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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 exam 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 exam (eg- ADLs- IADLs- DME)
- Psychosocial exam (eg- health literacy- lifestyle- nutritional- caregiver/support- cultural- spiritual)
- Cognitive and mental health exam (eg- screening tools)
- Evidence-based practice and treatment guidelines
- Effects of development and aging on physiology and pathophysiology
- Synthesis of exam 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)