AANPCB FNP Final Competency Certification Study Guide
Exam Questions with Certified for Accuracy Answers
2026/2027
A patient is taking warfarin, 4 mg daily for atrial fibrillation. The patient's current
International Normalized Ratio (INR) is 5.5 mg/dL. The nurse practitioner would:
Select only one option.
A
hold the warfarin for 4 days and then recheck the INR.
B
increase the warfarin to 5 mg daily.
C
decrease the warfarin to 3 mg daily.
D
hold the warfarin for 1 day and then recheck in two days.
D
According to the American Diabetes Association, the standard for determining the
presence of type 2 diabetes mellitus based on fasting blood glucose on two occasions is
a value equal to or greater than:
Select only one option.
A
100 mg/dL.
B
126 mg/dL.
C
140 mg/dL.
D
,180 mg/dL
B
A child presents with a bulging, immobile tympanic membrane; T = 103°F (39.4°C).
Assessment also reveals a grade II/VI systolic murmur at the left sternal border. After
initiation of treatment for otitis media, the most appropriate intervention is to:
Select only one option.
A
obtain an EKG.
B
obtain an echocardiogram.
C
reevaluate the patient in 10 days.
D
refer the patient to a cardiologist.
C
An adult patient with type 2 diabetes mellitus returns at the nurse practitioner's request
to discuss medication management. Current medications include metformin
(Glucophage), 1000 mg twice daily, sitagliptin (Januvia), 10 mg daily, and insulin detemir
(Levemir), 60 U daily. Lab values are: A1c = 10.4% [normal = less than 7.0%], fasting
blood glucose = 180-190 mg/dL range [normal = less than 99 mg/dL]. Which of the
following regimens should the nurse practitioner recommend?
Select only one option.
A
Basal insulin only, continuing oral medications
B
Basal and rapid-acting insulin
C
,Switching to glargine (Lantus)
D
Rapid-acting insulin only, continuing oral medications
B
Which of the following criteria differentiates a TIA from a stroke?
Select only one option.
A
Focal symptoms
B
Amnesia of incident
C
Slowness of onset
D
Absence of residual symptoms
D
A common rule to follow when prescribing many medications for the elderly is to:
Select only one option.
A
give most medications in the morning to allow slowed body functions to have time to
adjust to the drug.
B
start at a lower dose than what is commonly prescribed for adults and increase the dose
slowly.
C
, perform a creatinine clearance test for baseline data on all persons over age 70 before
starting on new medications.
D
give medication with a full glass of water to promote absorption and limit harm to
kidneys.
B
Which of the following laboratory tests are most widely accepted as indicators of the
progression of HIV infection?
Select only one option.
A
WBC count and viral load
B
CD4 count and viral load
C
CD4 count and Western blot test
D
CD4 count and enzyme-linked immunosorbent assay (ELISA)
B
The management of choice for polymyalgia rheumatica includes:
Select only one option.
A
whirlpool.
B
prednisone.
C
Exam Questions with Certified for Accuracy Answers
2026/2027
A patient is taking warfarin, 4 mg daily for atrial fibrillation. The patient's current
International Normalized Ratio (INR) is 5.5 mg/dL. The nurse practitioner would:
Select only one option.
A
hold the warfarin for 4 days and then recheck the INR.
B
increase the warfarin to 5 mg daily.
C
decrease the warfarin to 3 mg daily.
D
hold the warfarin for 1 day and then recheck in two days.
D
According to the American Diabetes Association, the standard for determining the
presence of type 2 diabetes mellitus based on fasting blood glucose on two occasions is
a value equal to or greater than:
Select only one option.
A
100 mg/dL.
B
126 mg/dL.
C
140 mg/dL.
D
,180 mg/dL
B
A child presents with a bulging, immobile tympanic membrane; T = 103°F (39.4°C).
Assessment also reveals a grade II/VI systolic murmur at the left sternal border. After
initiation of treatment for otitis media, the most appropriate intervention is to:
Select only one option.
A
obtain an EKG.
B
obtain an echocardiogram.
C
reevaluate the patient in 10 days.
D
refer the patient to a cardiologist.
C
An adult patient with type 2 diabetes mellitus returns at the nurse practitioner's request
to discuss medication management. Current medications include metformin
(Glucophage), 1000 mg twice daily, sitagliptin (Januvia), 10 mg daily, and insulin detemir
(Levemir), 60 U daily. Lab values are: A1c = 10.4% [normal = less than 7.0%], fasting
blood glucose = 180-190 mg/dL range [normal = less than 99 mg/dL]. Which of the
following regimens should the nurse practitioner recommend?
Select only one option.
A
Basal insulin only, continuing oral medications
B
Basal and rapid-acting insulin
C
,Switching to glargine (Lantus)
D
Rapid-acting insulin only, continuing oral medications
B
Which of the following criteria differentiates a TIA from a stroke?
Select only one option.
A
Focal symptoms
B
Amnesia of incident
C
Slowness of onset
D
Absence of residual symptoms
D
A common rule to follow when prescribing many medications for the elderly is to:
Select only one option.
A
give most medications in the morning to allow slowed body functions to have time to
adjust to the drug.
B
start at a lower dose than what is commonly prescribed for adults and increase the dose
slowly.
C
, perform a creatinine clearance test for baseline data on all persons over age 70 before
starting on new medications.
D
give medication with a full glass of water to promote absorption and limit harm to
kidneys.
B
Which of the following laboratory tests are most widely accepted as indicators of the
progression of HIV infection?
Select only one option.
A
WBC count and viral load
B
CD4 count and viral load
C
CD4 count and Western blot test
D
CD4 count and enzyme-linked immunosorbent assay (ELISA)
B
The management of choice for polymyalgia rheumatica includes:
Select only one option.
A
whirlpool.
B
prednisone.
C
