AANP AGPCNP Certified Exam
AANP AGPCNP CERTIFICATION EXAM REVIEW | 100%
CORRECT ANSWERS
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? - Correct Answer- LEFT-SIDED CVA
Which of the following signs/symtpoms are often associated with headahces due to intracranial
tumor?
1) pain worse laying down, focal neurological signs
2) Hyperflexia, personality change
3) acute onset: hours to days
4) pupillary constriction; stupor - Correct 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) Timolol
2) Gentamicin ophthalmic
3) Cromolyn optha
4) Olopatadine - Correct Answer- 2) Gentamicin ophthalmic (Genoptic)
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
1
,AANP AGPCNP Certified Exam
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) Xray of shoulder
2) Palpate structures around the shoulder.
3) MRI of shoulder
4) EMG - Correct Answer- 2) palpate structures
A 16-year-old female in the first month of taking Ortho-Novum 7/7/7 complains of midcycle
spotting. She has not missed any doses and uses no other medication. Which of the following is
appropriate?
1) Changing to Ortho-Novum 1/35
2) Discontinue use
3) Providing reassurance
4) Double dose-for two days - Correct 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) Pnuemo and influenza vaccines - Correct 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
, AANP AGPCNP Certified Exam
2) apply a rebreather
3) Perform fluid replacement
4) initiate active warming - Correct 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 - Correct 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, xray and add a short-leg night splint
4) COntinue NSAID, xray and add a metatarsal bar - Correct Answer- 2) continue NSAID, apply
an arch support and encourage wt loss and exercise
Fundoscopic exam of Hypertensive patient.
1) nicking of arteriols and viens, and small retinol hemorrages
2) drusen bodies and pale retina
3) pale macula and swollen disk margins
4) microaneurysms and optic disc cupping - Correct Answer- 1) nicking of arteriols and viens,
and small retinol hemorrages
3
AANP AGPCNP CERTIFICATION EXAM REVIEW | 100%
CORRECT ANSWERS
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? - Correct Answer- LEFT-SIDED CVA
Which of the following signs/symtpoms are often associated with headahces due to intracranial
tumor?
1) pain worse laying down, focal neurological signs
2) Hyperflexia, personality change
3) acute onset: hours to days
4) pupillary constriction; stupor - Correct 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) Timolol
2) Gentamicin ophthalmic
3) Cromolyn optha
4) Olopatadine - Correct Answer- 2) Gentamicin ophthalmic (Genoptic)
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
1
,AANP AGPCNP Certified Exam
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) Xray of shoulder
2) Palpate structures around the shoulder.
3) MRI of shoulder
4) EMG - Correct Answer- 2) palpate structures
A 16-year-old female in the first month of taking Ortho-Novum 7/7/7 complains of midcycle
spotting. She has not missed any doses and uses no other medication. Which of the following is
appropriate?
1) Changing to Ortho-Novum 1/35
2) Discontinue use
3) Providing reassurance
4) Double dose-for two days - Correct 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) Pnuemo and influenza vaccines - Correct 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
, AANP AGPCNP Certified Exam
2) apply a rebreather
3) Perform fluid replacement
4) initiate active warming - Correct 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 - Correct 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, xray and add a short-leg night splint
4) COntinue NSAID, xray and add a metatarsal bar - Correct Answer- 2) continue NSAID, apply
an arch support and encourage wt loss and exercise
Fundoscopic exam of Hypertensive patient.
1) nicking of arteriols and viens, and small retinol hemorrages
2) drusen bodies and pale retina
3) pale macula and swollen disk margins
4) microaneurysms and optic disc cupping - Correct Answer- 1) nicking of arteriols and viens,
and small retinol hemorrages
3
