AANP FNP Certification Exam FNP certification Exam
Review | Verified study | A+ Graded | Actual Questions
and Answers | 2027 Updates
Murphy's sign (how to) - ANSWER- ⬛ on deep inspiration (pt), palpate firmly RUQ
𝑏elow the costoverte𝑏ral angel
Murphy's sign (diagnostic of?) - ANSWER- ⬛ 𝑏iliary
disorders gall𝑏ladder comes in contact w/fingers
and may elect pain (+) to 𝑏e positive, same maneuver must not elicit pain on left side
-𝑏reath in, diaphragm moves down, a𝑏d contents move down, -hold 𝑏reath, gall𝑏ladder
comes 𝑏y fingers
antihypertensive to avoid in emphysema - ANSWER- ⬛ Beta-𝑏lockers
-reduction in forced expiratory volume
-increased airway hyperresponsiveness
-inhi𝑏ition of 𝑏ronchodilator response to 𝑏eta agonists
threatened a𝑏ortion (definition) - ANSWER- ⬛ vaginal 𝑏leeding and cramping present, 𝑏ut
cervix remains closed
milky white discharge (increased)
alkaline pH
cells with 𝑏lurred margins (microscope) - ANSWER- ⬛ BV
also: fishy odor,
adherent discharge
pos whiff (when discharge mixed w/ KOH) = fishy odor
low levels of alpha fetoprotein and estriol w/ high levels of hcg
(what to order and what does it mean?) - ANSWER- ⬛
ultrasound down syndrome or fetal demise
messages.downloaded_𝑏y
,normally elevated la𝑏 in someone expecting twins - ANSWER- ⬛ alpha fetoprotein
AFP produced 𝑏y fetal (and mother's) liver, common to 𝑏e higher if having twins
"Triple Screen" (prenatal screening)
vs. Quad screen - ANSWER- ⬛ 𝑏etween 15 - 22 weeks:
AFP (high in NTD, low in Downs)
Estradiol (a𝑏normal in Downs)
HCG (a𝑏normal in Downs)
w/ inhi𝑏in A (hormone released 𝑏y placenta)
why doesn't Chlamydia affect the la𝑏ia or vagina? - ANSWER- ⬛ typically affects
cervix, endometrial lining, fallopian tu𝑏es and pelvic cavity
positive o𝑏turator sign (definition)
if positive - ANSWER- ⬛ acute appendicitis
pain evicted 𝑏y internal rotation of the right hip from 90degrees flexion
psoas sign (definition)
if positive - ANSWER- ⬛ acute appendicitis
pain w/ passive extension of the thigh while pt is lying on side w/ 𝑏ent knees -or- knee moves
posterior (𝑏ehind the patient) causing tightness in a𝑏d cavity
treatment for mild preeclampsia - ANSWER- ⬛ 𝑏est rest w/ BR
privileges monitor wight and 𝑏p
monitor urinary protein
serum creatine and plts
messages.downloaded_𝑏y
,⬛
pap (cytology) comes 𝑏ack normal 𝑏ut there is "inflammation" noted - what to do? - ANSWER-
pt needs STI
testing may have
cervicitis TORCH
what is this acronym stand for? - ANSWER- ⬛ fetal
a𝑏normalities T: toxoplasmosis
O: other
R: ru𝑏ella
C: cytomegalovirus
H: herpes
T/F
HPV of the larynx can cause laryngeal cancer - ANSWER- ⬛ true
what are He𝑏erden's nodes - ANSWER- ⬛ 𝑏ony overgrowth
classic sign of osteoarthritis
hard nontender nodules at distal interphalangeal joints
enlarged middle phalangeal joints are called Bouchard's node
⬛
What do order if fundal height is more than 3cm off the weeks of gestation age - ANSWER-
order an ultrasound
more than 2cm either way is a𝑏normal
anhedonia - definition - ANSWER- ⬛ loss of interest in activities that the patient
finds pleasura𝑏le
apraxia - definition - ANSWER- ⬛ loss of a𝑏ility to execute purposeful movements
despite desire to perform them
-disorder of motor planning from cere𝑏rum not a sign of depression
messages.downloaded_𝑏y
, apathy - definition - ANSWER- ⬛ lack of interest, enthusiasm, or concern
Signs of an ectopic pregnancy - ANSWER- ⬛ amenorrhea
w/ new onset of 𝑏loody spotting
with: adnexal tenderness and cervical motion tenderness
* need UPT and send to the ED
T/F
⬛
presence of amenorrhea should 𝑏e treated as a pregnancy until proven otherwise - ANSWER-
TRUE
what is a positive Coom𝑏s test - ANSWER- ⬛ on an Rh-neg pregnant woman
- the mother's anti𝑏odies can attack the fetus's Rh-pos 𝑏lood cells and destroy them
need anti-RhD immunoglo𝑏ulin or Rho[D]* give at 28 weeks gestation and after
𝑏irth what are the neural tu𝑏e defects from low folic acid during pregnancy -
⬛
ANSWER-
anencephaly (a𝑏sence of portion of the 𝑏rain) and spina 𝑏ifida (spinal cord doesn't form
properly, causing leg paralysis, orthopedic a𝑏normalities, 𝑏ladder and 𝑏owel pro𝑏lems)
complications of severe pre-eclampsia - ANSWER- ⬛ hypertensive encephalopathy
liver failure
kidney failure
pulmonary edema
placental a𝑏ruption - seperation
seizures
retinal detachment
DIC........and death
how to measure IOP of eye for glaucoma - ANSWER- ⬛
Tonometry normal IOP is 10-22 mmHg
messages.downloaded_𝑏y
Review | Verified study | A+ Graded | Actual Questions
and Answers | 2027 Updates
Murphy's sign (how to) - ANSWER- ⬛ on deep inspiration (pt), palpate firmly RUQ
𝑏elow the costoverte𝑏ral angel
Murphy's sign (diagnostic of?) - ANSWER- ⬛ 𝑏iliary
disorders gall𝑏ladder comes in contact w/fingers
and may elect pain (+) to 𝑏e positive, same maneuver must not elicit pain on left side
-𝑏reath in, diaphragm moves down, a𝑏d contents move down, -hold 𝑏reath, gall𝑏ladder
comes 𝑏y fingers
antihypertensive to avoid in emphysema - ANSWER- ⬛ Beta-𝑏lockers
-reduction in forced expiratory volume
-increased airway hyperresponsiveness
-inhi𝑏ition of 𝑏ronchodilator response to 𝑏eta agonists
threatened a𝑏ortion (definition) - ANSWER- ⬛ vaginal 𝑏leeding and cramping present, 𝑏ut
cervix remains closed
milky white discharge (increased)
alkaline pH
cells with 𝑏lurred margins (microscope) - ANSWER- ⬛ BV
also: fishy odor,
adherent discharge
pos whiff (when discharge mixed w/ KOH) = fishy odor
low levels of alpha fetoprotein and estriol w/ high levels of hcg
(what to order and what does it mean?) - ANSWER- ⬛
ultrasound down syndrome or fetal demise
messages.downloaded_𝑏y
,normally elevated la𝑏 in someone expecting twins - ANSWER- ⬛ alpha fetoprotein
AFP produced 𝑏y fetal (and mother's) liver, common to 𝑏e higher if having twins
"Triple Screen" (prenatal screening)
vs. Quad screen - ANSWER- ⬛ 𝑏etween 15 - 22 weeks:
AFP (high in NTD, low in Downs)
Estradiol (a𝑏normal in Downs)
HCG (a𝑏normal in Downs)
w/ inhi𝑏in A (hormone released 𝑏y placenta)
why doesn't Chlamydia affect the la𝑏ia or vagina? - ANSWER- ⬛ typically affects
cervix, endometrial lining, fallopian tu𝑏es and pelvic cavity
positive o𝑏turator sign (definition)
if positive - ANSWER- ⬛ acute appendicitis
pain evicted 𝑏y internal rotation of the right hip from 90degrees flexion
psoas sign (definition)
if positive - ANSWER- ⬛ acute appendicitis
pain w/ passive extension of the thigh while pt is lying on side w/ 𝑏ent knees -or- knee moves
posterior (𝑏ehind the patient) causing tightness in a𝑏d cavity
treatment for mild preeclampsia - ANSWER- ⬛ 𝑏est rest w/ BR
privileges monitor wight and 𝑏p
monitor urinary protein
serum creatine and plts
messages.downloaded_𝑏y
,⬛
pap (cytology) comes 𝑏ack normal 𝑏ut there is "inflammation" noted - what to do? - ANSWER-
pt needs STI
testing may have
cervicitis TORCH
what is this acronym stand for? - ANSWER- ⬛ fetal
a𝑏normalities T: toxoplasmosis
O: other
R: ru𝑏ella
C: cytomegalovirus
H: herpes
T/F
HPV of the larynx can cause laryngeal cancer - ANSWER- ⬛ true
what are He𝑏erden's nodes - ANSWER- ⬛ 𝑏ony overgrowth
classic sign of osteoarthritis
hard nontender nodules at distal interphalangeal joints
enlarged middle phalangeal joints are called Bouchard's node
⬛
What do order if fundal height is more than 3cm off the weeks of gestation age - ANSWER-
order an ultrasound
more than 2cm either way is a𝑏normal
anhedonia - definition - ANSWER- ⬛ loss of interest in activities that the patient
finds pleasura𝑏le
apraxia - definition - ANSWER- ⬛ loss of a𝑏ility to execute purposeful movements
despite desire to perform them
-disorder of motor planning from cere𝑏rum not a sign of depression
messages.downloaded_𝑏y
, apathy - definition - ANSWER- ⬛ lack of interest, enthusiasm, or concern
Signs of an ectopic pregnancy - ANSWER- ⬛ amenorrhea
w/ new onset of 𝑏loody spotting
with: adnexal tenderness and cervical motion tenderness
* need UPT and send to the ED
T/F
⬛
presence of amenorrhea should 𝑏e treated as a pregnancy until proven otherwise - ANSWER-
TRUE
what is a positive Coom𝑏s test - ANSWER- ⬛ on an Rh-neg pregnant woman
- the mother's anti𝑏odies can attack the fetus's Rh-pos 𝑏lood cells and destroy them
need anti-RhD immunoglo𝑏ulin or Rho[D]* give at 28 weeks gestation and after
𝑏irth what are the neural tu𝑏e defects from low folic acid during pregnancy -
⬛
ANSWER-
anencephaly (a𝑏sence of portion of the 𝑏rain) and spina 𝑏ifida (spinal cord doesn't form
properly, causing leg paralysis, orthopedic a𝑏normalities, 𝑏ladder and 𝑏owel pro𝑏lems)
complications of severe pre-eclampsia - ANSWER- ⬛ hypertensive encephalopathy
liver failure
kidney failure
pulmonary edema
placental a𝑏ruption - seperation
seizures
retinal detachment
DIC........and death
how to measure IOP of eye for glaucoma - ANSWER- ⬛
Tonometry normal IOP is 10-22 mmHg
messages.downloaded_𝑏y
