AGPCNP-BC sample questions

Question 1

During a home visit for a 78-year-old homebound patient managing neurogenic bladder and chronic venous insufficiency, the adult-gerontology primary care nurse practitioner reviews supply requests. Which item is classified by Medicare as a non-durable medical supply rather than durable medical equipment (DME)?

Accepted Answer

Intermittent sterile urinary catheterization kits

Answer

Continuous positive airway pressure (CPAP) compressor unit

Answer

Standard folding manual wheelchair

Answer

Hospital bed with adjustable side rails

Question 2

An adult-gerontology primary care nurse practitioner is implementing a routine cognitive screening protocol in an outpatient geriatrics clinic. Which statement accurately describes the clinical application and scope of instruments such as the Mini-Cog, AD8, and Quick Dementia Rating System (QDRS)?

Accepted Answer

They are brief instruments completed in 10 minutes or less that trigger comprehensive secondary evaluation rather than establish a diagnosis.

Answer

They must be administered exclusively by a licensed neuropsychologist in a specialized tertiary cognitive evaluation center.

Answer

They establish an official diagnostic code of major neurocognitive disorder whenever the patient scores below the validated cutoff threshold.

Answer

They require at least 45 minutes to administer and provide definitive differentiation between vascular dementia and Alzheimer disease.

Question 3

An 81-year-old community-dwelling patient accompanied by an adult daughter presents to the primary care clinic for a routine follow-up of hypertension and type 2 diabetes. The daughter privately expresses concern, noting that the patient recently missed utility payments, misplaced essential cardiac medications, and has had increasing difficulty balancing the monthly checkbook. The patient maintains that these are normal lapses of aging and denies any memory decline.

Physical examination reveals blood pressure 138/82 mm Hg, pulse 72 bpm, and no focal neurological deficits. The patient lives alone and independently manages basic self-care activities of daily living such as dressing and bathing.

Which initial clinical action by the nurse practitioner is most appropriate?

Accepted Answer

Initiate a brief, validated cognitive screening instrument such as the Mini-Cog during this encounter.

Answer

Prescribe donepezil 5 mg daily immediately to prevent further deterioration of financial management skills.

Answer

Refer the patient immediately for an emergent non-contrast head CT scan and stat inpatient psychiatric admission.

Answer

Reassure the daughter that instrumental activity errors represent normal physiological cognitive changes in octogenarians.

Question 4

True or False: In primary care geriatric assessment, a negative initial verbal screen using the two-question Patient Health Questionnaire (PHQ-2) indicates that no further full-length depression inventory (such as the PHQ-9 or Geriatric Depression Scale) is indicated at that visit.

Accepted Answer

True

Answer

False

Question 5

An adult-gerontology primary care nurse practitioner administers the Mini Nutritional Assessment (MNA) short form to an 84-year-old frail older adult during an annual wellness exam. Based on the scoring reference shown in the figure, which total score category places the patient in the 'at risk of malnutrition' stratum?

Accepted Answer

A score between 8 and 11 points

Answer

A score between 12 and 14 points

Answer

A score between 0 and 7 points

Answer

A score between 15 and 20 points

Question 6

An adult-gerontology primary care nurse practitioner is performing a comprehensive psychosocial assessment on a newly established 76-year-old patient. Which TWO clinical actions adhere to evidence-based practice standards for psychosocial and family assessment? (Select TWO)

Accepted Answer

Confirming with the cognitively intact patient which family members are permitted to participate in care discussions before involving them

Accepted Answer

Screening for prior military service to determine eligibility for Veterans Health Administration benefits and community resources

Answer

Disregarding food insecurity and utility hardship if the patient's insurance copayments are currently up to date

Answer

Requiring the patient's spouse to make all clinical decisions regardless of the patient's cognitive capacity

Answer

Mandating that family members attend every physical examination regardless of patient consent

Free AGPCNP-BC sample questions

An adult-gerontology primary care nurse practitioner is implementing a routine cognitive screening protocol in an outpatient geriatrics clinic. Which statement accurately describes the clinical application and scope of instruments such as the Mini-Cog, AD8, and Quick Dementia Rating System (QDRS)?

True or False: In primary care geriatric assessment, a negative initial verbal screen using the two-question Patient Health Questionnaire (PHQ-2) indicates that no further full-length depression inventory (such as the PHQ-9 or Geriatric Depression Scale) is indicated at that visit.

An adult-gerontology primary care nurse practitioner is performing a comprehensive psychosocial assessment on a newly established 76-year-old patient. Which TWO clinical actions adhere to evidence-based practice standards for psychosocial and family assessment? (Select TWO)

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