Comprehensive AANP FNP TEST
Reviewed Study Guide Exam Latest
2026/2027 Updated 100% Verified
Questions and Solutions A+ Pass
Guaranteed
ADA screening for DM in Children - ans-symptomatic children (polyuria, polydipsia,
polyphagia, blurred vision) regardless of risk factors
-asymptomatic children after puberty or 10 years of age or older if overweight or obese
(>85th percentile). Plus 1 of the following:
*T2DM in 1st or 2nd degree relative
*high risk racial/ethnic group
*signs of insulin resistance (HTN, dyslipidemia, acanthosis nigricans, PCOS, SGA)
*maternal hx of DM or GDM during the child's gestation
Statistics - ans- 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: - ansknee 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 - ansleft side
initial evaluation of symptoms of acute prostatitis - ansUrinalysis 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. - ansA statin drug
Ortolani's Click - ansa 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? - ansErythrocyte sedimentation rate (ESR)
What are narrow therapeutic index drugs? - ans1. Warfarin sodium (Coumadin): monitor INR
2. Digoxin (lanoxin): monitor digoxin level, EKG, electrolytes(potassium, magnesium,
calcium)
3. Theophylline: monitor blood levels
,Comprehensive AANP FNP TEST
Reviewed Study Guide Exam Latest
2026/2027 Updated 100% Verified
Questions and Solutions A+ Pass
Guaranteed
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 - ansFluoroquinolone & 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? - anssedimentation rate (expect to be
very elevated)
Basal Cell Carcinoma - ansPearly domed nodule with overlaying telangiectatic vessels. Could
be plaque, papule, possible central ulceration and crusting. Dx: Biopsy Tx:
Normal, healthy woman of reproductive age - answhite, 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? - ansScreen for HIV
Screening Tests - ans- 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 - ans...
to assess pts ability to think abstractly a nurse pract could ask the patient - ansthe meaning of
a common proverb
The most commonly prescribed medication for mild systemic lupus erythematosus (SLE) is:
1.
azathioprine (AZA).
2.
belimumab (Benlysta).
3.
ibuprofen (Advil).
4.
cyclophosphamide (Cytoxan). - ansibuprofen (advil)
A 17-year-old female is suspected of having polycystic ovary syndrome. In addition to
testosterone, the most appropriate diagnostic tests to order would be: - ansfollicle-stimulating
hormone (FSH), luteinizing hormone (LH), prolactin, and thyroid-stimulating hormone
(TSH).
Barlow's Maneuver - ansFeeling of a slip as the femoral head slips away from the acetabulum
(toward the butt) (good until 6 mo)
Candida vulvovaginitis - ansetiology: candida albican (80-90%)
white, curdy, "cottage-cheese" like, sometimes increased, itching/burning discharge, pH <4.5,
odor is usually absent, microscopic shows mycelia, budding yeast, pseudohyphae w/KOH
prep. Treatment: oral diflucan or vaginal miconazole or terconazole
,Comprehensive AANP FNP TEST
Reviewed Study Guide Exam Latest
2026/2027 Updated 100% Verified
Questions and Solutions A+ Pass
Guaranteed
PSEUDOHYPHAE, CLOTRIMAZOLE CREAM
Proton Inhibitors - ansIncreased risk of fractures(postmenopausal women),
Pneumonia, Clostridium difficile infection, hypomagnesemia, B12 and iron malabsorption,
atrophic gastritis, and kidney disease
Bacterial Conjunctivitis tx - ansEye drops or ointment: Polytrim, trimethoprim, polymyxin,
macrolide
A patient with an elevated WBC (>11k) accompanied by neutrophilia (>70%) and the
presence of bands is what kind of shift and prognosis? - ans-Shift to the left
-Serious bacterial infection
Actinic Keratosis - ansRough flat, dry crusty, erythematous papules or plaques. Scaly patch
of red brown skin caused by years of SUN exposure. Precursor to squamous cell carcinoma.
Dx. Biopsy. Tx: topical 5 fluroracil 5-FU, cryotherapy.
A patient with macular degeneration has deficit vision in? - ansCentral vision
Dacyrocystitis - ansTypical symptoms of acute tear duct infection include:
Pain, redness and swelling of the lower eyelid at the inner corner of the eye
Excessive tearing
Pus or discharge from the eye
Fever
Tx:
lacrimal sac massage- rub down towards mouth.
oral clindamycin (topical tobramycin or moxifloxacin if mild-purulent drainage, no redness)
Pre-DM in children values - ansA1C: 5.7% to 6.4%
Fasting: 100-125
2 hour GTT: 140-199
Primary Prevention - ans- individual actions: eating nutritious diet, exercise, seatbelts, gun
safety. IMMUNIZATIONS
squamous epithelial cells with stippling appearance, no lactobacilli and many WBCs is -
answet mount that shows BV
trigeminal neuralgia manifests - anselectric shock facial pain
The most common sign of cervical cancer is:
1.
postcoital bleeding.
2.
strong odor from vaginal discharge.
3.
itching in the vaginal area.
4.
molluscum contagiosum. - anspostcoital bleeding
To assess a patient's ability to think abstractly, a nurse practitioner could ask the patient: -
ansthe meaning of a common proverb.
, Comprehensive AANP FNP TEST
Reviewed Study Guide Exam Latest
2026/2027 Updated 100% Verified
Questions and Solutions A+ Pass
Guaranteed
Auspitz sign - ansdroplets of blood when scales removed = psoriasis
Bacterial vaginosis - ansetiology: unclear, likely polymicrobial, associated with G. vaginalis,
M. hominid, others.
thin, homogeneous, white, gray, adherent, often increased, discharge is foul odor(fishy),
itching is occasionally present, pH 5-7(alkaline- no active bacilli in vagina), "fishy" smell,
microscopic > 20 clue cells/HPF, few or no WBCs. Treatment: metronidazole topical, oral
Flagyl, clindamycin vaginal cream, oral tinidazole (Tindamax)
CLUE CELLS, METRONIDAZOLE GEL OR ORAL, CLINDAMYCIN CREAM
Omeprazole (Prilosec) - ansinteracts with with Warfarin (Coumadin),
diazepam (Valium),
Carbamazepine (Tegretol),
Pheytoin (Dilantin),
ketocanazole (Nizoral)
Viral Conjunctivitis tx - ansAntihistamine, decongestant drops (Trigluridine in herpes
conjunctivitis)
What is the common presentation of a navicular fracture? - ansTenderness at the "N spot,"
which is defined as the proximal dorsal portion of the navicular (see the image below). This
is the most important physical finding.
Melanoma - ansABCDE: asymmetry, border irregularity, color variation, diameter greater
than .6 mm, elevation above skin level.
Type 2 DM in children values - ansA1C: >6.5%
Fasting: >126
2 hour GTT: >200
Random: >200
Central clearing lesion after camping trip flu like symptoms with muscle aches for several
days is? and treated by? - ansLyme disease; doxycycline
Wilms tumor - ans(Nephroblastoma)- Not painful. Asymptomatic abd mass does NOT cross
the midline. 2-3 y. o.d. do not palpate. Do ABD US. PUNT. Think Nephro doesn't cross.
Stays where kidney is.
the headache of an intracranial tumor - ansfocal neurological signs and pain worse in supine
position
socioeconomic status - ansnot important during employment physical with 21 yo with
bruising on breasts
The nurse practitioner prescribes amitriptyline (Elavil) for a patient with neuropathic pain
secondary to diabetes mellitus. On follow-up, the patient complains of urine retention and dry
mouth. The practitioner would:
1.
discontinue amitriptyline and begin ibuprofen (Motrin).
2.
Reviewed Study Guide Exam Latest
2026/2027 Updated 100% Verified
Questions and Solutions A+ Pass
Guaranteed
ADA screening for DM in Children - ans-symptomatic children (polyuria, polydipsia,
polyphagia, blurred vision) regardless of risk factors
-asymptomatic children after puberty or 10 years of age or older if overweight or obese
(>85th percentile). Plus 1 of the following:
*T2DM in 1st or 2nd degree relative
*high risk racial/ethnic group
*signs of insulin resistance (HTN, dyslipidemia, acanthosis nigricans, PCOS, SGA)
*maternal hx of DM or GDM during the child's gestation
Statistics - ans- 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: - ansknee 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 - ansleft side
initial evaluation of symptoms of acute prostatitis - ansUrinalysis 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. - ansA statin drug
Ortolani's Click - ansa 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? - ansErythrocyte sedimentation rate (ESR)
What are narrow therapeutic index drugs? - ans1. Warfarin sodium (Coumadin): monitor INR
2. Digoxin (lanoxin): monitor digoxin level, EKG, electrolytes(potassium, magnesium,
calcium)
3. Theophylline: monitor blood levels
,Comprehensive AANP FNP TEST
Reviewed Study Guide Exam Latest
2026/2027 Updated 100% Verified
Questions and Solutions A+ Pass
Guaranteed
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 - ansFluoroquinolone & 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? - anssedimentation rate (expect to be
very elevated)
Basal Cell Carcinoma - ansPearly domed nodule with overlaying telangiectatic vessels. Could
be plaque, papule, possible central ulceration and crusting. Dx: Biopsy Tx:
Normal, healthy woman of reproductive age - answhite, 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? - ansScreen for HIV
Screening Tests - ans- 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 - ans...
to assess pts ability to think abstractly a nurse pract could ask the patient - ansthe meaning of
a common proverb
The most commonly prescribed medication for mild systemic lupus erythematosus (SLE) is:
1.
azathioprine (AZA).
2.
belimumab (Benlysta).
3.
ibuprofen (Advil).
4.
cyclophosphamide (Cytoxan). - ansibuprofen (advil)
A 17-year-old female is suspected of having polycystic ovary syndrome. In addition to
testosterone, the most appropriate diagnostic tests to order would be: - ansfollicle-stimulating
hormone (FSH), luteinizing hormone (LH), prolactin, and thyroid-stimulating hormone
(TSH).
Barlow's Maneuver - ansFeeling of a slip as the femoral head slips away from the acetabulum
(toward the butt) (good until 6 mo)
Candida vulvovaginitis - ansetiology: candida albican (80-90%)
white, curdy, "cottage-cheese" like, sometimes increased, itching/burning discharge, pH <4.5,
odor is usually absent, microscopic shows mycelia, budding yeast, pseudohyphae w/KOH
prep. Treatment: oral diflucan or vaginal miconazole or terconazole
,Comprehensive AANP FNP TEST
Reviewed Study Guide Exam Latest
2026/2027 Updated 100% Verified
Questions and Solutions A+ Pass
Guaranteed
PSEUDOHYPHAE, CLOTRIMAZOLE CREAM
Proton Inhibitors - ansIncreased risk of fractures(postmenopausal women),
Pneumonia, Clostridium difficile infection, hypomagnesemia, B12 and iron malabsorption,
atrophic gastritis, and kidney disease
Bacterial Conjunctivitis tx - ansEye drops or ointment: Polytrim, trimethoprim, polymyxin,
macrolide
A patient with an elevated WBC (>11k) accompanied by neutrophilia (>70%) and the
presence of bands is what kind of shift and prognosis? - ans-Shift to the left
-Serious bacterial infection
Actinic Keratosis - ansRough flat, dry crusty, erythematous papules or plaques. Scaly patch
of red brown skin caused by years of SUN exposure. Precursor to squamous cell carcinoma.
Dx. Biopsy. Tx: topical 5 fluroracil 5-FU, cryotherapy.
A patient with macular degeneration has deficit vision in? - ansCentral vision
Dacyrocystitis - ansTypical symptoms of acute tear duct infection include:
Pain, redness and swelling of the lower eyelid at the inner corner of the eye
Excessive tearing
Pus or discharge from the eye
Fever
Tx:
lacrimal sac massage- rub down towards mouth.
oral clindamycin (topical tobramycin or moxifloxacin if mild-purulent drainage, no redness)
Pre-DM in children values - ansA1C: 5.7% to 6.4%
Fasting: 100-125
2 hour GTT: 140-199
Primary Prevention - ans- individual actions: eating nutritious diet, exercise, seatbelts, gun
safety. IMMUNIZATIONS
squamous epithelial cells with stippling appearance, no lactobacilli and many WBCs is -
answet mount that shows BV
trigeminal neuralgia manifests - anselectric shock facial pain
The most common sign of cervical cancer is:
1.
postcoital bleeding.
2.
strong odor from vaginal discharge.
3.
itching in the vaginal area.
4.
molluscum contagiosum. - anspostcoital bleeding
To assess a patient's ability to think abstractly, a nurse practitioner could ask the patient: -
ansthe meaning of a common proverb.
, Comprehensive AANP FNP TEST
Reviewed Study Guide Exam Latest
2026/2027 Updated 100% Verified
Questions and Solutions A+ Pass
Guaranteed
Auspitz sign - ansdroplets of blood when scales removed = psoriasis
Bacterial vaginosis - ansetiology: unclear, likely polymicrobial, associated with G. vaginalis,
M. hominid, others.
thin, homogeneous, white, gray, adherent, often increased, discharge is foul odor(fishy),
itching is occasionally present, pH 5-7(alkaline- no active bacilli in vagina), "fishy" smell,
microscopic > 20 clue cells/HPF, few or no WBCs. Treatment: metronidazole topical, oral
Flagyl, clindamycin vaginal cream, oral tinidazole (Tindamax)
CLUE CELLS, METRONIDAZOLE GEL OR ORAL, CLINDAMYCIN CREAM
Omeprazole (Prilosec) - ansinteracts with with Warfarin (Coumadin),
diazepam (Valium),
Carbamazepine (Tegretol),
Pheytoin (Dilantin),
ketocanazole (Nizoral)
Viral Conjunctivitis tx - ansAntihistamine, decongestant drops (Trigluridine in herpes
conjunctivitis)
What is the common presentation of a navicular fracture? - ansTenderness at the "N spot,"
which is defined as the proximal dorsal portion of the navicular (see the image below). This
is the most important physical finding.
Melanoma - ansABCDE: asymmetry, border irregularity, color variation, diameter greater
than .6 mm, elevation above skin level.
Type 2 DM in children values - ansA1C: >6.5%
Fasting: >126
2 hour GTT: >200
Random: >200
Central clearing lesion after camping trip flu like symptoms with muscle aches for several
days is? and treated by? - ansLyme disease; doxycycline
Wilms tumor - ans(Nephroblastoma)- Not painful. Asymptomatic abd mass does NOT cross
the midline. 2-3 y. o.d. do not palpate. Do ABD US. PUNT. Think Nephro doesn't cross.
Stays where kidney is.
the headache of an intracranial tumor - ansfocal neurological signs and pain worse in supine
position
socioeconomic status - ansnot important during employment physical with 21 yo with
bruising on breasts
The nurse practitioner prescribes amitriptyline (Elavil) for a patient with neuropathic pain
secondary to diabetes mellitus. On follow-up, the patient complains of urine retention and dry
mouth. The practitioner would:
1.
discontinue amitriptyline and begin ibuprofen (Motrin).
2.
