Adult-Gerontology Primary Care Nurse Practitioner (A-GNP)

The A-GNP certification examination is an entry-level competency-based examination that tests clinical knowledge of young adults (including adolescents and emancipated minors), adults, older adults, and elderly.

How many questions are on the examination?

2023 A-GNP EXAMINATION BLUEPRINT


DOMAIN I

# of scored items

% items

01 - Assessment

37

28%

02 - Diagnosis

34

25%

03 - Plan

34

25%

04 - Evaluation

30

22%

TOTAL

135

100%



DOMAIN II - Patient Age *

# of scored items

% items

Adolescent

3

2%

Young Adult

18

13%

Adult

38

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.

DOMAINS AND TASKS


DOMAIN 01 - ASSESSMENT
  • Obtain subjective patient information, such as relevant medical history, social history, family history, chief complaint, history of present illness, and review of systems
  • Perform physical examination to obtain objective information based on patient age or developmental level, health history, and comorbidities
  • Order, perform, and interpret screening and diagnostic tests
DOMAIN 02 - DIAGNOSIS
  • Synthesize and analyze subjective and objective information to formulate differential diagnoses
  • Prioritize potential differential diagnoses, including recognizing urgent and emergent conditions
  • Establish primary diagnoses
DOMAIN 03 - PLAN
  • Establish an individualized, patient-centered plan of care that is consistent with best evidence
  • Initiate referrals and consultations and collaborate with interprofessional teams
  • Prescribe, order, and administer pharmacologic and non-pharmacologic therapies
  • Provide education, counselling, and health promotion strategies
DOMAIN 04 - EVALUATION
  • Evaluate the effectiveness of the plan of care
  • Identify existing barriers
  • Modify the plan of care as appropriate based on patient outcomes
  • Coordinate and monitor ongoing plan of care

A-GNP Knowledge Areas


Health Assessment

  • Health history
  • Signs and symptoms
  • Mental health assessment
  • Physical examination
  • Functional assessment
  • Diagnostic and therapeutic tests
  • Cultural competence/sensitivity
  • Therapeutic communication

Pathophysiology

  • Anatomy
  • Physiology
  • Pathophysiology
  • Comorbidities

Therapeutics

  • Pharmacologic therapies
  • Non-pharmacologic therapies
  • Integrative therapies

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