Free practice quiz
AGPCNP-BC / AGNP-C Prep Course (AGNP): free quiz
10 questions from the program. See your score right away, then unlock the explanation of every answer.
- Question 1 of 10
A 62-year-old patient with hypertension presents to the primary care clinic with 20 minutes of crushing substernal chest pressure radiating to the jaw, diaphoresis, and shortness of breath. Vital signs are BP 92/58 mm Hg, HR 118/min, RR 24/min, and SpO2 93% on room air. As the adult-gerontology primary care NP, which action is the highest priority?
C is correct: ABCs and circulation take priority; chest pressure with hypotension, tachycardia, diaphoresis, and dyspnea suggests possible acute coronary syndrome requiring emergency evaluation, not longitudinal clinic management. B is tempting because cardiology involvement is appropriate, but delayed referral is unsafe with instability. D supports prevention, but Maslow/ABCs place acute perfusion risk first. A includes appropriate tests, but outpatient testing delays emergency care; biomarkers belong in an urgent/emergency pathway. Primary care NP scope includes recognizing red flags, stabilizing within clinic capability, and escalating promptly.
- Question 2 of 10
A 45-year-old adult presents for a routine primary care visit. BP is 124/78 mm Hg, BMI is 29, A1c is 5.5%, and lipid results are pending. The patient smokes 1 pack/day, drinks 5 beers on most Saturdays, sleeps 5 hours nightly, and walks only at work. The patient asks, “What should I work on first to prevent future illness?” Which brief counseling action is the priority primary prevention intervention?
C is correct: Using the nursing process, first identify the highest-impact modifiable risk. Tobacco cessation is a primary prevention priority because it reduces future cardiovascular, pulmonary, and cancer risk. A is appropriate but lower priority than daily tobacco exposure unless acute safety concerns are present. B is helpful health promotion, but sleep counseling does not outweigh smoking cessation for disease prevention. D is also primary prevention and should be addressed, but it is the correct action at a lower priority after tobacco cessation counseling. Priority: assess readiness, intervene with brief counseling, delegate routine education reinforcement as appropriate, and escalate for concerning symptoms or severe substance-use risk.
- Question 3 of 10
A 78-year-old patient with mild cognitive impairment comes to primary care with dysuria, fever 38.3°C, heart rate 108/min, and new disorientation. The clinician recommends urgent evaluation for possible complicated infection, but the patient says, “I’m going home now,” and cannot repeat the reason for transfer. What is the priority action?
D is correct: Using the nursing process and safety priority, assess capacity first because refusal plus new confusion may impair informed decision-making. A: Surrogate involvement is appropriate only if the patient lacks capacity or requests help. C: Autonomy is essential, but documenting refusal without capacity assessment ignores safety. B: Capacity assessment and informed refusal cannot be delegated to unlicensed personnel. ABCs/safety support urgent evaluation after capacity is assessed and reversible causes or surrogate needs are addressed.
- Question 4 of 10
A 74-year-old patient presents for a new primary care visit with intermittent dizziness and one fall this month. BP is 118/64 sitting, pulse 62/min, and the patient brought a bag containing prescription bottles, vitamins, and herbal products. The patient lives alone and reports difficulty remembering “which pills are for morning.” Which history-taking action is the priority before planning care?
C is correct. Using the nursing process, assessment comes before teaching or planning; medication reconciliation is priority because polypharmacy, supplements, dosing confusion, and orthostatic symptoms can directly affect safety. D is appropriate for a comprehensive adult history but is lower priority than a current fall risk. B is useful teaching, but it is premature before identifying medication-related causes. A addresses function and may change management, but delegation of a tool does not replace clinician assessment of high-risk medication use.
Assess safety risks first, intervene with targeted education after assessment, delegate screening tools as appropriate, and escalate urgently for syncope, chest pain, neurologic deficits, or serious injury. - Question 5 of 10
A 72-year-old man with chronic kidney disease and hypertension is seen in primary care for fatigue. Office BP is 154/88 mm Hg, pulse 96/min, and he reports new weakness with intermittent palpitations. The laboratory calls with a nonhemolyzed CMP: potassium 6.6 mEq/L, creatinine 2.2 mg/dL, baseline creatinine 1.3 mg/dL, and glucose 128 mg/dL. Which action is the priority for the AGPCNP in clinic?
D is correct. Potassium 6.6 mEq/L with palpitations, weakness, and worsening renal function is a circulation threat; the priority is immediate assessment and emergency escalation. C is appropriate education later but unsafe for a critical value. A is useful follow-up after stabilization but delays urgent care. B may fit suspected hemolysis, but the specimen is nonhemolyzed and the patient is symptomatic.
Nursing Priority: Assess ABCs/circulation first; intervene by escalating critical hyperkalemia; delegate only routine tasks; transfer immediately for symptoms or potassium ≥6.5 mEq/L. - Question 6 of 10
A 68-year-old man presents to primary care with 2 days of worsening shortness of breath and sharp right-sided chest pain. Assessment shows HR 112/min, RR 24/min, SpO2 91% on room air, and unilateral left calf swelling. He returned yesterday from an 8-hour car trip and has a 40-pack-year smoking history. He denies fever. Before selecting the next step in evaluation, which problem representation best supports accurate option elimination?
Using the nursing process, first organize assessment cues that affect ABCs and safety. D is too vague and downplays acute breathing compromise. A includes travel but overweights smoking, a distracting chronic risk. A is correct because it condenses age, tempo, risk profile, and key findings into an acute, progressive, pleuritic, hypoxemic presentation with venous thromboembolism clues. A uses absence of fever to prematurely close on a lower-priority respiratory diagnosis. Assess breathing and circulation first; intervene by escalating urgent evaluation for hypoxemia/red flags; delegate only routine data collection; notify the provider immediately for worsening oxygenation, syncope, or hemodynamic instability.
- Question 7 of 10
A 67-year-old adult presents for a routine primary care visit. She had a total hysterectomy with cervix removal at age 52 for fibroids, has no history of CIN 2+, cervical cancer, DES exposure, or immunocompromise, and had consistently normal prior cervical screening. Her last mammogram was 2 years ago and was normal. She has no breast symptoms and no high-risk genetic or chest radiation history. What screening plan is the best next action?
C is correct. Using the nursing process, the assessment identifies average breast cancer risk and no indication for continued cervical screening after total hysterectomy for benign disease. The priority preventive action is mammography because screening is still recommended through age 74. D is tempting because cotesting is common, but it is not indicated after benign total hysterectomy with no high-grade history; annual mammography is not the USPSTF interval. A incorrectly stops breast screening. B is not priority care because vaginal cuff cytology is unnecessary, and mammography is screening, not symptom-triggered testing only.
- Question 8 of 10
A 57-year-old adult presents for a wellness visit. BP is 152/92 mm Hg, pulse 78/min, BMI 31 kg/m². After 5 minutes seated, repeat BP is 148/90 mm Hg. The patient feels well, takes no BP medicines, and last had a lipid panel 8 years ago. As the AGPCNP in primary care, which action is the priority?
A is correct: assessment comes first; proper technique and repeat/out-of-office confirmation prevent misclassification, while lipid screening supports ASCVD risk estimation. D delays evaluation of repeated elevated readings. B includes appropriate lifestyle counseling, but it is the wrong priority if confirmation and risk assessment are deferred. C may be appropriate for resistant, abrupt, or atypical hypertension, but not before confirming routine elevated readings. Nursing priority: assess accurately, intervene with lifestyle counseling, delegate routine measurement after training, and escalate urgently only for symptoms or severe BP elevation.
- Question 9 of 10
A 61-year-old patient presents for a primary care health maintenance visit. Assessment findings: rheumatoid arthritis controlled with methotrexate, temperature 98.4°F, stable vital signs, mild seasonal allergies, shingles 2 years ago, and no prior zoster vaccination. The patient asks whether chronic illness means vaccines should be delayed. Which action is the best next step?
D is correct. Using the nursing process, assessment shows no ABC instability or acute moderate-to-severe illness; stable chronic disease is not a reason to delay routine vaccination. Recombinant zoster vaccine is recommended for adults age 50 and older, including those with prior shingles. B is tempting because prior infection is relevant history, but it does not replace vaccination. C overprioritizes a nonurgent precaution; mild allergies and stable chronic illness do not require deferral. A includes a valid preventive action, but it is the wrong priority because zoster vaccination is already indicated before age 65.
- Question 10 of 10
A 58-year-old adult presents for a routine primary care visit. BP is 158/94 mm Hg, taken over a sleeve immediately after walking in; feet were dangling and the cuff appears small. Pulse is 78/min, respirations 16/min, and the patient denies chest pain, dyspnea, neurologic symptoms, vision loss, or severe headache. Which action is the best priority before classifying the BP level and planning follow-up?
A is correct. Using the nursing process, assessment accuracy comes first: improper cuff size, activity, and positioning can falsely elevate BP, so repeat correctly and confirm persistent elevation. D is tempting because lifestyle education and home monitoring are appropriate, but they should follow a valid measurement plan. C is premature without resistant hypertension, abrupt onset, hypokalemia, renal findings, or other secondary-cause clues. B is not indicated because there are no ABC, neurologic, cardiac, renal, or visual red flags suggesting hypertensive emergency; escalate urgently if those symptoms appear.
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