(AGPCNP) Adult-Gerontology Primary Care Nurse
Practitioner Practice Exam Questions and Revised
Correct Answers With Rationales |Guaranteed Pass
1. A 72-year-old male presents with a 6-month history of progressive fatigue
and weight loss. His CBC shows microcytic anemia. What is the most
appropriate next step in management?
A. Begin iron supplements
B. Order fecal occult blood testing
C. Schedule a colonoscopy
D. Refer to hematology
Colorectal cancer is a common cause of iron-deficiency anemia in
older adults. Colonoscopy is the gold standard for evaluation.
2. Which vaccine is recommended annually for adults over 65 years?
A. Zoster vaccine
B. Pneumococcal conjugate vaccine
C. Influenza vaccine
D. Tdap booster
Older adults should receive an annual influenza vaccine due to
increased risk of complications.
,3. A 65-year-old woman with type 2 diabetes and hypertension is being seen
for routine care. What is the recommended blood pressure target for her?
A. <120/80 mmHg
B. <130/80 mmHg
C. <140/90 mmHg
D. <150/90 mmHg
Current guidelines recommend a target of <130/80 mmHg for
patients with diabetes to reduce cardiovascular risk.
4. Which of the following medications is most appropriate for initial
management of osteoarthritis pain in the elderly?
A. Tramadol
B. Acetaminophen
C. Ibuprofen
D. Celecoxib
Acetaminophen is considered first-line due to a safer profile
compared to NSAIDs in older adults.
5. A 78-year-old man complains of nocturia and weak urinary stream. What is
the most likely diagnosis?
A. Urinary tract infection
B. Bladder cancer
C. Benign prostatic hyperplasia
D. Prostatitis
Classic lower urinary tract symptoms in elderly men suggest BPH.
, 6. A 68-year-old female presents with memory problems that have worsened
over the past year. She has difficulty with word finding and organizing
tasks. What is the most likely diagnosis?
A. Delirium
B. Vascular dementia
C. Alzheimer’s disease
D. Depression
Gradual progression of memory loss and executive dysfunction
suggests Alzheimer’s disease.
7. Which lab test is most useful for diagnosing hypothyroidism in an elderly
patient?
A. Free T3
B. T3 uptake
C. Free T4
D. TSH
TSH is the most sensitive marker for hypothyroidism and should be
ordered first.
8. A 70-year-old with a 40-pack-year smoking history has a chronic productive
cough. What is the most likely diagnosis?
A. Lung cancer
B. Chronic bronchitis
C. Pneumonia
D. Bronchiectasis
Practitioner Practice Exam Questions and Revised
Correct Answers With Rationales |Guaranteed Pass
1. A 72-year-old male presents with a 6-month history of progressive fatigue
and weight loss. His CBC shows microcytic anemia. What is the most
appropriate next step in management?
A. Begin iron supplements
B. Order fecal occult blood testing
C. Schedule a colonoscopy
D. Refer to hematology
Colorectal cancer is a common cause of iron-deficiency anemia in
older adults. Colonoscopy is the gold standard for evaluation.
2. Which vaccine is recommended annually for adults over 65 years?
A. Zoster vaccine
B. Pneumococcal conjugate vaccine
C. Influenza vaccine
D. Tdap booster
Older adults should receive an annual influenza vaccine due to
increased risk of complications.
,3. A 65-year-old woman with type 2 diabetes and hypertension is being seen
for routine care. What is the recommended blood pressure target for her?
A. <120/80 mmHg
B. <130/80 mmHg
C. <140/90 mmHg
D. <150/90 mmHg
Current guidelines recommend a target of <130/80 mmHg for
patients with diabetes to reduce cardiovascular risk.
4. Which of the following medications is most appropriate for initial
management of osteoarthritis pain in the elderly?
A. Tramadol
B. Acetaminophen
C. Ibuprofen
D. Celecoxib
Acetaminophen is considered first-line due to a safer profile
compared to NSAIDs in older adults.
5. A 78-year-old man complains of nocturia and weak urinary stream. What is
the most likely diagnosis?
A. Urinary tract infection
B. Bladder cancer
C. Benign prostatic hyperplasia
D. Prostatitis
Classic lower urinary tract symptoms in elderly men suggest BPH.
, 6. A 68-year-old female presents with memory problems that have worsened
over the past year. She has difficulty with word finding and organizing
tasks. What is the most likely diagnosis?
A. Delirium
B. Vascular dementia
C. Alzheimer’s disease
D. Depression
Gradual progression of memory loss and executive dysfunction
suggests Alzheimer’s disease.
7. Which lab test is most useful for diagnosing hypothyroidism in an elderly
patient?
A. Free T3
B. T3 uptake
C. Free T4
D. TSH
TSH is the most sensitive marker for hypothyroidism and should be
ordered first.
8. A 70-year-old with a 40-pack-year smoking history has a chronic productive
cough. What is the most likely diagnosis?
A. Lung cancer
B. Chronic bronchitis
C. Pneumonia
D. Bronchiectasis
