AG-PCNP vs. AG-ACNP: What's the Difference? — Pacific College (2024)

The nurse practitioner is considered the fastest-growing healthcare profession. According to data from the BLS, the employment of nurse practitioners is projected to grow by 52%, way faster than average occupational growth. In addition to this, the aging population is also increasing, making nurse practitioners working in adult-gerontology more in demand than ever.

If you are interested, read this article to compare two famous adult-gerontology specialties: AGACNPs and AGPCNPs, going through their education, responsibilities, skills, workplace, and salary.

What Is an AG-PCNP?

AG-PCNP vs. AG-ACNP: What's the Difference? — Pacific College (1)

An AG-PCNP is an adult-gerontology primary care nurse practitioner responsible for caring for people from young adults to seniors. AG-PCNPs' scope of practice includes adolescents, adults, and older people with episodic or chronic conditions. They focus on patient education, health promotion, disease prevention, and health maintenance.

Education

AG-PCNPs are advanced practice registered nurses (APRNs); meaning they have a graduate degree. Therefore, the minimum educational requirement for this role is an MSN degree (additional options include a post-graduate certificate or doctor of nursing practice (DNP) degree).

After becoming a licensed RN and holding a BSN, you need to pursue a master's program concentrating in adult-gerontology primary care. The program must be accredited by the Accreditation Commission for Education in Nursing (ACEN) or the Commission on Collegiate Nursing Education (CCNE) and include a minimum of 500 faculty-supervised clinical hours. After graduating, you become eligible to take the AG-PCNP certification examination through the ANCC. The exam consists of 175 questions, and when you pass it, you will earn the AGPCNP-BC (Adult-Gerontology Primary Care Nurse Practitioner-Board Certified) credential.

Skills

As an AG-PCNP, you need to possess a wide range of skills that will serve you in working with the elderly. Although being an adult gerontology primary care nurse practitioner does not involve extremely sensitive cases, compassion is still needed as a vital component of an AG-PCNP nurse’s personality. In addition, being able to communicate effectively with patients is crucial for this role. Furthermore, attention to detail, patience, decision-making, time management, and problem-solving are all skills that an adult gerontology primary care nurse practitioner must excel at in order to succeed at the job.

Responsibilities

Adult-gerontology primary care nurse practitioners have a variety of responsibilities, which often depend on the facility or state where they practice. In general, they assess, diagnose, and manage patient health problems. They are also responsible for educating patients on disease prevention and healthy lifestyles.

AGPCNPs can also practice independently, where they order and analyze diagnostic tests, perform medical procedures, prescribe medicine, etc.

Other adult-gerontology primary care nurse practitioner responsibilities include:

  • obtaining medical histories,

  • performing physical examinations,

  • administering immunizations,

  • ordering tests,

  • managing transitions between care settings, and more.

Workplace

Working as an AGPCNP can be challenging but also rewarding in multiple aspects. One of them is that you get to work in a variety of settings. According to research conducted by the AANP, the top practice settings for adult-gerontology primary care NPs are hospital outpatient clinics, hospital inpatient units, and private group practices. In these environments, they educate patients and manage their health.

As an AGPCNP, you can find employment in:

  • Hospitals

  • Physicians' offices

  • Private practices

  • Nursing homes

  • Health clinics

  • Long-term care facilities

  • Rehabilitation centers

  • Urgent care clinics

  • Women's health clinics

  • Public health clinics

  • Rural health clinics

  • Schools

  • Prisons

Salary

According to reports, the average salary for an Adult-Gerontology Nurse Practitioner (AGNP) in the United States is around $98,788. The salary can range from $91,668 to $107,317, depending on various factors such as education, certifications, work experience, city, company, and so on. The more you invest in improving your skills and knowledge, the better the chances that you will be compensated with a higher salary for your job.

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What Is an AG-ACNP?

AG-PCNP vs. AG-ACNP: What's the Difference? — Pacific College (2)

Now that you know what an AGPCNP is, let's check the AGACNP meaning. AG-ACNP is another adult-gerontology NP specialty and stands for adult-gerontology acute care nurse practitioner. These professionals also take care of people from early adulthood to old age. They usually work in intensive care and acute care units, managing complex and critical conditions. According to the American Association of Nurse Practitioners (AANP), the majority of patients that they treat are diagnosed with heart failure, hypertension, or diabetes.

Education

To earn the AGACNP-BC (Adult-Gerontology Acute Care Nurse Practitioner-Board Certified) credential, you need an AG-ACNP master's program accredited by the CCNE or the ACEN. Additional education would be a postgraduate or doctoral degree.

So, with an RN license, BSN degree, having completed an AGACNP-BC program including 500 faculty-supervised clinical hours related to the AGACNP role, all that's left to do is apply for your certification exam. You can choose between the American Nurses Credentialing Center (ANCC) or the American Association of Critical-Care Nurses (AACN) to get your credentials from.

In addition, as an adult-gerontology acute care nurse practitioner, you can specialize in areas like critical care, oncology, cardiology, trauma, etc.

Skills

Because of the nature of their job, adult gerontology acute care nurse practitioners must have empathy and patience as essential personality traits. They need to be compassionate and be able to manage time, making rapid decisions when dealing with various emergencies like traumatic accidents, severe injury cases, etc. In addition, a successful AGACNP must also possess resourcefulness, decision-making, problem-solving, and critical thinking skills. Moreover, these nurses usually work alongside various other medical professionals, so they have to promote good communication skills, teamwork, as well as leadership skills.

Responsibilities

Adult-gerontology acute care nurse practitioners treat patients with acute, chronic, and critical illnesses in various settings. AGACNPs conduct initial health assessments, stabilize patients, help patients manage their health issues, and promote health maintenance. They deliver emergency and urgent care, addressing mental health concerns and physical needs.

The job responsibilities of an AGACNP usually include:

  • assessing patient health,

  • ordering and interpreting diagnostic tests,

  • developing treatment plans,

  • prescribing medication,

  • providing medical interventions,

  • communicating with patients and their families, etc.

Workplace

Even though adult-gerontology acute care nurse practitioners typically provide treatment in emergency departments, intensive care, and acute care units, you can also find them in many other facilities. Below you can find a list of places where an adult-gerontology acute care NP can work.

AGACNP practice settings include:

  • Inpatient hospitals

  • Community clinics

  • Emergency rooms (ER)

  • Surgical units

  • Nursing homes

  • Urgent care clinics

  • Trauma centers

  • Outpatient care facilities

  • Rehabilitative care units

  • Long-term care facilities

Salary

AG-PCNP vs. AG-ACNP: What's the Difference? — Pacific College (3)

The AGACNP-BC salary in the United States is relatively high. As an Adult-Gerontology Acute Care Nurse Practitioner, your average salary would be around $100,893. Like the other profession, this salary also depends on various factors, contributing to higher or lower compensation, typically within the $95,145-$108,144 range.

AG-PCNP vs. AG-ACNP

When we compare AGACNP vs. AGPCNP, we notice that in addition to some similarities, these types of adult-gerontology nurses have many differences as well. Although both AG-PCNPs and AG-ACNPs care for adults and geriatric patients, hold an MSN degree, possess similar skills, prescribe medications, and earn good salaries—they have their contrasts.

First of all, when pursuing an MSN degree, they focus on different program specialties. While AG-PCNPs concentrate on primary care, AG-ACNPs have an acute care concentration. Furthermore, AG-ACNPs can specialize in various areas, but for AG-PCNPs, specialization is uncommon.

Furthermore, typical duties also differ due to having different patient needs. AG-PCNPs tend to develop meaningful relationships with their patient while maintaining and managing their health. On the other hand, AG-ACNPs focus on caring for patients from admission to discharge, providing urgent care treatments.

Their work settings may intertwine, but AG-PCNPs are generally found in hospital outpatient clinics, hospital inpatient units, and private group practices; meanwhile, AG-ACNPs typically work in intensive care units, emergency departments, and acute care units.

Conclusion

Older people are among the groups that most deal with complex physical and mental health needs. Therefore, all types of geriatric nurse practitioners are valuable to help seniors cope with their medical issues.

If you are willing to work towards a career dedicated to assisting the elderly to stay active and comfortably live out their last years, any of the two options you pursue will be worth it.

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AG-PCNP vs. AG-ACNP: What's the Difference? — Pacific College (2024)

FAQs

What is the difference between Agacnp and Agpcnp? ›

AGACNP vs AGPCNP

The primary difference between acute care and primary care adult-gerontology nurse practitioners is that AGACNPs provide care that is episodic, while AGPCNPs provide care that is more routine.

Which is better FNP or Agpcnp? ›

So which role is right for you? Becoming an AGPCNP will let you specialize in adult primary care and address growing health care needs in the aging population. If you want the flexibility to treat patients of all ages, becoming an FNP may be ideal.

What is the pass rate for the ANCC Agacnp exam? ›

1 For reference, the national pass rate for the 2019 ANCC exam for AG-ACNP was 91%, and the 2019 AACN exam pass rate for AG-ACNP was 74%.

How many questions are on the ACNP exam? ›

Apply for Certification

The exam allows 3.5 hours to answer 175 questions (150 scored plus 25 pretest questions that are not scored).

What is the highest paid ACNP? ›

Acute Care Nurse Practitioner Salary
Annual SalaryMonthly Pay
Top Earners$145,000$12,083
75th Percentile$135,500$11,291
Average$121,877$10,156
25th Percentile$106,500$8,875

What are the different types of AGNP? ›

There are two types of adult gerontology NP specialties to consider: Adult Gerontology Primary Care Nurse Practitioner (AGPCNP, commonly referred to as “AGNP”) and Adult Gerontology Acute Care Nurse Practitioner (AGACNP).

Is the ANCC exam harder than AANP? ›

The AANP is rumored to be the easier of the two exams, specifically for those seeking their FNP certification since it has a 5% higher pass rate than that of the ANCC FNP exam. Using the pass rate as a basis for difficulty then you can reasonably say that the AANP exam is easier than the ANCC.

How many questions do you have to get right to pass the ANCC? ›

To pass the ANCC examination, an examinee must achieve a scale score of 350 or higher. Prior to conversion of an examinee's score to this scale, the examinee's raw score on the examination is determined, which is simply the number of test items that the examinee answered correctly (e.g., 105 out of 150).

Can I take AANP if I fail ANCC? ›

If you fail the AANP exam, can you take the ANCC exam (and vice versa)?* The AANP and the ANCC are completely separate organizations and they do not communicate about an individual's exam status. * You may take and retake either exam as long as you meet the board's eligibility requirements for testing and retesting.

What is the passing score for the ACNPC AG exam? ›

The highest scaled score on the ANCC exam is 500, and 350 is a passing score.

How hard is the nurse practitioner exam? ›

The national certification exam for nurse practitioners is the hardest exam you will face. It is given by several institutions, like the Pediatric Nursing Certification Board, the American Academy of Nurse Practitioners, and the American Nurses Credentialing Center.

What is the difference between AACN and ANCC? ›

The ANCC certification test blueprint has the majority of questions focused on clinical practice, but it has a greater percentage of questions focused on role-professional responsibilities and health care systems than the AACN examination. How can nurses determine which one would be the better for them to pursue?

Which NP specialty is the hardest? ›

WHAT ARE THE HARDEST NURSE PRACTITIONER SPECIALTIES?
  1. Adult Acute Care Nurse Practitioner. ...
  2. Oncology Nurse Practitioner. ...
  3. Psychiatric Nurse Practitioner. ...
  4. Emergency Nurse Practitioner. ...
  5. Armed Forces NP. ...
  6. Adult-Gerontology Nurse Practitioner. ...
  7. Correctional Nurse Practitioner. ...
  8. Substance Abuse Nurse Practitioner.

Which NP specialty is easiest? ›

WHAT ARE THE EASIEST NURSE PRACTITIONER SPECIALTIES TO GET ACCEPTED INTO?
  1. Adult-Gerontology Nurse Practitioner. ...
  2. Pediatric Nurse Practitioner. ...
  3. Family Nurse Practitioner. ...
  4. Occupational Health Nurse Practitioners (OHNP) ...
  5. Aesthetic Nurse Practitioner.

What type of NP is most in demand? ›

According to the American Association of Nurse Practitioners and labor statistics, the most in-demand specialties for NP include: Family (70.3%) Adult-Gerontology Primary Care (8.9%)

Which state has the highest NP salary? ›

What state has the highest NP salary? According to the BLS, Nurse Practitioners in California earn the highest salary. Their average salary is $151,830 per year or $72.99 per hour.

What is the highest-paying nursing specialty? ›

Highest Paid Nursing Jobs:
  • Neonatal Intensive Care Nurse – $120,000.
  • General Nurse Practitioner – $118,000.
  • Critical Care Nurse – $118,000.
  • Certified Nurse Midwife – $114,000.
  • Informatics Nurse – $102,000.
  • Clinical Nurse Specialist – $95,000.
  • Nurse Educator – $82,000.
  • Legal Nurse Consultant – $81,000.
Dec 5, 2022

What is the highest-paying PA specialty? ›

1. What Is the Highest-Paying PA Specialty? The highest-paying PA specialty is cardiovascular/cardiothoracic surgery. The median salary for this specialty is $147,200 for an average of eight years of experience.

How much does an AGNP get paid in PA? ›

How much does an Adult Gerontology Nurse Practitioner (AGNP) make in Pennsylvania? The average Adult Gerontology Nurse Practitioner (AGNP) salary in Pennsylvania is $104,469 as of June 26, 2023, but the range typically falls between $96,940 and $113,492.

How do you address a nurse practitioner? ›

Without giving it much thought, patients simply say, “Doctor” or “Doctor Jones.” When an NP is the health professional on call, however, what to say isn't always clear. Since NPs are diagnosticians, treatment providers, and caregivers, it may seem more respectful to add a sense of formality when addressing them.

What is the salary of AGNP in Texas? ›

How much does an Adult Gerontology Nurse Practitioner (AGNP) make in Texas? The average Adult Gerontology Nurse Practitioner (AGNP) salary in Texas is $102,899 as of June 26, 2023, but the range typically falls between $95,483 and $111,786.

Why choose AANP over ANCC? ›

If you want to show your assessment and diagnosis skills, the AANP might be the better fit. Think about the ANCC exam if you want to show your prowess with theory and professional issues. It's not unheard of to take both; you could also apply to test for both and stop after passing one if that feels right to you.

How many questions can you get wrong on AANP? ›

How many questions can you miss on the AANP exam and pass? AANP Family Nurse Practitioner certification exam consists of 150 questions. Scoring works on a scale of 200 to 800 points with a minimum passing score of 500. Your score is neither a number or a percent correct score.

Which exam should I take ANCC or AANP? ›

The AANP exam is a multiple choice exam. The ANCC exam contains several question types: multiple choice, multiple response, drop and drag, and hot spot. If you are not comfortable with question formats that are not multiple choice, AANP testing may be a good choice for you.

How long should you study for ANCC exam? ›

Plan to start studying for the FNP exam about six months prior to taking your exam. Starting 6 months in advance will allow you to make sure that you're completely prepared for the exam. Sit down with your calendar and develop a study schedule. Try to plan to study 2 to 3 hours a day 5 to 6 days a week.

When can you retake ANCC if you fail? ›

If you do not pass a certification exam, you may apply to retest after 60 days. Applicants may not test more than 3 times in any 12 months.

Do you find out if you pass ANCC right away? ›

ANCC and AANPCB: you will find out right away, after you complete your exam, this is your "unofficial" score. Ask the proctor to print your scores. Your official scores will come directly from the ANCC or AANPCB. It will be in "Pass/Fail" format (unofficial scores).

How many times can you fail NP boards? ›

What happens if I fail the exam? ANCC: If you fail the ANCC FNP exam you will have the ability to retake the test after 60 days of the last testing date; however, you cannot take the exam more than three times in any 12 month period.

What is the highest score on AANP exam? ›

The AANP-FNP exam is scored on a range of 200 to 800. The AANP certification passing score is 500.

Do you find out right away if you pass AANP? ›

Tips: Your official results (pass or no pass) will be available on your AANP account within 1 week of testing (usually within 1-3 days). Results will be sent to the State Boards of Nursing you designated on your application within 1 day of your score being released.

What is a scaled score for NHA exam? ›

The scaled passing score for all examinations is 390/500. The number of currently active certifications is as of December 31, 2022.

How are NHA exams scored? ›

Questions are scored as either correct or incorrect — a correct answer is assigned a score of one and an incorrect answer is assigned a score of zero. A candidate's total score on an examination is the sum of all scores on scored items on the exam.

What is the difference between FNP BC and FNP C? ›

Perhaps most importantly, the certification exams have different scopes. The FNP-C is meant for FNPs who plan to go into clinical practice. The FNP-BC is aimed at nurse practitioners who want to make an impact on the profession as a teacher or policymaker (although they are still licensed to practice).

What is the hardest nursing exam? ›

Preparing to take the NCLEX is enough to make just about anyone nervous. It's a difficult exam, and a major stepping stone in your career as a registered nurse. Remember that most people pass the NCLEX on the first try. However, preparation and confidence are key to passing.

What is the hardest exam for nurses? ›

The National Council Licensure Examination, or NCLEX, is a critical exam that every nursing student must take to become a licensed nurse. Passing the NCLEX is essential to begin your nursing career, but it is also one of the most challenging exams you will ever take.

Is NP exam harder than NCLEX? ›

Yes, NCLEX-RN is harder than NCLEX-PN because it tests for a greater breadth and depth of knowledge. It's for this reason that the NCLEX-RN is usually considered more difficult than NCLEX-PN. However, both exams are challenging and require extensive preparation.

How many times can you take the AACN exam? ›

For additional information refer to the Prepare to Take Your Exam page. Candidates may sit for the CCRN exam up to four times in a 12-month period. Candidates who do not pass the exam are eligible for a discounted retest fee, which is available until the exam is passed.

Can I take both AANP and ANCC? ›

This is not recommended, but some people do it. The only reason why you would need to take both exams is if you are considering a specialty that's not certified by one of them. For example, if you are an FNP that's certified with the AANP, and you want to become a PMHNP, you would have to be certified by the ANCC.

How long is AACN good for? ›

A: During your 3-year certification period, you must continue to maintain current, unencumbered RN or APRN licensure and complete the Renewal by Synergy CERPs program requirements or pass the PCCN exam.

Why choose AGPCNP? ›

AGPCNPs play an especially vital role. That's because they can care for patients ages 18 and over, the population most affected by chronic disease. AGPCNPs are educated to not only manage and treat chronic disease but to prevent it. As an AGPCNP, you'll help save lives and reduce healthcare costs.

What is Agpcnp in medical terms? ›

Adult-Gerontology Primary Care Nurse Practitioner Certification (AGPCNP-BC®)

What does Agpcnp stand for in medical terms? ›

For the adult-gerontology primary care nurse practitioner certification (AGNP-C), you will need at least 500 hours of supervised clinical experience.

Why is the demand for nurse practitioners so high? ›

The growth of this profession is due to many factors. From an aging baby boomer population to an increased need for care in hard-to-reach places. Nurse practitioners are also well respected in the medical community and the job perks make it a popular profession for us too.

Is AGNP in demand? ›

These advanced practice nurses treat acute and chronic illnesses of people over 18 and into their older years. Because the U.S. population is aging, this nursing career path is in demand and growing. What Is an AGNP?

How to study for AGNP exam? ›

10 Exam Prep Tips for the AGNP Exam
  1. Start seriously reviewing at least 3 months in advance. ...
  2. Prepare a study schedule by organ system. ...
  3. Concentrate your studies on your weaker areas. ...
  4. Attend at least one quality review course and buy CDs or online access to a second. ...
  5. Buy a new notebook. ...
  6. Find a study buddy!
Jan 25, 2019

What is the difference between an FNP and an AGNP? ›

The role of the adult-gerontology nurse practitioner (AGNP) is quite similar to that of the FNP with at least one major exception — the age of their patient population. While FNPs may treat patients from infancy through old age, AGNPs treat patients from adolescence (typically from age 13) through old age.

What is the difference between a CRNP and a NP? ›

Because a CRNP has an advanced degree, they share some skills and abilities with primary care doctors. In some states, a CRNP is known as an advanced practice registered nurse (APRN). Any nurse with the NP designation has undergone advanced training to practice as a nurse practitioner.

What is the role of the Agpcnp? ›

What Is an AGPCNP? The role of the AGPCNP is to assess, diagnose and plan for the health needs of all adults, from young adults to seniors.

What does ACNP AG stand for? ›

Now, the designation is Adult-Gerontology Acute Care Nurse Practitioners (AGACNPs). The NPs with this population focus continue to provide compassionate, time-sensitive and team-based care in a variety of settings.”

What is the difference between FNP BC and FNP-C? ›

Perhaps most importantly, the certification exams have different scopes. The FNP-C is meant for FNPs who plan to go into clinical practice. The FNP-BC is aimed at nurse practitioners who want to make an impact on the profession as a teacher or policymaker (although they are still licensed to practice).

Which exam is harder ANCC or AANP? ›

The AANP is rumored to be the easier of the two exams, specifically for those seeking their FNP certification since it has a 5% higher pass rate than that of the ANCC FNP exam.

Should I take both AANP and ANCC? ›

If you want to show your assessment and diagnosis skills, the AANP might be the better fit. Think about the ANCC exam if you want to show your prowess with theory and professional issues. It's not unheard of to take both; you could also apply to test for both and stop after passing one if that feels right to you.

How do I choose between AANP and ANCC? ›

The AANP exam is a multiple choice exam. The ANCC exam contains several question types: multiple choice, multiple response, drop and drag, and hot spot. If you are not comfortable with question formats that are not multiple choice, AANP testing may be a good choice for you.

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