AANP AGPCNP PRACTICE EXAM-WELL
REVISED ASSESSMENT WITH QUESTIONS AND
VERIFIED ANSWERS 2026
A 72-year-old patient presents with dry, itchy eyes. During the course of the
physical examination, the nurse practitioner notes the presence of a gray band of
opacity in the cornea that encircles the iris. The band is 1.0-1.5 mm wide. This
finding is most consistent with a diagnosis of a/an:
1. corneal abrasion
2. arcus senilis
3. corneal ulcer
4. herpetic infection of the eye - correct-answer -2) arcus senilis
A 26-year-old presents with reports of anorexia, fatigue, weight loss, malaise,
fever, night sweats, and a cough that has been present for 4 weeks. The diagnostic
study to perform first would be:
1) xray
2) pulmonary function test
3) bronchoscopy
4) H & H - correct-answer -1) xray (tb-night sweats)
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A 44-year-old female is complaining of frequent anxiety attacks with chest
discomfort and fatigue. On physical examination, her lungs are clear bilaterally.
There are a midsystolic click and a grade II/VI systolic murmur at the apex. Further
evaluation would include which of the following?
1) EKG, flat plate of the abdomen, lipid profile
2) Echocardiogram, Doppler, EKG
3) Labs and benzo's
4) EEG, Anxiety Scale, and electrolytes - correct-answer -2) Echocardiogram,
Doppler, EKG
A healthy 84 y/o would like to start an exercise program, what would you do
before this takes place?
1) physical exam
2) EKG
3) knee xrays
4) PT Stress test - correct-answer -1) Physical Exam
29 y/o has uncomplicated Chlamydia infection will exhibit:
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1) green penile discharge
2) uticartia
3) unremarkable symtpoms
4) penile ulcer - correct-answer -3) unremarkable symptoms
37 has suspected PE. c/o anxiety and cough, CXR normal, the next test should be:
1) spirometry
2) MRI
3) COntract venogra[hy
4) helical CT pulmonary angiograph - correct-answer -4) helical CT pulmonary
angiography.
A 12-lead EKG shows an undulating baseline with no visible P waves and an
irregularly irregular R-R interval. This arrhythmia is:
1) atrial flutter
2) atrial fibrillation
3) second degree heart block
4) Wolff-White Syndrome - correct-answer -2) atrial fibrillation
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After a 3-week camping trip, a 17-year-old is seen for a target lesion with central
clearing, located in the inguinal area. The patient has had a severe headache,
malaise, fatigue, and generalized musculoskeletal pain for several days.
Pharmacologic management of this condition includes:
1) Bactrim
2) azithromycin
3) doxycycline (Doryx).
4) metronidazole - correct-answer -3) doxycycline (Doryx). Rocky Mountain
spotted fever (Lyme disease-test with WEstern Blot)
According to the American Diabetes Association, the newest standard for
determining the presence of diabetes mellitus based on fasting plasma sugar level
is a value equal to or greater than:
1) 110 mg/dL.
2) 126 mg/dL.
3) 135
4) whatever - correct-answer -2) 126 mg/dl