ANCC AGPCNP EXAMPREP 2026 STUDY
GUIDE COMPLETE QUESTIONS AND
VERIFIED ANSWERS
⩥ A 14-year-old, male patient has some general concerns about eczema,
as his twin brother was recently diagnosed with this condition. The
patient reports urticaria and a rash on his posterior knees bilaterally. The
three factors that put the patient at risk for eczema are a family history of
eczema, a personal history of allergic rhinitis, and a history of:
(a) asthma
(b) bee allergy
(c) otitis media
(d) psoriasis. Answer: (a) asthma
⩥ A patient has hyperactive reflexes of the lower extremities. The adult-
gerontology primary care nurse practitioner assesses for ankle clonus by:
(a) firmly applying a low-pitched tuning fork to the lateral malleolus.
(b) flexing the leg at the knee, rotating it externally, and striking the
Achilles tendon with the percussion hammer.
,(c) sharply dorsiflexing the foot and maintaining this position while
supporting the knee.
(d) stroking the lateral aspect of the sole from the heel to the ball of the
foot with the sharp end of the percussion hammer.. Answer: (c) sharply
dorsiflexing the foot and maintaining this position while supporting the
knee.
⩥ A 70-year-old, female patient is having her yearly evaluation. The
adult-gerontology primary care nurse practitioner gives which physical
examination finding the highest priority for immediate treatment?
(a) Atrophy of vaginal rugae.
(b) Cystocele present.
(c) Palpable ovary.
(d) Pessary in place.. Answer: (c) Palpable ovary.
⩥ The adult-gerontology primary care nurse practitioner reminds a 16-
year-old, male patient who just received his driver's license to wear a
seat belt at all times when in a car. The patient replies that he does not
need to wear a seat belt, because nothing will happen to him if he is
involved in an automobile collision. According to the health belief
model, what chief component does the patient lack?
(a) Enabling factors.
,(b) Motivation.
(c) Perceived role conflict.
(d) Perceived severity.. Answer: (d) Perceived severity.
⩥ The adult-gerontology primary care nurse practitioner treats several
patients for biological exposure. In the patients' records, the nurse
practitioner documents which epidemiological factors for each
exposure?
(a) Comorbidities and length of exposure.
(b) Location and event intensity.
(c) Mode of transmission and incubation.
(d) Premorbid conditions and surveillance rates.. Answer: (c) Mode of
transmission and incubation.
⩥ When disseminating research findings in a peer-reviewed journal, the
adult-gerontology primary care nurse practitioner:
(a) concludes that the study proves the hypothesis.
, (b) excludes the discussion section, because the conclusion contains this
information.
(c) recommends incorporating the results directly into clinical practice.
(d) uses the methodology section to support the validity of the study..
Answer: (d) uses the methodology section to support the validity of the
study.
⩥ A patient's adult child telephones the adult-gerontology primary care
nurse practitioner to inquire about the patient's illness. The patient's
child reports that the parent relies upon the child to explain everything to
him or her. The nurse practitioner:
(a) asks the child to provide a copy of the patient's advance directive
document.
(b) assures the child that the nurse practitioner can disclose requested
information.
(c) informs the child that he or she must come to the clinic to discuss the
parent's case.
GUIDE COMPLETE QUESTIONS AND
VERIFIED ANSWERS
⩥ A 14-year-old, male patient has some general concerns about eczema,
as his twin brother was recently diagnosed with this condition. The
patient reports urticaria and a rash on his posterior knees bilaterally. The
three factors that put the patient at risk for eczema are a family history of
eczema, a personal history of allergic rhinitis, and a history of:
(a) asthma
(b) bee allergy
(c) otitis media
(d) psoriasis. Answer: (a) asthma
⩥ A patient has hyperactive reflexes of the lower extremities. The adult-
gerontology primary care nurse practitioner assesses for ankle clonus by:
(a) firmly applying a low-pitched tuning fork to the lateral malleolus.
(b) flexing the leg at the knee, rotating it externally, and striking the
Achilles tendon with the percussion hammer.
,(c) sharply dorsiflexing the foot and maintaining this position while
supporting the knee.
(d) stroking the lateral aspect of the sole from the heel to the ball of the
foot with the sharp end of the percussion hammer.. Answer: (c) sharply
dorsiflexing the foot and maintaining this position while supporting the
knee.
⩥ A 70-year-old, female patient is having her yearly evaluation. The
adult-gerontology primary care nurse practitioner gives which physical
examination finding the highest priority for immediate treatment?
(a) Atrophy of vaginal rugae.
(b) Cystocele present.
(c) Palpable ovary.
(d) Pessary in place.. Answer: (c) Palpable ovary.
⩥ The adult-gerontology primary care nurse practitioner reminds a 16-
year-old, male patient who just received his driver's license to wear a
seat belt at all times when in a car. The patient replies that he does not
need to wear a seat belt, because nothing will happen to him if he is
involved in an automobile collision. According to the health belief
model, what chief component does the patient lack?
(a) Enabling factors.
,(b) Motivation.
(c) Perceived role conflict.
(d) Perceived severity.. Answer: (d) Perceived severity.
⩥ The adult-gerontology primary care nurse practitioner treats several
patients for biological exposure. In the patients' records, the nurse
practitioner documents which epidemiological factors for each
exposure?
(a) Comorbidities and length of exposure.
(b) Location and event intensity.
(c) Mode of transmission and incubation.
(d) Premorbid conditions and surveillance rates.. Answer: (c) Mode of
transmission and incubation.
⩥ When disseminating research findings in a peer-reviewed journal, the
adult-gerontology primary care nurse practitioner:
(a) concludes that the study proves the hypothesis.
, (b) excludes the discussion section, because the conclusion contains this
information.
(c) recommends incorporating the results directly into clinical practice.
(d) uses the methodology section to support the validity of the study..
Answer: (d) uses the methodology section to support the validity of the
study.
⩥ A patient's adult child telephones the adult-gerontology primary care
nurse practitioner to inquire about the patient's illness. The patient's
child reports that the parent relies upon the child to explain everything to
him or her. The nurse practitioner:
(a) asks the child to provide a copy of the patient's advance directive
document.
(b) assures the child that the nurse practitioner can disclose requested
information.
(c) informs the child that he or she must come to the clinic to discuss the
parent's case.
