1|Page
ANCC AGACNP EXAM REVIEW NEWEST 2025 ACTUAL
EXAM TEST BANK| COMPLETE 350 REAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) ALREADY GRADED A+| ANCC
AGACNP CERTIFICATION EXAM 2025 ||BRAND NEW!!
The adult-gerontology primary care nurse practitioner evaluates a patient
with cold symptoms who reports smoking half a pack of cigarettes a day
and shows no interest in quitting. The nurse practitioner's most
appropriate approach is to treat the cold symptoms and:
(a) advise the patient to stop smoking.
(b) prescribe bupropion (Zyban).
(c) raise the issue of smoking cessation at the next visit.
(d) recommend that the patient select a low nicotine cigarette. - Correct
Answer - (a) advise the patient to stop smoking.
The adult-gerontology primary care nurse practitioner plans to provide
smoking cessation education at a community center to older adults and
their families. The nurse practitioner designs the program based on
knowledge that older adult smokers:
(a) are likely to be optimistic about their ability to quit.
(b) are more likely to be successful at quitting than younger smokers.
(c) have a decreased risk of morbidity and mortality than do younger
smokers.
(d) receive more instruction to quit from health care providers than
younger smokers. - Correct Answer - (b) are more likely to be successful
at quitting than younger smokers.
pg. 1
,2|Page
An 84-year-old patient arrives at the office for an initial visit. The patient
questions the need for colorectal screening, since 10 years have passed
since the last colonoscopy. The adult-gerontology primary care nurse
practitioner recommends:
(a) a colonoscopy.
(b) a fecal DNA test.
(c) flexible sigmoidoscopy.
(d) watchful waiting. - Correct Answer - (d) watchful waiting.
To evaluate for heart failure, which diagnostic test does the adult-
gerontology primary care nurse practitioner order for a patient with
swelling in the lower extremities?
(a) Ankle-brachial index.
(b) Brain natriuretic peptide test.
(c) D-dimer assay.
(d) Spirometry study. - Correct Answer - (b) Brain natriuretic peptide
test.
Before placing a patient with onychomycosis on a pulsed dose of
itraconazole (Sporanox), which laboratory values does the adult-
gerontology primary care nurse practitioner obtain?
(a) Liver function studies.
(b) Platelet count.
(c) Renal function studies.
(d) White blood cell count. - Correct Answer - (a) Liver function studies.
pg. 2
,3|Page
A 30-year-old, female patient has a two-week history of nausea,
vomiting, decreased weight, abdominal pain, and a long-term history of
multiple sexual partners. The patient's physical examination reveals
abdominal tenderness with icteric sclerae and skin. Which laboratory test
confirms active hepatitis B?
(a) Antibody.
(b) Enzyme-linked immunosorbent assay.
(c) Immune globulin G.
(d) Surface antigen. - Correct Answer - (d) Surface antigen.
For two to three months, a 78-year-old patient has not been taking
levothyroxine (Synthroid) as prescribed. The patient now has symptoms
of increasing constipation, lethargy, and weakness. The adult-
gerontology primary care nurse practitioner anticipates that laboratory
tests will show that the patient's:
(a) T4 level decreased, and TSH level increased.
(b) T4 level increased, and TSH level decreased.
(c) T4 level increased, and TSH level is unchanged.
(d) T4 level is unchanged, and TSH level decreased. - Correct Answer -
(a) T4 level decreased, and TSH level increased.
A 16-year-old patient has been diagnosed with mononucleosis and has a
positive throat culture for group Alpha-hemolytic streptococcal
infection. The medication of choice for this patient is:
(a) amoxicillin (Amoxil).
(b) doxycycline (Vibramycin).
pg. 3
, 4|Page
(c) erythromycin (E-Mycin).
(d) trimethoprim-sulfamethoxazole (Bactrim). - Correct Answer - (c)
erythromycin (E-Mycin).
A 70-year-old patient reports fatigue and a nonproductive cough with
pain on inspiration and expiration. The patient denies a sore throat,
fever, nasal congestion, or postnasal drip. Examination reveals a well-
developed patient in no acute distress who is afebrile and has
respirations of 32 breaths/min. The patient's lungs have diminished
breath sounds. The heart rate is 70 beats/min, regular with no murmur.
There is no edema of the extremities. An adult nurse practitioner orders:
(a) a chest x-ray.
(b) a lung perfusion scan.
(c) over-the-counter treatments for symptomatic relief.
(d) pulmonary function tests. - Correct Answer - (a) a chest x-ray.
A pale, thin 54-year-old male patient reports a two-month history of
numbness in his feet. Past medical history includes hypertension and a
subtotal gastrectomy. An examination reveals a decreased vibratory
sensation and position sense. Blood tests indicate a hematocrit of 27%,
mean corpuscular volume of 105 fL, mean corpuscular hemoglobin of
45 pg, and reticulocytes of 1.5%. The diagnosis is:
(a) chronic simple anemia.
(b) folate deficiency anemia.
(c) iron deficiency anemia.
(d) vitamin B12 deficiency anemia. - Correct Answer - (d) vitamin B12
deficiency anemia.
pg. 4
ANCC AGACNP EXAM REVIEW NEWEST 2025 ACTUAL
EXAM TEST BANK| COMPLETE 350 REAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) ALREADY GRADED A+| ANCC
AGACNP CERTIFICATION EXAM 2025 ||BRAND NEW!!
The adult-gerontology primary care nurse practitioner evaluates a patient
with cold symptoms who reports smoking half a pack of cigarettes a day
and shows no interest in quitting. The nurse practitioner's most
appropriate approach is to treat the cold symptoms and:
(a) advise the patient to stop smoking.
(b) prescribe bupropion (Zyban).
(c) raise the issue of smoking cessation at the next visit.
(d) recommend that the patient select a low nicotine cigarette. - Correct
Answer - (a) advise the patient to stop smoking.
The adult-gerontology primary care nurse practitioner plans to provide
smoking cessation education at a community center to older adults and
their families. The nurse practitioner designs the program based on
knowledge that older adult smokers:
(a) are likely to be optimistic about their ability to quit.
(b) are more likely to be successful at quitting than younger smokers.
(c) have a decreased risk of morbidity and mortality than do younger
smokers.
(d) receive more instruction to quit from health care providers than
younger smokers. - Correct Answer - (b) are more likely to be successful
at quitting than younger smokers.
pg. 1
,2|Page
An 84-year-old patient arrives at the office for an initial visit. The patient
questions the need for colorectal screening, since 10 years have passed
since the last colonoscopy. The adult-gerontology primary care nurse
practitioner recommends:
(a) a colonoscopy.
(b) a fecal DNA test.
(c) flexible sigmoidoscopy.
(d) watchful waiting. - Correct Answer - (d) watchful waiting.
To evaluate for heart failure, which diagnostic test does the adult-
gerontology primary care nurse practitioner order for a patient with
swelling in the lower extremities?
(a) Ankle-brachial index.
(b) Brain natriuretic peptide test.
(c) D-dimer assay.
(d) Spirometry study. - Correct Answer - (b) Brain natriuretic peptide
test.
Before placing a patient with onychomycosis on a pulsed dose of
itraconazole (Sporanox), which laboratory values does the adult-
gerontology primary care nurse practitioner obtain?
(a) Liver function studies.
(b) Platelet count.
(c) Renal function studies.
(d) White blood cell count. - Correct Answer - (a) Liver function studies.
pg. 2
,3|Page
A 30-year-old, female patient has a two-week history of nausea,
vomiting, decreased weight, abdominal pain, and a long-term history of
multiple sexual partners. The patient's physical examination reveals
abdominal tenderness with icteric sclerae and skin. Which laboratory test
confirms active hepatitis B?
(a) Antibody.
(b) Enzyme-linked immunosorbent assay.
(c) Immune globulin G.
(d) Surface antigen. - Correct Answer - (d) Surface antigen.
For two to three months, a 78-year-old patient has not been taking
levothyroxine (Synthroid) as prescribed. The patient now has symptoms
of increasing constipation, lethargy, and weakness. The adult-
gerontology primary care nurse practitioner anticipates that laboratory
tests will show that the patient's:
(a) T4 level decreased, and TSH level increased.
(b) T4 level increased, and TSH level decreased.
(c) T4 level increased, and TSH level is unchanged.
(d) T4 level is unchanged, and TSH level decreased. - Correct Answer -
(a) T4 level decreased, and TSH level increased.
A 16-year-old patient has been diagnosed with mononucleosis and has a
positive throat culture for group Alpha-hemolytic streptococcal
infection. The medication of choice for this patient is:
(a) amoxicillin (Amoxil).
(b) doxycycline (Vibramycin).
pg. 3
, 4|Page
(c) erythromycin (E-Mycin).
(d) trimethoprim-sulfamethoxazole (Bactrim). - Correct Answer - (c)
erythromycin (E-Mycin).
A 70-year-old patient reports fatigue and a nonproductive cough with
pain on inspiration and expiration. The patient denies a sore throat,
fever, nasal congestion, or postnasal drip. Examination reveals a well-
developed patient in no acute distress who is afebrile and has
respirations of 32 breaths/min. The patient's lungs have diminished
breath sounds. The heart rate is 70 beats/min, regular with no murmur.
There is no edema of the extremities. An adult nurse practitioner orders:
(a) a chest x-ray.
(b) a lung perfusion scan.
(c) over-the-counter treatments for symptomatic relief.
(d) pulmonary function tests. - Correct Answer - (a) a chest x-ray.
A pale, thin 54-year-old male patient reports a two-month history of
numbness in his feet. Past medical history includes hypertension and a
subtotal gastrectomy. An examination reveals a decreased vibratory
sensation and position sense. Blood tests indicate a hematocrit of 27%,
mean corpuscular volume of 105 fL, mean corpuscular hemoglobin of
45 pg, and reticulocytes of 1.5%. The diagnosis is:
(a) chronic simple anemia.
(b) folate deficiency anemia.
(c) iron deficiency anemia.
(d) vitamin B12 deficiency anemia. - Correct Answer - (d) vitamin B12
deficiency anemia.
pg. 4
