AGNP Adult-Gerontology NP Certification
Exam Questions – WGU D120 OBJECTIVE
ASSESSMENT ACTUAL EXAM STUDY GUIDE
2025/2026 COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES || 100% GUARANTEED PASS
<LATEST VERSION>
Health Screening & Prevention (Questions 1-20)
1. What is the recommended age to initiate screening colonoscopy for an average-risk adult?
A. 40 years
B. 45 years ✓
C. 50 years
D. 55 years
Rationale: Based on updated guidelines from the American Cancer Society and U.S. Preventive
Services Task Force (USPSTF), screening for colorectal cancer should begin at age 45 for average-
risk individuals. This change was made due to the increasing incidence of colorectal cancer in
younger populations.
2. A 65-year-old female patient with no personal history of fractures and a normal bone
density scan should have a repeat DEXA scan in how many years?
A. 1 year
B. 2 years
C. 5 years
D. 10-15 years ✓
Rationale: For women over 65 with a normal bone density (T-score > -1.0), the USPSTF and
National Osteoporosis Foundation recommend a repeat screen in 10-15 years, as the
progression of bone loss is slow.
,3. According to the USPSTF, which vaccination is recommended for all adults aged 65 and
older?
A. Hepatitis B series
B. Tdap booster
C. Pneumococcal conjugate vaccine (PCV15/PCV20) and Pneumococcal polysaccharide vaccine
(PPSV23) ✓
D. MMR booster
Rationale: Adults 65+ should receive both the pneumococcal conjugate vaccine (PCV15 or
PCV20) and the pneumococcal polysaccharide vaccine (PPSV23) according to a specific schedule
to protect against pneumococcal disease.
4. The single most effective intervention for reducing lung cancer mortality in a long-term
smoker is:
A. Low-dose CT scan screening
B. Smoking cessation ✓
C. Annual chest X-ray
D. Antioxidant supplementation
Rationale: While low-dose CT screening is important for high-risk individuals, smoking cessation
remains the most powerful intervention to reduce the risk of developing and dying from lung
cancer, as well as other smoking-related diseases.
5. A one-time screening for abdominal aortic aneurysm (AAA) with ultrasonography is
recommended for which of the following patients?
A. A 55-year-old woman who smokes
B. A 65-year-old man with a history of hypertension
C. A 65-year-old man who has ever smoked ✓
D. A 70-year-old woman with a family history of AAA
Rationale: The USPSTF recommends a one-time screening for AAA with ultrasonography in men
aged 65 to 75 years who have ever smoked.
6. Which of the following is a contraindication to initiating statin therapy for primary
prevention of cardiovascular disease?
A. Hypertension
B. Diabetes Mellitus
C. Active liver disease ✓
D. Family history of premature CAD
Rationale: Active liver disease (e.g., acute hepatitis) is a contraindication to statin therapy due
to the risk of hepatotoxicity. Other contraindications include pregnancy and breastfeeding.
,7. For a healthy 50-year-old man, the USPSTF recommends screening for hypertension:
A. Every 6 months
B. Annually ✓
C. Every 2 years
D. Every 5 years
Rationale: The USPSTF recommends screening for hypertension in adults aged 18 years or older
with office blood pressure measurements and to obtain measurements outside the clinical
setting for diagnostic confirmation. For adults 40+ or at increased risk, annual screening is
advised.
8. The most appropriate screening test for a 25-year-old sexually active female for cervical
cancer is:
A. Pap smear alone
B. HPV test alone
C. Co-testing (Pap and HPV)
D. HPV test alone every 5 years ✓
Rationale: Current guidelines from the American Cancer Society recommend primary HPV
testing every 5 years starting at age 25. If primary HPV testing is not available, co-testing every 5
years or a Pap smear every 3 years are acceptable.
9. A 70-year-old patient presents for a routine physical. They have no cognitive complaints.
What is the current USPSTF recommendation for screening for cognitive impairment?
A. Mini-Mental State Exam (MMSE) annually
B. Montreal Cognitive Assessment (MoCA) at every visit
C. The USPSTF concludes the evidence is insufficient to recommend for or against screening ✓
D. Clock-drawing test at age 75
Rationale: The USPSTF states that the current evidence is insufficient to assess the balance of
benefits and harms of screening for cognitive impairment in older adults. Screening should be
based on clinical judgment and observation of concerning signs.
10. Pre-exposure prophylaxis (PrEP) with antiretroviral therapy is recommended for which
adult patient?
A. A person in a serodiscordant relationship with an HIV-positive partner ✓
B. A person who received a blood transfusion in 2010
C. Any adult with multiple sexual partners
D. A healthcare worker who received a needlestick injury 72 hours ago
Rationale: PrEP is indicated for individuals at high risk of acquiring HIV, such as those in a
serodiscordant relationship, men who have sex with men, or people who inject drugs.
, 11. The "5 A's" model for behavioral counseling includes all EXCEPT:
A. Ask
B. Advise
C. Assess
D. Assign ✓
Rationale: The 5 A's are: Ask, Advise, Assess, Assist, and Arrange. "Assign" is not part of this
model.
12. A 60-year-old patient with a 30-pack-year smoking history who quit 5 years ago. Should
they be screened for lung cancer with low-dose CT?
A. No, because they have quit smoking.
B. Yes, because they meet the criteria (55-80, 30 pack-year, quit <15 years ago) ✓
C. No, screening only applies to current smokers.
D. Yes, but only with an annual chest X-ray.
Rationale: USPSTF guidelines recommend annual screening for adults aged 50 to 80 years who
have a 20 pack-year smoking history and currently smoke or have quit within the past 15 years.
13. The most sensitive physical finding for diagnosing peripheral arterial disease (PAD) is:
A. Cool skin temperature
B. Prolonged capillary refill
C. Absent peripheral pulses
D. A reduced ankle-brachial index (ABI) ✓
Rationale: While pulses and skin changes are important, the ABI is a non-invasive, quantitative,
and highly sensitive and specific test for diagnosing PAD. An ABI of ≤0.90 is diagnostic.
14. Which of the following vaccines is a live, attenuated vaccine?
A. Tdap
B. Inactivated Influenza vaccine
C. Shingrix (RZV)
D. MMR ✓
Rationale: The MMR (Measles, Mumps, Rubella) vaccine is a live attenuated virus. Shingrix is a
recombinant subunit vaccine, and Tdap and the inactivated flu shot are inactivated vaccines.
15. For which patient would you recommend routine screening for hepatitis C?
A. All adults aged 18-79 ✓
B. Only adults with a history of IV drug use
C. Adults aged 50-75 with risk factors
D. Adults who received a blood transfusion before 1992
Exam Questions – WGU D120 OBJECTIVE
ASSESSMENT ACTUAL EXAM STUDY GUIDE
2025/2026 COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES || 100% GUARANTEED PASS
<LATEST VERSION>
Health Screening & Prevention (Questions 1-20)
1. What is the recommended age to initiate screening colonoscopy for an average-risk adult?
A. 40 years
B. 45 years ✓
C. 50 years
D. 55 years
Rationale: Based on updated guidelines from the American Cancer Society and U.S. Preventive
Services Task Force (USPSTF), screening for colorectal cancer should begin at age 45 for average-
risk individuals. This change was made due to the increasing incidence of colorectal cancer in
younger populations.
2. A 65-year-old female patient with no personal history of fractures and a normal bone
density scan should have a repeat DEXA scan in how many years?
A. 1 year
B. 2 years
C. 5 years
D. 10-15 years ✓
Rationale: For women over 65 with a normal bone density (T-score > -1.0), the USPSTF and
National Osteoporosis Foundation recommend a repeat screen in 10-15 years, as the
progression of bone loss is slow.
,3. According to the USPSTF, which vaccination is recommended for all adults aged 65 and
older?
A. Hepatitis B series
B. Tdap booster
C. Pneumococcal conjugate vaccine (PCV15/PCV20) and Pneumococcal polysaccharide vaccine
(PPSV23) ✓
D. MMR booster
Rationale: Adults 65+ should receive both the pneumococcal conjugate vaccine (PCV15 or
PCV20) and the pneumococcal polysaccharide vaccine (PPSV23) according to a specific schedule
to protect against pneumococcal disease.
4. The single most effective intervention for reducing lung cancer mortality in a long-term
smoker is:
A. Low-dose CT scan screening
B. Smoking cessation ✓
C. Annual chest X-ray
D. Antioxidant supplementation
Rationale: While low-dose CT screening is important for high-risk individuals, smoking cessation
remains the most powerful intervention to reduce the risk of developing and dying from lung
cancer, as well as other smoking-related diseases.
5. A one-time screening for abdominal aortic aneurysm (AAA) with ultrasonography is
recommended for which of the following patients?
A. A 55-year-old woman who smokes
B. A 65-year-old man with a history of hypertension
C. A 65-year-old man who has ever smoked ✓
D. A 70-year-old woman with a family history of AAA
Rationale: The USPSTF recommends a one-time screening for AAA with ultrasonography in men
aged 65 to 75 years who have ever smoked.
6. Which of the following is a contraindication to initiating statin therapy for primary
prevention of cardiovascular disease?
A. Hypertension
B. Diabetes Mellitus
C. Active liver disease ✓
D. Family history of premature CAD
Rationale: Active liver disease (e.g., acute hepatitis) is a contraindication to statin therapy due
to the risk of hepatotoxicity. Other contraindications include pregnancy and breastfeeding.
,7. For a healthy 50-year-old man, the USPSTF recommends screening for hypertension:
A. Every 6 months
B. Annually ✓
C. Every 2 years
D. Every 5 years
Rationale: The USPSTF recommends screening for hypertension in adults aged 18 years or older
with office blood pressure measurements and to obtain measurements outside the clinical
setting for diagnostic confirmation. For adults 40+ or at increased risk, annual screening is
advised.
8. The most appropriate screening test for a 25-year-old sexually active female for cervical
cancer is:
A. Pap smear alone
B. HPV test alone
C. Co-testing (Pap and HPV)
D. HPV test alone every 5 years ✓
Rationale: Current guidelines from the American Cancer Society recommend primary HPV
testing every 5 years starting at age 25. If primary HPV testing is not available, co-testing every 5
years or a Pap smear every 3 years are acceptable.
9. A 70-year-old patient presents for a routine physical. They have no cognitive complaints.
What is the current USPSTF recommendation for screening for cognitive impairment?
A. Mini-Mental State Exam (MMSE) annually
B. Montreal Cognitive Assessment (MoCA) at every visit
C. The USPSTF concludes the evidence is insufficient to recommend for or against screening ✓
D. Clock-drawing test at age 75
Rationale: The USPSTF states that the current evidence is insufficient to assess the balance of
benefits and harms of screening for cognitive impairment in older adults. Screening should be
based on clinical judgment and observation of concerning signs.
10. Pre-exposure prophylaxis (PrEP) with antiretroviral therapy is recommended for which
adult patient?
A. A person in a serodiscordant relationship with an HIV-positive partner ✓
B. A person who received a blood transfusion in 2010
C. Any adult with multiple sexual partners
D. A healthcare worker who received a needlestick injury 72 hours ago
Rationale: PrEP is indicated for individuals at high risk of acquiring HIV, such as those in a
serodiscordant relationship, men who have sex with men, or people who inject drugs.
, 11. The "5 A's" model for behavioral counseling includes all EXCEPT:
A. Ask
B. Advise
C. Assess
D. Assign ✓
Rationale: The 5 A's are: Ask, Advise, Assess, Assist, and Arrange. "Assign" is not part of this
model.
12. A 60-year-old patient with a 30-pack-year smoking history who quit 5 years ago. Should
they be screened for lung cancer with low-dose CT?
A. No, because they have quit smoking.
B. Yes, because they meet the criteria (55-80, 30 pack-year, quit <15 years ago) ✓
C. No, screening only applies to current smokers.
D. Yes, but only with an annual chest X-ray.
Rationale: USPSTF guidelines recommend annual screening for adults aged 50 to 80 years who
have a 20 pack-year smoking history and currently smoke or have quit within the past 15 years.
13. The most sensitive physical finding for diagnosing peripheral arterial disease (PAD) is:
A. Cool skin temperature
B. Prolonged capillary refill
C. Absent peripheral pulses
D. A reduced ankle-brachial index (ABI) ✓
Rationale: While pulses and skin changes are important, the ABI is a non-invasive, quantitative,
and highly sensitive and specific test for diagnosing PAD. An ABI of ≤0.90 is diagnostic.
14. Which of the following vaccines is a live, attenuated vaccine?
A. Tdap
B. Inactivated Influenza vaccine
C. Shingrix (RZV)
D. MMR ✓
Rationale: The MMR (Measles, Mumps, Rubella) vaccine is a live attenuated virus. Shingrix is a
recombinant subunit vaccine, and Tdap and the inactivated flu shot are inactivated vaccines.
15. For which patient would you recommend routine screening for hepatitis C?
A. All adults aged 18-79 ✓
B. Only adults with a history of IV drug use
C. Adults aged 50-75 with risk factors
D. Adults who received a blood transfusion before 1992
