520
PDF AGACNP STUDY WORKBOOK
Q
ANCC AGACNP-BC
2026 REVIEW & PRACTICE
520 ORIGINAL PRACTICE QUESTIONS
Adult-Gerontology Acute Care Nurse Practitioner Board Exam
Preparation
Answers • Rationales • Clinical Reasoning • Professional Practice
WHAT'S INCLUDED
• 520 original practice questions covering assessment, pharmacology, pathophysiology, acute clinical management, infectious
disease, oncology, ethics, quality, research, leadership, and professional role.
• Correct answers and rationales after every item.
• 2026-focused organization based broadly on the current public ANCC AGACNP-BC Test Content Outline.
• Independent study material: not actual, leaked, or copied ANCC examination questions and not a reproduction of any commercial
review guide.
ANCC EXAM STRUCTURE
The public ANCC AGACNP-BC outline states 175 questions: 150 scored and 25 pretest. The scored domains are Core
Competencies (24%), Clinical Practice (43%), and Professional Role (33%).
Educational practice only. No study resource can guarantee certification or a passing score. Verify current ANCC requirements and applicable
scope-of-practice rules.
ANCC AGACNP-BC 2026 Review & Practice • Original Study Material • Page 1
, CORE COMPETENCIES — ASSESSMENT
1. Which finding most strongly supports acute left-sided heart failure?
A. Bibasilar crackles with dyspnea
B. Isolated calf itching
C. Painless jaundice
D. Hyperactive bowel sounds
Correct Answer: A. Bibasilar crackles with dyspnea
Rationale: Pulmonary venous congestion from left-sided heart failure commonly produces crackles and dyspnea.
2. In an acute-care setting, Which finding most strongly supports acute left-sided heart failure?
A. Bibasilar crackles with dyspnea
B. Isolated calf itching
C. Painless jaundice
D. Hyperactive bowel sounds
Correct Answer: A. Bibasilar crackles with dyspnea
Rationale: Pulmonary venous congestion from left-sided heart failure commonly produces crackles and dyspnea.
3. Which option best reflects the AGACNP's clinical reasoning? Which finding most strongly supports acute
left-sided heart failure?
A. Bibasilar crackles with dyspnea
B. Isolated calf itching
C. Painless jaundice
D. Hyperactive bowel sounds
Correct Answer: A. Bibasilar crackles with dyspnea
Rationale: Pulmonary venous congestion from left-sided heart failure commonly produces crackles and dyspnea.
4. During board-style review, which statement is most accurate? Which finding most strongly supports acute
left-sided heart failure?
A. Bibasilar crackles with dyspnea
B. Isolated calf itching
C. Painless jaundice
D. Hyperactive bowel sounds
Correct Answer: A. Bibasilar crackles with dyspnea
Rationale: Pulmonary venous congestion from left-sided heart failure commonly produces crackles and dyspnea.
5. Which finding or action should the acute-care NP recognize as correct? Which finding most strongly supports
acute left-sided heart failure?
A. Bibasilar crackles with dyspnea
B. Isolated calf itching
C. Painless jaundice
D. Hyperactive bowel sounds
Correct Answer: A. Bibasilar crackles with dyspnea
Rationale: Pulmonary venous congestion from left-sided heart failure commonly produces crackles and dyspnea.
ANCC AGACNP-BC 2026 Review & Practice • Original Study Material • Page 2
,6. Which bedside maneuver assesses ankle clonus?
A. Rapid dorsiflexion of the foot
B. Percussion of the wrist
C. Abdominal palpation
D. Light touch over the face
Correct Answer: A. Rapid dorsiflexion of the foot
Rationale: Brisk sustained dorsiflexion may elicit rhythmic plantarflexion in upper-motor-neuron syndromes.
7. In an acute-care setting, Which bedside maneuver assesses ankle clonus?
A. Rapid dorsiflexion of the foot
B. Percussion of the wrist
C. Abdominal palpation
D. Light touch over the face
Correct Answer: A. Rapid dorsiflexion of the foot
Rationale: Brisk sustained dorsiflexion may elicit rhythmic plantarflexion in upper-motor-neuron syndromes.
8. Which option best reflects the AGACNP's clinical reasoning? Which bedside maneuver assesses ankle clonus?
A. Rapid dorsiflexion of the foot
B. Percussion of the wrist
C. Abdominal palpation
D. Light touch over the face
Correct Answer: A. Rapid dorsiflexion of the foot
Rationale: Brisk sustained dorsiflexion may elicit rhythmic plantarflexion in upper-motor-neuron syndromes.
9. During board-style review, which statement is most accurate? Which bedside maneuver assesses ankle clonus?
A. Rapid dorsiflexion of the foot
B. Percussion of the wrist
C. Abdominal palpation
D. Light touch over the face
Correct Answer: A. Rapid dorsiflexion of the foot
Rationale: Brisk sustained dorsiflexion may elicit rhythmic plantarflexion in upper-motor-neuron syndromes.
10. Which finding or action should the acute-care NP recognize as correct? Which bedside maneuver assesses ankle
clonus?
A. Rapid dorsiflexion of the foot
B. Percussion of the wrist
C. Abdominal palpation
D. Light touch over the face
Correct Answer: A. Rapid dorsiflexion of the foot
Rationale: Brisk sustained dorsiflexion may elicit rhythmic plantarflexion in upper-motor-neuron syndromes.
ANCC AGACNP-BC 2026 Review & Practice • Original Study Material • Page 3
, 11. An extensor plantar response in an adult most strongly suggests dysfunction of the:
A. Corticospinal tract
B. Optic nerve
C. Vestibular nerve
D. Olfactory tract
Correct Answer: A. Corticospinal tract
Rationale: A positive Babinski response in an adult suggests an upper-motor-neuron/corticospinal lesion.
12. In an acute-care setting, An extensor plantar response in an adult most strongly suggests dysfunction of the:
A. Corticospinal tract
B. Optic nerve
C. Vestibular nerve
D. Olfactory tract
Correct Answer: A. Corticospinal tract
Rationale: A positive Babinski response in an adult suggests an upper-motor-neuron/corticospinal lesion.
13. Which option best reflects the AGACNP's clinical reasoning? An extensor plantar response in an adult most
strongly suggests dysfunction of the:
A. Corticospinal tract
B. Optic nerve
C. Vestibular nerve
D. Olfactory tract
Correct Answer: A. Corticospinal tract
Rationale: A positive Babinski response in an adult suggests an upper-motor-neuron/corticospinal lesion.
14. During board-style review, which statement is most accurate? An extensor plantar response in an adult most
strongly suggests dysfunction of the:
A. Corticospinal tract
B. Optic nerve
C. Vestibular nerve
D. Olfactory tract
Correct Answer: A. Corticospinal tract
Rationale: A positive Babinski response in an adult suggests an upper-motor-neuron/corticospinal lesion.
15. Which finding or action should the acute-care NP recognize as correct? An extensor plantar response in an adult
most strongly suggests dysfunction of the:
A. Corticospinal tract
B. Optic nerve
C. Vestibular nerve
D. Olfactory tract
Correct Answer: A. Corticospinal tract
Rationale: A positive Babinski response in an adult suggests an upper-motor-neuron/corticospinal lesion.
ANCC AGACNP-BC 2026 Review & Practice • Original Study Material • Page 4
PDF AGACNP STUDY WORKBOOK
Q
ANCC AGACNP-BC
2026 REVIEW & PRACTICE
520 ORIGINAL PRACTICE QUESTIONS
Adult-Gerontology Acute Care Nurse Practitioner Board Exam
Preparation
Answers • Rationales • Clinical Reasoning • Professional Practice
WHAT'S INCLUDED
• 520 original practice questions covering assessment, pharmacology, pathophysiology, acute clinical management, infectious
disease, oncology, ethics, quality, research, leadership, and professional role.
• Correct answers and rationales after every item.
• 2026-focused organization based broadly on the current public ANCC AGACNP-BC Test Content Outline.
• Independent study material: not actual, leaked, or copied ANCC examination questions and not a reproduction of any commercial
review guide.
ANCC EXAM STRUCTURE
The public ANCC AGACNP-BC outline states 175 questions: 150 scored and 25 pretest. The scored domains are Core
Competencies (24%), Clinical Practice (43%), and Professional Role (33%).
Educational practice only. No study resource can guarantee certification or a passing score. Verify current ANCC requirements and applicable
scope-of-practice rules.
ANCC AGACNP-BC 2026 Review & Practice • Original Study Material • Page 1
, CORE COMPETENCIES — ASSESSMENT
1. Which finding most strongly supports acute left-sided heart failure?
A. Bibasilar crackles with dyspnea
B. Isolated calf itching
C. Painless jaundice
D. Hyperactive bowel sounds
Correct Answer: A. Bibasilar crackles with dyspnea
Rationale: Pulmonary venous congestion from left-sided heart failure commonly produces crackles and dyspnea.
2. In an acute-care setting, Which finding most strongly supports acute left-sided heart failure?
A. Bibasilar crackles with dyspnea
B. Isolated calf itching
C. Painless jaundice
D. Hyperactive bowel sounds
Correct Answer: A. Bibasilar crackles with dyspnea
Rationale: Pulmonary venous congestion from left-sided heart failure commonly produces crackles and dyspnea.
3. Which option best reflects the AGACNP's clinical reasoning? Which finding most strongly supports acute
left-sided heart failure?
A. Bibasilar crackles with dyspnea
B. Isolated calf itching
C. Painless jaundice
D. Hyperactive bowel sounds
Correct Answer: A. Bibasilar crackles with dyspnea
Rationale: Pulmonary venous congestion from left-sided heart failure commonly produces crackles and dyspnea.
4. During board-style review, which statement is most accurate? Which finding most strongly supports acute
left-sided heart failure?
A. Bibasilar crackles with dyspnea
B. Isolated calf itching
C. Painless jaundice
D. Hyperactive bowel sounds
Correct Answer: A. Bibasilar crackles with dyspnea
Rationale: Pulmonary venous congestion from left-sided heart failure commonly produces crackles and dyspnea.
5. Which finding or action should the acute-care NP recognize as correct? Which finding most strongly supports
acute left-sided heart failure?
A. Bibasilar crackles with dyspnea
B. Isolated calf itching
C. Painless jaundice
D. Hyperactive bowel sounds
Correct Answer: A. Bibasilar crackles with dyspnea
Rationale: Pulmonary venous congestion from left-sided heart failure commonly produces crackles and dyspnea.
ANCC AGACNP-BC 2026 Review & Practice • Original Study Material • Page 2
,6. Which bedside maneuver assesses ankle clonus?
A. Rapid dorsiflexion of the foot
B. Percussion of the wrist
C. Abdominal palpation
D. Light touch over the face
Correct Answer: A. Rapid dorsiflexion of the foot
Rationale: Brisk sustained dorsiflexion may elicit rhythmic plantarflexion in upper-motor-neuron syndromes.
7. In an acute-care setting, Which bedside maneuver assesses ankle clonus?
A. Rapid dorsiflexion of the foot
B. Percussion of the wrist
C. Abdominal palpation
D. Light touch over the face
Correct Answer: A. Rapid dorsiflexion of the foot
Rationale: Brisk sustained dorsiflexion may elicit rhythmic plantarflexion in upper-motor-neuron syndromes.
8. Which option best reflects the AGACNP's clinical reasoning? Which bedside maneuver assesses ankle clonus?
A. Rapid dorsiflexion of the foot
B. Percussion of the wrist
C. Abdominal palpation
D. Light touch over the face
Correct Answer: A. Rapid dorsiflexion of the foot
Rationale: Brisk sustained dorsiflexion may elicit rhythmic plantarflexion in upper-motor-neuron syndromes.
9. During board-style review, which statement is most accurate? Which bedside maneuver assesses ankle clonus?
A. Rapid dorsiflexion of the foot
B. Percussion of the wrist
C. Abdominal palpation
D. Light touch over the face
Correct Answer: A. Rapid dorsiflexion of the foot
Rationale: Brisk sustained dorsiflexion may elicit rhythmic plantarflexion in upper-motor-neuron syndromes.
10. Which finding or action should the acute-care NP recognize as correct? Which bedside maneuver assesses ankle
clonus?
A. Rapid dorsiflexion of the foot
B. Percussion of the wrist
C. Abdominal palpation
D. Light touch over the face
Correct Answer: A. Rapid dorsiflexion of the foot
Rationale: Brisk sustained dorsiflexion may elicit rhythmic plantarflexion in upper-motor-neuron syndromes.
ANCC AGACNP-BC 2026 Review & Practice • Original Study Material • Page 3
, 11. An extensor plantar response in an adult most strongly suggests dysfunction of the:
A. Corticospinal tract
B. Optic nerve
C. Vestibular nerve
D. Olfactory tract
Correct Answer: A. Corticospinal tract
Rationale: A positive Babinski response in an adult suggests an upper-motor-neuron/corticospinal lesion.
12. In an acute-care setting, An extensor plantar response in an adult most strongly suggests dysfunction of the:
A. Corticospinal tract
B. Optic nerve
C. Vestibular nerve
D. Olfactory tract
Correct Answer: A. Corticospinal tract
Rationale: A positive Babinski response in an adult suggests an upper-motor-neuron/corticospinal lesion.
13. Which option best reflects the AGACNP's clinical reasoning? An extensor plantar response in an adult most
strongly suggests dysfunction of the:
A. Corticospinal tract
B. Optic nerve
C. Vestibular nerve
D. Olfactory tract
Correct Answer: A. Corticospinal tract
Rationale: A positive Babinski response in an adult suggests an upper-motor-neuron/corticospinal lesion.
14. During board-style review, which statement is most accurate? An extensor plantar response in an adult most
strongly suggests dysfunction of the:
A. Corticospinal tract
B. Optic nerve
C. Vestibular nerve
D. Olfactory tract
Correct Answer: A. Corticospinal tract
Rationale: A positive Babinski response in an adult suggests an upper-motor-neuron/corticospinal lesion.
15. Which finding or action should the acute-care NP recognize as correct? An extensor plantar response in an adult
most strongly suggests dysfunction of the:
A. Corticospinal tract
B. Optic nerve
C. Vestibular nerve
D. Olfactory tract
Correct Answer: A. Corticospinal tract
Rationale: A positive Babinski response in an adult suggests an upper-motor-neuron/corticospinal lesion.
ANCC AGACNP-BC 2026 Review & Practice • Original Study Material • Page 4
