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Exam Code: ANCC AGPCNP-BC

Exam Name: Adult-Gerontology Primary Care Nurse Practitioner

Total Number of Questions: 175 multiple-choice questions (computer-based format).

Scored Questions: 150 (the remaining 25 are pretest/unscored items used for future test development

Time Allotted: 3.5 hours (210 minutes).

Passing Score: Scaled score of 350 or higher (out of 500).

Exam Availability: Offered year-round at Prometric testing centers (domestic and international). Candidates have a 120-day window to test after approval.

Validity and Renewal: Credential is valid for 5 years; renewal requires 75 continuing education hours (including 25 in pharmacotherapeutics), 1,000 practice hours, or re-examination.RetestingAllowed after 60 days; up to 3 attempts per 12-month period.

- Differentiation between normal and pathophysiological changes

- Comprehensive health history collection (eg, medical, surgical, medication, family/genetic)

- Physical examination

- Functional test (eg, ADLs, IADLs, DME)

- Psychosocial test (eg, health literacy, lifestyle, nutritional, caregiver/support, cultural, spiritual)

- Cognitive and mental health test (eg, screening tools)

- Evidence-based practice and treatment guidelines

- Effects of development and aging on physiology and pathophysiology

- Synthesis of test findings and differential diagnosis development

- Laboratory and diagnostic test selection and results interpretation

- Effects of development and aging on pharmacology (eg, Beers criteria, physiological considerations)

- Pharmacogenetics (eg, responses to medications)

- Pharmacokinetics and pharmacodynamics

- Pharmacotherapeutic decision making

- Pharmacology management (eg, reconciliation, monitoring, interactions, side effects, polypharmacy, deprescribing, allergies)

- Behavioral change (eg, motivational interviewing, models, theories)

- Advance care planning

- Palliative and hospice care

- Non-pharmacologic intervention selection (eg, procedures, referrals)

- Chronic condition management (eg, consideration of comorbidities and treatment)

- Education and counseling (eg, diagnosis, prognosis, treatment options)

- Reassessment and modification of treatment plan

- Scope of practice and regulatory guidelines

- Legal and ethical issues (eg, consent, assent, privacy, advocacy, abuse, exploitation, neglect)

- Environmental and social determinants of health, including principles of diversity, equity, and inclusion

- Health promotion and disease prevention (eg, population health, epidemiology)

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