AANP Adult-Gerontology Primary Care
Nurse Practitioner AGPCNP Exam 2024
Review Questions and Answers 100% Pass
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 - 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
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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
twicedaily 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. -
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 reflexes4.
Increased lumbar lordosis - 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. - Answer>> 4. are slow tremors that are
absent or minimal at rest and usually involve the hands.
6. Which symptom documented in a menstrual diary is diagnostic
of PMS?
1. Irritability
2. Decreased libido
3. Menstrual cramps
4. Dyspareunia - 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?
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.
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