ANCC Adult-Gerontology Primary Care NP

Exam at a glance

Questions

175

Duration

210 minutes

Pass mark

score 350

Sections

Foundations · Advanced practice · Diagnosis & treatment · Professional role

Exam type

Written

Language

English

Authority

ANCC

Curriculum

Built from the question bank and updated automatically when new questions are added. 10 modules · 423 questions · Last updated: 30 October 2026

1. 01Cardiovascular and peripheral vascular disorders67 questions · 15.8 % of the bank

   Chapters

   • Foundations: anatomy of the heart
   • Foundations: conduction system and cardiac cycle
   • Foundations: circulation and blood vessels

   Sample question

   Sample question1 / 1 · 0 correct

   A 63-year-old man has fasting triglycerides of 1150 mg/dL (13.0 mmol/L) with no abdominal pain. He drinks 4 beers daily and has poorly controlled diabetes. Besides alcohol cessation and glycemic control, what is the main goal of drug therapy now?

   ARaise HDL cholesterol levelsBLower lipoprotein(a) levelsCPrevent gallstone formationDPrevent acute pancreatitis

   Keys: 1–5 or A–E to choose, Enter to check and continue, F to mark.

   MarkCheck answer
2. 02Endocrine and metabolic disorders59 questions · 13.9 % of the bank

   Chapters

   • Foundations: endocrine glands and feedback control
   • Foundations: the thyroid in the neck and endocrine emergencies

   Sample question

   Sample question1 / 1 · 0 correct

   A patient starting alendronate asks how to take it. Which instruction is correct?

   ATake with breakfast and milkBTake at bedtime lying downCTake with plain water, then stay upright for 30 minutesDTake with orange juice and calcium

   Keys: 1–5 or A–E to choose, Enter to check and continue, F to mark.

   MarkCheck answer
3. 03Geriatric syndromes, polypharmacy and function10 questions · 2.4 % of the bank

   Sample question

   Sample question1 / 1 · 0 correct

   An 81-year-old can bathe, dress and feed herself but can no longer manage her medicines or finances. Which domain is impaired?

   AInstrumental activities of daily livingBBasic activities of daily livingCMobilityDContinence

   Keys: 1–5 or A–E to choose, Enter to check and continue, F to mark.

   MarkCheck answer
4. 04Gastrointestinal and hepatic disorders50 questions · 11.8 % of the bank

   Chapters

   • Foundations: the digestive tract, digestion and absorption
   • Foundations: peptic ulcer disease and upper GI bleeding

   Sample question

   Sample question1 / 1 · 0 correct

   An 81-year-old in assisted living has chronic constipation despite adequate fluid intake. Which laxative is preferred first?

   AMineral oilBMagnesium citrate dailyCSodium phosphate enema dailyDPolyethylene glycol

   Keys: 1–5 or A–E to choose, Enter to check and continue, F to mark.

   MarkCheck answer
5. 05Renal, genitourinary, men's and women's health52 questions · 12.3 % of the bank

   Chapters

   • Foundations: structure and function of the kidney
   • Foundations: fluids and electrolytes
   • Foundations: the male urinary tract, prostate and testis

   Sample question

   Sample question1 / 1 · 0 correct

   A 68-year-old woman has vaginal dryness and painful intercourse. She has no history of breast cancer. Which treatment is most effective?

   AOral estrogen plus progestinBOral fluconazoleCLow-dose vaginal estrogenDTopical clotrimazole

   Keys: 1–5 or A–E to choose, Enter to check and continue, F to mark.

   MarkCheck answer
6. 06Adult health promotion, screening and immunization54 questions · 12.8 % of the bank
7. 07Musculoskeletal and dermatologic disorders10 questions · 2.4 % of the bank

   Chapters

   • Foundations: the skeleton, spine and pelvis
   • Foundations: shoulder, wrist and hand
   • Foundations: hip fractures, knee and ankle ligaments
   • Foundations: skin structure, primary lesions and burn depth
8. 08Neurologic and mental health disorders59 questions · 13.9 % of the bank

   Chapters

   • Foundations: brain anatomy and clinical localisation
   • Foundations: reflexes, the spinal cord and upper versus lower motor neuron signs
9. 09Respiratory and EENT disorders52 questions · 12.3 % of the bank

   Chapters

   • Foundations: anatomy of the respiratory tract
   • Foundations: alveoli and gas exchange
   • Foundations: mechanics and control of breathing
   • Foundations: the eye and the visual pathway
   • Foundations: the ear and the larynx
   • Foundations: paranasal sinuses and neck lymph nodes
10. 10Professional role, ethics and evidence-based practice10 questions · 2.4 % of the bank

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From registration to licence

The usual steps with ANCC. Details can change; check the current rules with ANCC before you register.

1. Check eligibility and collect your documents (degree, experience, good standing).
2. Create an account with ANCC and submit the application.
3. Receive the exam eligibility and book a date with the test centre.
4. Sit the exam. Results usually come within days.
5. After passing: complete licensing (for example primary source verification) and receive your licence.

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