AANP AGPCNP PRACTICE QUESTIONS AND
ANSWERS 2025
An 88-year-old presents with right-side weakness after being unable to rise unassisted
following a fall to the bathroom floor. History includes aphasia and noncompliance with
hypertension medication regimen. What is the most likely diagnosis?
Left-sided or right-sided CVA? - CORRECT ANSWER-LEFT-SIDED CVA
Which of the following signs/symptoms are often associated with headaches due to
intracranial tumor?
1) pain worse laying down, focal neurological signs
2) Hyperreflexia, personality change
3) acute onset: hours to days
4) pupillary constriction; stupor - CORRECT ANSWER-1) pain worse laying down, focal
neurological signs
Which of the following pharmacotherapeutics would be most important to administer to
a patient who has a corneal abrasion?
1) Tomfool
2) Gentamicin ophthalmic
3) Cromolyn other
4) Olopatadine - CORRECT ANSWER-2) Gentamicin ophthalmic (Genetic)
A 25-year-old presents with the chief complaint of decreased mobility and pain of the
right shoulder exacerbated by movement. The patient reports that he participated in
extensive house painting 24 hours prior to the onset of pain. He denies any trauma.
Passive ROM is intact. No redness or ecchymosis is present. What is the next step to
be taken in order to make a diagnosis?
1) Xray of shoulder
2) Palpate structures around the shoulder.
3) MRI of shoulder
4) EMG - CORRECT ANSWER-2) palpate structures
A 16-year-old female in the first month of taking Ortho-Ovum 7/7/7 complains of bicycle
spotting. She has not missed any doses and uses no other medication. Which of the
following is appropriate?
,1) Changing to Ortho-Ovum 1/35
2) Discontinue use
3) Providing reassurance
4) Double dose-for two days - CORRECT ANSWER-3) provide reassurance
According to the Report of the U.S. Preventive Services Task Force, which of the
following is NOT a current recommendation guideline for preventive care in elderly
female patients?
1) Mammogram and clinical breast exams
2) Fecal Occult blood test and/or sig
3) Rubella serology or vaccination history
4) Nuevo and influenza vaccines - CORRECT ANSWER-3) Rubella serology or
vaccination history
87 y/o NH patient is drowsy and barely responsive. Temp 95, BP: 110/70, Pulse 60, R
10. The best action is to:
1) initiate passive warming
2) apply a rebreather
3) Perform fluid replacement
4) initiate active warming - CORRECT ANSWER-1) initiate passive rewarming
A patient is referred with DM, HTN and CAD. He is on insulin and a beta blocker. How
would you educate this patient on recognizing the signs and symptoms of
hypoglycemia?
1) Edema
2) Tachycardia
3) palpitations
4) sweating - CORRECT ANSWER-4) sweating
A 65-year-old overweight patient is diagnosed with plantar fasciitis. Initial therapy of
NSAIDs, stretching, ice, and rest has proven ineffective after 3 weeks. The best follow-
up plan of care would be to:
1) stop NSAID, apply a heel cup and encourage exercise and wt. loss.
2) continue NSAID, apply an arch support and encourage wt. loss and exercise
3) continue NSAID, Xray and add a short-leg night splint
, 4) Continue NSAID, Xray and add a metatarsal bar - CORRECT ANSWER-2) continue
NSAID, apply an arch support and encourage wt. loss and exercise
Fundoscopic exam of Hypertensive patient.
1) nicking of arterioles and veins, and small retinol hemorrhages
2) druse bodies and pale retina
3) pale macula and swollen disk margins
4) micro aneurysms and optic disc cupping - CORRECT ANSWER-1) nicking of
arterioles and veins, and small retinol hemorrhages
Which of the following is a common presenting feature of hyperthyroidism in the elderly?
1) elevated TSH
2) Thyroid enlargement
3) atrial fibrillation
4) abnormal T3 suppression - CORRECT ANSWER-3) atrial fibrillation
A 35-year-old lawn maintenance worker presents reporting "something in my eye" since
the previous day. The eye was rinsed with over-the-counter eyewash, without relief. The
patient denies visual disturbances or drainage. In formulating a plan of care, the nurse
practitioner would FIRST:
1) send to ophthalmologists
2) florescent staining
3) test visual field
4) prescribe eye drops - CORRECT ANSWER-3) test visual field
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 senile
3. corneal ulcer
4. herpetic infection of the eye - CORRECT ANSWER-2) arcus senile
ANSWERS 2025
An 88-year-old presents with right-side weakness after being unable to rise unassisted
following a fall to the bathroom floor. History includes aphasia and noncompliance with
hypertension medication regimen. What is the most likely diagnosis?
Left-sided or right-sided CVA? - CORRECT ANSWER-LEFT-SIDED CVA
Which of the following signs/symptoms are often associated with headaches due to
intracranial tumor?
1) pain worse laying down, focal neurological signs
2) Hyperreflexia, personality change
3) acute onset: hours to days
4) pupillary constriction; stupor - CORRECT ANSWER-1) pain worse laying down, focal
neurological signs
Which of the following pharmacotherapeutics would be most important to administer to
a patient who has a corneal abrasion?
1) Tomfool
2) Gentamicin ophthalmic
3) Cromolyn other
4) Olopatadine - CORRECT ANSWER-2) Gentamicin ophthalmic (Genetic)
A 25-year-old presents with the chief complaint of decreased mobility and pain of the
right shoulder exacerbated by movement. The patient reports that he participated in
extensive house painting 24 hours prior to the onset of pain. He denies any trauma.
Passive ROM is intact. No redness or ecchymosis is present. What is the next step to
be taken in order to make a diagnosis?
1) Xray of shoulder
2) Palpate structures around the shoulder.
3) MRI of shoulder
4) EMG - CORRECT ANSWER-2) palpate structures
A 16-year-old female in the first month of taking Ortho-Ovum 7/7/7 complains of bicycle
spotting. She has not missed any doses and uses no other medication. Which of the
following is appropriate?
,1) Changing to Ortho-Ovum 1/35
2) Discontinue use
3) Providing reassurance
4) Double dose-for two days - CORRECT ANSWER-3) provide reassurance
According to the Report of the U.S. Preventive Services Task Force, which of the
following is NOT a current recommendation guideline for preventive care in elderly
female patients?
1) Mammogram and clinical breast exams
2) Fecal Occult blood test and/or sig
3) Rubella serology or vaccination history
4) Nuevo and influenza vaccines - CORRECT ANSWER-3) Rubella serology or
vaccination history
87 y/o NH patient is drowsy and barely responsive. Temp 95, BP: 110/70, Pulse 60, R
10. The best action is to:
1) initiate passive warming
2) apply a rebreather
3) Perform fluid replacement
4) initiate active warming - CORRECT ANSWER-1) initiate passive rewarming
A patient is referred with DM, HTN and CAD. He is on insulin and a beta blocker. How
would you educate this patient on recognizing the signs and symptoms of
hypoglycemia?
1) Edema
2) Tachycardia
3) palpitations
4) sweating - CORRECT ANSWER-4) sweating
A 65-year-old overweight patient is diagnosed with plantar fasciitis. Initial therapy of
NSAIDs, stretching, ice, and rest has proven ineffective after 3 weeks. The best follow-
up plan of care would be to:
1) stop NSAID, apply a heel cup and encourage exercise and wt. loss.
2) continue NSAID, apply an arch support and encourage wt. loss and exercise
3) continue NSAID, Xray and add a short-leg night splint
, 4) Continue NSAID, Xray and add a metatarsal bar - CORRECT ANSWER-2) continue
NSAID, apply an arch support and encourage wt. loss and exercise
Fundoscopic exam of Hypertensive patient.
1) nicking of arterioles and veins, and small retinol hemorrhages
2) druse bodies and pale retina
3) pale macula and swollen disk margins
4) micro aneurysms and optic disc cupping - CORRECT ANSWER-1) nicking of
arterioles and veins, and small retinol hemorrhages
Which of the following is a common presenting feature of hyperthyroidism in the elderly?
1) elevated TSH
2) Thyroid enlargement
3) atrial fibrillation
4) abnormal T3 suppression - CORRECT ANSWER-3) atrial fibrillation
A 35-year-old lawn maintenance worker presents reporting "something in my eye" since
the previous day. The eye was rinsed with over-the-counter eyewash, without relief. The
patient denies visual disturbances or drainage. In formulating a plan of care, the nurse
practitioner would FIRST:
1) send to ophthalmologists
2) florescent staining
3) test visual field
4) prescribe eye drops - CORRECT ANSWER-3) test visual field
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 senile
3. corneal ulcer
4. herpetic infection of the eye - CORRECT ANSWER-2) arcus senile
