AANP CLINICAL SCENARIOS ACTUAL EXAM
2026 CERTIFICATION ASSESSMENT
QUESTIONS AND SOLUTIONS GRADED A+
◉ Statistics. Answer: - leading causes of death: Heart disease, cancer,
lung disease
- leading cause of cancer death: lung
- leading cause of death in adolescents: accidents
- most common cancer: skin.
- in males: prostate. in females: breast
suicide: males more successful, women more attempts. highest rate
is older white males.
◉ Osgood-Schlatter:. Answer: knee pain in young adults, overuse.
Repetitive stress pain, tenderness, swelling at the tendon's insertion
site. The tibial tuberosity. Rule out avulsion fracture if there is an
acute onset and order a lateral xray. RICE. Usually stops when the
growth stops.
◉ If patient has right sided weakness, etc. the CVA occurred where.
Answer: left side
,◉ initial evaluation of symptoms of acute prostatitis. Answer:
Urinalysis and urine culture
◉ A 65-year-old woman presents for a follow-up examination after a
new patient visit. She has not seen a healthcare provider for several
years. She is a smoker and her hypertension is now adequately
controlled with medication. Her mother died at age 40 from a heart
attack. The fasting lipid profile shows cholesterol = 240 mg/dL, HDL
= 30, and LDL = 200. In addition to starting Therapeutic Lifestyle
Changes, the nurse practitioner should start the patient on:
1. bile acid sequestrant.
2. a statin drug.
3. a cholesterol absorption inhibitor.
4. low-dose aspirin.. Answer: A statin drug
◉ Ortolani's Click. Answer: a click is heard or felt as dislocation is
reduced (developmental dysplasia of hip) (good until one year)
,◉ Which of the following laboratory tests should a nurse
practitioner order when the suspected diagnosis is temporal
arteritis?. Answer: Erythrocyte sedimentation rate (ESR)
◉ What are narrow therapeutic index drugs?. Answer: 1. Warfarin
sodium (Coumadin): monitor INR
2. Digoxin (lanoxin): monitor digoxin level, EKG,
electrolytes(potassium, magnesium, calcium)
3. Theophylline: monitor blood levels
4. Carbamazepime (Tegretol) and Phenytoin (Dilantin): Monitor
blood levels
5. Levothyroxine: Monitor TSH
6. Lithium: Monitor blood levels, TSH (risk of hypothyroidism)
◉ Otitis Externa tx. Answer: Fluoroquinolone & Polymyxin B
cortisporin drops
◉ An elderly male patient complains of a new-onset, left-sided
temporal headache accompanied by scalp tenderness and indurated
temporal artery. The NP suspects temporal arteritis. What screening
test would you order to assist with diagnosis?. Answer:
sedimentation rate (expect to be very elevated)
, ◉ Basal Cell Carcinoma. Answer: Pearly domed nodule with
overlaying telangiectatic vessels. Could be plaque, papule, possible
central ulceration and crusting. Dx: Biopsy Tx:
◉ Normal, healthy woman of reproductive age. Answer: white, clear,
flocculent(physiologic leukorrhea), no complaints, pH 3.8-4.2
(toward acidic), no odor, microscopic shows lactobacilli
(gram+bacteria)
◉ Multiple infections from bacteria and fungus?. Answer: Screen for
HIV
◉ Screening Tests. Answer: - sensitivity: detect those WITH the
disease. higher the sensitivity is higher the false positives
- Specificty: detect those who DONT have the disease.
◉ erythromycin for chlamydia eye infection in infants. Answer: ...
◉ to assess pts ability to think abstractly a nurse pract could ask the
patient. Answer: the meaning of a common proverb
◉ The most commonly prescribed medication for mild systemic
lupus erythematosus (SLE) is:
2026 CERTIFICATION ASSESSMENT
QUESTIONS AND SOLUTIONS GRADED A+
◉ Statistics. Answer: - leading causes of death: Heart disease, cancer,
lung disease
- leading cause of cancer death: lung
- leading cause of death in adolescents: accidents
- most common cancer: skin.
- in males: prostate. in females: breast
suicide: males more successful, women more attempts. highest rate
is older white males.
◉ Osgood-Schlatter:. Answer: knee pain in young adults, overuse.
Repetitive stress pain, tenderness, swelling at the tendon's insertion
site. The tibial tuberosity. Rule out avulsion fracture if there is an
acute onset and order a lateral xray. RICE. Usually stops when the
growth stops.
◉ If patient has right sided weakness, etc. the CVA occurred where.
Answer: left side
,◉ initial evaluation of symptoms of acute prostatitis. Answer:
Urinalysis and urine culture
◉ A 65-year-old woman presents for a follow-up examination after a
new patient visit. She has not seen a healthcare provider for several
years. She is a smoker and her hypertension is now adequately
controlled with medication. Her mother died at age 40 from a heart
attack. The fasting lipid profile shows cholesterol = 240 mg/dL, HDL
= 30, and LDL = 200. In addition to starting Therapeutic Lifestyle
Changes, the nurse practitioner should start the patient on:
1. bile acid sequestrant.
2. a statin drug.
3. a cholesterol absorption inhibitor.
4. low-dose aspirin.. Answer: A statin drug
◉ Ortolani's Click. Answer: a click is heard or felt as dislocation is
reduced (developmental dysplasia of hip) (good until one year)
,◉ Which of the following laboratory tests should a nurse
practitioner order when the suspected diagnosis is temporal
arteritis?. Answer: Erythrocyte sedimentation rate (ESR)
◉ What are narrow therapeutic index drugs?. Answer: 1. Warfarin
sodium (Coumadin): monitor INR
2. Digoxin (lanoxin): monitor digoxin level, EKG,
electrolytes(potassium, magnesium, calcium)
3. Theophylline: monitor blood levels
4. Carbamazepime (Tegretol) and Phenytoin (Dilantin): Monitor
blood levels
5. Levothyroxine: Monitor TSH
6. Lithium: Monitor blood levels, TSH (risk of hypothyroidism)
◉ Otitis Externa tx. Answer: Fluoroquinolone & Polymyxin B
cortisporin drops
◉ An elderly male patient complains of a new-onset, left-sided
temporal headache accompanied by scalp tenderness and indurated
temporal artery. The NP suspects temporal arteritis. What screening
test would you order to assist with diagnosis?. Answer:
sedimentation rate (expect to be very elevated)
, ◉ Basal Cell Carcinoma. Answer: Pearly domed nodule with
overlaying telangiectatic vessels. Could be plaque, papule, possible
central ulceration and crusting. Dx: Biopsy Tx:
◉ Normal, healthy woman of reproductive age. Answer: white, clear,
flocculent(physiologic leukorrhea), no complaints, pH 3.8-4.2
(toward acidic), no odor, microscopic shows lactobacilli
(gram+bacteria)
◉ Multiple infections from bacteria and fungus?. Answer: Screen for
HIV
◉ Screening Tests. Answer: - sensitivity: detect those WITH the
disease. higher the sensitivity is higher the false positives
- Specificty: detect those who DONT have the disease.
◉ erythromycin for chlamydia eye infection in infants. Answer: ...
◉ to assess pts ability to think abstractly a nurse pract could ask the
patient. Answer: the meaning of a common proverb
◉ The most commonly prescribed medication for mild systemic
lupus erythematosus (SLE) is:
