ANCC AGACNP ACTUAL PAPER 2026
QUESTIONS WITH SOLUTIONS
GRADED A+
◉ Physical exam frequency. Answer: Once from 11-21, every 5-6
years from 20-59, every 2 years from 60+
◉ Lipid panel check. Answer: Start at age 20, every 5 years unless >
200 mg/dL
◉ Mammography & prostate screening start. Answer:
Mammography: 40-50, Prostate: 40 with family hx of AA, 50 for
others
◉ Baseline ECG timing. Answer: At age 40
◉ Colorectal screening initiation. Answer: Start at age 50, FOBT
annually with colonoscopy q 10 years
◉ Glaucoma testing start. Answer: At age 40 and yearly
◉ Herpes zoster vaccination. Answer: Age 50-60
, ◉ Pap smear cessation criteria. Answer: Age > 65-70 with 3 normal
tests, no abnormal tests in 10 years
◉ Top 4 US killers. Answer: Heart disease, colorectal cancer, Lower
respiratory disease, CVA stroke
◉ Most fatal cancer in men & women. Answer: Lung cancer
◉ Most common cancer in US women. Answer: Breast cancer
◉ Most common cancer in US men. Answer: Prostate cancer
◉ Hep A vaccine recipients. Answer: Military, travelers, MSM
◉ Hep B vaccine recipients. Answer: Healthcare workers, high-risk
patients
◉ Ginger usage & risk. Answer: Nausea relief, INCREASED BLEEDING
risk
◉ Ginseng usage & risk. Answer: Well-being enhancement,
INCREASED BLEEDING risk, mania with MAOIs
, ◉ St. John's wort usage & risk. Answer: Depression aid, INCREASED
CLOTTING risk, drug interactions
◉ Echinacea usage & risk. Answer: Cold remedy, Anaphylaxis risk,
hepatotoxicity
◉ Gingko Biloba usage & risk. Answer: Memory aid, INCREASED
BLEEDING risk, increased BP
◉ Black cohosh usage & risk. Answer: Menopause relief, INCREASED
BLEEDING risk, seizures with high doses
◉ Evening primrose usage & risk. Answer: Menopause relief, blood
glucose elevation, seizure risk
◉ Kava kava usage & risk. Answer: Relaxation aid, HTN risk with high
doses, liver damage
◉ Garlic usage & risk. Answer: Indigestion relief, INCREASED
BLEEDING risk
◉ HIPAA titles. Answer: Title 1: health insurance coverage for
workers. Title 2: national standards for healthcare transactions
QUESTIONS WITH SOLUTIONS
GRADED A+
◉ Physical exam frequency. Answer: Once from 11-21, every 5-6
years from 20-59, every 2 years from 60+
◉ Lipid panel check. Answer: Start at age 20, every 5 years unless >
200 mg/dL
◉ Mammography & prostate screening start. Answer:
Mammography: 40-50, Prostate: 40 with family hx of AA, 50 for
others
◉ Baseline ECG timing. Answer: At age 40
◉ Colorectal screening initiation. Answer: Start at age 50, FOBT
annually with colonoscopy q 10 years
◉ Glaucoma testing start. Answer: At age 40 and yearly
◉ Herpes zoster vaccination. Answer: Age 50-60
, ◉ Pap smear cessation criteria. Answer: Age > 65-70 with 3 normal
tests, no abnormal tests in 10 years
◉ Top 4 US killers. Answer: Heart disease, colorectal cancer, Lower
respiratory disease, CVA stroke
◉ Most fatal cancer in men & women. Answer: Lung cancer
◉ Most common cancer in US women. Answer: Breast cancer
◉ Most common cancer in US men. Answer: Prostate cancer
◉ Hep A vaccine recipients. Answer: Military, travelers, MSM
◉ Hep B vaccine recipients. Answer: Healthcare workers, high-risk
patients
◉ Ginger usage & risk. Answer: Nausea relief, INCREASED BLEEDING
risk
◉ Ginseng usage & risk. Answer: Well-being enhancement,
INCREASED BLEEDING risk, mania with MAOIs
, ◉ St. John's wort usage & risk. Answer: Depression aid, INCREASED
CLOTTING risk, drug interactions
◉ Echinacea usage & risk. Answer: Cold remedy, Anaphylaxis risk,
hepatotoxicity
◉ Gingko Biloba usage & risk. Answer: Memory aid, INCREASED
BLEEDING risk, increased BP
◉ Black cohosh usage & risk. Answer: Menopause relief, INCREASED
BLEEDING risk, seizures with high doses
◉ Evening primrose usage & risk. Answer: Menopause relief, blood
glucose elevation, seizure risk
◉ Kava kava usage & risk. Answer: Relaxation aid, HTN risk with high
doses, liver damage
◉ Garlic usage & risk. Answer: Indigestion relief, INCREASED
BLEEDING risk
◉ HIPAA titles. Answer: Title 1: health insurance coverage for
workers. Title 2: national standards for healthcare transactions
