AANP AGPCNP PSI Test 1 & 2| Verified Questions
with Answers| 2026/2027 Update| Approved and
Graded A+
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 - Correct Answer ✅💯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. - Correct Answer ✅💯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 - Correct Answer ✅💯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. - Correct
Answer ✅💯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 - Correct Answer ✅💯4. Hydromorphone
6. Which symptom documented in a menstrual diary is diagnostic of PMS?
1. Irritability
2. Decreased libido
3. Menstrual cramps
4. Dyspareunia - Correct Answer ✅💯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 - Correct Answer ✅💯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. - Correct Answer ✅💯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 - Correct Answer ✅💯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:
1. hot soaks and lemon drops.
2. alternating heat and cold.
3. cold compresses and massage.
4. hot soaks and mucolytics. - Correct Answer ✅💯1. hot soaks and lemon drops.
11. Initial therapy for older adult patients with arthritic joints is:
1. naproxen, 1000 mg twice daily.
2. ibuprofen, 600 mg four times daily.
3. glucosamine, 750 mg twice daily.
4. acetaminophen, 1000 mg four times daily. - Correct Answer ✅💯4. acetaminophen, 1000
mg four times daily.
12. Which of the following is an example of gross negligence?
1. Prescription of a drug that causes a fatal allergic reaction
2. Misdiagnosis of appendicitis, resulting in peritonitis and a prolonged hospital stay
, 3. Refusal to return the emergency phone call of a patient who has chest pain evolving into an
MI
4. Failure to diagnose a problem at an unrelated routine visit - Correct Answer ✅💯3.
Refusal to return the emergency phone call of a patient who has chest pain evolving into an
MI
13. What is the correct order of pharmacokinetics of drugs in the body?
1. absorption, distribution, metabolism, excretion
2. distribution, absorption, metabolism, excretion
3. absorption, metabolism, distribution, excretion
4. metabolism, distribution, absorption, excretion - Correct Answer ✅💯1. absorption,
distribution, metabolism, excretion
14. An older adult female is brought in by her daughter, who has been visiting her. The
daughter reports that her mother seems confused and anxious, and is moving oddly as if she
is stiff. The daughter has brought along the mother's medications. She is taking
hydrochlorothiazide, levothyroxine (Synthroid), sertraline (Zoloft), baby aspirin, a
multivitamin, and St. John's wort. Which condition would the nurse practitioner MOST
urgently suspect?
1. Alzheimer's disease
2. Serotonin syndrome
3. Vascular dementia
4. Aspirin toxicity - Correct Answer ✅💯2. Serotonin syndrome
15. An adolescent male presents with marked itching in the inguinal region but not on the
scrotum. Examination shows a peripherally-spreading, sharply-demarcated, centrally-
clearing, erythematous lesion. The MOST likely diagnosis is:
1. poor hygiene.
2. tinea versicolor.
3. pediculosis pubis.
4. tinea cruris. - Correct Answer ✅💯4. tinea cruris.
16. A young adult presents with a 3-day history of a sore throat, fever [102°F (38.9°C)], and
malaise. Physical examination reveals posterior cervical lymphadenopathy and splenomegaly.
A complete blood count (CBC) reveals a lymphocytosis. Which of the following patient care
instructions is MOST appropriate?
with Answers| 2026/2027 Update| Approved and
Graded A+
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 - Correct Answer ✅💯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. - Correct Answer ✅💯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 - Correct Answer ✅💯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. - Correct
Answer ✅💯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 - Correct Answer ✅💯4. Hydromorphone
6. Which symptom documented in a menstrual diary is diagnostic of PMS?
1. Irritability
2. Decreased libido
3. Menstrual cramps
4. Dyspareunia - Correct Answer ✅💯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 - Correct Answer ✅💯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. - Correct Answer ✅💯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 - Correct Answer ✅💯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:
1. hot soaks and lemon drops.
2. alternating heat and cold.
3. cold compresses and massage.
4. hot soaks and mucolytics. - Correct Answer ✅💯1. hot soaks and lemon drops.
11. Initial therapy for older adult patients with arthritic joints is:
1. naproxen, 1000 mg twice daily.
2. ibuprofen, 600 mg four times daily.
3. glucosamine, 750 mg twice daily.
4. acetaminophen, 1000 mg four times daily. - Correct Answer ✅💯4. acetaminophen, 1000
mg four times daily.
12. Which of the following is an example of gross negligence?
1. Prescription of a drug that causes a fatal allergic reaction
2. Misdiagnosis of appendicitis, resulting in peritonitis and a prolonged hospital stay
, 3. Refusal to return the emergency phone call of a patient who has chest pain evolving into an
MI
4. Failure to diagnose a problem at an unrelated routine visit - Correct Answer ✅💯3.
Refusal to return the emergency phone call of a patient who has chest pain evolving into an
MI
13. What is the correct order of pharmacokinetics of drugs in the body?
1. absorption, distribution, metabolism, excretion
2. distribution, absorption, metabolism, excretion
3. absorption, metabolism, distribution, excretion
4. metabolism, distribution, absorption, excretion - Correct Answer ✅💯1. absorption,
distribution, metabolism, excretion
14. An older adult female is brought in by her daughter, who has been visiting her. The
daughter reports that her mother seems confused and anxious, and is moving oddly as if she
is stiff. The daughter has brought along the mother's medications. She is taking
hydrochlorothiazide, levothyroxine (Synthroid), sertraline (Zoloft), baby aspirin, a
multivitamin, and St. John's wort. Which condition would the nurse practitioner MOST
urgently suspect?
1. Alzheimer's disease
2. Serotonin syndrome
3. Vascular dementia
4. Aspirin toxicity - Correct Answer ✅💯2. Serotonin syndrome
15. An adolescent male presents with marked itching in the inguinal region but not on the
scrotum. Examination shows a peripherally-spreading, sharply-demarcated, centrally-
clearing, erythematous lesion. The MOST likely diagnosis is:
1. poor hygiene.
2. tinea versicolor.
3. pediculosis pubis.
4. tinea cruris. - Correct Answer ✅💯4. tinea cruris.
16. A young adult presents with a 3-day history of a sore throat, fever [102°F (38.9°C)], and
malaise. Physical examination reveals posterior cervical lymphadenopathy and splenomegaly.
A complete blood count (CBC) reveals a lymphocytosis. Which of the following patient care
instructions is MOST appropriate?
