AANP AGPCNP PRACTICE 2020 Exam
Questions and answers 2025
1. .An .older .adult .presents .with .severe .abdominal .pain. .The .husband .reports
.that .earlier .in .the .afternoon, .the .patient's .abdominal .hernia .had .been .firm .and
.bulged .out .4 .inches .(10.2 .cm). .The .patient .had .him .press .on .the .hernia .and
.immediately .felt .burning .pain .throughout .the .abdomen. .Which .of .the .following
.is .the .nurse .practitioners' .NEXT .action?
1. .Abdominal .CT .scan
2. .Complete .blood .count .with .differential
3. .Abdominal .ultrasound
4. .Referral .to .the .ED .- .ANS✓✓-4. .Referral .to .the .ED
2. .A .young .adult .female .who .is .34 .weeks .pregnant .presents .with .the .complaint
.of .urinary .frequency .every .1 .to .2 .hours. .The .patient .has .no .fever .and .denies
.back .pain. .A .urine .dipstick .test .is .positive .for .leukocyte .esterase .and .nitrites.
.Microscopic .analysis .reveals .15-20 .WBCs/hpf .and .a .few .bacteria. .The .BEST
.choice .for .treatment .of .this .patient's .urinary .tract .infection .would .be:
1. .trimethoprim-sulfamethoxazole .(Bactrim), .160 .mg/800 .mg .twice .daily .for .3
.days.
2. .cephalexin .(Keflex), .500 .mg .four .times .daily .for .7 .days.
3. .ciprofloxacin .(Cipro), .500 .mg .twice .daily .for .7 .days.
4. .erythromycin, .250 .mg .three .times .daily .for .5 .days. .- .ANS✓✓-2. .cephalexin
.(Keflex), .500 .mg .four .times .daily .for .7 .days.
3. .An .adult .male .presents .with .new-onset .pain .and .tenderness .in .the .low .back
.and .pain .in .the .right .great .toe .after .a .weekend .of .golf. .He .denies .experiencing
.numbness .and .tingling. .Which .of .the .following .would .the .nurse .practitioner
.expect .to .find .an .investigation .of .this .patient's .low .back .pain?
1. .Exacerbation .of .extremity .symptoms .with .straight-leg .raising
2. .Loss .of .bowel .and .bladder .function
3. .Increased .ankle .jerk .on .evaluation .of .deep .tendon .reflexes
4. .Increased .lumbar .lordosis .- .ANS✓✓-1. .Exacerbation .of .extremity .symptoms
.with .straight-leg .raising
,4. .A .true .statement .about .essential .tremors .is .that .they:
1. .often .begin .with ."pill-rolling" .of .one .hand .and .may .affect .the .legs, .feet, .and
.toes.
2. .are .often .barely .visible, .rapid .tremors.
3. .are .a .characteristic .of .Parkinson's .disease.
4. .are .slow .tremors .that .are .absent .or .minimal .at .rest .and .usually .involve .the
.hands. .- .ANS✓✓-4. .are .slow .tremors .that .are .absent .or .minimal .at .rest .and
.usually .involve .the .hands.
5. .Which .opioid .medication .is .the .MOST .potent?
1. .Codeine
2. .Morphine
3. .Oxycodone
4. .Hydromorphone .- .ANS✓✓-4. .Hydromorphone
6. .Which .symptom .documented .in .a .menstrual .diary .is .diagnostic .of .PMS?
1. .Irritability
2. .Decreased .libido
3. .Menstrual .cramps
4. .Dyspareunia .- .ANS✓✓-1. .Irritability
7. .Which .of .the .following .is .the .medication .of .choice .for .monotherapy .of .an
.older .adult .with .hypertension .and
no .related .comorbid .conditions?
1.Alpha-blocker
2.Vasodilator
3.Thiazide .diuretic
4.Beta-blocker .- .ANS✓✓-3.Thiazide .diuretic
8. .An .elderly, .obese .female .presents .for .evaluation .of .a .painful .rash, .first
.noticed .2 .weeks .ago, .located .under .both .breasts. .The .rash .is .visible .as .an .area
.of .confluent, .beefy-red, .excoriated .lesions .with .smaller .satellite .lesions
.extending .beyond .the .borders .of .the .main .lesions. .The .KOH .prep .reveals
.pseudohyphae. .The .nurse .practitioner
would .recommend .a/an:
1. .course .of .oral .steroids .and .air .drying .of .skin .after .showers.
2. .topical .antifungal .and .order .a .fasting .blood .glucose.
3. .oral .antibiotic .and .order .a .hemoglobin .A1c.
4. .high-potency .topical .corticosteroid .and .use .of .dry .dressings. .- .ANS✓✓-2.
.topical .antifungal .and .order .a .fasting .blood .glucose.
9. .An .older .adult .female .complains .of .problems .with .urination. .She .reports .that
.whenever .she .feels .the .need .to .urinate, .she .is .unable .to ."make .it .to .the
, .bathroom .in .time," .and .wets .herself. .Which .type .of .incontinence .is .MOST
.likely?
1. .Urge
2. .Overflow
3. .Transient
4. .Stress .- .ANS✓✓-1. .Urge
10. .A .young .adult .female .presents .with .painful .swelling .of .the .right .cheek
.anterior .to .the .TMJ. .The .diagnosis .is .sialadenitis. .In .addition .to .antibiotics,
.treatment .for .this .patient .should .include:
1. .hot .soaks .and .lemon .drops.
2. .alternating .heat .and .cold.
3. .cold .compresses .and .massage.
4. .hot .soaks .and .mucolytics. .- .ANS✓✓-1. .hot .soaks .and .lemon .drops.
11. .Initial .therapy .for .older .adult .patients .with .arthritic .joints .is:
1. .naproxen, .1000 .mg .twice .daily.
2. .ibuprofen, .600 .mg .four .times .daily.
3. .glucosamine, .750 .mg .twice .daily.
4. .acetaminophen, .1000 .mg .four .times .daily. .- .ANS✓✓-4. .acetaminophen, .1000
.mg .four .times .daily.
12. .Which .of .the .following .is .an .example .of .gross .negligence?
1. .Prescription .of .a .drug .that .causes .a .fatal .allergic .reaction
2. .Misdiagnosis .of .appendicitis, .resulting .in .peritonitis .and .a .prolonged .hospital
.stay
3. .Refusal .to .return .the .emergency .phone .call .of .a .patient .who .has .chest .pain
.evolving .into .an .MI
4. .Failure .to .diagnose .a .problem .at .an .unrelated .routine .visit .- .ANS✓✓-3.
.Refusal .to .return .the .emergency .phone .call .of .a .patient .who .has .chest .pain
.evolving .into .an .MI
13. .What .is .the .correct .order .of .pharmacokinetics .of .drugs .in .the .body?
1. .absorption, .distribution, .metabolism, .excretion
2. .distribution, .absorption, .metabolism, .excretion
3. .absorption, .metabolism, .distribution, .excretion
4. .metabolism, .distribution, .absorption, .excretion .- .ANS✓✓-1. .absorption,
.distribution, .metabolism, .excretion
14. .An .older .adult .female .is .brought .in .by .her .daughter, .who .has .been .visiting
.her. .The .daughter .reports .that .her .mother .seems .confused .and .anxious, .and .is
.moving .oddly .as .if .she .is .stiff. .The .daughter .has .brought .along .the .mother's
.medications. .She .is .taking .hydrochlorothiazide, .levothyroxine .(Synthroid),
Questions and answers 2025
1. .An .older .adult .presents .with .severe .abdominal .pain. .The .husband .reports
.that .earlier .in .the .afternoon, .the .patient's .abdominal .hernia .had .been .firm .and
.bulged .out .4 .inches .(10.2 .cm). .The .patient .had .him .press .on .the .hernia .and
.immediately .felt .burning .pain .throughout .the .abdomen. .Which .of .the .following
.is .the .nurse .practitioners' .NEXT .action?
1. .Abdominal .CT .scan
2. .Complete .blood .count .with .differential
3. .Abdominal .ultrasound
4. .Referral .to .the .ED .- .ANS✓✓-4. .Referral .to .the .ED
2. .A .young .adult .female .who .is .34 .weeks .pregnant .presents .with .the .complaint
.of .urinary .frequency .every .1 .to .2 .hours. .The .patient .has .no .fever .and .denies
.back .pain. .A .urine .dipstick .test .is .positive .for .leukocyte .esterase .and .nitrites.
.Microscopic .analysis .reveals .15-20 .WBCs/hpf .and .a .few .bacteria. .The .BEST
.choice .for .treatment .of .this .patient's .urinary .tract .infection .would .be:
1. .trimethoprim-sulfamethoxazole .(Bactrim), .160 .mg/800 .mg .twice .daily .for .3
.days.
2. .cephalexin .(Keflex), .500 .mg .four .times .daily .for .7 .days.
3. .ciprofloxacin .(Cipro), .500 .mg .twice .daily .for .7 .days.
4. .erythromycin, .250 .mg .three .times .daily .for .5 .days. .- .ANS✓✓-2. .cephalexin
.(Keflex), .500 .mg .four .times .daily .for .7 .days.
3. .An .adult .male .presents .with .new-onset .pain .and .tenderness .in .the .low .back
.and .pain .in .the .right .great .toe .after .a .weekend .of .golf. .He .denies .experiencing
.numbness .and .tingling. .Which .of .the .following .would .the .nurse .practitioner
.expect .to .find .an .investigation .of .this .patient's .low .back .pain?
1. .Exacerbation .of .extremity .symptoms .with .straight-leg .raising
2. .Loss .of .bowel .and .bladder .function
3. .Increased .ankle .jerk .on .evaluation .of .deep .tendon .reflexes
4. .Increased .lumbar .lordosis .- .ANS✓✓-1. .Exacerbation .of .extremity .symptoms
.with .straight-leg .raising
,4. .A .true .statement .about .essential .tremors .is .that .they:
1. .often .begin .with ."pill-rolling" .of .one .hand .and .may .affect .the .legs, .feet, .and
.toes.
2. .are .often .barely .visible, .rapid .tremors.
3. .are .a .characteristic .of .Parkinson's .disease.
4. .are .slow .tremors .that .are .absent .or .minimal .at .rest .and .usually .involve .the
.hands. .- .ANS✓✓-4. .are .slow .tremors .that .are .absent .or .minimal .at .rest .and
.usually .involve .the .hands.
5. .Which .opioid .medication .is .the .MOST .potent?
1. .Codeine
2. .Morphine
3. .Oxycodone
4. .Hydromorphone .- .ANS✓✓-4. .Hydromorphone
6. .Which .symptom .documented .in .a .menstrual .diary .is .diagnostic .of .PMS?
1. .Irritability
2. .Decreased .libido
3. .Menstrual .cramps
4. .Dyspareunia .- .ANS✓✓-1. .Irritability
7. .Which .of .the .following .is .the .medication .of .choice .for .monotherapy .of .an
.older .adult .with .hypertension .and
no .related .comorbid .conditions?
1.Alpha-blocker
2.Vasodilator
3.Thiazide .diuretic
4.Beta-blocker .- .ANS✓✓-3.Thiazide .diuretic
8. .An .elderly, .obese .female .presents .for .evaluation .of .a .painful .rash, .first
.noticed .2 .weeks .ago, .located .under .both .breasts. .The .rash .is .visible .as .an .area
.of .confluent, .beefy-red, .excoriated .lesions .with .smaller .satellite .lesions
.extending .beyond .the .borders .of .the .main .lesions. .The .KOH .prep .reveals
.pseudohyphae. .The .nurse .practitioner
would .recommend .a/an:
1. .course .of .oral .steroids .and .air .drying .of .skin .after .showers.
2. .topical .antifungal .and .order .a .fasting .blood .glucose.
3. .oral .antibiotic .and .order .a .hemoglobin .A1c.
4. .high-potency .topical .corticosteroid .and .use .of .dry .dressings. .- .ANS✓✓-2.
.topical .antifungal .and .order .a .fasting .blood .glucose.
9. .An .older .adult .female .complains .of .problems .with .urination. .She .reports .that
.whenever .she .feels .the .need .to .urinate, .she .is .unable .to ."make .it .to .the
, .bathroom .in .time," .and .wets .herself. .Which .type .of .incontinence .is .MOST
.likely?
1. .Urge
2. .Overflow
3. .Transient
4. .Stress .- .ANS✓✓-1. .Urge
10. .A .young .adult .female .presents .with .painful .swelling .of .the .right .cheek
.anterior .to .the .TMJ. .The .diagnosis .is .sialadenitis. .In .addition .to .antibiotics,
.treatment .for .this .patient .should .include:
1. .hot .soaks .and .lemon .drops.
2. .alternating .heat .and .cold.
3. .cold .compresses .and .massage.
4. .hot .soaks .and .mucolytics. .- .ANS✓✓-1. .hot .soaks .and .lemon .drops.
11. .Initial .therapy .for .older .adult .patients .with .arthritic .joints .is:
1. .naproxen, .1000 .mg .twice .daily.
2. .ibuprofen, .600 .mg .four .times .daily.
3. .glucosamine, .750 .mg .twice .daily.
4. .acetaminophen, .1000 .mg .four .times .daily. .- .ANS✓✓-4. .acetaminophen, .1000
.mg .four .times .daily.
12. .Which .of .the .following .is .an .example .of .gross .negligence?
1. .Prescription .of .a .drug .that .causes .a .fatal .allergic .reaction
2. .Misdiagnosis .of .appendicitis, .resulting .in .peritonitis .and .a .prolonged .hospital
.stay
3. .Refusal .to .return .the .emergency .phone .call .of .a .patient .who .has .chest .pain
.evolving .into .an .MI
4. .Failure .to .diagnose .a .problem .at .an .unrelated .routine .visit .- .ANS✓✓-3.
.Refusal .to .return .the .emergency .phone .call .of .a .patient .who .has .chest .pain
.evolving .into .an .MI
13. .What .is .the .correct .order .of .pharmacokinetics .of .drugs .in .the .body?
1. .absorption, .distribution, .metabolism, .excretion
2. .distribution, .absorption, .metabolism, .excretion
3. .absorption, .metabolism, .distribution, .excretion
4. .metabolism, .distribution, .absorption, .excretion .- .ANS✓✓-1. .absorption,
.distribution, .metabolism, .excretion
14. .An .older .adult .female .is .brought .in .by .her .daughter, .who .has .been .visiting
.her. .The .daughter .reports .that .her .mother .seems .confused .and .anxious, .and .is
.moving .oddly .as .if .she .is .stiff. .The .daughter .has .brought .along .the .mother's
.medications. .She .is .taking .hydrochlorothiazide, .levothyroxine .(Synthroid),
