AANP AGPCNP PSI TEST 1 & 2
QUESTIONS AND ANSWERS 2026
- 2027
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 - ANSWERS-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. - ANSWERS-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 - ANSWERS-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. - ANSWERS-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 - ANSWERS-4. Hydromorphone
6. Which symptom documented in a menstrual diary is diagnostic of
PMS?
1. Irritability
2. Decreased libido
3. Menstrual cramps
4. Dyspareunia - ANSWERS-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 - ANSWERS-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. -
ANSWERS-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 - ANSWERS-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:
QUESTIONS AND ANSWERS 2026
- 2027
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 - ANSWERS-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. - ANSWERS-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 - ANSWERS-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. - ANSWERS-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 - ANSWERS-4. Hydromorphone
6. Which symptom documented in a menstrual diary is diagnostic of
PMS?
1. Irritability
2. Decreased libido
3. Menstrual cramps
4. Dyspareunia - ANSWERS-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 - ANSWERS-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. -
ANSWERS-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 - ANSWERS-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:
