What to expect on your AGNP certification exam

NPCB develops and administers competency-based certification examinations designed to support the continued advancement of nurse practitioner practice and patient care.

competency
Competency-based

The exam is designed to assess essential competencies required for entry-level Adult-Gerontology Nurse Practitioners.

150-question
150 questions

The test consists of 150 multiple-choice questions evaluating readiness for advanced nursing practice.

Here’s the Breakdown

Domain I Number of scored items: % items
01 – Assess 37 28%
02 – Diagnose 34 25%
03 – Plan 34 25%
04 – Evaluate 30 22%
Total 135 100%
Domain II – Patient Age* Number of scored items: % items:
Adolescent 3 2%
Young Adult 18 13%
Adult 28 28%
Older Adult 54 40%
Elderly 22 17%
Total 135 100%

Age Parameters are not defined for any population. AANPCB uses growth and development for constructing the certification exams.

Knowledge Areas

Heartbeat
Health Assessment
  • Health history
  • Mental health assessment
  • Physical examination
  • Diagnostic and therapeutic tests
  • Therapeutic communication
  • Signs and symptoms
  • Functional assessment
  • Cultural competence/sensitivity
heart-organ
Pathophysiology
  • Anatomy
  • Physiology
  • Pathophysiology
  • Comorbidities
Magnet
Therapeutics
  • Pharmacologic therapies
  • Non-pharmacologic therapies
  • Integrative therapies
Briefcase
Evidence-informed Practice
  • Clinical decision-making
  • Crisis management
  • Differential diagnosis
  • Health promotion, harm reduction, and disease prevention
  • Patient and family education and counselling
  • Principles of epidemiology, population health, and social determinants of health
  • Disaster preparedness / public health emergency response
  • Procedures
  • Transitions of care (transfer, end-of-life care, etc.)
  • Care of diverse populations
  • Healthcare finance, economics, and policy
  • Interprofessional practice
  • Legal and ethical issues
Smiling female doctor in a white coat with a stethoscope, promoting healthcare professionalism

Get Started

The AGNP certification examination is an entry-level competency-based examination that tests clinical knowledge of adolescent to older adult population.