Adult-Gerontology Nurse Practitioner
(AGNP) Certification Practice Exam |
100 Most Tested Questions Collection
& Verified Detailed Answers | Tutor
Verified Success Exam) Graded A+
1. A 68-year-old man with hypertension presents with a blood
pressure of 168/94 mmHg despite taking lisinopril. Which
medication class is the most appropriate next addition?
A. Beta-blocker
B. Thiazide diuretic
C. Nitrate
D. Digoxin
Answer: B. Thiazide diuretic
Rationale: For many older adults with uncontrolled hypertension,
adding a thiazide diuretic to an ACE inhibitor improves blood pressure
control and reduces cardiovascular risk.
2. Which laboratory test is the best indicator of long-term glycemic
control?
A. Fasting plasma glucose
B. Random blood glucose
C. Hemoglobin A1C
D. Oral glucose tolerance test
Answer: C. Hemoglobin A1C
,Rationale: Hemoglobin A1C reflects average blood glucose levels over
approximately 2–3 months.
3. An older adult reports sudden unilateral facial drooping and arm
weakness. What is the AGNP's priority action?
A. Order a CBC
B. Schedule MRI next week
C. Activate emergency stroke protocol
D. Prescribe aspirin
Answer: C. Activate emergency stroke protocol
Rationale: Time-sensitive evaluation is critical because thrombolytic
therapy has a limited treatment window.
4. Which vaccine is recommended annually for adults aged 65 years
and older?
A. HPV
B. Influenza
C. MMR
D. Varicella
Answer: B. Influenza
Rationale: Annual influenza vaccination significantly reduces
morbidity and mortality among older adults.
5. A patient with COPD has worsening dyspnea and increased
sputum production. Which diagnosis is most likely?
A. Stable COPD
B. Acute COPD exacerbation
,C. Asthma
D. Pulmonary fibrosis
Answer: B. Acute COPD exacerbation
Rationale: Increased dyspnea, sputum volume, and sputum purulence
are classic features of COPD exacerbation.
6. Which finding is most consistent with heart failure?
A. Bradycardia
B. Hyperactive bowel sounds
C. Bilateral lower extremity edema
D. Right lower quadrant pain
Answer: C. Bilateral lower extremity edema
Rationale: Peripheral edema commonly occurs due to fluid retention
in heart failure.
7. Which electrolyte abnormality is most commonly associated with
loop diuretic therapy?
A. Hyperkalemia
B. Hypokalemia
C. Hypercalcemia
D. Hypermagnesemia
Answer: B. Hypokalemia
Rationale: Loop diuretics increase urinary potassium excretion,
leading to hypokalemia.
8. Which symptom is most characteristic of hypothyroidism?
, A. Weight loss
B. Heat intolerance
C. Fatigue
D. Tachycardia
Answer: C. Fatigue
Rationale: Fatigue, cold intolerance, constipation, and weight gain
are common manifestations of hypothyroidism.
9. A patient has crushing substernal chest pain lasting 30 minutes.
What is the priority diagnosis?
A. GERD
B. Anxiety
C. Acute myocardial infarction
D. Costochondritis
Answer: C. Acute myocardial infarction
Rationale: Persistent crushing chest pain strongly suggests
myocardial infarction requiring immediate evaluation.
10. Which medication is contraindicated during pregnancy?
A. Acetaminophen
B. Insulin
C. Lisinopril
D. Calcium carbonate
Answer: C. Lisinopril
Rationale: ACE inhibitors are teratogenic and should be avoided
during pregnancy.
(AGNP) Certification Practice Exam |
100 Most Tested Questions Collection
& Verified Detailed Answers | Tutor
Verified Success Exam) Graded A+
1. A 68-year-old man with hypertension presents with a blood
pressure of 168/94 mmHg despite taking lisinopril. Which
medication class is the most appropriate next addition?
A. Beta-blocker
B. Thiazide diuretic
C. Nitrate
D. Digoxin
Answer: B. Thiazide diuretic
Rationale: For many older adults with uncontrolled hypertension,
adding a thiazide diuretic to an ACE inhibitor improves blood pressure
control and reduces cardiovascular risk.
2. Which laboratory test is the best indicator of long-term glycemic
control?
A. Fasting plasma glucose
B. Random blood glucose
C. Hemoglobin A1C
D. Oral glucose tolerance test
Answer: C. Hemoglobin A1C
,Rationale: Hemoglobin A1C reflects average blood glucose levels over
approximately 2–3 months.
3. An older adult reports sudden unilateral facial drooping and arm
weakness. What is the AGNP's priority action?
A. Order a CBC
B. Schedule MRI next week
C. Activate emergency stroke protocol
D. Prescribe aspirin
Answer: C. Activate emergency stroke protocol
Rationale: Time-sensitive evaluation is critical because thrombolytic
therapy has a limited treatment window.
4. Which vaccine is recommended annually for adults aged 65 years
and older?
A. HPV
B. Influenza
C. MMR
D. Varicella
Answer: B. Influenza
Rationale: Annual influenza vaccination significantly reduces
morbidity and mortality among older adults.
5. A patient with COPD has worsening dyspnea and increased
sputum production. Which diagnosis is most likely?
A. Stable COPD
B. Acute COPD exacerbation
,C. Asthma
D. Pulmonary fibrosis
Answer: B. Acute COPD exacerbation
Rationale: Increased dyspnea, sputum volume, and sputum purulence
are classic features of COPD exacerbation.
6. Which finding is most consistent with heart failure?
A. Bradycardia
B. Hyperactive bowel sounds
C. Bilateral lower extremity edema
D. Right lower quadrant pain
Answer: C. Bilateral lower extremity edema
Rationale: Peripheral edema commonly occurs due to fluid retention
in heart failure.
7. Which electrolyte abnormality is most commonly associated with
loop diuretic therapy?
A. Hyperkalemia
B. Hypokalemia
C. Hypercalcemia
D. Hypermagnesemia
Answer: B. Hypokalemia
Rationale: Loop diuretics increase urinary potassium excretion,
leading to hypokalemia.
8. Which symptom is most characteristic of hypothyroidism?
, A. Weight loss
B. Heat intolerance
C. Fatigue
D. Tachycardia
Answer: C. Fatigue
Rationale: Fatigue, cold intolerance, constipation, and weight gain
are common manifestations of hypothyroidism.
9. A patient has crushing substernal chest pain lasting 30 minutes.
What is the priority diagnosis?
A. GERD
B. Anxiety
C. Acute myocardial infarction
D. Costochondritis
Answer: C. Acute myocardial infarction
Rationale: Persistent crushing chest pain strongly suggests
myocardial infarction requiring immediate evaluation.
10. Which medication is contraindicated during pregnancy?
A. Acetaminophen
B. Insulin
C. Lisinopril
D. Calcium carbonate
Answer: C. Lisinopril
Rationale: ACE inhibitors are teratogenic and should be avoided
during pregnancy.
