treatment of this patient's urinary tract infection would be:
  7. trimethoprim-sulfamethoxazole (Bactrim), 160 mg/800 mg twice daily for 3 days.
  8. cephalexin (Keflex), 500 mg four times daily for 7 days.
  9. ciprofloxacin (Cipro), 500 mg twice daily for 7 days.
  1. erythromycin, 250 mg three times daily for 5 days. - CORRECT ANSWERS ✔✔2. cephalexin (Keflex), 500 mg four times daily for 7 days.
  2. An adult male presents with new-onset pain and tenderness in the low back and pain in the right great toe after a weekend of golf. He denies experiencing numbness and tingling. Which of the following would the nurse practitioner expect to find an investigation of this patient's low back pain?
  3. Exacerbation of extremity symptoms with straight-leg raising
  4. Loss of bowel and bladder function
  5. Increased ankle jerk on evaluation of deep tendon reflexes
  6. Increased lumbar lordosis - CORRECT ANSWERS ✔✔1. Exacerbation of extremity symptoms with straight-leg raising
  7. A true statement about essential tremors is that they:
  8. often begin with "pill-rolling" of one hand and may affect the legs, feet, and toes.
  9. are often barely visible, rapid tremors.
  10. are a characteristic of Parkinson's disease.
  11. are slow tremors that are absent or minimal at rest and usually involve the hands. - CORRECT ANSWERS ✔✔4. are slow tremors that are absent or minimal at rest and usually involve the hands.
  12. Which opioid medication is the MOST potent?

area of confluent, beefy-red, excoriated lesions with smaller satellite lesions extending beyond the borders of the main lesions. The KOH prep reveals pseudohyphae. The nurse practitioner would recommend a/an:

  1. course of oral steroids and air drying of skin after showers.
  2. topical antifungal and order a fasting blood glucose.
  3. oral antibiotic and order a hemoglobin A1c.
  4. high-potency topical corticosteroid and use of dry dressings. - CORRECT ANSWERS ✔✔2. topical antifungal and order a fasting blood glucose.
  5. An older adult female complains of problems with urination. She reports that whenever she feels the need to urinate, she is unable to "make it to the bathroom in time," and wets herself. Which type of incontinence is MOST likely?
  6. Urge
  7. Overflow
  8. Transient
  9. Stress - CORRECT ANSWERS ✔✔1. Urge
  10. A young adult female presents with painful swelling of the right cheek anterior to the TMJ. The diagnosis is sialadenitis. In addition to antibiotics, treatment for this patient should include:
  1. hot soaks and lemon drops.
  2. alternating heat and cold.
  3. cold compresses and massage.
  4. hot soaks and mucolytics. - CORRECT ANSWERS ✔✔1. hot soaks and lemon drops.
  5. Initial therapy for older adult patients with arthritic joints is:
  6. naproxen, 1000 mg twice daily.
  7. ibuprofen, 600 mg four times daily.
  8. glucosamine, 750 mg twice daily.
  9. acetaminophen, 1000 mg four times daily. - CORRECT ANSWERS ✔✔4. acetaminophen, 1000 mg four times daily.
  10. Which of the following is an example of gross negligence?
  11. Prescription of a drug that causes a fatal allergic reaction
  12. Misdiagnosis of appendicitis, resulting in peritonitis and a prolonged hospital stay
  13. Refusal to return the emergency phone call of a patient who has chest pain evolving into an MI
  14. Failure to diagnose a problem at an unrelated routine visit - CORRECT ANSWERS ✔✔3. Refusal to return the emergency phone call of a patient who has chest pain evolving into an MI
  1. poor hygiene.
  2. tinea versicolor.
  3. pediculosis pubis.
  4. tinea cruris. - CORRECT ANSWERS ✔✔4. tinea cruris.
  5. A young adult presents with a 3-day history of a sore throat, fever [102°F (38.9°C)], and malaise. Physical examination reveals posterior cervical lymphadenopathy and splenomegaly. A complete blood count (CBC) reveals a lymphocytosis. Which of the following patient care instructions is MOST appropriate?
  6. Avoid strenuous activity and contact sports until advised.
  7. Restrict symptomatic antipyretic therapy to acetaminophen.
  8. Restrict symptomatic antipyretic therapy to NSAIDs.
  9. Avoid close contact with others for 2 weeks. - CORRECT ANSWERS ✔✔1. Avoid strenuous activity and contact sports until advised.
  10. A nurse practitioner is treating an adult with iron deficiency anemia. At what point would the hematocrit level be expected to return to baseline?
  11. 3 weeks
  12. 2 months
  13. 6 months
  14. 1 year - CORRECT ANSWERS ✔✔2. 2 months
  1. An older adult complains of fatigue, stiffness in the shoulders and neck, recent onset of temporal headache, and an episode of transient visual loss in one eye. Erythrocyte sedimentation rate (ESR) is 72 mm/h [normal value = <15 mm/h]. These findings are consistent with:
  2. migraine headache.
  3. glaucoma.
  4. giant cell (temporal) arteritis.
  5. Sjögren's syndrome. - CORRECT ANSWERS ✔✔3. giant cell (temporal) arteritis.
  6. The triple approach for evaluation of a dominant breast mass in an adult female includes a clinical breast examination, mammography, and:
  7. bilateral ultrasound.
  8. ductal lavage.
  9. fine-needle aspiration.
  10. MRI. - CORRECT ANSWERS ✔✔3. fine-needle aspiration.
  11. Which of the following drugs is the BEST choice for prevention of coronary artery disease in elderly patients?
  12. Enteric-coated ASA
  13. Warfarin (Coumadin)
  14. Dipyridamole-ASA (Aggrenox)
  1. Actinic keratosis
  2. Basal cell lesions
  3. Seborrheic keratosis
  4. Squamous cell lesions - CORRECT ANSWERS ✔✔3. Seborrheic keratosis
  5. The MOST common bacterial cause of cellulitis in patients with diabetes mellitus is:
  6. group A beta-hemolytic Streptococcus.
  7. Vibrio vulnificus.
  8. Pseudomonas aeruginosa.
  9. Staphylococcus aureus. - CORRECT ANSWERS ✔✔4. Staphylococcus aureus.
  10. An adult with coronary artery disease has had angioplasty twice, as well as a two-vessel bypass graft. The patient presents with increasing shortness of breath, dyspnea on exertion, paroxysmal and nocturnal dyspnea, and mild edema of the lower extremities. Which of the following findings is MOST likely?
  11. Diastolic murmur
  12. Systolic ejection murmur
  13. Pericardial friction rub
  14. Third heart sound - CORRECT ANSWERS ✔✔4. Third heart sound
  1. An elderly male farmer presents with an oval, pearly nodule, 0.6 inch (1.5 cm) long, on the lower eyelid. The lesion has a rolled, translucent border and is surrounded by multiple small telangiectasias. The MOST likely diagnosis is:
  2. actinic keratosis.
  3. chancre of syphilis.
  4. dermatofibroma.
  5. basal cell carcinoma. - CORRECT ANSWERS ✔✔4. basal cell carcinoma.
  6. Which of the following is the MOST common type of hearing loss in older adults?
  7. Otitis media
  8. Heredity
  9. Conductive
  10. Sensorineural - CORRECT ANSWERS ✔✔4. Sensorineural
  11. An elderly male who is a pipe smoker presents with a non-healing ulcerative lesion of the lower lip. Biopsy of the lesion reveals squamous cell carcinoma. What is the INITIAL recommendation for management?
  12. Surgical excision
  1. A man calls to report that his elderly wife awakened this morning with confusion, slurred speech, and paresthesia of her right arm and leg. Although no prior episodes of these symptoms have been reported, the woman's medical history reveals that she has diabetes and hypertension. At present, her symptoms have resolved. Based on the symptoms reported, what is the MOST likely diagnosis?
  2. Hypoglycemic episode
  3. Hypothyroidism
  4. Right-sided CVA
  5. Transient ischemic attack - CORRECT ANSWERS ✔✔4. Transient ischemic attack
  6. An older adult with a history of hypertension and atrial fibrillation is brought to the ED after a fall. She is diagnosed with a fracture of the neck of the left femur and has left open reduction internal fixation (ORIF). She is discharged for rehabilitation on enoxaparin (Lovenox), 30 mg SC twice daily. On the third day of rehabilitation, she reports increased swelling and tightness of the left leg. She is hospitalized for acute respiratory distress and placement of a Greenfield filter. The usual indication for this filter is:
  7. prevention of cerebral embolism.
  8. atrial fibrillation.
  9. clot migration.
  10. venous insufficiency. - CORRECT ANSWERS ✔✔3. clot migration.
  1. Which of the following symptoms of depression is more commonly seen in older adults rather than younger adults?
  2. Cognitive impairment
  3. Loss of interest in usual activities
  4. Inattention to personal hygiene
  5. Hopelessness - CORRECT ANSWERS ✔✔1. Cognitive impairment
  6. A young adult with a history of allergic rhinitis presents with facial pain, congestion, eye pain, and fatigue. She has frontal sinus tenderness and yellow nasal discharge. Chart review reveals that she has completed two courses of amoxicillin (Amoxil) within the past 30 days. Which action should the nurse practitioner take?
  7. Prescribe oral corticosteroids.
  8. Transilluminate the sinuses.
  9. Change the antibiotic to amoxicillin-clavulanic acid (Augmentin).
  10. Refer the patient to ENT and/or an allergist. - CORRECT ANSWERS ✔✔4. Refer the patient to ENT and/or an allergist.
  11. An older adult male presents to the office with abdominal pain for three days. The left lower quadrant pain is constant. He has nausea, vomiting, diarrhea, and fever. On physical exam, there is guarding, a palpable mass, and hypoactive bowel sounds. These symptoms are consistent with:
  12. appendicitis.
  1. The presence of anti-HBs in a patient's blood is MOST often an indicator of:
  2. HIV infection.
  3. immunity to hepatitis B virus.
  4. acute hepatitis B.
  5. cirrhosis. - CORRECT ANSWERS ✔✔2. immunity to hepatitis B virus.
  6. A patient presents with unilateral ear pain of 1-week duration, nasal congestion, and a sore throat. Physical examination reveals an opaque, hypomobile left tympanic membrane. The nurse practitioner performs a tuning fork test, expecting to find that the:
  7. Weber test shows lateralization to the left.
  8. air conduction threshold is greater than bone conduction on the left.
  9. air conduction threshold is less than bone conduction on the right.
  10. Weber test shows lateralization to the right. - CORRECT ANSWERS ✔✔1. Weber test shows lateralization to the left.
  11. An adult female was recently diagnosed with hypothyroidism. The nurse practitioner starts the patient on levothyroxine (Synthroid). In evaluating proper treatment of this patient, the MOST appropriate laboratory test the nurse practitioner should order is:
  12. thyroid-stimulating hormone (TSH).
  13. follicle-stimulating hormone (FSH).

3. T 3 -T 4.

  1. cholesterol. - CORRECT ANSWERS ✔✔1. thyroid-stimulating hormone (TSH).
  2. An elderly female has been living with her 70-year-old, widowed daughter and granddaughter. The patient's daughter schedules an appointment with a nurse practitioner to "discuss a few things." She reports that she now has sole responsibility for the care of her mother, because her daughter has moved out of state. As the patient's daughter talks, she begins to cry. She does not want to put her mother into a nursing facility, but feels unable to continue to care for her alone. Which of the following is the BEST initial step in assisting this patient?
  3. Refer the patient's daughter to a social worker for counseling.
  4. Discuss community resources available to provide assistance and respite care.
  5. Review placement options.
  6. Call the granddaughter to discuss the situation. - CORRECT ANSWERS ✔✔2. Discuss community resources available to provide assistance and respite care.
  7. An elderly patient with Stage 4 heart failure, severe COPD, and end- stage renal disease reports feeling very hopeless and says he is "close to death." What is the MOST appropriate intervention for this patient?
  8. Discuss an antidepressant with the patient and family.
  9. Explore the option of referring the patient to a hospice program.
  1. A young adult presents with a 1-week history of excessive thirst, excessive urination, and persistent hunger. There is concern because the patient's grandmother had the same symptoms and was diagnosed with diabetes mellitus. The patient reports some nausea and flu-like sensations. On the basis of this information, which of the following tests would be MOST critical to the immediate diagnosis and treatment?
  2. 24-hour creatinine
  3. Serum glucose
  4. 3-hour glucose tolerance test
  5. Serum amylase - CORRECT ANSWERS ✔✔2. Serum glucose
  6. An older adult female reports pain with intercourse. Following inspection of the genitalia, the nurse practitioner's initial plan of care would be to:
  7. start vaginal hormone cream.
  8. start low-dose hormones.
  9. advise use of vaginal lubricants.
  10. refer to a gynecologist for vaginal evaluation. - CORRECT ANSWERS ✔✔3. advise use of vaginal lubricants
  11. An older adult presents with angina, dyspnea on exertion, and syncope. Examination reveals a delay in carotid upstroke, a paradoxically split S heart sound, and a harsh systolic murmur. Which of the following is the MOST likely diagnosis?
  1. Aortic regurgitation
  2. Aortic stenosis
  3. Mitral valve prolapse
  4. Chordae tendineae rupture - CORRECT ANSWERS ✔✔2. Aortic stenosis
  5. A nurse practitioner is examining an adult male who has pain in his right hand. The patient fell onto his outstretched hand, jamming his thumb. He has pain in the "snuffbox" area. The patient's X-ray is negative. An appropriate follow-up evaluation would be to:
  6. place the wrist in a universal wrist splint for 6 weeks.
  7. check for full ROM in 3 days.
  8. evaluate strength return in 1 week.
  9. X-ray the wrist again in 2 weeks. - CORRECT ANSWERS ✔✔4. X-ray the wrist again in 2 weeks.
  10. NSAIDs should be used with caution in the elderly because of the potential for causing:
  11. bradykinesia.
  12. acute renal failure.
  13. hypotensive crisis.
  14. pulmonary fibrosis. - CORRECT ANSWERS ✔✔2. acute renal failure.