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Free A-GNP Practice Questions

10 free, exam-style Adult-Gerontology Primary Care Nurse Practitioner (A-GNP) (A-GNP) practice questions with answers and explanations. No signup required. Work through them below, then take the full free A-GNP practice test to study every exam domain.

The A-GNP exam has 150 questions and runs 3 hours.

These 10 free A-GNP questions are organized by exam domain, so you can see how each part of the Adult-Gerontology Primary Care Nurse Practitioner (A-GNP) blueprint is tested. Reveal the answer and explanation under each question.

Domain 1: Assess 28% of exam

Question 1

A 42-year-old woman reports several months of fatigue. Her CBC shows a hemoglobin of 9.6 g/dL with an MCV of 70 fL. These results are MOST consistent with which cause of anemia?

  1. Iron deficiency
  2. Vitamin B12 deficiency
  3. Folate deficiency
  4. Recent acute blood loss
Show answer & explanation

Correct answer: A - Iron deficiency

Question 2

A 74-year-old's family reports mild forgetfulness over the past year. Which tool is MOST appropriate to screen for cognitive impairment during this office visit?

  1. Patient Health Questionnaire-9 (PHQ-9)
  2. Confusion Assessment Method (CAM)
  3. Geriatric Depression Scale (GDS)
  4. Montreal Cognitive Assessment (MoCA)
Show answer & explanation

Correct answer: D - Montreal Cognitive Assessment (MoCA)

Question 3

A 78-year-old widowed man reports loss of interest, poor sleep, and weight loss since his wife died 4 months ago. Given his risk profile, which action is MOST important at this visit?

  1. Directly ask about thoughts of suicide
  2. Reassure him that grief resolves with time
  3. Recheck his mood at a visit in 4 weeks
  4. Prescribe a sedative to improve his sleep
Show answer & explanation

Correct answer: A - Directly ask about thoughts of suicide

Question 4

While evaluating a 77-year-old for dizziness, the NP measures supine and standing blood pressures. Which change within 3 minutes of standing meets the definition of orthostatic hypotension?

  1. An increase in heart rate of at least 10 beats per minute on standing
  2. A drop in systolic BP of at least 20 mmHg or diastolic of at least 10 mmHg
  3. A drop in systolic BP of at least 5 mmHg from the supine value
  4. A narrowing of the pulse pressure without other changes
Show answer & explanation

Correct answer: B - A drop in systolic BP of at least 20 mmHg or diastolic of at least 10 mmHg

Question 5

A 66-year-old with type 2 diabetes is due for annual monitoring. Which test BEST screens for early diabetic kidney disease?

  1. Serum creatinine measured on its own
  2. A 24-hour urine protein collection
  3. Spot urine albumin-to-creatinine ratio
  4. Urine dipstick testing for glucose
Show answer & explanation

Correct answer: C - Spot urine albumin-to-creatinine ratio

Question 6

A 68-year-old man with a 30-pack-year smoking history (quit 5 years ago) presents for a wellness visit. Which one-time screening test is recommended for him?

  1. Carotid artery ultrasound
  2. Coronary artery calcium (CAC) scoring
  3. Lower extremity venous Doppler
  4. Abdominal aortic aneurysm ultrasound
Show answer & explanation

Correct answer: D - Abdominal aortic aneurysm ultrasound

Domain 2: Diagnose 25% of exam

Question 7

A 79-year-old with no prior cognitive complaints develops confusion over 2 days; his attention fluctuates and is markedly impaired during the exam. Which feature BEST supports delirium rather than dementia?

  1. Insidious memory loss over many months
  2. Acute onset with fluctuating inattention
  3. A stable, clear level of consciousness
  4. Slowly progressive decline in function
Show answer & explanation

Correct answer: B - Acute onset with fluctuating inattention

Question 8

An 83-year-old man is brought in for new confusion and a fall. He is afebrile. Exam reveals crackles and decreased breath sounds at the right base, and his oxygen saturation is 90%. Which diagnosis is MOST likely?

  1. Progression of underlying dementia
  2. Simple dehydration
  3. Uncomplicated urinary tract infection
  4. Community-acquired pneumonia
Show answer & explanation

Correct answer: D - Community-acquired pneumonia

Question 9

A 50-year-old asymptomatic man has an HbA1c of 6.7%, confirmed on a repeat sample several weeks later. How should these results be interpreted?

  1. Normal glucose metabolism
  2. Prediabetes
  3. Diabetes mellitus
  4. Inconclusive results that should be repeated again
Show answer & explanation

Correct answer: C - Diabetes mellitus

Question 10

A 74-year-old woman reports a new, persistent right-sided temporal headache with scalp tenderness and pain in her jaw when chewing. Which diagnosis is MOST important to identify promptly?

  1. Tension-type headache
  2. Giant cell (temporal) arteritis
  3. Chronic migraine
  4. Trigeminal neuralgia (tic douloureux)
Show answer & explanation

Correct answer: B - Giant cell (temporal) arteritis

The rest of the A-GNP blueprint

The A-GNP exam also covers these domains. Drill them in the full free practice test:

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