Unofficial adult-gerontology primary care nurse practitioner practice questions in the four domains of the board's blueprint.
48:00
Pick an answer, then press Check answer.Then you see Correct or Not quite, with the reason.Keys: A to D pick, Enter checks.
Print covers the next 40 questions. Share this set copies a link to the same questions in the same order.
Exam mode: 40 questions, 48 minutes.
Your totals on this device
0answered
0right
none yetpercent right
none yetbest exam score
Seen 0 of 45 questions
More options
Which questions to ask
Missed and Flagged fill up as you go.
Unofficial practice questions, not affiliated with the American Academy of Nurse Practitioners Certification Board (AANPCB). Bank checked October 12, 2026.
The real exam, as the board describes it
Length
150 multiple-choice questions in 3 hours. 135 are scored; 15 are pretest questions and do not count.
Result
A preliminary pass or fail result right after the exam. Scores are not given as a percent correct.
Where
A Prometric test center. Eligibility to test lasts 120 days.
Owner's practice exam
The board offers optional practice examinations on the same blueprint. It says they are not meant to predict performance.
A 17-year-old comes for a general checkup and has never been tested for HIV. Across which ages is HIV testing done for people having a general checkup?MedlinePlus Medical Encyclopedia, Screening and diagnosis for HIV, Why the Test is Performed. Outline: A-GNP examination blueprint, Domain 01 Assess (patient age: adolescent).
A 48-year-old man with no known diabetes has an A1C of 6.8%. How is the result read?MedlinePlus Medical Encyclopedia, A1C test, Normal Results. Outline: A-GNP examination blueprint, Domain 01 Assess (patient age: adult).
A 52-year-old woman's blood pressure is 124/76 mm Hg on repeated visits. How is this classified?MedlinePlus Medical Encyclopedia, High blood pressure in adults - hypertension. Outline: A-GNP examination blueprint, Domain 01 Assess (patient age: adult).
A 64-year-old woman who has smoked for 40 years has a daily cough and shortness of breath. Which test is the typical one for COPD?MedlinePlus Medical Encyclopedia, Chronic obstructive pulmonary disease (COPD), Exams and Tests. Outline: A-GNP examination blueprint, Domain 01 Assess (patient age: adult).
Show all 45 questions (41 more)
Assess, continued
A 67-year-old woman has a 30 pack-year smoking history and quit 5 years ago. Which yearly screening does she qualify for?MedlinePlus Medical Encyclopedia, Health screenings for women age 65 and older, Information. Outline: A-GNP examination blueprint, Domain 01 Assess (patient age: older adult).
A 67-year-old woman with no fractures comes for a wellness visit. Which test measures the density of the minerals in her bones to screen for osteoporosis?MedlinePlus Medical Encyclopedia, Osteoporosis, Exams and Tests. Outline: A-GNP examination blueprint, Domain 01 Assess (patient age: older adult).
A 68-year-old man who smoked for 30 years has never been screened for an abdominal aortic aneurysm. What is ordered?MedlinePlus Medical Encyclopedia, Abdominal aortic aneurysm, Exams and Tests. Outline: A-GNP examination blueprint, Domain 01 Assess (patient age: older adult).
A 70-year-old man has shortness of breath when he lies down, leg swelling and crackles in the lungs. After an ECG, which test is usually best to do first for heart failure?MedlinePlus Medical Encyclopedia, Heart failure, Exams and Tests. Outline: A-GNP examination blueprint, Domain 01 Assess (patient age: older adult).
A 72-year-old man says he has more trouble understanding higher-pitched voices and following talk in noisy rooms. The change came on slowly. What is this pattern called?MedlinePlus Medical Encyclopedia, Age-related hearing loss. Outline: A-GNP examination blueprint, Domain 01 Assess (patient age: older adult).
A healthy 45-year-old man with no family history of colon cancer asks when screening should start. What is the answer?MedlinePlus Medical Encyclopedia, Colon cancer screening, Information. Outline: A-GNP examination blueprint, Domain 01 Assess (patient age: adult).
A sexually active 22-year-old woman with no symptoms comes for a checkup. Which infections should she be screened for at her age?MedlinePlus Medical Encyclopedia, Health screenings for women ages 18 to 39, Information. Outline: A-GNP examination blueprint, Domain 01 Assess (patient age: young adult).
An 84-year-old man feels dizzy when he gets out of bed. What does orthostatic hypotension mean?MedlinePlus Medical Encyclopedia, Low blood pressure, Causes. Outline: A-GNP examination blueprint, Domain 01 Assess (patient age: elderly).
An 86-year-old woman's daughter reports a year of slowly worsening forgetfulness. Which office tool is a common test of mental status?MedlinePlus Medical Encyclopedia, Mental status testing, How the Test is Performed. Outline: A-GNP examination blueprint, Domain 01 Assess (patient age: elderly).
Diagnose 11
A 19-year-old college student has fever, a sore throat that keeps getting worse and swollen glands in the neck. Which virus causes mononucleosis?MedlinePlus Medical Encyclopedia, Mononucleosis, Causes. Outline: A-GNP examination blueprint, Domain 02 Diagnose (patient age: young adult).
A 46-year-old woman has gained weight, feels cold when others are comfortable, and has constipation and a slow heart rate. Which condition do these symptoms suggest?MedlinePlus Medical Encyclopedia, Hypothyroidism, Symptoms. Outline: A-GNP examination blueprint, Domain 02 Diagnose (patient age: adult).
A 50-year-old man is woken at night by sudden pain in a red, swollen big toe. Which substance has formed crystals in the joint?MedlinePlus Medical Encyclopedia, Gout, Causes. Outline: A-GNP examination blueprint, Domain 02 Diagnose (patient age: adult).
A 55-year-old woman who takes ibuprofen every day for knee pain has upper belly pain and dark, tarry stools. Which diagnosis is most likely?MedlinePlus Medical Encyclopedia, Peptic ulcer, Causes. Outline: A-GNP examination blueprint, Domain 02 Diagnose (patient age: adult).
A 66-year-old man has knee pain after exercise and morning stiffness that eases within 20 minutes. Which diagnosis does this pattern suggest?MedlinePlus Medical Encyclopedia, Osteoarthritis, Symptoms. Outline: A-GNP examination blueprint, Domain 02 Diagnose (patient age: older adult).
A 69-year-old man has a tremor in one hand when the hand is still, slowed movements, stiff muscles and a stooped posture. Which diagnosis fits?MedlinePlus Medical Encyclopedia, Parkinson disease, Symptoms. Outline: A-GNP examination blueprint, Domain 02 Diagnose (patient age: older adult).
A 71-year-old woman has burning pain on one side of her chest, followed by red patches and small blisters in the same area. Which diagnosis fits?MedlinePlus Medical Encyclopedia, Shingles, Symptoms. Outline: A-GNP examination blueprint, Domain 02 Diagnose (patient age: older adult).
A 74-year-old woman has a pulse that feels rapid and very irregular. Which test may show atrial fibrillation?MedlinePlus Medical Encyclopedia, Atrial fibrillation and atrial flutter, Exams and Tests. Outline: A-GNP examination blueprint, Domain 02 Diagnose (patient age: older adult).
A 76-year-old man with an enlarged prostate dribbles urine because his bladder does not empty. Which type of incontinence is this?MedlinePlus Medical Encyclopedia, Urinary incontinence. Outline: A-GNP examination blueprint, Domain 02 Diagnose (patient age: older adult).
An 82-year-old woman says straight lines look wavy and a blurred spot sits in the center of her vision. Which diagnosis fits?MedlinePlus Medical Encyclopedia, Age-related macular degeneration. Outline: A-GNP examination blueprint, Domain 02 Diagnose (patient age: elderly).
An 88-year-old woman who was well yesterday is suddenly and severely confused today. She has no fever or pain. Which common infection can show in older people as confusion alone?MedlinePlus Medical Encyclopedia, Urinary tract infection - adults, Symptoms. Outline: A-GNP examination blueprint, Domain 02 Diagnose (patient age: elderly).
Plan 11
A 20-year-old student has a fever and a sore throat, and a rapid strep test is positive. Which antibiotics are most often tried first?MedlinePlus Medical Encyclopedia, Strep throat, Treatment. Outline: A-GNP examination blueprint, Domain 03 Plan (patient age: young adult).
A 24-year-old man who smokes a pack a day wants help with cravings and withdrawal. Which prescription pill, which contains no nicotine, helps with both?MedlinePlus Medical Encyclopedia, Smoking cessation medications, Information. Outline: A-GNP examination blueprint, Domain 03 Plan (patient age: young adult).
A 40-year-old woman's last tetanus shot was 11 years ago. She has no wound. How often should adults get a Tdap or Td booster?MedlinePlus Medical Encyclopedia, Tdap (tetanus, diphtheria and pertussis) vaccine - what you need to know, Information. Outline: A-GNP examination blueprint, Domain 03 Plan (patient age: adult).
A 50-year-old man with newly diagnosed type 2 diabetes is ready to start an oral medicine. Which is often the first one prescribed?MedlinePlus Medical Encyclopedia, Type 2 diabetes - oral medicines, Types of Oral Medicines. Outline: A-GNP examination blueprint, Domain 03 Plan (patient age: adult).
A 61-year-old woman with high blood pressure asks about the DASH diet. To what daily amount does the diet lower sodium?MedlinePlus Medical Encyclopedia, DASH diet to lower high blood pressure, How DASH Works. Outline: A-GNP examination blueprint, Domain 03 Plan (patient age: adult).
A 67-year-old man has a weak urine stream, straining and waking twice a night to urinate from an enlarged prostate. Which class of medicine usually improves symptoms within 3 to 7 days?MedlinePlus Medical Encyclopedia, Enlarged prostate, Treatment. Outline: A-GNP examination blueprint, Domain 03 Plan (patient age: older adult).
A 68-year-old woman with osteoporosis starts a weekly bisphosphonate pill. How should she take it?MedlinePlus Medical Encyclopedia, Medicines for osteoporosis, Bisphosphonates. Outline: A-GNP examination blueprint, Domain 03 Plan (patient age: older adult).
A 73-year-old man is diagnosed with shingles on the second day of pain. When are antiviral medicines most effective?MedlinePlus Medical Encyclopedia, Shingles, Treatment. Outline: A-GNP examination blueprint, Domain 03 Plan (patient age: older adult).
A 90-year-old man wants to name his daughter to make health care decisions if he cannot. Which document does that?MedlinePlus Medical Encyclopedia, Advance care directives, Other Types of Advance Directives. Outline: A-GNP examination blueprint, Domain 03 Plan (patient age: elderly).
A healthy 52-year-old man asks about the shingles vaccine. From what age is the recombinant zoster vaccine recommended for adults?MedlinePlus Medical Encyclopedia, Recombinant zoster (shingles) vaccine - what you need to know, Information. Outline: A-GNP examination blueprint, Domain 03 Plan (patient age: adult).
An 85-year-old woman has fallen twice at home. Which change to the home is part of the plan to prevent falls?MedlinePlus Medical Encyclopedia, Preventing falls, Home Setup. Outline: A-GNP examination blueprint, Domain 03 Plan (patient age: elderly).
Evaluate 10
A 23-year-old woman with asthma says she now uses her quick-relief inhaler three times a week. What does this suggest?MedlinePlus Medical Encyclopedia, Asthma - quick-relief drugs, Short-acting Beta-agonists. Outline: A-GNP examination blueprint, Domain 04 Evaluate (patient age: young adult).
A 56-year-old woman's type 2 diabetes is well controlled. How often should her A1C be tested?MedlinePlus Medical Encyclopedia, Type 2 diabetes, Exams and Tests. Outline: A-GNP examination blueprint, Domain 04 Evaluate (patient age: adult).
A 60-year-old man has taken a statin for a year. What do regular blood tests monitor, besides how well the medicine is working?MedlinePlus Medical Encyclopedia, How to take statins, What are the Risks?. Outline: A-GNP examination blueprint, Domain 04 Evaluate (patient age: adult).
A 63-year-old woman started levothyroxine for hypothyroidism. Once her dose is settled, how often should her thyroid hormone levels be monitored at the least?MedlinePlus Medical Encyclopedia, Hypothyroidism, Treatment. Outline: A-GNP examination blueprint, Domain 04 Evaluate (patient age: adult).
A 70-year-old woman sees four prescribers and takes eleven medicines. Which step lets each provider check for interactions?MedlinePlus Medical Encyclopedia, Taking multiple medicines safely, What you can do. Outline: A-GNP examination blueprint, Domain 04 Evaluate (patient age: older adult).
A 77-year-old man takes warfarin for atrial fibrillation. Which blood test at regular visits shows that he is taking the right amount?MedlinePlus Medical Encyclopedia, Taking warfarin. Outline: A-GNP examination blueprint, Domain 04 Evaluate (patient age: older adult).
After teaching a 66-year-old man to use an inhaler, the nurse practitioner asks him to show the steps back. What is the teach-back method for?MedlinePlus Medical Encyclopedia, Maximizing your teaching moment, Teach-Back or Return Demonstrations. Outline: A-GNP examination blueprint, Domain 04 Evaluate (patient age: older adult).
An 81-year-old woman with heart failure weighs herself each morning. Which change should make her contact her provider?MedlinePlus Medical Encyclopedia, Heart failure - home monitoring, Checking Your Weight. Outline: A-GNP examination blueprint, Domain 04 Evaluate (patient age: elderly).
An 83-year-old man who takes digoxin and a diuretic has nausea, confusion and an irregular pulse. Which lab finding raises the risk of digitalis toxicity?MedlinePlus Medical Encyclopedia, Digitalis toxicity, Causes. Outline: A-GNP examination blueprint, Domain 04 Evaluate (patient age: elderly).
Two months after starting an ACE inhibitor for high blood pressure, a 65-year-old woman reports a dry cough. What may the provider do?MedlinePlus Medical Encyclopedia, ACE inhibitors, Side effects. Outline: A-GNP examination blueprint, Domain 04 Evaluate (patient age: older adult).
How this list was compiled: Our own questions, written to the 2023 AGNP examination blueprint that the American Academy of Nurse Practitioners Certification Board (AANPCB, doing business as NPCB) publishes (https://www.aanpcert.org/certs/agnp, read 2026-10-12). Domain I: Assess 28%, Diagnose 25%, Plan 25%, Evaluate 22%. Domain II, patient age: Adolescent 2%, Young Adult 13%, Adult 28%, Older Adult 40%, Elderly 17%; the board defines no age limits, so the age label on each question is ours (adolescent under 18, young adult 18 to 25, adult 26 to 64, older adult 65 to 79, elderly 80 and over). The bank holds 13, 11, 11 and 10 questions by domain, 45 in all, and 1, 5, 14, 17 and 8 by age. Every fact was read on 2026-10-12 in the MedlinePlus Medical Encyclopedia (National Library of Medicine) article the question names. Licence: Questions, choices and explanations are original work of this site.
How it works
This free, unofficial AGNP practice test has 45 questions of our own for the adult-gerontology primary care nurse practitioner exam. Not affiliated with or endorsed by the American Academy of Nurse Practitioners Certification Board (AANPCB), doing business as NPCB.
Read the full guide
What the exam covers
The board's AGNP blueprint, read at aanpcert.org on October 12, 2026, splits the scored questions into four domains: assess 28%, diagnose 25%, plan 25% and evaluate 22%. It also sets patient ages, with older adults at 40%. The 45 questions follow both splits.
A study guide by domain
Used as an adult gerontology nurse practitioner study guide, each explanation names the MedlinePlus article and section behind the answer: screening ages, first medicines, what to recheck and when.
Timing
A timed run here asks 40 questions in 48 minutes, the pace of the real exam's 150 in 3 hours.
Screening ages follow the MedlinePlus article on the date checked. Open the source link if your program teaches a newer recommendation.
Questions and answers
Is this an AANP AGNP practice test or an ANCC one?
It follows the AANPCB blueprint. The American Nurses Credentialing Center gives a separate adult-gerontology primary care exam, AGPCNP-BC, with 175 questions in 3.5 hours by its page on nursingworld.org. This bank was not written to that outline.
Is there a free online AGNP practice test from the board?
The board's candidate handbook says it offers optional practice examinations on the same blueprint, and that they are not meant to predict performance. This page is free and separate: none of its questions comes from the board.
How many questions are on the AGNP exam?
150 multiple-choice questions in 3 hours, by the board's candidate handbook dated June 4, 2026. 135 are scored; 15 are pretest questions and do not count.
What is a passing score on the AGNP exam?
The handbook says the passing score is set by standard-setting methods and that scores are not given as a percent correct. Candidates get a preliminary pass or fail result right after the exam. A result here forecasts nothing.
Are there official adult gerontology nurse practitioner certification study guides?
The handbook says a current reference list used to develop the exam is on the board's website. This page uses none of those books: every answer here is checked against a MedlinePlus article, linked under the question.