ANCC AGPCNP ACTUAL PRACTICE EXAM
2026 QUESTIONS AND SOLUTIONS
ALREADY GRADED A+
⩥ Which of the following signs/symtpoms are often associated with
headahces due to intracranial tumor?
1) pain worse laying down, focal neurological signs
2) Hyperflexia, personality change
3) acute onset: hours to days
4) pupillary constriction; stupor. 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) Timolol
2) Gentamicin ophthalmic
3) Cromolyn optha
4) Olopatadine. Answer: 2) Gentamicin ophthalmic (Genoptic)
⩥ 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. Answer: 2) palpate structures
⩥ A 16-year-old female in the first month of taking Ortho-Novum 7/7/7
complains of midcycle spotting. She has not missed any doses and uses
no other medication. Which of the following is appropriate?
1) Changing to Ortho-Novum 1/35
2) Discontinue use
3) Providing reassurance
4) Double dose-for two days. 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) Pnuemo and influenza vaccines. 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. 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. 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. Answer: 2) continue
NSAID, apply an arch support and encourage wt loss and exercise
⩥ Fundoscopic exam of Hypertensive patient.
1) nicking of arteriols and viens, and small retinol hemorrages
2) drusen bodies and pale retina
3) pale macula and swollen disk margins
4) microaneurysms and optic disc cupping. Answer: 1) nicking of
arteriols and viens, and small retinol hemorrages
⩥ Which of the following is a common presenting feature of
hyperthyroidism in the elderly?
1) elevated TSH
2) Thyroid enlargement
2026 QUESTIONS AND SOLUTIONS
ALREADY GRADED A+
⩥ Which of the following signs/symtpoms are often associated with
headahces due to intracranial tumor?
1) pain worse laying down, focal neurological signs
2) Hyperflexia, personality change
3) acute onset: hours to days
4) pupillary constriction; stupor. 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) Timolol
2) Gentamicin ophthalmic
3) Cromolyn optha
4) Olopatadine. Answer: 2) Gentamicin ophthalmic (Genoptic)
⩥ 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. Answer: 2) palpate structures
⩥ A 16-year-old female in the first month of taking Ortho-Novum 7/7/7
complains of midcycle spotting. She has not missed any doses and uses
no other medication. Which of the following is appropriate?
1) Changing to Ortho-Novum 1/35
2) Discontinue use
3) Providing reassurance
4) Double dose-for two days. 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) Pnuemo and influenza vaccines. 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. 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. 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. Answer: 2) continue
NSAID, apply an arch support and encourage wt loss and exercise
⩥ Fundoscopic exam of Hypertensive patient.
1) nicking of arteriols and viens, and small retinol hemorrages
2) drusen bodies and pale retina
3) pale macula and swollen disk margins
4) microaneurysms and optic disc cupping. Answer: 1) nicking of
arteriols and viens, and small retinol hemorrages
⩥ Which of the following is a common presenting feature of
hyperthyroidism in the elderly?
1) elevated TSH
2) Thyroid enlargement
