AANP AGPCNP PRACTICE EXAM 2025-2026
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 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. - 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 reflexes
4. 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.