AANP AGPCNP Practice Exam Latest Update 2026 |
Exam Prep | High-Yield Review Guide
1. Which of the following is a common symptom of autonomic neuropathy in
elderly patients with diabetes?
hypertension
orthostatic hypotension
tremors
color blindness
2. Describe the significance of morning stiffness in diagnosing rheumatoid
arthritis compared to other types of arthritis.
Morning stiffness is only relevant in osteoarthritis diagnosis.
Morning stiffness is a common symptom in all types of arthritis without
distinction.
Morning stiffness is not significant in diagnosing any type of arthritis.
Morning stiffness lasting 1 hour or more is a key indicator of
rheumatoid arthritis, distinguishing it from other types of arthritis
where stiffness may resolve more quickly.
3. An elderly woman complaining of weight gain, depression, and lethargy is
diagnosed with hypothyroidism, and thyroid replacement is prescribed.
During initiation of thyroid replacement therapy for the patient, the priority
assessment for the nurse is to evaluate which of the following?
Mental status
Nutritional status
Bowel function
, Cardiovascular function
4. What specific patient status should be evaluated before starting thyroid
hormone replacement in older adults?
weight
renal function
mental state
coronary status
5. Why is it important to measure parathyroid hormone levels in a patient with
elevated serum calcium?
To assess kidney function related to calcium metabolism.
To check for vitamin D deficiency affecting calcium absorption.
To evaluate thyroid function in relation to calcium levels.
To determine if hyperparathyroidism is causing the elevated
calcium levels.
6. Describe how the symptoms of headaches due to an intracranial tumor differ
from those of other headache types.
Headaches from intracranial tumors are usually sudden and do not
have associated neurological symptoms.
Headaches from intracranial tumors are always accompanied by
nausea and vomiting.
Headaches from intracranial tumors often present with pain that
worsens when lying down and may include focal neurological signs.
Headaches from intracranial tumors are typically mild and do not
affect daily activities.
,7. A 65-year-old female is in for her annual wellness visit. Her last Td booster
was 9 years ago. Which would you recommend?
Pneumococcal (Pneumovax) and influenza vaccines
She does not need any vaccination at this time
Tetanus and influenza
Influenza vaccine
8. A 70-year-old patient presents with heel pain and has a history of obesity.
After initial management with NSAIDs and arch supports, what additional
lifestyle change would be most beneficial for this patient?
Starting a high-impact exercise program
Increasing calcium intake
Encouraging weight loss
Using a heating pad on the heel
9. Epigastric pain relieved by eating, worse at night
Peptic ulcer
Duodenal ulcer
GORD
Gallstones
10. What specific measurements should be taken to assess calf pain in an
elderly patient?
Patrick's signs and popliteal pulses
calf circumference and perform Doppler studies
, Femoral pulses and skin temperature
popliteal pulses and Doppler studies
11. In a clinical scenario where a patient presents with strabismus, which cranial
nerves would you assess to determine the underlying cause?
CN III, IV and VI
CN I, II and III
CN V, VII and VIII
CN II, III and IV
12. Why is palpation of the shoulder structures important in the assessment of
shoulder pain?
Palpation is only necessary if imaging is inconclusive.
Palpation helps identify areas of tenderness and potential injuries.
Palpation can determine the need for surgery.
Palpation is used to measure the range of motion.
13. Why is testing the visual field considered the first step in assessing a patient
with a foreign body sensation in the eye?
It is a routine procedure regardless of the symptoms.
It provides a definitive diagnosis of the condition.
It allows for the identification of the foreign body present in the eye.
Testing the visual field helps determine if there is any impairment
or damage to the eye that needs immediate attention.
Exam Prep | High-Yield Review Guide
1. Which of the following is a common symptom of autonomic neuropathy in
elderly patients with diabetes?
hypertension
orthostatic hypotension
tremors
color blindness
2. Describe the significance of morning stiffness in diagnosing rheumatoid
arthritis compared to other types of arthritis.
Morning stiffness is only relevant in osteoarthritis diagnosis.
Morning stiffness is a common symptom in all types of arthritis without
distinction.
Morning stiffness is not significant in diagnosing any type of arthritis.
Morning stiffness lasting 1 hour or more is a key indicator of
rheumatoid arthritis, distinguishing it from other types of arthritis
where stiffness may resolve more quickly.
3. An elderly woman complaining of weight gain, depression, and lethargy is
diagnosed with hypothyroidism, and thyroid replacement is prescribed.
During initiation of thyroid replacement therapy for the patient, the priority
assessment for the nurse is to evaluate which of the following?
Mental status
Nutritional status
Bowel function
, Cardiovascular function
4. What specific patient status should be evaluated before starting thyroid
hormone replacement in older adults?
weight
renal function
mental state
coronary status
5. Why is it important to measure parathyroid hormone levels in a patient with
elevated serum calcium?
To assess kidney function related to calcium metabolism.
To check for vitamin D deficiency affecting calcium absorption.
To evaluate thyroid function in relation to calcium levels.
To determine if hyperparathyroidism is causing the elevated
calcium levels.
6. Describe how the symptoms of headaches due to an intracranial tumor differ
from those of other headache types.
Headaches from intracranial tumors are usually sudden and do not
have associated neurological symptoms.
Headaches from intracranial tumors are always accompanied by
nausea and vomiting.
Headaches from intracranial tumors often present with pain that
worsens when lying down and may include focal neurological signs.
Headaches from intracranial tumors are typically mild and do not
affect daily activities.
,7. A 65-year-old female is in for her annual wellness visit. Her last Td booster
was 9 years ago. Which would you recommend?
Pneumococcal (Pneumovax) and influenza vaccines
She does not need any vaccination at this time
Tetanus and influenza
Influenza vaccine
8. A 70-year-old patient presents with heel pain and has a history of obesity.
After initial management with NSAIDs and arch supports, what additional
lifestyle change would be most beneficial for this patient?
Starting a high-impact exercise program
Increasing calcium intake
Encouraging weight loss
Using a heating pad on the heel
9. Epigastric pain relieved by eating, worse at night
Peptic ulcer
Duodenal ulcer
GORD
Gallstones
10. What specific measurements should be taken to assess calf pain in an
elderly patient?
Patrick's signs and popliteal pulses
calf circumference and perform Doppler studies
, Femoral pulses and skin temperature
popliteal pulses and Doppler studies
11. In a clinical scenario where a patient presents with strabismus, which cranial
nerves would you assess to determine the underlying cause?
CN III, IV and VI
CN I, II and III
CN V, VII and VIII
CN II, III and IV
12. Why is palpation of the shoulder structures important in the assessment of
shoulder pain?
Palpation is only necessary if imaging is inconclusive.
Palpation helps identify areas of tenderness and potential injuries.
Palpation can determine the need for surgery.
Palpation is used to measure the range of motion.
13. Why is testing the visual field considered the first step in assessing a patient
with a foreign body sensation in the eye?
It is a routine procedure regardless of the symptoms.
It provides a definitive diagnosis of the condition.
It allows for the identification of the foreign body present in the eye.
Testing the visual field helps determine if there is any impairment
or damage to the eye that needs immediate attention.
