AANP AGPCNP PRACTICE EXAM QUESTIONS AND
CORRECT ANSWERS | LATEST UPLOAD 2026 | A+
An 88-year-old presents with right-side weakness after being unable to rise unassisted
following a fall to the bathroom floor. History includes aphasia and noncompliance with
hypertension medication regimen. What is the most likely diagnosis?
Left-sided or right-sided CVA? - ANSWER - LEFT-SIDED CVA
Which of the following signs/symptoms are often associated with headaches due to
intracranial tumor?
1) pain worse laying down, focal neurological signs
2) Hyperreflexia, personality change
3) acute onset: hours to days
4) pupillary constriction; stupor - ANSWER - 1) pain worse laying down, focal
neurological signs
Which of the following pharmacotherapeutics would be most important to administer to
a patient who has a corneal abrasion?
1) Tomfool
2) Gentamicin ophthalmic
3) Commonly other
4) Olopatadine - ANSWER - 2) Gentamicin ophthalmic (Genetic)
A 25-year-old presents with the chief complaint of decreased mobility and pain of the
right shoulder exacerbated by movement. The patient reports that he participated in
extensive house painting 24 hours prior to the onset of pain. He denies any trauma.
Passive ROM is intact. No redness or ecchymosis is present. What is the next step to
be taken in order to make a diagnosis?
1) X-ray of shoulder
2) Palpate structures around the shoulder.
3) MRI of shoulder
4) EMG - ANSWER - 2) palpate structures
A 16-year-old female in the first month of taking Ortho-Ovum 7/7/7 complains of bicycle
spotting. She has not missed any doses and uses no other medication. Which of the
following is appropriate?
1) Changing to Ortho-Ovum 1/35
,2) Discontinue use
3) Providing reassurance
4) Double dose-for two days - ANSWER - 3) provide reassurance
According to the Report of the U.S. Preventive Services Task Force, which of the
following is NOT a current recommendation guideline for preventive care in elderly
female patients?
1) Mammogram and clinical breast exams
2) Fecal Occult blood test and/or sig
3) Rubella serology or vaccination history
4) Nuevo and influenza vaccines - ANSWER - 3) Rubella serology or vaccination history
87 y/o NH patient is drowsy and barely responsive. Temp 95, BP: 110/70, Pulse 60, R
10. The best action is to:
1) initiate passive warming
2) apply a rebreather
3) Perform fluid replacement
4) initiate active warming - ANSWER - 1) initiate passive rewarming
A patient is referred with DM, HTN and CAD. He is on insulin and a beta blocker. How
would you educate this patient on recognizing the signs and symptoms of
hypoglycemia?
1) Edema
2) Tachycardia
3) palpitations
4) sweating - ANSWER - 4) sweating
A 65-year-old overweight patient is diagnosed with plantar fasciitis. Initial therapy of
NSAIDs, stretching, ice, and rest has proven ineffective after 3 weeks. The best follow-
up plan of care would be to:
1) stop NSAID, apply a heel cup and encourage exercise and wt. loss.
2) continue NSAID, apply an arch support and encourage wt. loss and exercise
3) continue NSAID, x-ray and add a short-leg night splint
4) Continue NSAID, x-ray and add a metatarsal bar - ANSWER - 2) continue NSAID,
apply an arch support and encourage wt. loss and exercise
Fundoscopic exam of Hypertensive patient.
1) nicking of arterioles and veins, and small retinol hemorrhages
2) druse bodies and pale retina
3) pale macula and swollen disk margins
, 4) micro aneurysms and optic disc cupping - ANSWER - 1) nicking of arterioles and
veins, and small retinol hemorrhages
Which of the following is a common presenting feature of hyperthyroidism in the elderly?
1) elevated TSH
2) Thyroid enlargement
3) atrial fibrillation
4) abnormal T3 suppression - ANSWER - 3) atrial fibrillation
A 35-year-old lawn maintenance worker presents reporting "something in my eye" since
the previous day. The eye was rinsed with over-the-counter eyewash, without relief. The
patient denies visual disturbances or drainage. In formulating a plan of care, the nurse
practitioner would FIRST:
1) send to ophthalmologists
2) florescent staining
3) test visual field
4) prescribe eye drops - ANSWER - 3) test visual field
A 72-year-old patient presents with dry, itchy eyes. During the course of the physical
examination, the nurse practitioner notes the presence of a gray band of opacity in the
cornea that encircles the iris. The band is 1.0-1.5 mm wide. This finding is most
consistent with a diagnosis of a/an:
1. corneal abrasion
2. arcus senile
3. corneal ulcer
4. herpetic infection of the eye - ANSWER - 2) arcus senile
A 26-year-old presents with reports of anorexia, fatigue, weight loss, malaise, fever,
night sweats, and a cough that has been present for 4 weeks. The diagnostic study to
perform first would be:
1) x-ray
2) pulmonary function test
3) bronchoscopy
4) H & H - ANSWER - 1) x-ray (tab-night sweats)
A 44-year-old female is complaining of frequent anxiety attacks with chest discomfort
and fatigue. On physical examination, her lungs are clear bilaterally. There are a
midsystolic click and a grade II/VI systolic murmur at the apex. Further evaluation would
include which of the following?
1) EKG, flat plate of the abdomen, lipid profile
CORRECT ANSWERS | LATEST UPLOAD 2026 | A+
An 88-year-old presents with right-side weakness after being unable to rise unassisted
following a fall to the bathroom floor. History includes aphasia and noncompliance with
hypertension medication regimen. What is the most likely diagnosis?
Left-sided or right-sided CVA? - ANSWER - LEFT-SIDED CVA
Which of the following signs/symptoms are often associated with headaches due to
intracranial tumor?
1) pain worse laying down, focal neurological signs
2) Hyperreflexia, personality change
3) acute onset: hours to days
4) pupillary constriction; stupor - ANSWER - 1) pain worse laying down, focal
neurological signs
Which of the following pharmacotherapeutics would be most important to administer to
a patient who has a corneal abrasion?
1) Tomfool
2) Gentamicin ophthalmic
3) Commonly other
4) Olopatadine - ANSWER - 2) Gentamicin ophthalmic (Genetic)
A 25-year-old presents with the chief complaint of decreased mobility and pain of the
right shoulder exacerbated by movement. The patient reports that he participated in
extensive house painting 24 hours prior to the onset of pain. He denies any trauma.
Passive ROM is intact. No redness or ecchymosis is present. What is the next step to
be taken in order to make a diagnosis?
1) X-ray of shoulder
2) Palpate structures around the shoulder.
3) MRI of shoulder
4) EMG - ANSWER - 2) palpate structures
A 16-year-old female in the first month of taking Ortho-Ovum 7/7/7 complains of bicycle
spotting. She has not missed any doses and uses no other medication. Which of the
following is appropriate?
1) Changing to Ortho-Ovum 1/35
,2) Discontinue use
3) Providing reassurance
4) Double dose-for two days - ANSWER - 3) provide reassurance
According to the Report of the U.S. Preventive Services Task Force, which of the
following is NOT a current recommendation guideline for preventive care in elderly
female patients?
1) Mammogram and clinical breast exams
2) Fecal Occult blood test and/or sig
3) Rubella serology or vaccination history
4) Nuevo and influenza vaccines - ANSWER - 3) Rubella serology or vaccination history
87 y/o NH patient is drowsy and barely responsive. Temp 95, BP: 110/70, Pulse 60, R
10. The best action is to:
1) initiate passive warming
2) apply a rebreather
3) Perform fluid replacement
4) initiate active warming - ANSWER - 1) initiate passive rewarming
A patient is referred with DM, HTN and CAD. He is on insulin and a beta blocker. How
would you educate this patient on recognizing the signs and symptoms of
hypoglycemia?
1) Edema
2) Tachycardia
3) palpitations
4) sweating - ANSWER - 4) sweating
A 65-year-old overweight patient is diagnosed with plantar fasciitis. Initial therapy of
NSAIDs, stretching, ice, and rest has proven ineffective after 3 weeks. The best follow-
up plan of care would be to:
1) stop NSAID, apply a heel cup and encourage exercise and wt. loss.
2) continue NSAID, apply an arch support and encourage wt. loss and exercise
3) continue NSAID, x-ray and add a short-leg night splint
4) Continue NSAID, x-ray and add a metatarsal bar - ANSWER - 2) continue NSAID,
apply an arch support and encourage wt. loss and exercise
Fundoscopic exam of Hypertensive patient.
1) nicking of arterioles and veins, and small retinol hemorrhages
2) druse bodies and pale retina
3) pale macula and swollen disk margins
, 4) micro aneurysms and optic disc cupping - ANSWER - 1) nicking of arterioles and
veins, and small retinol hemorrhages
Which of the following is a common presenting feature of hyperthyroidism in the elderly?
1) elevated TSH
2) Thyroid enlargement
3) atrial fibrillation
4) abnormal T3 suppression - ANSWER - 3) atrial fibrillation
A 35-year-old lawn maintenance worker presents reporting "something in my eye" since
the previous day. The eye was rinsed with over-the-counter eyewash, without relief. The
patient denies visual disturbances or drainage. In formulating a plan of care, the nurse
practitioner would FIRST:
1) send to ophthalmologists
2) florescent staining
3) test visual field
4) prescribe eye drops - ANSWER - 3) test visual field
A 72-year-old patient presents with dry, itchy eyes. During the course of the physical
examination, the nurse practitioner notes the presence of a gray band of opacity in the
cornea that encircles the iris. The band is 1.0-1.5 mm wide. This finding is most
consistent with a diagnosis of a/an:
1. corneal abrasion
2. arcus senile
3. corneal ulcer
4. herpetic infection of the eye - ANSWER - 2) arcus senile
A 26-year-old presents with reports of anorexia, fatigue, weight loss, malaise, fever,
night sweats, and a cough that has been present for 4 weeks. The diagnostic study to
perform first would be:
1) x-ray
2) pulmonary function test
3) bronchoscopy
4) H & H - ANSWER - 1) x-ray (tab-night sweats)
A 44-year-old female is complaining of frequent anxiety attacks with chest discomfort
and fatigue. On physical examination, her lungs are clear bilaterally. There are a
midsystolic click and a grade II/VI systolic murmur at the apex. Further evaluation would
include which of the following?
1) EKG, flat plate of the abdomen, lipid profile
