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ANCC AGACNP EXAM REVIEW NEWEST 2025 ACTUAL
EXAM TEST BANK| COMPLETE 350 REAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) ALREADY GRADED A+| ANCC
AGACNP CERTIFICATION EXAM 2025 ||BRAND NEW!!
The adult-gerontology primary care nurse practitioner evaluates a patient with cold symptoms who reports smoking half a pack of cigarettes a day and shows no interest in quitting. The nurse practitioner's most
appropriate approach is to treat the cold symptoms and:
(a) advise the patient to stop smoking.(b) prescribe bupropion (Zyban).(c) raise the issue of smoking cessation at the next visit.(d) recommend that the patient select a low nicotine cigarette. - Correct Answer - (a) advise the patient to stop smoking.
The adult-gerontology primary care nurse practitioner plans to provide smoking cessation education at a community center to older adults and their families. The nurse practitioner designs the program based on
knowledge that older adult smokers:
(a) are likely to be optimistic about their ability to quit.(b) are more likely to be successful at quitting than younger smokers.(c) have a decreased risk of morbidity and mortality than do younger smokers.(d) receive more instruction to quit from health care providers than younger smokers. - Correct Answer - (b) are more likely to be successful at quitting than younger smokers. 1 / 4
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pg. 2 An 84-year-old patient arrives at the office for an initial visit. The patient questions the need for colorectal screening, since 10 years have passed since the last colonoscopy. The adult-gerontology primary care nurse
practitioner recommends:
(a) a colonoscopy.(b) a fecal DNA test.(c) flexible sigmoidoscopy.(d) watchful waiting. - Correct Answer - (d) watchful waiting.
To evaluate for heart failure, which diagnostic test does the adult- gerontology primary care nurse practitioner order for a patient with swelling in the lower extremities?(a) Ankle-brachial index.(b) Brain natriuretic peptide test.(c) D-dimer assay.(d) Spirometry study. - Correct Answer - (b) Brain natriuretic peptide test.
Before placing a patient with onychomycosis on a pulsed dose of itraconazole (Sporanox), which laboratory values does the adult- gerontology primary care nurse practitioner obtain?(a) Liver function studies.(b) Platelet count.(c) Renal function studies.(d) White blood cell count. - Correct Answer - (a) Liver function studies. 2 / 4
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pg. 3 A 30-year-old, female patient has a two-week history of nausea, vomiting, decreased weight, abdominal pain, and a long-term history of multiple sexual partners. The patient's physical examination reveals abdominal tenderness with icteric sclerae and skin. Which laboratory test confirms active hepatitis B?(a) Antibody.(b) Enzyme-linked immunosorbent assay.(c) Immune globulin G.(d) Surface antigen. - Correct Answer - (d) Surface antigen.
For two to three months, a 78-year-old patient has not been taking levothyroxine (Synthroid) as prescribed. The patient now has symptoms of increasing constipation, lethargy, and weakness. The adult- gerontology primary care nurse practitioner anticipates that laboratory
tests will show that the patient's:
(a) T4 level decreased, and TSH level increased.(b) T4 level increased, and TSH level decreased.(c) T4 level increased, and TSH level is unchanged.(d) T4 level is unchanged, and TSH level decreased. - Correct Answer - (a) T4 level decreased, and TSH level increased.
A 16-year-old patient has been diagnosed with mononucleosis and has a positive throat culture for group Alpha-hemolytic streptococcal
infection. The medication of choice for this patient is:
(a) amoxicillin (Amoxil).(b) doxycycline (Vibramycin). 3 / 4
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pg. 4 (c) erythromycin (E-Mycin).(d) trimethoprim-sulfamethoxazole (Bactrim). - Correct Answer - (c) erythromycin (E-Mycin).
A 70-year-old patient reports fatigue and a nonproductive cough with pain on inspiration and expiration. The patient denies a sore throat, fever, nasal congestion, or postnasal drip. Examination reveals a well- developed patient in no acute distress who is afebrile and has respirations of 32 breaths/min. The patient's lungs have diminished breath sounds. The heart rate is 70 beats/min, regular with no murmur.
There is no edema of the extremities. An adult nurse practitioner orders:
(a) a chest x-ray.(b) a lung perfusion scan.(c) over-the-counter treatments for symptomatic relief.(d) pulmonary function tests. - Correct Answer - (a) a chest x-ray.
A pale, thin 54-year-old male patient reports a two-month history of numbness in his feet. Past medical history includes hypertension and a subtotal gastrectomy. An examination reveals a decreased vibratory sensation and position sense. Blood tests indicate a hematocrit of 27%, mean corpuscular volume of 105 fL, mean corpuscular hemoglobin of
45 pg, and reticulocytes of 1.5%. The diagnosis is:
(a) chronic simple anemia.(b) folate deficiency anemia.(c) iron deficiency anemia.(d) vitamin B12 deficiency anemia. - Correct Answer - (d) vitamin B12 deficiency anemia.
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