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AANP AGPCNP Practice Exam
(Multiple Choice Format)
Comprehensive Study Questions & Answers
with Detailed Rationales at the END
───────────────────────────────────────────────
1. An 88-year-old patient presents with right-side weakness and aphasia after a fall. They
have a history of noncompliance with their hypertension medication. What is the most
likely diagnosis?
A. Right-sided CVA
B. Left-sided CVA
C. Transient Ischemic Attack (TIA)
D. Seizure disorder
2. Which of the following signs/symptoms are often associated with headaches due to an
intracranial tumor?
A. Pain worse when lying down, focal neurological signs
B. Hyperreflexia, personality change
C. Acute onset over hours to days
D. Pupillary constriction, stupor
3. Which of the following pharmacotherapeutics would be most important to administer to
a patient who has a corneal abrasion?
A. Timolol
B. Gentamicin ophthalmic
C. Cromolyn ophthalmic
D. Olopatadine
4. A 25-year-old presents with decreased mobility and pain of the right shoulder after
extensive house painting. Passive ROM is intact, and there is no trauma or ecchymosis.
, What is the next step?
A. X-ray of the shoulder
B. Palpate structures around the shoulder
C. MRI of the shoulder
D. Electromyography (EMG)
5. A 16-year-old female in her first month of taking Ortho-Novum 7/7/7 complains of mid-
cycle spotting. She has not missed any doses. Which of the following is appropriate?
A. Change to Ortho-Novum 1/35
B. Discontinue use immediately
C. Provide reassurance
D. Instruct her to double the dose for two days
6. According to the U.S. Preventive Services Task Force, which of the following is NOT a
current recommendation for preventive care in elderly female patients?
A. Mammogram and clinical breast exam
B. Fecal occult blood test and/or sigmoidoscopy
C. Rubella serology or vaccination history
D. Pneumococcal and influenza vaccines
7. An 87 y/o nursing home patient is drowsy. Vital signs: Temp 95°F, BP 110/70, Pulse 60, R
10. The best action is to:
A. Initiate passive warming
B. Apply a non-rebreather mask
C. Perform aggressive fluid replacement
D. Initiate active internal warming
8. A patient with Diabetes Mellitus, Hypertension, and Coronary Artery Disease is on
insulin and a beta-blocker. How would you educate this patient on recognizing
hypoglycemia?
A. Monitor for edema
B. Look for tachycardia
C. Report palpitations
D. Be aware of sweating
9. A 65-year-old overweight patient with plantar fasciitis has had no improvement after 3
weeks of NSAIDs, stretching, ice, and rest. The best follow-up plan is:
A. Stop NSAID, apply a heel cup, encourage exercise and weight loss
B. Continue NSAID, apply an arch support, encourage weight loss and exercise
C. Continue NSAID, order an X-ray, and add a short-leg night splint
D. Continue NSAID, order an X-ray, and add a metatarsal bar
AANP AGPCNP Practice Exam
(Multiple Choice Format)
Comprehensive Study Questions & Answers
with Detailed Rationales at the END
───────────────────────────────────────────────
1. An 88-year-old patient presents with right-side weakness and aphasia after a fall. They
have a history of noncompliance with their hypertension medication. What is the most
likely diagnosis?
A. Right-sided CVA
B. Left-sided CVA
C. Transient Ischemic Attack (TIA)
D. Seizure disorder
2. Which of the following signs/symptoms are often associated with headaches due to an
intracranial tumor?
A. Pain worse when lying down, focal neurological signs
B. Hyperreflexia, personality change
C. Acute onset over hours to days
D. Pupillary constriction, stupor
3. Which of the following pharmacotherapeutics would be most important to administer to
a patient who has a corneal abrasion?
A. Timolol
B. Gentamicin ophthalmic
C. Cromolyn ophthalmic
D. Olopatadine
4. A 25-year-old presents with decreased mobility and pain of the right shoulder after
extensive house painting. Passive ROM is intact, and there is no trauma or ecchymosis.
, What is the next step?
A. X-ray of the shoulder
B. Palpate structures around the shoulder
C. MRI of the shoulder
D. Electromyography (EMG)
5. A 16-year-old female in her first month of taking Ortho-Novum 7/7/7 complains of mid-
cycle spotting. She has not missed any doses. Which of the following is appropriate?
A. Change to Ortho-Novum 1/35
B. Discontinue use immediately
C. Provide reassurance
D. Instruct her to double the dose for two days
6. According to the U.S. Preventive Services Task Force, which of the following is NOT a
current recommendation for preventive care in elderly female patients?
A. Mammogram and clinical breast exam
B. Fecal occult blood test and/or sigmoidoscopy
C. Rubella serology or vaccination history
D. Pneumococcal and influenza vaccines
7. An 87 y/o nursing home patient is drowsy. Vital signs: Temp 95°F, BP 110/70, Pulse 60, R
10. The best action is to:
A. Initiate passive warming
B. Apply a non-rebreather mask
C. Perform aggressive fluid replacement
D. Initiate active internal warming
8. A patient with Diabetes Mellitus, Hypertension, and Coronary Artery Disease is on
insulin and a beta-blocker. How would you educate this patient on recognizing
hypoglycemia?
A. Monitor for edema
B. Look for tachycardia
C. Report palpitations
D. Be aware of sweating
9. A 65-year-old overweight patient with plantar fasciitis has had no improvement after 3
weeks of NSAIDs, stretching, ice, and rest. The best follow-up plan is:
A. Stop NSAID, apply a heel cup, encourage exercise and weight loss
B. Continue NSAID, apply an arch support, encourage weight loss and exercise
C. Continue NSAID, order an X-ray, and add a short-leg night splint
D. Continue NSAID, order an X-ray, and add a metatarsal bar
