NURS 5461 AGNP MANAGEMENT QUIZ
1 SUPREME STUDY GUIDE & EXAM
PREP Q&A BANK
Ace your upcoming examination with this master practice test
bank featuring highly realistic multiple-choice questions tailored to
current clinical assessment standards. Every item includes
explicit, italicised correct answers alongside comprehensive, bold-
italicised rationales that break down advanced diagnostics,
geriatric syndromes, and complex pharmacology. Designed
specifically for advanced practice nursing students, this study
bundle guarantees active recall and deep conceptual mastery to
secure a top-tier grade.
Section 1: The Transtheoretical Model of Change
(Questions 1–10)
1. A 67-year-old male with a history of chronic
obstructive pulmonary disease (COPD) states, "I
know smoking is bad for my lungs, and I've been
thinking about cutting back next month, but I just
don't know if I have the willpower to do it." What
stage of the Transtheoretical Model is this
patient demonstrating?
A) Precontemplation
B) Contemplation
C) Preparation
D) Action
Answer: B) Contemplation
, Rationale: In the contemplation stage, the
patient is aware that a problem exists and is
seriously thinking about overcoming it within
the next 6 months, but they are highly
ambivalent and have not yet committed to
taking concrete, behavioral steps.
2. An older adult female patient with a BMI of 34
kg/m² schedules an appointment with her nurse
practitioner and says, "I joined a local gym
yesterday, bought walking shoes, and am
starting a structured low-calorie diet this coming
Monday." Which stage of change is represented
here?
A) Contemplation
B) Preparation
C) Action
D) Maintenance
Answer: B) Preparation
Rationale: The preparation stage involves
both the absolute intent to take behavioral
action in the immediate future (typically
within the next month) and the execution of
small preliminary steps, such as purchasing
equipment or making a formal plan.
,3. A 72-year-old hypertensive patient tells the
provider, "My high blood pressure does not
bother me. My parents both lived to their 90s
with salty diets, so I don't see any reason to alter
what I eat." How should the clinician categorize
this individual's readiness to change?
A) Action
B) Relapse
C) Precontemplation
D) Contemplation
Answer: C) Precontemplation
Rationale: During precontemplation, the
individual has no intention of shifting their
behaviors within the foreseeable future (next
6 months). They are generally unaware,
under-aware, or defensive regarding the
risks associated with their current lifestyle
habits.
4. A nurse practitioner is evaluating a 65-year-old
patient who successfully quit drinking alcohol 3
weeks ago. The patient reports severe cravings
but notes they are using deep breathing
exercises and calling a sponsor when the urge
arises. This patient is in which stage of change?
A) Preparation
, B) Action
C) Maintenance
D) Termination
Answer: B) Action
Rationale: The action stage spans from the
initial initiation of behavioral change up to 6
months. It requires active, overt
modifications of behavior, choices, and
environments to overcome the identified
clinical problem.
5. A 70-year-old patient with type 2 diabetes has
maintained an HbA1c below 6.8% by
consistently monitoring blood glucose and
following an exercise regimen for the past 9
months. Which stage of change characterizes
this patient?
A) Action
B) Maintenance
C) Preparation
D) Contemplation
Answer: B) Maintenance
Rationale: Maintenance is defined as the
sustained continuation of a new behavior
change for more than 6 months. The primary
1 SUPREME STUDY GUIDE & EXAM
PREP Q&A BANK
Ace your upcoming examination with this master practice test
bank featuring highly realistic multiple-choice questions tailored to
current clinical assessment standards. Every item includes
explicit, italicised correct answers alongside comprehensive, bold-
italicised rationales that break down advanced diagnostics,
geriatric syndromes, and complex pharmacology. Designed
specifically for advanced practice nursing students, this study
bundle guarantees active recall and deep conceptual mastery to
secure a top-tier grade.
Section 1: The Transtheoretical Model of Change
(Questions 1–10)
1. A 67-year-old male with a history of chronic
obstructive pulmonary disease (COPD) states, "I
know smoking is bad for my lungs, and I've been
thinking about cutting back next month, but I just
don't know if I have the willpower to do it." What
stage of the Transtheoretical Model is this
patient demonstrating?
A) Precontemplation
B) Contemplation
C) Preparation
D) Action
Answer: B) Contemplation
, Rationale: In the contemplation stage, the
patient is aware that a problem exists and is
seriously thinking about overcoming it within
the next 6 months, but they are highly
ambivalent and have not yet committed to
taking concrete, behavioral steps.
2. An older adult female patient with a BMI of 34
kg/m² schedules an appointment with her nurse
practitioner and says, "I joined a local gym
yesterday, bought walking shoes, and am
starting a structured low-calorie diet this coming
Monday." Which stage of change is represented
here?
A) Contemplation
B) Preparation
C) Action
D) Maintenance
Answer: B) Preparation
Rationale: The preparation stage involves
both the absolute intent to take behavioral
action in the immediate future (typically
within the next month) and the execution of
small preliminary steps, such as purchasing
equipment or making a formal plan.
,3. A 72-year-old hypertensive patient tells the
provider, "My high blood pressure does not
bother me. My parents both lived to their 90s
with salty diets, so I don't see any reason to alter
what I eat." How should the clinician categorize
this individual's readiness to change?
A) Action
B) Relapse
C) Precontemplation
D) Contemplation
Answer: C) Precontemplation
Rationale: During precontemplation, the
individual has no intention of shifting their
behaviors within the foreseeable future (next
6 months). They are generally unaware,
under-aware, or defensive regarding the
risks associated with their current lifestyle
habits.
4. A nurse practitioner is evaluating a 65-year-old
patient who successfully quit drinking alcohol 3
weeks ago. The patient reports severe cravings
but notes they are using deep breathing
exercises and calling a sponsor when the urge
arises. This patient is in which stage of change?
A) Preparation
, B) Action
C) Maintenance
D) Termination
Answer: B) Action
Rationale: The action stage spans from the
initial initiation of behavioral change up to 6
months. It requires active, overt
modifications of behavior, choices, and
environments to overcome the identified
clinical problem.
5. A 70-year-old patient with type 2 diabetes has
maintained an HbA1c below 6.8% by
consistently monitoring blood glucose and
following an exercise regimen for the past 9
months. Which stage of change characterizes
this patient?
A) Action
B) Maintenance
C) Preparation
D) Contemplation
Answer: B) Maintenance
Rationale: Maintenance is defined as the
sustained continuation of a new behavior
change for more than 6 months. The primary
