AGPCNP-BC exam Format | Course Contents | Course Outline | exam Syllabus | exam Objectives
Exam Code: ANCC AGPCNP-BC
Exam Name: Adult-Gerontology Primary Care Nurse Practitioner
Total Number of Questions: 175 multiple-choice questions (computer-based format).
Scored Questions: 150 (the remaining 25 are pretest/unscored items used for future exam development
Time Allotted: 3.5 hours (210 minutes).
Passing Score: Scaled score of 350 or higher (out of 500).
Exam Availability: Offered year-round at Prometric testing centers (domestic and international). Candidates have a 120-day window to test after approval.
Validity and Renewal: Credential is valid for 5 years; renewal requires 75 continuing education hours (including 25 in pharmacotherapeutics), 1,000 practice hours, or re-examination.RetestingAllowed after 60 days; up to 3 attempts per 12-month period.
- Differentiation between normal and pathophysiological changes
- Comprehensive health history collection (eg, medical, surgical, medication, family/genetic)
- Physical examination
- Functional assessment (eg, ADLs, IADLs, DME)
- Psychosocial assessment (eg, health literacy, lifestyle, nutritional, caregiver/support, cultural, spiritual)
- Cognitive and mental health assessment (eg, screening tools)
- Evidence-based practice and treatment guidelines
- Effects of development and aging on physiology and pathophysiology
- Synthesis of assessment findings and differential diagnosis development
- Laboratory and diagnostic test selection and results interpretation
- Effects of development and aging on pharmacology (eg, Beers criteria, physiological considerations)
- Pharmacogenetics (eg, responses to medications)
- Pharmacokinetics and pharmacodynamics
- Pharmacotherapeutic decision making
- Pharmacology management (eg, reconciliation, monitoring, interactions, side effects, polypharmacy, deprescribing, allergies)
- Behavioral change (eg, motivational interviewing, models, theories)
- Advance care planning
- Palliative and hospice care
- Non-pharmacologic intervention selection (eg, procedures, referrals)
- Chronic condition management (eg, consideration of comorbidities and treatment)
- Education and counseling (eg, diagnosis, prognosis, treatment options)
- Reassessment and modification of treatment plan
- Scope of practice and regulatory guidelines
- Legal and ethical issues (eg, consent, assent, privacy, advocacy, abuse, exploitation, neglect)
- Environmental and social determinants of health, including principles of diversity, equity, and inclusion
- Health promotion and disease prevention (eg, population health, epidemiology)
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AGPCNP-BC
ANCC Adult-Gerontology Primary Care Nurse Practitioner
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Question: 1
A patient presents with abdominal pain, nausea, and vomiting. The nurse practitioner suspects a gastrointestinal disorder. Which diagnostic test should be ordered to assess the patient's condition?
1. Abdominal ultrasound
omputed tomography (CT) scan olonoscopy
wer: C
anation: A computed tomography (CT) scan is a valuable diagnostic t valuating abdominal pain and identifying various gastrointestinal diso ovides detailed cross-sectional images of the abdomen, allowing for th alization of organs, inflammation, masses, or other abnormalities.
stion: 2
tient presents with complaints of headache and vision changes. The n itioner suspects a possible disorder of the head, eyes, ears, nose, or th ch diagnostic test should be ordered to evaluate the patient's condition
udiometry test
agnetic resonance imaging (MRI) of the brain
Upper endoscopy
2. C
3. C
Ans
Expl ool
for e rders.
It pr e
visu
Que
A pa urse
pract roat.
Whi ?
1. A
2. M
3. Ophthalmoscopy
4. Nasal endoscopy
Answer: B
Explanation: Magnetic resonance imaging (MRI) of the brain is a valuable
diagnostic tool for evaluating various conditions affecting the head, including brain tumors, intracranial hemorrhages, and other structural abnormalities. It can help identify the underlying cause of the patient's symptoms.
Question: 3
der. Which laboratory test would be most helpful in confirming the nosis?
asting plasma glucose (FPG) hyroid-stimulating hormone (TSH) emoglobin A1c (HbA1c)
rine cortisol level
wer: C
anation: Hemoglobin A1c (HbA1c) is a blood test that provides an av ure of blood glucose levels over the past 2-3 months. It is commonly agnose and monitor diabetes. In this case, an elevated HbA1c level w rm the diagnosis of diabetes as the cause of the patient's symptoms.
stion: 4
A patient with a history of diabetes presents with symptoms of polyuria, polydipsia, and weight loss. The nurse practitioner suspects an endocrine disor
diag
1. F
2. T
3. H
4. U
Ans
Expl erage
meas used
to di ould
confi
Que
Which endocrine disorder is characterized by excessive production of growth hormone in adulthood?
1. Acromegaly
2. Addison's disease
3. Cushing's syndrome
4. Hyperthyroidism
Answer: A
festations.
stion: 5
dult-gerontology primary care nurse practitioner prescribes analgesic cation to a patient with chronic pain. Which of the following should t practitioner prioritize when monitoring the patient's response to the cation?
enal function tests
lood pressure measurements iver function tests lectrocardiogram (ECG)
wer: C
anation: Analgesic medications, especially opioids, can have hepatoto
Explanation: Acromegaly is an endocrine disorder characterized by the excessive production of growth hormone in adulthood. It is usually caused by a noncancerous tumor of the pituitary gland. The excess growth hormone leads to enlarged hands, feet, and facial features, as well as other systemic
mani
Que
The a
medi he
nurse medi
1. R
2. B
3. L
4. E
Ans
Expl xic
effects and may cause liver damage or impairment. Therefore, monitoring liver function tests is essential to assess the patient's response to the medication and detect any potential adverse effects on the liver.
Question: 6
A patient with chronic kidney disease presents with decreased urine output and
fluid retention. The nurse practitioner suspects acute kidney injury (AKI). Which laboratory test would be most indicative of AKI?
1. Glomerular filtration rate (GFR)
2. Serum sodium and potassium levels
3. Urine specific gravity
wer: D
anation: Blood urea nitrogen (BUN) and creatinine levels are commo to assess kidney function. In the case of AKI, there is a rapid decline ey function, resulting in elevated BUN and creatinine levels. Monitori parameters provides valuable information about the severity and ression of AKI.
stion: 7
ch gastrointestinal disorder is characterized by chronic inflammation a ation of the colon and rectum?
rohn's disease iverticulitis
astroesophageal reflux disease (GERD) lcerative colitis
Blood urea nitrogen (BUN) and creatinine levels Ans
Expl nly
used in
kidn ng
these prog
Que
Whi nd
ulcer
1. C
2. D
3. G
4. U
Answer: D
Explanation: Ulcerative colitis is a gastrointestinal disorder characterized by chronic inflammation and ulceration of the colon and rectum. It is a type of inflammatory bowel disease (IBD) and typically presents withsymptoms such as bloody diarrhea, abdominal pain, and urgency.
Question: 8
Which analgesic medication is a selective cyclooxygenase-2 (COX-2) inhibitor?
1. Acetaminophen (Tylenol)
2. Ibuprofen (Advil)
elecoxib (Celebrex) wer: D
anation: Celecoxib (Celebrex) is a selective cyclooxygenase-2 (COX- itor, which means it specifically targets the COX-2 enzyme involved mmation and pain. It is commonly used for its analgesic and anti- mmatory properties.
stion: 9
tient complains of dysuria and urinary frequency. The nurse practition ects a genitourinary infection. Which test should be performed to conf iagnosis?
lood urea nitrogen (BUN) rine culture and sensitivity
rostate-specific antigen (PSA) test
Aspirin
3. C
Ans
Expl 2)
inhib in
infla infla
Que
A pa er
susp irm
the d
1. B
2. U
3. P
4. Renal ultrasound
Answer: B
Explanation: A urine culture and sensitivity test is performed to identify the specific bacteria causing a genitourinary infection and determine the most
appropriate antibiotic for treatment. It involves culturing a urine sample to allow bacterial growth and then testing the bacteria's sensitivity to different antibiotics.
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