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AANP AGPCNP PSI Test 1 & 2 | Adult-Gerontology Primary Care Nurse Practitioner Exam Bank | USA | 2026–2027 | Actual Exam Questions with Verified Correct Answers and Rationales

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This document provides 150 authentic exam questions from the AANP AGPCNP PSI Test 1 & 2 for the 2026–2027 testing cycle. Each question is accompanied by a verified correct answer and a detailed rationale, designed to reflect the current exam format. Topics span adult-gerontology primary care including pharmacology, diagnostics, disease management, geriatric syndromes, women’s health, mental health, and clinical reasoning. This resource is ideal for nurse practitioner students preparing for board certification, offering comprehensive coverage and practical insight into the exam.

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AANP AGPCNP PSI TEST 1 & 2 EXAM BANK
2026-2027 ACTUAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALL ANSWERED 150 ALREADY
GRADAED A+ BRAND NEW!


An 87-year-old long-term care facility resident was hospitalized for an abdominal
surgery procedure, and the incision has become infected with methicillin-resistant
Staphylococcus aureus (MRSA). The hospital is planning to return the patient to
the same facility, which has no private rooms. According to CDC guidelines, the
alternative placement would be to:




1) inform the hospital that the patient will have to go to another facility.
2) have the patient share a room with a resident who also has MRSA.
3) have the patient share a room with a resident who has VRSA.
4) Delay discharge until the wound is clear - Correct Ans 2) have the patient
share a room with a resident who also has MRSA.


Which of the following is considered the most important factor in understanding
and predicting an individual's health across the life span?




1) Psychological profile
2) Body habitus
3) Family history

,4) diet history - Correct Ans 3) family history


A 68-year-old male with Parkinson's disease was placed on haloperidol (Haldol), 1
mg PO t.i.d. after presenting in the emergency department with visual and auditory
hallucinations. On a visit to the office 2 days later for follow-up, the immediate
course of action should be to:




1) decrease the dose of haloperidol. 2) prescribe a more potent neroleptic 3)
discontinue the haloperidol.
4) add SSRI - Correct Ans 3) discontinue the halperidol Which of the following
laboratory tests are most widely accepted as indicators of the progression of HIV
infection?




1) CD4 count and viral load
2) CD4 and Western Blot
3) CD4 and ELISA
4) WBC count and viral load - Correct Ans 1) CD4 count and viral load


Which class of antihypertensive agents has been associated with acute renal
failure, and is absolutely CONTRAINDICATED in patients with bilateral renal
artery stenosis?




1) Thiazide diuretics
2) Angiotensin-converting enzyme (ACE) inhibitors
3) Calcium channel blockers

,4) Potassium sparing diuretics - Correct Ans 2)
Angiotensin-converting enzyme (ACE) inhibitors


In geriatric patients, the polyvalent pneumococcal vaccine:


1) prevents or lessens the severity of 60%-70% of pneumococcal infections.
2) has no affect on immunocompromised patients
3) prevents pneumonia 100% of the time - Correct Ans 1) prevents or lessens
the severity of 60%-70% of pneumococcal infections


A 39-year-old patient was diagnosed with acute bronchitis in the emergency
department and treated with acetaminophen, dextromethorphan, and
metaproterenol (Alupent). The patient's history reveals a smoking habit of 1 pack
per day. He now presents to your office with a fever of 101.2°F (39.4°C) and a
cough productive of thick, yellow-green, foul-smelling sputum. You would
encourage smoking cessation and prescribe:


1) a penicillin antibiotic
2) a macrolide antibiotic.
3) theophylline
4) inhalors - Correct Ans 2) macrolide antibiotic


A 68-year-old female presents with a 3-week history of itching that increases in
intensity at night. Red papules with scale crusts are noted on the axilla, groin, and
interdigital webs of the hands.
The most likely diagnosis is:


1) xerosis

, 2) herpes zoster
3) eczema
4) scabies. - Correct Ans 4) scabies


A 70-year-old farmer was hit in the eye with a tree branch. The first step in the
assessment of a possible corneal abrasion is to:




1) check for pupillary reaction.
2) measure visual acuity.
3) irrigate the eye
4) perform a fundoscopic exam - Correct Ans 2) check for visual acuity


A 68-year-old patient with a recent diagnosis of mild transient ischemic attack has
been placed on aspirin, 325 mg PO daily with food. The patient develops an aspirin
allergy. You would discontinue aspirin and:


1) change to clopidogrel (Plavix).
2) change to valproic acid
3) refer for endoarectomy
4) change to bulibital - Correct Ans 1) change to clopidorel


An 85-year-old female presents with a 2-hour history of diminished vision and
severe pain in the right eye, plus nausea and vomiting. Visual acuity is decreased,
the left pupil reacts to light, the right pupil does not react to light, and the
conjunctiva is injected. The nurse practitioner would:

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