AANP AGPCNP PSI Test 1 & 2 Questions and Answers Updated 2026

AANP AGPCNP PSI Test 1 & 2
Questions and Answers Updated
2026
AnM88-year-oldMpresentsMwithMright-
sideMweaknessMafterMbeingMunableMtoMriseMunassistedMfollowingMaMfallMtoMtheMbathro
omMfloor.MHistoryMincludesMaphasiaMandMnoncomplianceMwithMhypertensionMmedicationM
regimen.MWhatMisMtheMmostMlikelyMdiagnosis?



Left-sidedMorMright-sidedMCVA?M-MAnswerMLEFT-SIDEDMCVA



WhichMofMtheMfollowingMsigns/symtpomsMareMoftenMassociatedMwithMheadahcesMdueMto
MintracranialMtumor?



1)MpainMworseMlayingMdown,MfocalMneurologicalMsigns

2)MHyperflexia,MpersonalityMchange

3)MacuteMonset:MhoursMtoMdays

4)MpupillaryMconstriction;MstuporM-
MAnswerM1)MpainMworseMlayingMdown,MfocalMneurologicalMsigns



WhichMofMtheMfollowingMpharmacotherapeuticsMwouldMbeMmostMimportantMtoMadministe
rMtoMaMpatientMwhoMhasMaMcornealMabrasion?M



1)MTimolol

2)MGentamicinMophthalmic

3)MCromolynMoptha

4)MOlopatadineM-MAnswerM2)MGentamicinMophthalmicM(Genoptic)



AM25-year-
oldMpresentsMwithMtheMchiefMcomplaintMofMdecreasedMmobilityMandMpainMofMtheMright
MshoulderMexacerbatedMbyMmovement.MTheMpatientMreportsMthatMheMparticipatedMinMe
xtensiveMhouseMpaintingM24MhoursMpriorMtoMtheMonsetMofMpain.MHeMdeniesManyMtrau
ma.MPassiveMROMMisMintact.MNoMrednessMorMecchymosisMisMpresent.MWhatMisMtheMne
xtMstepMtoMbeMtakenMinMorderMtoMmakeMaMdiagnosis?M

,1)MXrayMofMshoulder

2)MPalpateMstructuresMaroundMtheMshoulder.M

3)MMRIMofMshoulder

4)MEMGM-MAnswerM2)MpalpateMstructures



AM16-year-oldMfemaleMinMtheMfirstMmonthMofMtakingMOrtho-
NovumM7/7/7McomplainsMofMmidcycleMspotting.MSheMhasMnotMmissedManyMdosesMandM
usesMnoMotherMmedication.MWhichMofMtheMfollowingMisMappropriate?M



1)MChangingMtoMOrtho-NovumM1/35M

2)MDiscontinueMuse

3)MProvidingMreassuranceM

4)MDoubleMdose-forMtwoMdaysM-MAnswerM3)MprovideMreassurance



AccordingMtoMtheMReportMofMtheMU.S.MPreventiveMServicesMTaskMForce,MwhichMofMthe
MfollowingMisMNOTMaMcurrentMrecommendationMguidelineMforMpreventiveMcareMinMelder
lyMfemaleMpatients?M



1)MMammogramMandMclinicalMbreastMexams

2)MFecalMOccultMbloodMtestMand/orMsig

3)MRubellaMserologyMorMvaccinationMhistory

4)MPnuemoMandMinfluenzaMvaccinesM-
MAnswerM3)MRubellaMserologyMorMvaccinationMhistory



87My/oMNHMpatientMisMdrowsyMandMbarelyMresponsive.MTempM95,MBP:M110/70,MPulse
M60,MRM10.MTheMbestMactionMisMto:



1)MinitiateMpassiveMwarming

2)MapplyMaMrebreather

3)MPerformMfluidMreplacement

4)MinitiateMactiveMwarmingM-MAnswerM1)MinitiateMpassiveMrewarming

,AMpatientMisMreferredMwithMDM,MHTNMandMCAD.MHeMisMonMinsulinMandMaMbetaMbloc
ker.MHowMwouldMyouMeducateMthisMpatientMonMrecognizingMtheMsignsMandMsymptoms
MofMhypoglycemia?



1)MEdema

2)MTachycardia

3)Mpalpitations

4)MsweatingM-MAnswerM4)Msweating



AM65-year-
oldMoverweightMpatientMisMdiagnosedMwithMplantarMfasciitis.MInitialMtherapyMofMNSAIDs,
Mstretching,Mice,MandMrestMhasMprovenMineffectiveMafterM3Mweeks.MTheMbestMfollow-
upMplanMofMcareMwouldMbeMto:



1)MstopMNSAID,MapplyMaMheelMcupMandMencourageMexerciseMandMwtMloss.

2)McontinueMNSAID,MapplyManMarchMsupportMandMencourageMwtMlossMandMexercise

3)McontinueMNSAID,MxrayMandMaddMaMshort-legMnightMsplint

4)MCOntinueMNSAID,MxrayMandMaddMaMmetatarsalMbarM-
MAnswerM2)McontinueMNSAID,MapplyManMarchMsupportMandMencourageMwtMlossMandMe
xercise



FundoscopicMexamMofMHypertensiveMpatient.



1)MnickingMofMarteriolsMandMviens,MandMsmallMretinolMhemorrages

2)MdrusenMbodiesMandMpaleMretina

3)MpaleMmaculaMandMswollenMdiskMmargins

4)MmicroaneurysmsMandMopticMdiscMcuppingM-
MAnswerM1)MnickingMofMarteriolsMandMviens,MandMsmallMretinolMhemorrages



WhichMofMtheMfollowingMisMaMcommonMpresentingMfeatureMofMhyperthyroidismMinMthe
Melderly?



1)MelevatedMTSH

2)MThyroidMenlargement

, 3)MatrialMfibrillation

4)MabnormalMT3MsuppressionM-MAnswerM3)MatrialMfibrillation



AM35-year-
oldMlawnMmaintenanceMworkerMpresentsMreportingM"somethingMinMmyMeye"MsinceMtheM
previousMday.MTheMeyeMwasMrinsedMwithMover-the-
counterMeyewash,MwithoutMrelief.MTheMpatientMdeniesMvisualMdisturbancesMorMdrainage.
MInMformulatingMaMplanMofMcare,MtheMnurseMpractitionerMwouldMFIRST:



1)MsendMtoMophthalmologists

2)MflorescreenMstaining

3)MtestMvisualMfield

4)MprescribeMeyedropsM-MAnswerM3)MtestMvisualMfield



AM72-year-
oldMpatientMpresentsMwithMdry,MitchyMeyes.MDuringMtheMcourseMofMtheMphysicalMexami
nation,MtheMnurseMpractitionerMnotesMtheMpresenceMofMaMgrayMbandMofMopacityMinMt
heMcorneaMthatMencirclesMtheMiris.MTheMbandMisM1.0-
1.5MmmMwide.MThisMfindingMisMmostMconsistentMwithMaMdiagnosisMofMa/an:



1.McornealMabrasion

2.MarcusMsenilis

3.McornealMulcer

4.MherpeticMinfectionMofMtheMeyeM-MAnswerM2)MarcusMsenilis



AM26-year-
oldMpresentsMwithMreportsMofManorexia,Mfatigue,MweightMloss,Mmalaise,Mfever,MnightMsw
eats,MandMaMcoughMthatMhasMbeenMpresentMforM4Mweeks.MTheMdiagnosticMstudyMtoM
performMfirstMwouldMbe:



1)Mxray

2)MpulmonaryMfunctionMtest

3)Mbronchoscopy

4)MHM&MHM-MAnswerM1)MxrayM(tb-nightMsweats)