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AANP AGPCNP PRACTICE 2020, Exams of Laboratory Practices and Management

Liberty University (LU)Laboratory Practices and Management

AANP AGPCNP PRACTICE QUESTIONS 2026 A+ 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 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 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:

Typology: Exams

2025/2026

Available from 03/12/2026

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AANP AGPCNP PRACTICE QUESTIONS 2026 A+
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
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 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 twice daily 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.
2. cephalexin (Keflex), 500 mg four times daily for 7 days.
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AANP AGPCNP PRACTICE QUESTIONS 2026 A+

  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?
  2. Abdominal CT scan
  3. Complete blood count with differential
  4. Abdominal ultrasound
  5. Referral to the ED
  6. Referral to the ED
  7. 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 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:
  8. trimethoprim-sulfamethoxazole (Bactrim), 160 mg/800 mg twice daily for 3 days.
  9. cephalexin (Keflex), 500 mg four times daily for 7 days.
  10. ciprofloxacin (Cipro), 500 mg twice daily for 7 days.
  11. erythromycin, 250 mg three times daily for 5 days.
  12. cephalexin (Keflex), 500 mg four times daily for 7 days.
  1. 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?
  2. Exacerbation of extremity symptoms with straight-leg raising
  3. Loss of bowel and bladder function
  4. Increased ankle jerk on evaluation of deep tendon reflexes
  5. Increased lumbar lordosis
  6. Exacerbation of extremity symptoms with straight-leg raising
  7. A true statement about essential tremors is that they:
  8. often begin with "pill-rolling" of one hand and may affect the legs, feet, and toes.
  9. are often barely visible, rapid tremors.
  10. are a characteristic of Parkinson's disease.
  11. are slow tremors that are absent or minimal at rest and usually involve the hands.
  12. are slow tremors that are absent or minimal at rest and usually involve the hands.
  13. Which opioid medication is the MOST potent?
  14. Codeine
  15. Morphine
  1. 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:
  2. course of oral steroids and air drying of skin after showers.
  3. topical antifungal and order a fasting blood glucose.
  4. oral antibiotic and order a hemoglobin A1c.
  5. high-potency topical corticosteroid and use of dry dressings.
  6. topical antifungal and order a fasting blood glucose.
  7. An older adult female complains of problems with urination. She reports that whenever she feels the need to urinate, she is unable to "make it to the bathroom in time," and wets herself. Which type of incontinence is MOST likely?
  8. Urge
  9. Overflow
  10. Transient
  11. Stress
  12. Urge
  1. A young adult female presents with painful swelling of the right cheek anterior to the TMJ. The diagnosis is sialadenitis. In addition to antibiotics, treatment for this patient should include:
  2. hot soaks and lemon drops.
  3. alternating heat and cold.
  4. cold compresses and massage.
  5. hot soaks and mucolytics.
  6. hot soaks and lemon drops.
  7. Initial therapy for older adult patients with arthritic joints is:
  8. naproxen, 1000 mg twice daily.
  9. ibuprofen, 600 mg four times daily.
  10. glucosamine, 750 mg twice daily.
  11. acetaminophen, 1000 mg four times daily.
  12. acetaminophen, 1000 mg four times daily.
  13. Which of the following is an example of gross negligence?
  14. Prescription of a drug that causes a fatal allergic reaction
  15. Misdiagnosis of appendicitis, resulting in peritonitis and a prolonged hospital stay
  1. Aspirin toxicity
  2. Serotonin syndrome
  3. An adolescent male presents with marked itching in the inguinal region but not on the scrotum. Examination shows a peripherally-spreading, sharply-demarcated, centrally-clearing, erythematous lesion. The MOST likely diagnosis is:
  4. poor hygiene.
  5. tinea versicolor.
  6. pediculosis pubis.
  7. tinea cruris.
  8. tinea cruris.
  9. A young adult presents with a 3-day history of a sore throat, fever [102°F (38.9°C)], and malaise. Physical examination reveals posterior cervical lymphadenopathy and splenomegaly. A complete blood count (CBC) reveals a lymphocytosis. Which of the following patient care instructions is MOST appropriate?
  10. Avoid strenuous activity and contact sports until advised.
  11. Restrict symptomatic antipyretic therapy to acetaminophen.
  12. Restrict symptomatic antipyretic therapy to NSAIDs.
  13. Avoid close contact with others for 2 weeks.
  14. Avoid strenuous activity and contact sports until advised.
  1. A nurse practitioner is treating an adult with iron deficiency anemia. At what point would the hematocrit level be expected to return to baseline?
  2. 3 weeks
  3. 2 months
  4. 6 months
  5. 1 year
  6. 2 months
  7. An older adult complains of fatigue, stiffness in the shoulders and neck, recent onset of temporal headache, and an episode of transient visual loss in one eye. Erythrocyte sedimentation rate (ESR) is 72 mm/h [normal value = <15 mm/h]. These findings are consistent with:
  8. migraine headache.
  9. glaucoma.
  10. giant cell (temporal) arteritis.
  11. Sjögren's syndrome.
  12. giant cell (temporal) arteritis.
  1. Reflux esophagitis
  2. Duodenal ulcer
  3. Crohn's disease
  4. Duodenal ulcer
  5. An older adult female is diagnosed with urge urinary incontinence. The patient is alert and cognitively intact. The MOST appropriate management is:
  6. urinating frequently to avoid urgency.
  7. bladder retraining.
  8. wearing protective garments, such as continence pads.
  9. reducing fluid intake to four 8-oz glasses a day.
  10. bladder retraining.
  11. Which of the following asymptomatic skin conditions can an older adult manage at home?
  12. Actinic keratosis
  13. Basal cell lesions
  14. Seborrheic keratosis
  15. Squamous cell lesions
  16. Seborrheic keratosis
  1. The MOST common bacterial cause of cellulitis in patients with diabetes mellitus is:
  2. group A beta-hemolytic Streptococcus.
  3. Vibrio vulnificus.
  4. Pseudomonas aeruginosa.
  5. Staphylococcus aureus.
  6. Staphylococcus aureus.
  7. An adult with coronary artery disease has had angioplasty twice, as well as a two-vessel bypass graft. The patient presents with increasing shortness of breath, dyspnea on exertion, paroxysmal and nocturnal dyspnea, and mild edema of the lower extremities. Which of the following findings is MOST likely?
  8. Diastolic murmur
  9. Systolic ejection murmur
  10. Pericardial friction rub
  11. Third heart sound
  12. Third heart sound
  1. Radiation therapy
  2. Chemotherapy
  3. Watchful waiting
  4. Surgical excision
  5. An older adult female presents with loss of appetite and dark stools. Physical examination of the abdomen produces normal results. Rectal examination reveals stools positive for blood. Current medications include a calcium channel blocker, a selective serotonin reuptake inhibitor, a bisphosphonate, and a statin. Which medication should be held until an evaluation can be completed?
  6. Statin
  7. Bisphosphonate
  8. Selective serotonin reuptake inhibitor
  9. Calcium channel blocker
  10. Bisphosphonate
  11. Which of the following are risk factors for the development of osteoporosis?
  12. High caffeine intake, hypertension, and breastfeeding
  13. Smoking, diabetes mellitus, and low calcium intake
  14. Drinking fluoridated water, hypothyroidism, and excess exercise
  15. Early menopause, low calcium intake, and low body weight
  1. Early menopause, low calcium intake, and low body weight
  2. A man calls to report that his elderly wife awakened this morning with confusion, slurred speech, and paresthesia of her right arm and leg. Although no prior episodes of these symptoms have been reported, the woman's medical history reveals that she has diabetes and hypertension. At present, her symptoms have resolved. Based on the symptoms reported, what is the MOST likely diagnosis?
  3. Hypoglycemic episode
  4. Hypothyroidism
  5. Right-sided CVA
  6. Transient ischemic attack
  7. Transient ischemic attack
  8. An older adult with a history of hypertension and atrial fibrillation is brought to the ED after a fall. She is diagnosed with a fracture of the neck of the left femur and has left open reduction internal fixation (ORIF). She is discharged for rehabilitation on enoxaparin (Lovenox), 30 mg SC twice daily. On the third day of rehabilitation, she reports increased swelling and tightness of the left leg. She is hospitalized for acute respiratory distress and placement of a Greenfield filter. The usual indication for this filter is:
  9. prevention of cerebral embolism.
  10. atrial fibrillation.
  11. clot migration.
  12. venous insufficiency.
  1. An older adult male presents to the office with abdominal pain for three days. The left lower quadrant pain is constant. He has nausea, vomiting, diarrhea, and fever. On physical exam, there is guarding, a palpable mass, and hypoactive bowel sounds. These symptoms are consistent with:
  2. appendicitis.
  3. Crohn's disease.
  4. diverticulitis.
  5. colitis.
  6. diverticulitis.
  7. An older adult male presents with a sudden onset of severe, tearing chest pain that radiates to the back. What is the MOST likely working diagnosis?
  8. Pulmonary embolism
  9. Aortic dissection
  10. Pancoast tumor
  11. Spinal cancer
  12. Aortic dissection
  1. An older adult with a history of hypertension and atrial fibrillation is brought to the ED after a fall. She is diagnosed with a fracture of the neck of the left femur and has left open reduction internal fixation (ORIF). She is discharged for rehabilitation on enoxaparin (Lovenox), 30 mg SC twice daily. On the third day of rehabilitation, she reports increased swelling and tightness of the left leg. The nurse practitioner would order a/an:
  2. arterial Doppler.
  3. arteriogram.
  4. venous duplex ultrasound.
  5. venous pyelogram.
  6. venous duplex ultrasound.
  7. The presence of anti-HBs in a patient's blood is MOST often an indicator of:
  8. HIV infection.
  9. immunity to hepatitis B virus.
  10. acute hepatitis B.
  11. cirrhosis.
  12. immunity to hepatitis B virus.
  13. A patient presents with unilateral ear pain of 1-week duration, nasal congestion, and a sore throat. Physical examination reveals an opaque, hypomobile left tympanic membrane. The nurse practitioner performs a tuning fork test, expecting to find that the:
  1. Refer the patient's daughter to a social worker for counseling.
  2. Discuss community resources available to provide assistance and respite care.
  3. Review placement options.
  4. Call the granddaughter to discuss the situation.
  5. Discuss community resources available to provide assistance and respite care.
  6. An elderly patient with Stage 4 heart failure, severe COPD, and end-stage renal disease reports feeling very hopeless and says he is "close to death." What is the MOST appropriate intervention for this patient?
  7. Discuss an antidepressant with the patient and family.
  8. Explore the option of referring the patient to a hospice program.
  9. Use motivational interviewing to help patient feel more hopeful.
  10. Refer the patient to the activities coordinator for diversional activities.
  11. Explore the option of referring the patient to a hospice program.
  12. A healthy, older adult male has just had a normal yearly physical in a nurse practitioner's clinic. The patient has no chronic illnesses, and all results from screening tests performed in the clinic are normal. The BEST advice the practitioner can give is that it is:
  13. important to undergo a dilated funduscopic examination every 1-2 years.
  14. acceptable to delay examination by an ophthalmologist.
  1. not necessary to undergo an examination.
  2. particularly important to undergo an examination to evaluate for presbyopia.
  3. important to undergo a dilated funduscopic examination every 1-2 years.
  4. An older adult presents with left-side "rib pain" the past few days, headache, a feverish feeling, and general malaise. Physical examination reveals an area of papular eruptions with a few vesicles on the left side of the chest. What is the MOST likely cause of the patient's symptoms?
  5. Herpes zoster
  6. Eczema
  7. Intertrigo
  8. Actinic keratosis
  9. Herpes zoster
  10. A young adult presents with a 1-week history of excessive thirst, excessive urination, and persistent hunger. There is concern because the patient's grandmother had the same symptoms and was diagnosed with diabetes mellitus. The patient reports some nausea and flu-like sensations. On the basis of this information, which of the following tests would be MOST critical to the immediate diagnosis and treatment?
  11. 24-hour creatinine
  12. Serum glucose
  13. 3-hour glucose tolerance test