AANP Adult-Gerontology Primary Care Nurse Practitioners (AGPCNP) Practice Test

These questions are part of the practice quiz. Start practicing

• In managing COPD in the elderly, which factor is the most beneficial for guidance?
• An elderly resident has a persistent cough and prior negative tuberculosis tests. In addition to a chest X-ray, what is the next best test to order?
• What is the efficacy of the polyvalent pneumococcal vaccine in geriatric patients?
• What is the first step in evaluating a syncopal episode in a young adult female who fainted while preparing to put on makeup?
• A 17-year-old presents with a target lesion after camping and has systemic symptoms. What is the preferred pharmacologic management?
• A nurse practitioner is treating an adult with iron deficiency anemia. When would the hematocrit level be expected to return to baseline?
• A 65-year-old patient requests a flu vaccine after having a pneumococcal vaccine 10 years ago. What should the plan of care include?
• In elderly patients, which of the following factors typically affects caloric needs?
• A 58-year-old female patient with shoulder and pelvic girdle pain and recent weight loss is most likely diagnosed with?
• Which test is most appropriate for the initial evaluation of a patient suspected of acute prostatitis?
• What is the primary treatment for osteoporosis in older women?
• Chest radiography shows a flat diaphragm and hyperaeration in an older adult. What condition does this suggest?
• A patient diagnosed with vertigo exhibits nausea and vomiting. This could suggest which condition?
• In the case of a patient with methicillin-resistant Staphylococcus aureus (MRSA), what is the recommended placement according to CDC guidelines?
• A 29-year-old with a chlamydia infection will likely exhibit which of the following?
• In hypertension management, which class of medications is commonly used to decrease cardiac workload?
• What is the traditional definition of a positive urine culture in a healthy elder?
• What intervention is essential for a patient demonstrating acute angle-closure glaucoma?
• What is the recommended therapy for temporal arteritis?
• An elderly patient with Stage 4 heart failure and severe COPD states he is "close to death." What is the most appropriate intervention?
• Which medication class is commonly prescribed for managing osteoporosis in postmenopausal women?
• For a patient on thyroid hormone replacement, which factor is critically important to monitor?
• What health history detail is most pertinent when assessing an adult's risk for developing complications related to previous diagnoses?
• What is the most likely suspected diagnosis in an elderly patient with a progressive decline in cognitive status?
• An older adult female presents with loss of appetite and dark stools. Which medication should be held until an evaluation can be completed?
• What is the first diagnostic option for an individual with suspected tuberculosis presenting with cough and fever?
• Which of the following is a common presenting feature of hyperthyroidism in the elderly?
• A 65-year-old overweight patient diagnosed with plantar fasciitis has not improved after initial treatment. What should be the follow-up care plan?
• A female patient is diagnosed with urge urinary incontinence. What is the most appropriate management for her?
• A young adult female with sialadenitis is being treated with antibiotics. What additional treatment should be included?
• What is NOT a current recommendation guideline for preventive care in elderly female patients according to the U.S. Preventive Services Task Force?
• Which diagnostic labs are important to include in the workup for dementia in older adults, in addition to a complete blood count (CBC)?
• What must be evaluated when initiating thyroid hormone replacement in older adults?
• A 16-year-old female on Ortho-Novum 7/7/7 complains of midcycle spotting. What is the most appropriate response?
• What can a nurse practitioner provide for a patient seeking antibiotics for acute rhinosinusitis?
• What is the most serious outcome associated with Barrett's esophagus?
• What is the newer standard for diagnosing diabetes mellitus based on fasting plasma sugar level?
• An older adult experiences abdominal pain radiating to the back, nausea, vomiting, and elevated serum amylase. What is the most likely diagnosis?
• In elder patients, what post-initial treatment should be monitored for after a hip fracture?
• Which consideration is most important in enhancing a nurse practitioner's clinical assessment for promoting health behaviors in young adults?
• The triple approach for evaluating a dominant breast mass includes clinical examination and mammography, plus which of the following?
• For a patient with chronic kidney disease, what lab value is most significant to monitor?
• A 26-year-old presents with systemic symptoms including night sweats and cough. What is the first diagnostic study to perform?
• An adult female just diagnosed with hypothyroidism is started on levothyroxine (Synthroid). What is the most appropriate laboratory test to order for evaluation?
• Which condition is characterized by persistent abdominal discomfort and alterations in bowel habits?
• Which statement is accurate for a patient with type 2 diabetes and taking hydrochlorothiazide?
• An elderly female is struggling with the care of her mother after her daughter moved out. What is the best initial step for the nurse practitioner to assist her?
• An adult with coronary artery disease presents with increasing shortness of breath. Which finding is most likely associated with their condition?
• A patient with severe vertigo and nystagmus is most likely suffering from which condition?
• A nurse practitioner is examining a patient with hand pain after falling on an outstretched hand. What is the appropriate follow-up evaluation?
• Which sign or symptom is often associated with headaches due to an intracranial tumor?
• What should a nurse practitioner suspect if an older adult presents with a flat diaphragm and increased AP to lateral diameter on chest radiography?
• Which ingredient in "natural" weight loss products may be harmful for patients with cardiac problems?
• When a patient has a serum calcium level of 13 mg/dL, which test should be ordered next to assess the cause?
• In older patients, findings of increased total lung capacity and residual volume may indicate which condition?
• What should the nurse practitioner's first step be for a patient with a serious thigh injury?
• Which of the following symptoms indicates a potentially serious condition in an elderly patient with a cough and prior treatments for wheezing?
• An elderly male farmer presents with a 0.6 inch (1.5 cm) long, oval, pearly nodule on the lower eyelid. What is the most likely diagnosis?
• What finding would you expect when investigating a patient with low back pain?
• Which laboratory finding is typically elevated in a diagnosis of polymyalgia rheumatica?
• Office spirometry performed with an albuterol nebulizer can confirm a diagnosis of asthma because it indicates:
• Which condition is characterized by pain in the heel and first steps in the morning?
• What is the most likely diagnosis for a 68-year-old female with intense itching that increases at night and papules in specific areas?
• Which symptom of depression is more commonly seen in older adults than younger adults?
• Which of the following is a key factor to consider when advising young adults on health practices?
• What is a manifestation of autonomic neuropathy in a 70-year-old patient with diabetes mellitus?
• An adolescent presents with a leg injury. Which orthopedic problem should the anterior drawer sign test evaluate?
• A patient with diverticulosis presents with localized discomfort. What is an appropriate initial management plan?
• What is the most common type of hearing loss in older adults?
• What is the next step for a patient with suspected pulmonary embolism after a normal chest X-ray?
• An older adult female with urinary incontinence might benefit from what type of therapy?
• What are the most common bacterial agents responsible for pneumonia in older adults?
• For a patient with an allergy to aspirin, which alternative medication is commonly recommended?
• An 87-year-old nursing home patient is drowsy and barely responsive. What is the best immediate action to take?
• What should the nurse practitioner do next for a patient with severe abdominal pain and a bulging hernia?
• What is the most significant sign of dehydration in older adults?
• What is the best choice for the prevention of coronary artery disease in elderly patients?
• What finding might be observed on a fundoscopic exam in a hypertensive patient?
• An elderly patient with increased pedal edema and dyspnea shows an ejection fraction of 35%. What is the MOST descriptive diagnosis?
• Which condition is characterized by a gray band of opacity in the cornea encircling the iris?
• A patient presents with unilateral ear pain and nasal congestion. What should the nurse practitioner expect to find on the tuning fork test?
• For a female patient who has never had a Pap smear, which history detail is most important to assess the risk of cervical intraepithelial neoplasia (CIN)?
• Which opioid medication is the most potent?
• What phenomenon occurs when a patient's morning blood glucose levels increase after an increase in their evening insulin dose?
• What condition should the nurse practitioner most urgently suspect in a confused patient taking St. John's wort and other medications?
• A 44-year-old female has frequent anxiety attacks and a heart murmur. What should be included in her further evaluation?
• What is a common symptom that might indicate worsening heart failure in elderly patients?
• An older adult presents with angina, dyspnea on exertion, and syncope. What is the MOST likely diagnosis based on examination findings?
• In assessing a patient with anxiety and heart murmur, which test is indicated to evaluate cardiac function?
• What is the most common cause of constipation in older adults?
• A 37-year-old with suspected pulmonary embolism presents with cough and anxiety. What is the next best test to perform?
• For managing a patient with history of asthma, which factor is most important during the initial evaluation?
• An older adult with a history of hypertension and atrial fibrillation develops a femoral neck fracture. What is the usual indication for a Greenfield filter?
• Which of the following are risk factors for the development of osteoporosis?
• Which pharmacotherapeutic option is most important to administer to a patient with a corneal abrasion?
• Which scenario is an example of gross negligence?
• Before starting an exercise program for a healthy 84-year-old, what is the most important initial step?
• Why should NSAIDs be used with caution in elderly patients?
• A 57-year-old patient is due for a vaccine. Given their last tetanus booster was 9 years ago, which vaccine is indicated?
• Which diagnostic test is considered the gold standard for diagnosing heart failure in older adults?
• An older adult presents with vague epigastric pain at night and early satiety after recent ibuprofen use. What is the most likely diagnosis?
• Which physical finding indicates a high probability of a herniated lumbar disc?
• A young adult presents with excessive thirst, urination, and hunger, concerned due to a family history of diabetes. What is the most critical immediate test for diagnosis and treatment?
• Which neurological symptom is associated with pernicious anemia?
• Which of the following is an indicator of rheumatoid arthritis?
• Which statement is true regarding essential tremors?
• What does an undulating baseline with no visible P waves on a 12-lead EKG indicate?
• To assess a patient's ability to reason abstractly, you would ask them to:
• What is a common indication of fecal impaction in a frail elder?
• What is the first step in the assessment of a possible corneal abrasion?
• What is the approved therapeutic International Normalized Ratio (INR) range for a patient on warfarin for atrial fibrillation?
• Which cranial nerves are involved in testing oculomotor eye movement and strabismus?
• If a patient develops an aspirin allergy while on aspirin for a recent TIA, what should the nurse practitioner consider changing to?
• For a patient with Parkinson's disease experiencing hallucinations, what should be the immediate course of action after administration of haloperidol?
• After a fall, an older adult is diagnosed with a fracture of the neck of the left femur. What should the nurse practitioner order when the patient reports increased swelling and tightness of the left leg during rehabilitation?
• A female patient experiences urine leakage when she feels the need to urinate. What type of incontinence is most likely?
• Which of the following is commonly associated with joint pain in older adults?
• What ocular finding in a 72-year-old patient is most consistent with arcus senilis?
• What is an important dietary recommendation for managing hypertension in older adults?
• When managing a new adult patient with hypertension, which initial lab evaluation is crucial before beginning treatment?
• A man reports his wife has confusion and slurred speech that have resolved. What is the most likely diagnosis?
• An older adult female reports pain with intercourse. What is the initial plan of care the nurse practitioner should implement?
• Which laboratory tests are considered the most reliable indicators of HIV infection progression?
• A 66-year-old patient presents with bilateral otitis media with effusion and white patches in the mouth. What should the patient be evaluated for?
• When addressing suspected domestic violence in an adult relationship, what is the appropriate action for a nurse practitioner?
• A young patient presents with facial pain and yellow nasal discharge. What is the appropriate initial treatment?
• What is the recommended approach for a patient with a chlamydia infection in regards to symptom presentation?
• An adult with wheezing and dyspnea has just been diagnosed with hemorrhagic tonsillitis and treated recently. What is the most appropriate diagnosis based on chest X-ray findings of right lower lobe infiltrates?
• An adult with Barrett’s esophagus should be educated about the risk of what condition?
• What is an early sign of a possible acute stroke in an elderly patient?
• An elderly male pipe smoker presents with a non-healing ulcerative lesion of the lower lip. What is the initial recommendation for management?
• Which medication class is known to be associated with an increased risk of falls in older adults?
• Which selective serotonin reuptake inhibitor is most likely to remain in serum long after being discontinued?
• For a patient presenting with acute bronchitis, which of the following is typically indicated?
• What is the appropriate pharmacologic treatment to prevent permanent deafness in sudden sensorineural hearing loss?
• An older adult male presents with sudden onset of severe, tearing chest pain that radiates to the back. What is the most likely working diagnosis?
• What should the next step be for a patient presenting with a hernia that has become painful and firm?
• A healthy older adult male has just had a normal yearly physical. What advice should the practitioner give regarding eye examinations?
• A 70-year-old patient presents with vague epigastric pain and decreased appetite. Which recommendation should NOT be given while awaiting diagnostic tests?
• What is the most common bacterial cause of cellulitis in patients with diabetes mellitus?
• What symptom is commonly associated with the Somogyi effect?
• A patient with severe eye pain and diminished vision requires immediate care; what should the nurse practitioner do?
• Which of the following factors is least likely to improve a patient's long-term health outcomes?
• A 32-year-old patient has a history of symmetrical joint swelling and morning stiffness. What is the most likely diagnosis?
• The presence of anti-HBs in a patient's blood is most often an indicator of what condition?
• When educating a patient with diabetes, hypertension, and coronary artery disease about hypoglycemia, which symptom should they be taught to recognize?
• In elderly patients, what is a common psychological impact of chronic illness?
• A young adult presents with facial pain and yellow nasal discharge after antibiotic treatment. What should the nurse practitioner do?
• What should a nurse practitioner inform a patient who has nasal drainage and sinus pressure for 3 days and requests antibiotics?
• Before starting a thiazide diuretic for a patient with hypertension, which baseline data is crucial to obtain?
• Which statement accurately describes isolated systolic hypertension in the elderly?
• What is a common cause of anemia in older adults?
• A 35-year-old lawn maintenance worker reports "something in my eye." What should the nurse practitioner do first?
• When assessing dementia in a patient, which of the following tests may be used?
• What class of antihypertensive agents is contraindicated in patients with bilateral renal artery stenosis due to the risk of acute renal failure?
• What dietary approach is recommended for managing hyperlipidemia in older adults?
• A nurse practitioner treating a patient with chronic/recurrent right biceps tendonitis should evaluate which of the following to aid in diagnosis after a reported "snapping" sensation?
• What is the correct order of pharmacokinetics in the body?
• An adolescent male presents with itching in the inguinal region and a peripherally spreading, sharply demarcated lesion. What is the most likely diagnosis?
• A patient with acute bronchitis and a history of smoking presents with a productive cough of foul-smelling sputum. What prescription should the nurse practitioner consider?
• What type of exercise is recommended for a 74-year-old patient with hypertension and degenerative joint disease?
• Which clinical feature is common in patients with right-sided CVA?
• Which medication is considered the first choice for monotherapy of hypertension in older adults without comorbid conditions?
• What is an important lifestyle modification for a patient with diabetes and hypertension?
• Which factor is considered most important in understanding an individual's health across the life span?
• A young adult presents with a sore throat, fever, and malaise along with physical exam findings of posterior cervical lymphadenopathy and splenomegaly. What is the most appropriate instruction for the patient?
• Which factor is a pathophysiologic mechanism of isolated systolic hypertension in the elderly?
• An older adult complains of fatigue, stiffness in the shoulders and neck, and episodes of transient visual loss. What condition do these findings most likely suggest?
• Which antibiotic is the best choice for treating a pregnant woman with a urinary tract infection?
• In assessing an 87-year-old obese female with calf pain, what is the initial assessment you would conduct?
• Which factor is NOT considered a risk for falls in the elderly?
• Which symptom documented in a menstrual diary is diagnostic of PMS?
• Which wet-mount result confirms a preliminary diagnosis of bacterial vaginosis?
• Which signs would typically indicate the need for a diabetes medication adjustment?
• A patient with hypertension on hydrochlorothiazide has a normal serum uric acid level. What should the nurse practitioner do?
• What should be assessed if an older adult presents with early satiety and epigastric pain?
• An elderly female presents with a painful rash under her breasts. The KOH prep reveals pseudohyphae. What treatment should be recommended?
• An 18-year-old college student is taking herbal remedies for migraines. Which herbal remedy is commonly used for this purpose?
• An 85-year-old male experiences sudden vision loss with visual disturbances. Which condition is least likely to be included in the differential diagnosis?
• What is a characteristic symptom of trigeminal neuralgia?
• What is the initial therapy for older adults with arthritic joints?
• What would be a potential complication of untreated hypertension in elderly patients?
• A 65-year-old female patient with diabetes has an Hgb A1c of 8.4%. What additional medication should be ensured?
• A 25-year-old patient presents with decreased mobility and right shoulder pain after extensive house painting with no trauma. What is the next step to aid in diagnosis?
• What is a common initial pharmacological treatment for patients experiencing migraines?
• What is the most common fluid and electrolyte imbalance in patients over 65 years of age?
• Which asymptomatic skin condition can an older adult manage at home?
• Which of the following is a common treatment recommendation for COPD management?
• What condition do the symptoms of abdominal pain, nausea, and fever in an elderly male suggest?
• What is the most likely diagnosis for an 88-year-old patient who presents with right-side weakness after a fall and has a history of aphasia and noncompliance with hypertension medication?
• Which statement about preventive health care for the elderly is incorrect?
• Which management is essential for a patient with chronic kidney disease when prescribing medications?
• A patient experiencing dyspnea on exertion and an S4 gallop likely has which condition?