100+ Free AANPCB A-GNP Practice Questions

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Question 1

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A 72-year-old woman presents for an annual wellness visit. Her last colonoscopy at age 65 was normal. She has no family history of colorectal cancer and no GI symptoms. Per current USPSTF recommendations, what is the most appropriate colorectal cancer screening plan?

Stop screening — she is past the recommended age range

Continue routine screening with colonoscopy every 10 years until age 75 and then individualize

Switch to annual high-sensitivity FIT regardless of age

Repeat colonoscopy now because of her age

to track

2026 Statistics

Key Facts: AANPCB A-GNP Exam

150

Exam Questions

AANPCB A-GNP exam page

Exam Time

AANPCB A-GNP exam page

500

Passing Scaled Score

AANPCB scoring (200-800 scale)

135/15

Scored vs Pretest Items

AANPCB Candidate Handbook

82%

First-Time Pass Rate

AANPCB Certification Statistics

$240/$315

Member/Nonmember Fee

AANPCB fee schedule

AANPCB's A-GNP exam uses 150 questions (135 scored + 15 pretest) with a 3-hour test time and a passing scaled score of 500 on a 200-800 scale. The blueprint is structured around the four NP Process phases (Assess, Diagnose, Plan, Evaluate) cross-cut by patient age (adolescent through elderly). AANPCB lists application fees of $240 for AANP members and $315 for non-members, with Prometric administering computer-based testing.

Sample AANPCB A-GNP Practice Questions

Try these sample questions to test your AANPCB A-GNP exam readiness. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.

1A 72-year-old woman presents for an annual wellness visit. Her last colonoscopy at age 65 was normal. She has no family history of colorectal cancer and no GI symptoms. Per current USPSTF recommendations, what is the most appropriate colorectal cancer screening plan?

A.Stop screening — she is past the recommended age range

B.Continue routine screening with colonoscopy every 10 years until age 75 and then individualize

C.Switch to annual high-sensitivity FIT regardless of age

D.Repeat colonoscopy now because of her age

Explanation: USPSTF gives Grade A for colorectal cancer screening from age 45 to 75 and Grade C (individualize) from 76 to 85. A 72-year-old whose last normal colonoscopy was 7 years ago can continue with a 10-year colonoscopy interval to age 75, then individualize based on health, prior screening, and life expectancy.

2A 68-year-old former smoker (30 pack-year history, quit 8 years ago) asks about lung cancer screening. He is otherwise healthy. What does USPSTF recommend?

A.Annual chest X-ray

B.Annual low-dose CT (LDCT) of the chest

C.Sputum cytology every 2 years

D.No screening — he quit more than 5 years ago

Explanation: USPSTF Grade B recommends annual LDCT lung cancer screening for adults 50-80 with at least a 20 pack-year history who currently smoke or quit within the past 15 years. He meets all criteria (age 68, 30 pack-years, quit 8 years ago).

3A 45-year-old woman with no significant medical history presents to establish primary care. She has not had any recent screening. According to current USPSTF guidance, when should breast cancer screening begin and at what interval?

A.Start at age 50, every 2 years

B.Start at age 40, every 2 years

C.Start at age 40, annually

D.Start at age 45, annually then biennially after 55

Explanation: In its 2024 update, USPSTF Grade B recommends biennial mammography for women age 40-74. Starting at 40 every 2 years aligns with current USPSTF guidance.

4A 78-year-old man has had multiple recent falls. As part of CDC STEADI, which initial screening tool best identifies fall risk in primary care?

A.Mini-Mental State Examination (MMSE)

B.Timed Up and Go (TUG) test

C.PHQ-9

D.Geriatric Depression Scale

Explanation: CDC STEADI (Stopping Elderly Accidents, Deaths, and Injuries) recommends the Timed Up and Go test as a core gait/balance screen; ≥12 seconds suggests increased fall risk. It complements the 3 STEADI questions and orthostatic vital signs.

5A 25-year-old man with no chronic conditions establishes care. Per USPSTF, which screening is Grade A or B and should be offered routinely at this visit?

A.Lipid panel for primary prevention

B.HIV screening

C.Prostate-specific antigen (PSA)

D.Carotid artery ultrasound

Explanation: USPSTF Grade A recommends HIV screening for all adolescents and adults aged 15-65, regardless of risk. Universal one-time HIV screening is standard practice.

6A 65-year-old woman comes in for an annual visit. She has not had a Pap test since age 60 (three consecutive normal Paps over the prior 10 years). She is not immunocompromised and has no history of CIN2+. What is the most appropriate plan?

A.Continue Pap every 3 years until age 70

B.Discontinue cervical cancer screening

C.Start co-testing every 5 years

D.Begin annual HPV testing

Explanation: USPSTF recommends stopping cervical cancer screening after age 65 in women with adequate prior screening (3 consecutive negative cytology or 2 consecutive negative co-tests within 10 years) and no history of CIN2+ or higher.

7A 70-year-old man is seen for chronic disease follow-up. Per ACIP adult immunization schedule, which sequence is appropriate for pneumococcal vaccination if he has never been vaccinated?

A.PCV20 alone (single dose)

B.PPSV23 followed by PCV13 in 1 year

C.PCV13 only

D.Two doses of PPSV23 separated by 5 years

Explanation: Current ACIP recommendations for pneumococcal-naive adults aged 65+ are a single dose of PCV20 OR PCV15 followed by PPSV23 at least 1 year later. PCV20 alone simplifies the schedule.

8A 60-year-old woman asks about RSV vaccination. She is healthy with mild COPD. According to current ACIP guidance, which statement is most accurate?

A.RSV vaccine is contraindicated in COPD

B.RSV vaccine is recommended for all adults age 50 and older

C.Adults 60-74 with risk factors (including COPD) and all adults 75+ are recommended to receive a single dose of RSV vaccine

D.RSV vaccination is required annually

Explanation: ACIP recommends a single dose of RSV vaccine for adults 75 and older, and for adults 60-74 at increased risk of severe RSV (e.g., chronic lung disease such as COPD, chronic cardiovascular disease, immunocompromise, residence in long-term care). It is given as a single dose, not annually.

9A 55-year-old woman with type 2 diabetes (A1c 8.4%) on metformin 1000 mg twice daily, BMI 33, and known atherosclerotic cardiovascular disease is reviewed. According to the ADA Standards of Care, which add-on therapy is most appropriate?

A.Sulfonylurea (glipizide)

B.GLP-1 receptor agonist with proven CV benefit

C.Pioglitazone

D.DPP-4 inhibitor

Explanation: ADA recommends a GLP-1 receptor agonist (or SGLT2 inhibitor) with proven cardiovascular benefit for people with type 2 diabetes and established ASCVD, independent of A1c and metformin status. GLP-1 RAs also support weight reduction (BMI 33).

10A 70-year-old man with HFrEF (LVEF 28%), creatinine 1.1 mg/dL, K+ 4.2, BP 118/72 is on lisinopril and metoprolol succinate. To complete guideline-directed medical therapy (GDMT) per ACC/AHA/HFSA guidelines, which two additional drug classes should be initiated?

A.Aldosterone antagonist (spironolactone) and SGLT2 inhibitor

B.Calcium channel blocker and digoxin

C.Aspirin and statin

D.Loop diuretic and amiodarone

Explanation: The four pillars of HFrEF GDMT are an ARNI (or ACEI/ARB), a beta-blocker, an MRA (e.g., spironolactone), and an SGLT2 inhibitor. He is missing the MRA and SGLT2i; his K+ and creatinine permit safe initiation.

About the AANPCB A-GNP Exam

The AANPCB A-GNP exam is the AANPCB national certification pathway for Adult-Gerontology Primary Care Nurse Practitioners and a parallel option to ANCC AGPCNP-BC. It uses 150 multiple-choice items (135 scored + 15 pretest) over 3 hours with a scaled passing score of 500.

Questions

150 scored questions

Time Limit

3 hours

Passing Score

500 scaled (200-800 scale)

Exam Fee

$240 AANP members / $315 non-members (AANPCB / Prometric)

AANPCB A-GNP Exam Content Outline

28%

Assess

History, physical, screening, labs, geriatric assessment, and risk stratification

25%

Diagnose

Differential diagnosis, ICD-10-CM coding, and evidence-based clinical criteria

25%

Plan

Pharm/non-pharm management, Beers, deprescribing, ACP, palliative referral, education

22%

Evaluate

Outcomes, follow-up, treatment effectiveness, and plan modification

How to Pass the AANPCB A-GNP Exam

What You Need to Know

Passing score: 500 scaled (200-800 scale)
Exam length: 150 questions
Time limit: 3 hours
Exam fee: $240 AANP members / $315 non-members

Keys to Passing

Complete 500+ practice questions
Score 80%+ consistently before scheduling
Focus on highest-weighted sections
Use our AI tutor for tough concepts

AANPCB A-GNP Study Tips from Top Performers

1Practice with NP-Process-proportional sets emphasizing Assess and Diagnose, which together account for over half of the exam

2Drill geriatric-specific reasoning: frailty, falls (CDC STEADI), polypharmacy, Beers/STOPP-START, and cognitive screening

3Pair every Plan choice with measurable Evaluate criteria so follow-up logic becomes automatic

4Master high-yield chronic disease guidelines: ACC/AHA HTN, ADA diabetes, GOLD COPD, GINA asthma, and HFrEF GDMT 4-pillar

5Run timed 50-question blocks to build pacing for 150 questions in 3 hours

Frequently Asked Questions

How many questions are on the AANPCB A-GNP exam?

AANPCB lists the Adult-Gerontology Primary Care NP exam at 150 multiple-choice questions, with 135 scored items and 15 unscored pretest items.

How long is the AANPCB A-GNP exam?

AANPCB lists a 3-hour testing time for the A-GNP exam.

What score do I need to pass AANPCB A-GNP?

AANPCB reports a scaled scoring range of 200-800 with a passing score of 500.

What is the AANPCB A-GNP blueprint?

The current AANPCB blueprint is built around the NP Process (Assess, Diagnose, Plan, Evaluate) cross-cut by patient age groups from adolescent through elderly, with knowledge areas in health assessment, pathophysiology, therapeutics, and evidence-informed practice.

How much does AANPCB A-GNP certification cost?

AANPCB currently lists exam application fees of $240 for AANP members and $315 for non-members for the online application.

Is AANPCB A-GNP different from ANCC AGPCNP-BC?

Yes. AANPCB (A-GNP) and ANCC (AGPCNP-BC) are distinct adult-gerontology primary care NP certification pathways with different blueprints and scoring scales. Both are nationally recognized; employers commonly accept either.