Adult-Gerontology Nurse Practitioner (AGNP)
Test Bank Exam NEWEST 2026 ACTUAL EXAM
COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+||BRAND NEW!!
1. A 68-year-old male presents with exertional chest
pain relieved by rest. Which diagnosis is most likely?
A. Unstable angina
B. Myocardial infarction
C. Stable angina
D. Pericarditis
Correct Answer: C. Stable angina
Rationale: Stable angina is characterized by
predictable chest pain brought on by exertion and
relieved by rest or nitroglycerin.
2. Which laboratory test is most specific for
myocardial injury?
A. CK-MB
B. Myoglobin
C. Troponin I
D. BNP
,Correct Answer: C. Troponin I
Rationale: Troponin I is highly specific to cardiac
muscle and is the preferred marker for myocardial
injury.
3. An elderly patient with hypertension and diabetes
should have a BP goal of:
A. <150/90 mmHg
B. <140/90 mmHg
C. <130/80 mmHg
D. <120/70 mmHg
Correct Answer: C. <130/80 mmHg
Rationale: Current guidelines recommend a blood
pressure goal of less than 130/80 mmHg for patients
with diabetes.
4. Which medication class is first-line for type 2
diabetes?
A. Sulfonylureas
B. Thiazolidinediones
C. Metformin
D. Insulin
,Correct Answer: C. Metformin
Rationale: Metformin is first-line therapy unless
contraindicated due to its efficacy, safety, and
cardiovascular benefits.
5. A 72-year-old presents with sudden unilateral
weakness and slurred speech. What is the priority
action?
A. Give aspirin
B. Obtain CT scan
C. Start IV fluids
D. Check blood glucose
Correct Answer: B. Obtain CT scan
Rationale: A non-contrast CT scan is required to
differentiate ischemic from hemorrhagic stroke before
treatment.
6. Which finding is typical of chronic obstructive
pulmonary disease (COPD)?
A. Decreased residual volume
B. Increased FEV1/FVC ratio
, C. Hyperinflated lungs
D. Restrictive lung pattern
Correct Answer: C. Hyperinflated lungs
Rationale: COPD causes air trapping leading to lung
hyperinflation.
7. The most common cause of community-acquired
pneumonia in adults is:
A. Haemophilus influenzae
B. Streptococcus pneumoniae
C. Mycoplasma pneumoniae
D. Legionella pneumophila
Correct Answer: B. Streptococcus pneumoniae
Rationale: Streptococcus pneumoniae remains the
most common bacterial cause of CAP in adults.
8. A patient with atrial fibrillation is at highest risk for:
A. Heart failure
B. Myocardial infarction
C. Stroke
D. Hypertension
Test Bank Exam NEWEST 2026 ACTUAL EXAM
COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+||BRAND NEW!!
1. A 68-year-old male presents with exertional chest
pain relieved by rest. Which diagnosis is most likely?
A. Unstable angina
B. Myocardial infarction
C. Stable angina
D. Pericarditis
Correct Answer: C. Stable angina
Rationale: Stable angina is characterized by
predictable chest pain brought on by exertion and
relieved by rest or nitroglycerin.
2. Which laboratory test is most specific for
myocardial injury?
A. CK-MB
B. Myoglobin
C. Troponin I
D. BNP
,Correct Answer: C. Troponin I
Rationale: Troponin I is highly specific to cardiac
muscle and is the preferred marker for myocardial
injury.
3. An elderly patient with hypertension and diabetes
should have a BP goal of:
A. <150/90 mmHg
B. <140/90 mmHg
C. <130/80 mmHg
D. <120/70 mmHg
Correct Answer: C. <130/80 mmHg
Rationale: Current guidelines recommend a blood
pressure goal of less than 130/80 mmHg for patients
with diabetes.
4. Which medication class is first-line for type 2
diabetes?
A. Sulfonylureas
B. Thiazolidinediones
C. Metformin
D. Insulin
,Correct Answer: C. Metformin
Rationale: Metformin is first-line therapy unless
contraindicated due to its efficacy, safety, and
cardiovascular benefits.
5. A 72-year-old presents with sudden unilateral
weakness and slurred speech. What is the priority
action?
A. Give aspirin
B. Obtain CT scan
C. Start IV fluids
D. Check blood glucose
Correct Answer: B. Obtain CT scan
Rationale: A non-contrast CT scan is required to
differentiate ischemic from hemorrhagic stroke before
treatment.
6. Which finding is typical of chronic obstructive
pulmonary disease (COPD)?
A. Decreased residual volume
B. Increased FEV1/FVC ratio
, C. Hyperinflated lungs
D. Restrictive lung pattern
Correct Answer: C. Hyperinflated lungs
Rationale: COPD causes air trapping leading to lung
hyperinflation.
7. The most common cause of community-acquired
pneumonia in adults is:
A. Haemophilus influenzae
B. Streptococcus pneumoniae
C. Mycoplasma pneumoniae
D. Legionella pneumophila
Correct Answer: B. Streptococcus pneumoniae
Rationale: Streptococcus pneumoniae remains the
most common bacterial cause of CAP in adults.
8. A patient with atrial fibrillation is at highest risk for:
A. Heart failure
B. Myocardial infarction
C. Stroke
D. Hypertension
