ADULT-GERONTOLOGY NURSE
PRACTITIONER- AGNP 2026 ACTUAL EXAM
TEST WITH QUESTIONS AND CORRECT
ANSWERS WITH DETAILED RATIONALES
GRADED A+
A 30-year-old female comes to the clinic for a wellness exam.
The patient is previously healthy with a family medical
history of obesity, hypertension (HTN), hyperlipidemia, and
diabetes mellitus. She is on no medications. She endorses
decreased physical activity and increased cigarette smoking
over the past five months.
Vital signs are normal. Physical examination is normal,
including normal blood pressure. When asked if she is
interested in quitting smoking, she suggests she might be
ready, but does not know if she has the willpower. However,
she acknowledges that it is harmful to her health.
What can be done to help her quit?
Choose the single best answer.
A. Agree that smoking is harmful to her health and advise
that she set a quit date. Advise follow-up.
B. Arrange a follow-up date to discuss strategies for
successfully quitting smoking. Advise her to consider in the
interim.
,C. Ask if she has friends who have quit in the past and advise
she contact friends for solutions that have worked in the
past. Ask her to follow up once she has quit.
D. Assess if she knows what situations increase her
tendency to smoke and assist on solutions to avoid these
scenarios in the short term. Agree on a quit date together.
Arrange follow-up.
E. Assist her in understanding why she is smoking and
advise her to stop. Ask her to set a quit date and notify you
soon.
D. Assess if she knows what situations increase her tendency to
smoke and assist on solutions to avoid these scenarios in the
short term. Agree on a quit date together. Arrange follow-up.
Though several of these may be reasonable in a given scenario, it
is most appropriate to assess her own barriers to success and
assist the patient on solutions towards overcoming these barriers,
while agreeing together on a plan for a quit date and a follow-up
plan at that time. All other answer choices do not help facilitate
overcoming of barriers in place and do not help facilitate
readiness to change.
A 52-year-old female comes to the clinic for her wellness
visit.
Medical history is significant for gestational diabetes with
both of her children, but is otherwise healthy. Her family
history is only significant for hypertension (HTN).
,Her physical exam is normal. She has been resistant to
screening mammograms because she feels her risk is low as
she has no family history of breast cancer.
Which of the following should be considered when applying
breast cancer screening guidelines to counsel this woman?
Choose the single best answer.
A. The guidelines are based on one article with moderate
quality evidence.
B. The guidelines are internally reviewed by a well-known
radiology center.
C. The guidelines are updated every 20 years.
D. The guidelines are utilized in a reputable hospital.
E. The guidelines have a method to rate their strength of
recommendations.
E. The guidelines have a method to rate their strength of
recommendations.
This patient is 53 years old and therefore falls in the age group
where routine mammography is recommended even without a
family history of breast cancer. When counseling your patients it's
important to determine if the preventative guidelines are
reputable. There are 8 standards that should be considered
during guideline development, including:
Establishing transparency
Management of conflict of interest
Guideline development of conflict of interest
Clinical practice guidelines—systematic review intersection
, Establishing evidence foundations for and rating strength of
recommendations
Articulation of recommendations
External review
Updating
A 65-year-old female comes to the clinic for her wellness
visit.
Her medical history is significant for hypertension (HTN),
hypothyroidism, and tobacco use. Medications include
lisinopril and levothyroxine. There are no current concerns
and her physical examination is unremarkable.
The patient requests a screening test. After review, you
determine that the test has a sensitivity of 44% and a
specificity of 55% to be performed for a disease with a
prevalence of 1.2%.
After reviewing the screening test's characteristics, which of
the following is the most-appropriate recommendation to
give to the patient?
Choose the single best answer.
A. "I will not order the test as it has a high positive predictive
value."
B. "I will not order the test as there is a high potential for a
false positive result."
C. "I will order the test as it has a high positive predictive
value."
D. "I will order the test as there is a low potential for a false
positive result."
E. "I will order the test as there is effective treatment
available if it is determined the patient has the disease."
PRACTITIONER- AGNP 2026 ACTUAL EXAM
TEST WITH QUESTIONS AND CORRECT
ANSWERS WITH DETAILED RATIONALES
GRADED A+
A 30-year-old female comes to the clinic for a wellness exam.
The patient is previously healthy with a family medical
history of obesity, hypertension (HTN), hyperlipidemia, and
diabetes mellitus. She is on no medications. She endorses
decreased physical activity and increased cigarette smoking
over the past five months.
Vital signs are normal. Physical examination is normal,
including normal blood pressure. When asked if she is
interested in quitting smoking, she suggests she might be
ready, but does not know if she has the willpower. However,
she acknowledges that it is harmful to her health.
What can be done to help her quit?
Choose the single best answer.
A. Agree that smoking is harmful to her health and advise
that she set a quit date. Advise follow-up.
B. Arrange a follow-up date to discuss strategies for
successfully quitting smoking. Advise her to consider in the
interim.
,C. Ask if she has friends who have quit in the past and advise
she contact friends for solutions that have worked in the
past. Ask her to follow up once she has quit.
D. Assess if she knows what situations increase her
tendency to smoke and assist on solutions to avoid these
scenarios in the short term. Agree on a quit date together.
Arrange follow-up.
E. Assist her in understanding why she is smoking and
advise her to stop. Ask her to set a quit date and notify you
soon.
D. Assess if she knows what situations increase her tendency to
smoke and assist on solutions to avoid these scenarios in the
short term. Agree on a quit date together. Arrange follow-up.
Though several of these may be reasonable in a given scenario, it
is most appropriate to assess her own barriers to success and
assist the patient on solutions towards overcoming these barriers,
while agreeing together on a plan for a quit date and a follow-up
plan at that time. All other answer choices do not help facilitate
overcoming of barriers in place and do not help facilitate
readiness to change.
A 52-year-old female comes to the clinic for her wellness
visit.
Medical history is significant for gestational diabetes with
both of her children, but is otherwise healthy. Her family
history is only significant for hypertension (HTN).
,Her physical exam is normal. She has been resistant to
screening mammograms because she feels her risk is low as
she has no family history of breast cancer.
Which of the following should be considered when applying
breast cancer screening guidelines to counsel this woman?
Choose the single best answer.
A. The guidelines are based on one article with moderate
quality evidence.
B. The guidelines are internally reviewed by a well-known
radiology center.
C. The guidelines are updated every 20 years.
D. The guidelines are utilized in a reputable hospital.
E. The guidelines have a method to rate their strength of
recommendations.
E. The guidelines have a method to rate their strength of
recommendations.
This patient is 53 years old and therefore falls in the age group
where routine mammography is recommended even without a
family history of breast cancer. When counseling your patients it's
important to determine if the preventative guidelines are
reputable. There are 8 standards that should be considered
during guideline development, including:
Establishing transparency
Management of conflict of interest
Guideline development of conflict of interest
Clinical practice guidelines—systematic review intersection
, Establishing evidence foundations for and rating strength of
recommendations
Articulation of recommendations
External review
Updating
A 65-year-old female comes to the clinic for her wellness
visit.
Her medical history is significant for hypertension (HTN),
hypothyroidism, and tobacco use. Medications include
lisinopril and levothyroxine. There are no current concerns
and her physical examination is unremarkable.
The patient requests a screening test. After review, you
determine that the test has a sensitivity of 44% and a
specificity of 55% to be performed for a disease with a
prevalence of 1.2%.
After reviewing the screening test's characteristics, which of
the following is the most-appropriate recommendation to
give to the patient?
Choose the single best answer.
A. "I will not order the test as it has a high positive predictive
value."
B. "I will not order the test as there is a high potential for a
false positive result."
C. "I will order the test as it has a high positive predictive
value."
D. "I will order the test as there is a low potential for a false
positive result."
E. "I will order the test as there is effective treatment
available if it is determined the patient has the disease."
