Page 1 of 170
Gerontology Nurse Practitioner
Certification Review Study Guide | 2025–
2026 AGNP Certification Study Guide |
AANP/ANCC Exam Prep Review Book
1. What is the key difference between the AANP and ANCC
certification exams for Adult-Gerontology Primary Care Nurse
Practitioners?
A) The AANP exam includes a clinical skills component, while
ANCC does not.
B) The AANP exam focuses more on acute care, while ANCC
focuses on primary care.
C) The AANP exam is entirely multiple-choice, whereas
ANCC includes multiple-response and drag-and-drop items.
,Page 2 of 170
D) There is no difference; both exams are identical in
format and content.
Answer: C
Rationale: The AANP exam uses traditional multiple-choice
questions; the ANCC exam uses a variety of formats, including
multiple-response, drag-and-drop, and hot-spot items. Both
exams cover similar content but differ in question styles.
2. The entire ANCC exam contains how many total questions?
A) 100
B) 150
C) 175
D) 200
Answer: C
Rationale: The ANCC exam includes 175 multiple-choice
,Page 3 of 170
questions, of which 150 are scored and 25 are pretest (pilot)
questions not counted toward the final score.
3. An 88-year-old male presents for an annual wellness visit.
His vital signs are: BP 128/78 mmHg, HR 72 bpm, RR 16/min,
T 36.8°C. He has no acute complaints. According to the
USPSTF, what is the current recommendation for screening for
abdominal aortic aneurysm (AAA) in older men?
A) One-time screening with abdominal ultrasound for all
men aged 65–75 who have ever smoked.
B) Annual abdominal ultrasound for all men over age 70.
C) No screening after age 80 due to competing risks.
D) Screening only if the patient has a family history of AAA
regardless of age.
, Page 4 of 170
Answer: A
Rationale: USPSTF recommends one-time screening for AAA with
abdominal ultrasound in men aged 65-75 who have ever
smoked. After age 75, the benefit diminishes due to competing
risks.
4. Which of the following immunizations is NOT routinely
recommended for all adults aged 65 and older?
A) High-dose seasonal influenza vaccine
B) Zoster vaccine recombinant (Shingrix)
C) PCV20 (pneumococcal conjugate vaccine)
D) Meningococcal B vaccine
Answer: D
Rationale: Meningococcal B vaccine is not routinely
recommended for all older adults. It is reserved for high-risk
Gerontology Nurse Practitioner
Certification Review Study Guide | 2025–
2026 AGNP Certification Study Guide |
AANP/ANCC Exam Prep Review Book
1. What is the key difference between the AANP and ANCC
certification exams for Adult-Gerontology Primary Care Nurse
Practitioners?
A) The AANP exam includes a clinical skills component, while
ANCC does not.
B) The AANP exam focuses more on acute care, while ANCC
focuses on primary care.
C) The AANP exam is entirely multiple-choice, whereas
ANCC includes multiple-response and drag-and-drop items.
,Page 2 of 170
D) There is no difference; both exams are identical in
format and content.
Answer: C
Rationale: The AANP exam uses traditional multiple-choice
questions; the ANCC exam uses a variety of formats, including
multiple-response, drag-and-drop, and hot-spot items. Both
exams cover similar content but differ in question styles.
2. The entire ANCC exam contains how many total questions?
A) 100
B) 150
C) 175
D) 200
Answer: C
Rationale: The ANCC exam includes 175 multiple-choice
,Page 3 of 170
questions, of which 150 are scored and 25 are pretest (pilot)
questions not counted toward the final score.
3. An 88-year-old male presents for an annual wellness visit.
His vital signs are: BP 128/78 mmHg, HR 72 bpm, RR 16/min,
T 36.8°C. He has no acute complaints. According to the
USPSTF, what is the current recommendation for screening for
abdominal aortic aneurysm (AAA) in older men?
A) One-time screening with abdominal ultrasound for all
men aged 65–75 who have ever smoked.
B) Annual abdominal ultrasound for all men over age 70.
C) No screening after age 80 due to competing risks.
D) Screening only if the patient has a family history of AAA
regardless of age.
, Page 4 of 170
Answer: A
Rationale: USPSTF recommends one-time screening for AAA with
abdominal ultrasound in men aged 65-75 who have ever
smoked. After age 75, the benefit diminishes due to competing
risks.
4. Which of the following immunizations is NOT routinely
recommended for all adults aged 65 and older?
A) High-dose seasonal influenza vaccine
B) Zoster vaccine recombinant (Shingrix)
C) PCV20 (pneumococcal conjugate vaccine)
D) Meningococcal B vaccine
Answer: D
Rationale: Meningococcal B vaccine is not routinely
recommended for all older adults. It is reserved for high-risk
