AGNP BOARD EXAM Q & A WITH EXPLANATIONS
Question:
A patient presents with sweating, tremors, palpitations, hunger, and
confusion. This patient is most likely experiencing:
a syncopic event.
hypoglycemia. Correct
postural hypotension.
hypocapnia.
Question:
When eliciting deep tendon reflexes in the knee, the nurse
practitioner notes an abnormal reflex in the right knee. This
abnormality is probably consistent with a pathological lesion in which
segmented level of the spine?
Cervical 5 and 6
Cervical 6 and 7
Lumbar 2, 3, and 4 Correct
Sacral 1
Explanation:
The segmented levels of the deep tendon reflexes are: Ankle: sacral 1; knee:
lumbar 2,3, & 4; Supinator and biceps: cervical 5 & 6; and triceps: cervical 6
& 7.
Question:
A 80 year old male visits the nurse practitioner for an annual well exam.
History reveals two falls in the prior 12 months and difficulty with balance.
,AGNP BOARD EXAM Q & A WITH EXPLANATIONS
The next step the nurse practitioner should take is:
reassess the patient in 6 months.
obtain cognitive and functional assessment. Correct
assess respiratory
assessment. assess cardiac
function.
Explanation:
High-risk older adults, namely those with a single fall in the past 12 months
with abnormal gait and balance and those with two or more falls in the prior
12 months, an acute fall, and/or difficulties with gait and balance, require
further assessment to determine the reasons for the falls. Obtaining relevant
medical history, physical exam, cognitive and functional assessment and
determining multifactorial fall risks are essential to the preventing future
falls.
Question:
When evaluating the sensory system, testing the spinothalamic tracts would
include assessing sensations of:
position and vibration.
pain and temperature. Correct
deep touch.
discriminative
sensations.
,AGNP BOARD EXAM Q & A WITH EXPLANATIONS
Explanation:
When evaluating the sensory system, testing the spinothalamic tracts would
include assessing sensations of pain and temperature. Assessing position and
vibration evaluate the posterior columns. Light touch assesses both the
spinothalamic and posterior column tracts. To assess discriminative
sensation, both the spinothalamic and posterior columns tracts as well as the
cortex would be assessed.
Question:
When testing for corneal reflex, an absent blink reflex is noted. This finding
may be suggestive of a lesion in which cranial nerve?
Cranial Nerve II (CN
II) Cranial Nerve IV
(CN IV) Cranial
Nerve VI (CN V)
Cranial Nerve VII (CN VII) Correct
Explanation:
When testing for corneal reflex, an absent blink reflex would be suggestive of
a lesion in cranial nerves V or VII (CN V or CN VII)-Trigeminal or facial nerves.
Question:
An example of symmetric
weakness is: the right shoulder.
the right hand.
both arms.
, AGNP BOARD EXAM Q & A WITH EXPLANATIONS
Correct
one the right side of the face.
Explanation:
There are 4 different patterns of weakness: Proximal, distal, symmetric, and
asymmetric. An example of proximal weakness is weakness in the shoulder or
hip girdle. Distal weakness occurs in the hands or feet. Symmetric weakness
occurs in the same areas on both sides of the body. An asymmetric weakness
occurs in a portion of the face or extremity - a form of focal weakness.
Question:
One maneuver used to assess coordination is to observe the patient:
dorsiflexing the ankle.
walking heel-to-toe in a straight line. Correct
squeezing the examiner's fingers.
counting to 10 backwards.
Explanation:
To assess coordination, observe the patient’s performance in rapid alternating
movements, point-to-point movements, gait and other related body
movements, standing in specified ways. Walking heel-to-toe would be an
example of observing the patient's gait. Dorsiflexion would be assessing the
patient's joint function. Squeezing the examiner's fingers would be one way
to assess hand grasp. Counting has nothing to do with coordination.
Question:
A patient presents with sweating, tremors, palpitations, hunger, and
confusion. This patient is most likely experiencing:
a syncopic event.
hypoglycemia. Correct
postural hypotension.
hypocapnia.
Question:
When eliciting deep tendon reflexes in the knee, the nurse
practitioner notes an abnormal reflex in the right knee. This
abnormality is probably consistent with a pathological lesion in which
segmented level of the spine?
Cervical 5 and 6
Cervical 6 and 7
Lumbar 2, 3, and 4 Correct
Sacral 1
Explanation:
The segmented levels of the deep tendon reflexes are: Ankle: sacral 1; knee:
lumbar 2,3, & 4; Supinator and biceps: cervical 5 & 6; and triceps: cervical 6
& 7.
Question:
A 80 year old male visits the nurse practitioner for an annual well exam.
History reveals two falls in the prior 12 months and difficulty with balance.
,AGNP BOARD EXAM Q & A WITH EXPLANATIONS
The next step the nurse practitioner should take is:
reassess the patient in 6 months.
obtain cognitive and functional assessment. Correct
assess respiratory
assessment. assess cardiac
function.
Explanation:
High-risk older adults, namely those with a single fall in the past 12 months
with abnormal gait and balance and those with two or more falls in the prior
12 months, an acute fall, and/or difficulties with gait and balance, require
further assessment to determine the reasons for the falls. Obtaining relevant
medical history, physical exam, cognitive and functional assessment and
determining multifactorial fall risks are essential to the preventing future
falls.
Question:
When evaluating the sensory system, testing the spinothalamic tracts would
include assessing sensations of:
position and vibration.
pain and temperature. Correct
deep touch.
discriminative
sensations.
,AGNP BOARD EXAM Q & A WITH EXPLANATIONS
Explanation:
When evaluating the sensory system, testing the spinothalamic tracts would
include assessing sensations of pain and temperature. Assessing position and
vibration evaluate the posterior columns. Light touch assesses both the
spinothalamic and posterior column tracts. To assess discriminative
sensation, both the spinothalamic and posterior columns tracts as well as the
cortex would be assessed.
Question:
When testing for corneal reflex, an absent blink reflex is noted. This finding
may be suggestive of a lesion in which cranial nerve?
Cranial Nerve II (CN
II) Cranial Nerve IV
(CN IV) Cranial
Nerve VI (CN V)
Cranial Nerve VII (CN VII) Correct
Explanation:
When testing for corneal reflex, an absent blink reflex would be suggestive of
a lesion in cranial nerves V or VII (CN V or CN VII)-Trigeminal or facial nerves.
Question:
An example of symmetric
weakness is: the right shoulder.
the right hand.
both arms.
, AGNP BOARD EXAM Q & A WITH EXPLANATIONS
Correct
one the right side of the face.
Explanation:
There are 4 different patterns of weakness: Proximal, distal, symmetric, and
asymmetric. An example of proximal weakness is weakness in the shoulder or
hip girdle. Distal weakness occurs in the hands or feet. Symmetric weakness
occurs in the same areas on both sides of the body. An asymmetric weakness
occurs in a portion of the face or extremity - a form of focal weakness.
Question:
One maneuver used to assess coordination is to observe the patient:
dorsiflexing the ankle.
walking heel-to-toe in a straight line. Correct
squeezing the examiner's fingers.
counting to 10 backwards.
Explanation:
To assess coordination, observe the patient’s performance in rapid alternating
movements, point-to-point movements, gait and other related body
movements, standing in specified ways. Walking heel-to-toe would be an
example of observing the patient's gait. Dorsiflexion would be assessing the
patient's joint function. Squeezing the examiner's fingers would be one way
to assess hand grasp. Counting has nothing to do with coordination.
